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Lipoma endobronquial: una causa infrecuente de obstrucción bronquial
Endobronchial Lipoma: An Unusual Cause of Bronchial Obstruction
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Describimos el caso de una mujer de 43<span class="elsevierStyleHsp" style=""></span>años remitida por asma mal controlada en los 2<span class="elsevierStyleHsp" style=""></span>últimos años y neumonía de lenta resolución en el lóbulo inferior derecho. En la TC torácica se objetivó ocupación del bronquio inferior derecho por material de contenido graso. La broncofibroscopia permitió evidenciar una tumoración amarillenta en la zona descrita que obstruía casi por completo la entrada a la pirámide basal derecha, de aspecto redondeado, contornos lisos y muy vascularizada (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). Se remitió a Cirugía Torácica para tratamiento, y el estudio anatomopatológico de la lesión confirmó que estaba formada por grupos de adipocitos.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">El diagnóstico de estos tumores suele ser tardío debido a su lento crecimiento y a la inespecificidad de los síntomas, siendo la tos el más frecuente. Un retraso diagnóstico conlleva retraso terapéutico, lo cual incrementa la morbilidad ocasionada por la obstrucción distal a la lesión<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>. Existen múltiples opciones terapéuticas, desde técnicas endobronquiales (láser YAG, crioterapia…) hasta resección quirúrgica, pero se recomienda individualizar cada caso por parte de un equipo multidisciplinar.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiación</span><p id="par0015" class="elsevierStylePara elsevierViewall">Ninguna.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0020" class="elsevierStylePara elsevierViewall">No existe ningún conflicto de intereses.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financiación" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicto de intereses" ] 2 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-06-23" "fechaAceptado" => "2013-06-25" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1094 "Ancho" => 950 "Tamanyo" => 272175 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen broncoscópica de una lesión polipoidea de aspecto amarillento y brillante que en el análisis histológico resultó ser un lipoma.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An endobronchial lipoma mimicking asthma and malignancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Irani" 1 => "B. Kumar" 2 => "P. Reddy" 3 => "R. Narwal-Chadha" 4 => "R. Kasmani" 5 => "J. Tita" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4104/pcrj.2009.00070" "Revista" => array:6 [ "tituloSerie" => "Prim Care Respir J" "fecha" => "2010" "volumen" => "19" "paginaInicial" => "281" "paginaFinal" => "283" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20020088" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An elderly woman with chronic dyspnea and endobronchial lesion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Alazemi" 1 => "A. Majid" 2 => "A.I. Ruiz" 3 => "D. Litmanovich" 4 => "D. Feller-Kopman" 5 => "A. Ernst" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.09-0876" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2010" "volumen" => "137" "paginaInicial" => "460" "paginaFinal" => "466" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20133294" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:3 [ "titulo" => "Agradecimientos" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">A los Dres P. León Atance y J. Valer Corellano, de los Servicios de Cirugía Torácica y Anatomía Patológica del Hospital General Universitario de Albacete, respectivamente, por su colaboración.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005000000002/v1_201402040025/S0300289613002664/v1_201402040025/es/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005000000002/v1_201402040025/S0300289613002664/v1_201402040025/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289613002664?idApp=UINPBA00003Z" ]
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