Utilidad de la punción aspirativa pulmonar transtorácica en el absceso pulmonar secundario a neoplasia
Utility of transthoracic needle biopsy of lung abscess secondary to neoplasia
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"apellidos" => "Flórez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615308000?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000003/v1_201506230045/S0300289615308000/v1_201506230045/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615307985" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)30798-5" "estado" => "S300" "fechaPublicacion" => "1996-03-01" "aid" => "70868" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1996;32:127-31" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3285 "formatos" => array:3 [ "EPUB" => 75 "HTML" => 1317 "PDF" => 1893 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Análisis de la expresión del antígeno nuclear de proliferación celular (PCNA) en 24 carcinomas primarios de pulmón de células no pequeñas y correlación con la supervivencia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "127" "paginaFinal" => "131" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of proliferating cell nuclear antigen expression in 24 cases of primary non-small cell lung cancer and correlation with survival" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "V.M. 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"apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307985?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000003/v1_201506230045/S0300289615307985/v1_201506230045/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Utilidad de la punción aspirativa pulmonar transtorácica en el absceso pulmonar secundario a neoplasia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "132" "paginaFinal" => "137" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "A. Vargas Puerto, N. Peña Griñán, F. Muñoz Lucena, J. Hernández Borge, F. Campos Rodríguez" "autores" => array:5 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Vargas Puerto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Peña Griñán" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Muñoz Lucena" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Hernández Borge" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Campos Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología. Hospital Univeristario de Valme. Sevilla" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Atarazanilla. 7. 41410 Carnona. Sevilla." ] ] ] 1 => array:3 [ "autoresLista" => "J. Vargas Romero" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Vargas Romero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Microbiología. Hospital Univeristario de Valme. Sevilla" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Utility of transthoracic needle biopsy of lung abscess secondary to neoplasia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-06-15" "fechaAceptado" => "1995-10-03" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546120" "palabras" => array:3 [ 0 => "Punción aspirativa pulmonar transtorácica" 1 => "Absceso pulmonar" 2 => "Carcinoma pulmonar" ] ] ] "en" => array:1 [ 0 => array:3 [ "clase" => "keyword" "identificador" => "xpalclavsec546121" "palabras" => array:3 [ 0 => "Transthoracic needle biopsy" 1 => "lung abcess" 2 => "Lung cancer" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la rentabilidad de la punción aspirativa pulmonar transtorácica (PAPT) en el diagnóstico del posible carcinoma bronquial subyacente al absceso pulmonar (AP) y conocer la bacteriología del absceso pulmonar secundario a neoplasia (APSN).</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Serie consecutiva de 113 AP. En todos se realizó PAPT bajo control radiológico, con aguja 20-22 G. Se realizó procesamiento microbiológico y citológico del material obtenido. Se practicó fibrobroncoscopia (FB) si existían factores de riesgo de carcinoma pulmonar. Se analizan los casos de APSN y se comparan con el resto de AP.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 21 AP se encontró neoplasia asociada. La PAPT fue diagnóstica en 15 casos; hubo dos falsos negativos y en 4 casos no se hizo citología de la muestra. La FB fue diagnóstica en 17 casos. Todas las neoplasias fueron diagnosticadas con alguna de estas 2 técnicas. El cultivo de la PAPT fue positivo en el 90% (19/21) de los APSN, siendo <span class="elsevierStyleItalic">H. influenzae</span> la bacteria más frecuentemente aislada. Los pacientes con APSN presentaron de forma significativa mayor número de cultivos monomicrobianos (14/19 frente a 33/79; p < 0,02), mayor participación de bacterias aerobias (19/19 frente a 45/79; p < 0,001) v menor de anaerobias (4/19 frente a 52/79; p < 0,001) que los pacientes con AP primario.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">1)</span> La PAPT posee un alto rendimiento en el diagnóstico bacteriológico del APSN y en el del carcinoma asociado. <span class="elsevierStyleItalic">2)</span> La PAPT complementa a la FB en el diagnóstico de la neoplasia subyacente al AP, evitando recurrir a toracotomías innecesarias. <span class="elsevierStyleItalic">3)</span> En el APSN intervienen una gran variedad de gérmenes, destacando la participación de bacterias aerobias.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Pacientes y método" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusiones" ] ] ] "en" => array:2 [ "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the usefulness of transthoraeic needle biopsy (TNB) for the diagnosis of bronchial carcinoma underlying lung abscess (LA), and to determine the baeteriology of lung abscess secondary to neoplasm (LASN).</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">One hundred thirteen consecutive patients diagnosed of LA were enrolled. Radiologically guided TNB was performed on all patients using 20-22 G needles. Microbiological and cytological samples were processed. Fiberoptic bronchoscopy (FB) was performed if there were risk factors for lung cancer. TNB-diagnosed cases were compared with the remaining cases of LA.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Neoplasia was found in 21 LA patients. TNB samples provided diagnostic information in 15 cases, there were 2 false negatives, and no cytology sample was processed in 4 cases. Diagnosis was based on FB in 17 cases. All neoplasias were diagnosed with one technique or the other. TNB culture was positive in 90% (19/21) of the LASN patients, <span class="elsevierStyleItalic">H. influenzae</span> being the most frequently isolated bacterium. The number of cultures that presented a single microbe was significantlv greater (p < 0.02) among LASN patients (14/19 versus 33/79). These patients also had significantly more aerobic bacteria (19/19 versus 45/79; p < 0.001) and fewer anaerobies (4/19 versus 52/79; p < 0.001) than did the primary LA patients.</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">1)</span> TNB is highly useful for arriving at a bacteriologic diagnosis of LASN and in associated cancer. <span class="elsevierStyleItalic">2)</span> TNB complements FB for the diagnosis of neoplasia underlying LA and helps to reduce the number of unnecessary thoracotomies. <span class="elsevierStyleItalic">3)</span> A great variety of germs, particularly aerobic bacteria, are implicated in LASN.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0030" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0035" "titulo" => "Patients and method" ] 2 => array:2 [ "identificador" => "abst0040" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0045" "titulo" => "Conclusions" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 2 | 4 |
| 2024 October | 43 | 13 | 56 |
| 2024 September | 32 | 13 | 45 |
| 2024 August | 51 | 59 | 110 |
| 2024 July | 36 | 28 | 64 |
| 2024 June | 47 | 21 | 68 |
| 2024 May | 49 | 32 | 81 |
| 2024 April | 30 | 23 | 53 |
| 2024 March | 50 | 36 | 86 |
| 2024 February | 30 | 42 | 72 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 1 | 1 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 2 | 2 |
| 2023 April | 0 | 2 | 2 |
| 2023 March | 6 | 3 | 9 |
| 2023 February | 31 | 26 | 57 |
| 2023 January | 25 | 29 | 54 |
| 2022 December | 35 | 25 | 60 |
| 2022 November | 40 | 19 | 59 |
| 2022 October | 23 | 33 | 56 |
| 2022 September | 29 | 35 | 64 |
| 2022 August | 37 | 43 | 80 |
| 2022 July | 18 | 36 | 54 |
| 2022 June | 28 | 38 | 66 |
| 2022 May | 35 | 37 | 72 |
| 2022 April | 28 | 33 | 61 |
| 2022 March | 35 | 40 | 75 |
| 2022 February | 27 | 32 | 59 |
| 2022 January | 27 | 41 | 68 |
| 2021 December | 22 | 29 | 51 |
| 2021 November | 25 | 36 | 61 |
| 2021 October | 30 | 39 | 69 |
| 2021 September | 21 | 36 | 57 |
| 2021 August | 19 | 32 | 51 |
| 2021 July | 15 | 30 | 45 |
| 2021 June | 31 | 27 | 58 |
| 2021 May | 29 | 36 | 65 |
| 2021 April | 34 | 44 | 78 |
| 2021 March | 16 | 24 | 40 |
| 2021 February | 23 | 22 | 45 |
| 2021 January | 14 | 18 | 32 |
| 2020 December | 26 | 20 | 46 |
| 2020 November | 8 | 11 | 19 |
| 2020 October | 16 | 7 | 23 |
| 2020 September | 13 | 7 | 20 |
| 2020 August | 18 | 11 | 29 |
| 2020 July | 16 | 15 | 31 |
| 2020 June | 25 | 13 | 38 |
| 2020 May | 13 | 13 | 26 |
| 2020 April | 24 | 11 | 35 |
| 2020 March | 17 | 19 | 36 |
| 2020 February | 29 | 18 | 47 |
| 2020 January | 31 | 29 | 60 |
| 2019 December | 28 | 17 | 45 |
| 2019 November | 11 | 13 | 24 |
| 2019 October | 7 | 24 | 31 |
| 2019 September | 17 | 24 | 41 |
| 2019 August | 14 | 20 | 34 |
| 2019 July | 17 | 29 | 46 |
| 2019 June | 16 | 21 | 37 |
| 2019 May | 24 | 19 | 43 |
| 2019 April | 36 | 37 | 73 |
| 2019 March | 11 | 21 | 32 |
| 2019 February | 6 | 9 | 15 |
| 2019 January | 8 | 12 | 20 |
| 2018 December | 4 | 15 | 19 |
| 2018 November | 15 | 19 | 34 |
| 2018 October | 30 | 12 | 42 |
| 2018 September | 15 | 8 | 23 |
| 2018 May | 10 | 2 | 12 |
| 2018 April | 12 | 5 | 17 |
| 2018 March | 6 | 6 | 12 |
| 2018 February | 12 | 12 | 24 |
| 2018 January | 8 | 3 | 11 |
| 2017 December | 11 | 9 | 20 |
| 2017 November | 6 | 11 | 17 |
| 2017 October | 5 | 7 | 12 |
| 2017 September | 4 | 4 | 8 |
| 2017 August | 12 | 18 | 30 |
| 2017 July | 3 | 2 | 5 |
| 2017 June | 8 | 16 | 24 |
| 2017 May | 9 | 9 | 18 |
| 2017 April | 7 | 4 | 11 |
| 2017 March | 18 | 10 | 28 |
| 2017 February | 6 | 9 | 15 |
| 2017 January | 3 | 11 | 14 |
| 2016 December | 6 | 10 | 16 |
| 2016 November | 18 | 12 | 30 |
| 2016 October | 20 | 22 | 42 |
| 2016 September | 11 | 9 | 20 |
| 2016 August | 17 | 10 | 27 |
| 2016 July | 16 | 3 | 19 |
| 2016 June | 19 | 7 | 26 |
| 2016 May | 15 | 5 | 20 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 7 | 0 | 7 |
| 2016 February | 6 | 0 | 6 |
| 2016 January | 12 | 6 | 18 |
| 2015 December | 18 | 12 | 30 |
| 2015 November | 31 | 8 | 39 |
| 2015 October | 10 | 2 | 12 |
| 2015 September | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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