array:19 [
  "pii" => "13055465"
  "issn" => "15792129"
  "estado" => "S300"
  "fechaPublicacion" => "2003-12-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2003;39:601"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 6424
    "formatos" => array:3 [
      "EPUB" => 187
      "HTML" => 5403
      "PDF" => 834
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "13055466"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-12-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:601-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5345
      "formatos" => array:3 [
        "EPUB" => 157
        "HTML" => 4378
        "PDF" => 810
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Pulmonary Infiltrates Secondary to Carbon Monoxide Intoxication"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "601"
          "paginaFinal" => "602"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Infiltrados pulmonares secundarios a intoxicación por monóxido de carbono"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E Antón, RM Girón Moreno, E Zamora"
          "autores" => array:3 [
            0 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Antón"
            ]
            1 => array:2 [
              "Iniciales" => "RM"
              "apellidos" => "Girón Moreno"
            ]
            2 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Zamora"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055466?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000012/v0_201307090853/13055466/v0_201307090854/en/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "13055464"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-12-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:580-600"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 57824
      "formatos" => array:3 [
        "EPUB" => 285
        "HTML" => 49594
        "PDF" => 7945
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Diagnosis and Treatment of Diffuse Interstitial Lung Diseases"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "580"
          "paginaFinal" => "600"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Diagnóstico y tratamiento de las enfermedades pulmonares intersticiales difusas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A Xaubet, J Ancochea, R Blanquer, C Montero, F Morell, E Rodríguez Becerra, A Sueiro, V Villena"
          "autores" => array:8 [
            0 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Xaubet"
            ]
            1 => array:2 [
              "Iniciales" => "J"
              "apellidos" => "Ancochea"
            ]
            2 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Blanquer"
            ]
            3 => array:2 [
              "Iniciales" => "C"
              "apellidos" => "Montero"
            ]
            4 => array:2 [
              "Iniciales" => "F"
              "apellidos" => "Morell"
            ]
            5 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Rodríguez Becerra"
            ]
            6 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Sueiro"
            ]
            7 => array:2 [
              "Iniciales" => "V"
              "apellidos" => "Villena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055464?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000012/v0_201307090853/13055464/v0_201307090854/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Solitary Metastasis to the Pancreas in a Patient With Lung Cancer"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "601"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "C García Vidal, E Carrillo, B Barreiro"
        "autores" => array:3 [
          0 => array:3 [
            "Iniciales" => "C"
            "apellidos" => "García Vidal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "E"
            "apellidos" => "Carrillo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "B"
            "apellidos" => "Barreiro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "affc"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Departamento de Medicina Interna, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Medicina de Familia, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
          2 => array:3 [
            "entidad" => "Departamento de Neumología, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "affc"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Met&#225;stasis pancre&#225;tica solitaria en paciente con neoplasia de pulm&#243;n"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor&#58;</span> Pancreatic metastasis is rare and usually comes from lung&#44; breast&#44; kidney&#44; or colon tumors that metastasize to the pancreas through the blood stream&#46;<span class="elsevierStyleSup">1</span></p><p class="elsevierStylePara">We present the case of a 52-year-old man with a history of smoking &#40;30 pack-years&#41; and childhood tuberculosis who complained of left suprascapular mechanical pain of one month&#39;s duration and increasing in spite of analgesic treatment&#46; A chest x-ray showed an opacity in the upper left lobe with loss of volume and areas of emphysema&#46; A computed tomography &#40;CT&#41; scan of the thorax and abdomen showed a mass in the upper left lobe 6x7 cm in size invading the chest wall and a hypodense lesion in the tail of the pancreas 1&#46;3 cm long&#46; Fiberoptic bronchoscopy revealed complete stenosis of the apicoposterior segment of the bronchus of the upper left lobe&#46; Biopsies were positive for large-cell carcinoma&#46; A bone scintigram was normal&#46; We decided to perform a positron emission tomography &#40;PET&#41; scan&#44; which revealed pathological uptake in the upper left lobe of the lung and another area of tracer accumulation in the tail of the pancreas&#46; Mediastinoscopy ruled out mediastinal node involvement&#46; Exeresis of the pancreatic nodule with body&#47;tail pancreatectomy was performed&#46; The pathologist diagnosed moderately differentiated carcinoma that was probably metastatic&#46; No invasion of the peripancreatic lymph nodes or those of the hilus of the spleen was observed&#46; A left radical pneumonectomy was then performed by left thoracotomy&#44; with resection of the third&#44; fourth&#44; and fifth ribs&#46; The resection margins were tumor-free and the patient&#39;s course was favorable&#44; without complications&#46;</p><p class="elsevierStylePara">Lung&#44; kidney&#44; breast&#44; and colon tumors may metastasize to the pancreas&#46; Other neoplasms for which pancreatic involvement has occasionally been described are melanoma&#44; chondrosarcoma&#44; sarcoma&#44; and endometrial cancer&#46; The lung tumor that most commonly metastasizes to the pancreas is small cell carcinoma&#46; In the series of Maeno et al&#44;<span class="elsevierStyleSup">2</span> pancreatic invasion was observed in 10&#37;&#46; Pancreatic involvement is much less common in adenocarcinomas &#40;2&#46;4&#37;&#41;&#44; large cell carcinomas &#40;1&#46;9&#37;&#41;&#44; and squamous cell carcinoma &#40;1&#46;1&#37;&#41;&#46; Additional intraabdominal sites&#44; mostly hepatic and suprarenal&#44; have been observed in 97&#37; of the cases of lung tumor metastasis to the pancreas&#46;<span class="elsevierStyleSup">3</span> Pancreatic metastases are usually asymptomatic&#46; The diagnostic technique of choice is an abdominal CT scan&#44; and the role of PET is still uncertain&#46; PET has been reported to detect up to 10&#37; of unsuspected lung cancer metastases not observed by CAT&#46;<span class="elsevierStyleSup">4</span> Pathology provides the only sure diagnostic method&#44; and percutaneous fine needle aspiration must therefore be considered for all operable patients&#46;</p><p class="elsevierStylePara">The treatment of pancreatic metastasis is aggressive resection of the lesion&#46; Although prognosis depends on the nature of the primary tumor&#44; it is unfavorable in all cases&#46;</p>"
    "pdfFichero" => "260v39n12a13055465pdf001.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "A case of solitary metastatic pancreatic cancer from rectal carcinoma&#58; a case report&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Inagaki H"
                            1 => "Nakao A"
                            2 => "Ando N&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hepatogastroenterology"
                        "fecha" => "1998"
                        "volumen" => "45"
                        "paginaInicial" => "2413"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9951934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Patterns of pancreatic metastasis from lung cancer&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Maeno T"
                            1 => "Satoh H"
                            2 => "Ishikawa H"
                            3 => "Yamashita YT"
                            4 => "Naito T"
                            5 => "Fujiwara M"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anticancer Res"
                        "fecha" => "1998"
                        "volumen" => "18"
                        "paginaInicial" => "2881"
                        "paginaFinal" => "4"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9713480"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Pancreatic metastasis from a lung cancer&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Seki M"
                            1 => "Tsuchita E"
                            2 => "Hori M&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF02787532"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Pancreatol"
                        "fecha" => "1998"
                        "volumen" => "24"
                        "paginaInicial" => "55"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9746891"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Current role of positron emission tomography in thoracic oncology&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Lowe J"
                            1 => "Naunheim S&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "paginaInicial" => "703"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9828860"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000003900000012/v0_201307090853/13055465/v0_201307090854/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14576"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Letters to the editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000003900000012/v0_201307090853/13055465/v0_201307090854/en/260v39n12a13055465pdf001.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055465?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Solitary Metastasis to the Pancreas in a Patient With Lung Cancer
Metástasis pancreática solitaria en paciente con neoplasia de pulmón
C. García Vidala, E. Carrillob, B. Barreiroc
a Departamento de Medicina Interna, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain.
b Departamento de Medicina de Familia, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain.
c Departamento de Neumología, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain.
Read
12867
Times
was read the article
2633
Total PDF
10234
Total HTML
Share statistics
 array:19 [
  "pii" => "13055465"
  "issn" => "15792129"
  "estado" => "S300"
  "fechaPublicacion" => "2003-12-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2003;39:601"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 6424
    "formatos" => array:3 [
      "EPUB" => 187
      "HTML" => 5403
      "PDF" => 834
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "13055466"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-12-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:601-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5345
      "formatos" => array:3 [
        "EPUB" => 157
        "HTML" => 4378
        "PDF" => 810
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Pulmonary Infiltrates Secondary to Carbon Monoxide Intoxication"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "601"
          "paginaFinal" => "602"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Infiltrados pulmonares secundarios a intoxicaci&#243;n por mon&#243;xido de carbono"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E Ant&#243;n, RM Gir&#243;n Moreno, E Zamora"
          "autores" => array:3 [
            0 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Ant&#243;n"
            ]
            1 => array:2 [
              "Iniciales" => "RM"
              "apellidos" => "Gir&#243;n Moreno"
            ]
            2 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Zamora"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055466?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000012/v0_201307090853/13055466/v0_201307090854/en/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "13055464"
    "issn" => "15792129"
    "estado" => "S300"
    "fechaPublicacion" => "2003-12-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2003;39:580-600"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 57824
      "formatos" => array:3 [
        "EPUB" => 285
        "HTML" => 49594
        "PDF" => 7945
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Diagnosis and Treatment of Diffuse Interstitial Lung Diseases"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "580"
          "paginaFinal" => "600"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Diagn&#243;stico y tratamiento de las enfermedades pulmonares intersticiales difusas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A Xaubet, J Ancochea, R Blanquer, C Montero, F Morell, E Rodr&#237;guez Becerra, A Sueiro, V Villena"
          "autores" => array:8 [
            0 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Xaubet"
            ]
            1 => array:2 [
              "Iniciales" => "J"
              "apellidos" => "Ancochea"
            ]
            2 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Blanquer"
            ]
            3 => array:2 [
              "Iniciales" => "C"
              "apellidos" => "Montero"
            ]
            4 => array:2 [
              "Iniciales" => "F"
              "apellidos" => "Morell"
            ]
            5 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Rodr&#237;guez Becerra"
            ]
            6 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Sueiro"
            ]
            7 => array:2 [
              "Iniciales" => "V"
              "apellidos" => "Villena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055464?idApp=UINPBA00003Z"
    "url" => "/15792129/0000003900000012/v0_201307090853/13055464/v0_201307090854/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Solitary Metastasis to the Pancreas in a Patient With Lung Cancer"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "601"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "C Garc&#237;a Vidal, E Carrillo, B Barreiro"
        "autores" => array:3 [
          0 => array:3 [
            "Iniciales" => "C"
            "apellidos" => "Garc&#237;a Vidal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "E"
            "apellidos" => "Carrillo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "B"
            "apellidos" => "Barreiro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "affc"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Departamento de Medicina Interna, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Medicina de Familia, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
          2 => array:3 [
            "entidad" => "Departamento de Neumología, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain."
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "affc"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Met&#225;stasis pancre&#225;tica solitaria en paciente con neoplasia de pulm&#243;n"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor&#58;</span> Pancreatic metastasis is rare and usually comes from lung&#44; breast&#44; kidney&#44; or colon tumors that metastasize to the pancreas through the blood stream&#46;<span class="elsevierStyleSup">1</span></p><p class="elsevierStylePara">We present the case of a 52-year-old man with a history of smoking &#40;30 pack-years&#41; and childhood tuberculosis who complained of left suprascapular mechanical pain of one month&#39;s duration and increasing in spite of analgesic treatment&#46; A chest x-ray showed an opacity in the upper left lobe with loss of volume and areas of emphysema&#46; A computed tomography &#40;CT&#41; scan of the thorax and abdomen showed a mass in the upper left lobe 6x7 cm in size invading the chest wall and a hypodense lesion in the tail of the pancreas 1&#46;3 cm long&#46; Fiberoptic bronchoscopy revealed complete stenosis of the apicoposterior segment of the bronchus of the upper left lobe&#46; Biopsies were positive for large-cell carcinoma&#46; A bone scintigram was normal&#46; We decided to perform a positron emission tomography &#40;PET&#41; scan&#44; which revealed pathological uptake in the upper left lobe of the lung and another area of tracer accumulation in the tail of the pancreas&#46; Mediastinoscopy ruled out mediastinal node involvement&#46; Exeresis of the pancreatic nodule with body&#47;tail pancreatectomy was performed&#46; The pathologist diagnosed moderately differentiated carcinoma that was probably metastatic&#46; No invasion of the peripancreatic lymph nodes or those of the hilus of the spleen was observed&#46; A left radical pneumonectomy was then performed by left thoracotomy&#44; with resection of the third&#44; fourth&#44; and fifth ribs&#46; The resection margins were tumor-free and the patient&#39;s course was favorable&#44; without complications&#46;</p><p class="elsevierStylePara">Lung&#44; kidney&#44; breast&#44; and colon tumors may metastasize to the pancreas&#46; Other neoplasms for which pancreatic involvement has occasionally been described are melanoma&#44; chondrosarcoma&#44; sarcoma&#44; and endometrial cancer&#46; The lung tumor that most commonly metastasizes to the pancreas is small cell carcinoma&#46; In the series of Maeno et al&#44;<span class="elsevierStyleSup">2</span> pancreatic invasion was observed in 10&#37;&#46; Pancreatic involvement is much less common in adenocarcinomas &#40;2&#46;4&#37;&#41;&#44; large cell carcinomas &#40;1&#46;9&#37;&#41;&#44; and squamous cell carcinoma &#40;1&#46;1&#37;&#41;&#46; Additional intraabdominal sites&#44; mostly hepatic and suprarenal&#44; have been observed in 97&#37; of the cases of lung tumor metastasis to the pancreas&#46;<span class="elsevierStyleSup">3</span> Pancreatic metastases are usually asymptomatic&#46; The diagnostic technique of choice is an abdominal CT scan&#44; and the role of PET is still uncertain&#46; PET has been reported to detect up to 10&#37; of unsuspected lung cancer metastases not observed by CAT&#46;<span class="elsevierStyleSup">4</span> Pathology provides the only sure diagnostic method&#44; and percutaneous fine needle aspiration must therefore be considered for all operable patients&#46;</p><p class="elsevierStylePara">The treatment of pancreatic metastasis is aggressive resection of the lesion&#46; Although prognosis depends on the nature of the primary tumor&#44; it is unfavorable in all cases&#46;</p>"
    "pdfFichero" => "260v39n12a13055465pdf001.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "A case of solitary metastatic pancreatic cancer from rectal carcinoma&#58; a case report&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Inagaki H"
                            1 => "Nakao A"
                            2 => "Ando N&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hepatogastroenterology"
                        "fecha" => "1998"
                        "volumen" => "45"
                        "paginaInicial" => "2413"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9951934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Patterns of pancreatic metastasis from lung cancer&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "Maeno T"
                            1 => "Satoh H"
                            2 => "Ishikawa H"
                            3 => "Yamashita YT"
                            4 => "Naito T"
                            5 => "Fujiwara M"
                            6 => "et al&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anticancer Res"
                        "fecha" => "1998"
                        "volumen" => "18"
                        "paginaInicial" => "2881"
                        "paginaFinal" => "4"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9713480"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Pancreatic metastasis from a lung cancer&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Seki M"
                            1 => "Tsuchita E"
                            2 => "Hori M&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF02787532"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Pancreatol"
                        "fecha" => "1998"
                        "volumen" => "24"
                        "paginaInicial" => "55"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9746891"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:3 [
                      "titulo" => "Current role of positron emission tomography in thoracic oncology&#46;"
                      "idioma" => "en"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Lowe J"
                            1 => "Naunheim S&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "paginaInicial" => "703"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9828860"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000003900000012/v0_201307090853/13055465/v0_201307090854/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14576"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Letters to the editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000003900000012/v0_201307090853/13055465/v0_201307090854/en/260v39n12a13055465pdf001.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13055465?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 3 7
2024 October 41 20 61
2024 September 43 12 55
2024 August 68 35 103
2024 July 41 27 68
2024 June 47 25 72
2024 May 61 35 96
2024 April 44 27 71
2024 March 60 33 93
2024 February 26 35 61
2023 August 3 0 3
2023 March 23 2 25
2023 February 77 30 107
2023 January 75 42 117
2022 December 87 40 127
2022 November 95 35 130
2022 October 91 45 136
2022 September 124 29 153
2022 August 112 42 154
2022 July 89 54 143
2022 June 111 47 158
2022 May 128 30 158
2022 April 160 37 197
2022 March 140 64 204
2022 February 159 51 210
2022 January 161 43 204
2021 December 132 62 194
2021 November 110 53 163
2021 October 119 68 187
2021 September 96 58 154
2021 August 85 60 145
2021 July 87 28 115
2021 June 105 63 168
2021 May 118 72 190
2021 April 304 124 428
2021 March 183 38 221
2021 February 151 36 187
2021 January 149 25 174
2020 December 129 47 176
2020 November 108 24 132
2020 October 80 21 101
2020 September 117 23 140
2020 August 124 26 150
2020 July 113 33 146
2020 June 91 20 111
2020 May 115 26 141
2020 April 100 21 121
2020 March 101 23 124
2020 February 112 24 136
2020 January 113 16 129
2019 December 137 26 163
2019 November 80 21 101
2019 October 84 12 96
2019 September 139 24 163
2019 August 86 20 106
2019 July 69 20 89
2019 June 80 16 96
2019 May 133 21 154
2019 April 146 16 162
2019 March 93 30 123
2019 February 89 33 122
2019 January 80 24 104
2018 December 77 31 108
2018 November 74 32 106
2018 October 89 20 109
2018 September 58 15 73
2018 May 29 1 30
2018 April 65 7 72
2018 March 62 2 64
2018 February 52 6 58
2018 January 56 8 64
2017 December 62 4 66
2017 November 54 4 58
2017 October 71 7 78
2017 September 70 4 74
2017 August 105 12 117
2017 July 96 3 99
2017 June 116 11 127
2017 May 95 6 101
2017 April 112 4 116
2017 March 108 4 112
2017 February 216 5 221
2017 January 96 3 99
2016 December 98 5 103
2016 November 110 9 119
2016 October 127 14 141
2016 September 139 11 150
2016 August 116 6 122
2016 July 63 8 71
2016 May 1 7 8
2016 April 0 2 2
2016 March 1 0 1
2016 February 1 4 5
2016 January 0 7 7
2015 December 3 11 14
2015 November 3 7 10
2015 October 60 2 62
2015 September 64 12 76
2015 August 60 8 68
2015 July 65 12 77
2015 June 51 9 60
2015 May 69 7 76
2015 April 48 7 55
2015 March 64 6 70
2015 February 44 6 50
2015 January 50 5 55
2014 December 51 4 55
2014 November 50 6 56
2014 October 73 13 86
2014 September 47 8 55
2014 August 51 8 59
2014 July 33 8 41
2014 June 56 11 67
2014 May 44 6 50
2014 April 50 3 53
2014 March 53 15 68
2014 February 51 11 62
2014 January 42 8 50
2013 December 42 8 50
2013 November 22 5 27
2013 October 46 7 53
2013 September 51 8 59
2013 August 53 18 71
2013 July 60 14 74
2013 June 36 6 42
2013 May 47 3 50
2013 April 33 9 42
2013 March 15 3 18
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?