Imagen clínica
Lipoma torácico transmural
Transmural Thoracic Lipoma
Alberto Sierra Solís
Servicio de Radiodiagnóstico, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario de Badajoz, Badajoz, España
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"Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915002773" "doi" => "10.1016/j.arbr.2015.07.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915002773?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001155?idApp=UINPBA00003Z" "url" => "/03002896/0000005100000010/v1_201509302001/S0300289615001155/v1_201509302001/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Lipoma torácico transmural" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "520" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Alberto Sierra Solís" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Alberto" "apellidos" => "Sierra Solís" "email" => array:1 [ 0 => "alberto.sierras@ses.juntaextremadura.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario de Badajoz, Badajoz, España" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Transmural Thoracic Lipoma" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 674 "Ancho" => 1028 "Tamanyo" => 62357 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Se presenta el caso de una mujer de 74 años a la que, estando en estudio por una infección urinaria, se le realizó una radiografía de tórax en la que se apreció una masa en el hemitórax superior derecho. No presentaba clínica respiratoria. Se amplió su estudio mediante tomografía computarizada, mostrando (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>) una masa de densidad grasa subescapular que se introducía en el tórax a través del espacio entre la tercera y la cuarta costilla, pero sin destruirlas. Esta masa se diagnosticó de lipoma transmural.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Los lipomas en el tórax pueden ser puramente intratorácicos o bien «en reloj de arena», con componente a ambos lados de la pared torácica. Dentro de estos últimos se diferencian 2 subtipos: cervicomediastínico y transmural<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Los lipomas transmurales son tumores benignos muy infrecuentes, apenas están descritos en la literatura y posiblemente estén infradiagnosticados debido a que la mayoría son asintomáticos, con un crecimiento lento que típicamente remodela la pared costal sin destruirla. Solo cuando alcanzan un tamaño considerable pueden colapsar el pulmón o incluso introducirse en el canal espinal, siendo necesaria su extirpación.</p><p id="par0020" class="elsevierStylePara elsevierViewall">En este caso, la paciente rechazó cualquier técnica invasiva de diagnóstico o tratamiento.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 674 "Ancho" => 1028 "Tamanyo" => 62357 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transmural intrathoracic lipoma with intraspinal extension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Jain" 1 => "A.K. Singal" 2 => "A.K. Gupta" 3 => "V. Bhatnagar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpedsurg.2007.08.045" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2007" "volumen" => "42" "paginaInicial" => "2120" "paginaFinal" => "2122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18082722" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005100000010/v1_201509302001/S0300289614002282/v1_201509302001/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/03002896/0000005100000010/v1_201509302001/S0300289614002282/v1_201509302001/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614002282?idApp=UINPBA00003Z" ]
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