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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tumor fibroso localizado es una neoplasia poco frecuente&#44; que se localiza habitualmente en la pleura visceral&#46; Histol&#243;gicamente est&#225;n compuestos por fasc&#237;culos dispuestos al azar o entrelazados de c&#233;lulas fusiformes&#44; entre las que se aprecia una cantidad variable de col&#225;geno&#59; su origen se establece&#44; para la mayor&#237;a de los autores&#44; en c&#233;lulas mesenquim&#225;ticas submesoteliales&#46; Cl&#237;nicamente suelen ser asintom&#225;ticos&#44; aunque&#44; a veces&#44; producen hipoglucemia&#44; osteoartropat&#237;a hipertr&#243;fica u otros s&#237;ntomas&#44; siendo el tratamiento de elecci&#243;n su resecci&#243;n completa&#46; Los m&#233;todos de imagen sirven de gran ayuda para establecer una estrategia quir&#250;rgica&#44; aunque es habitual que se llegue a la intervenci&#243;n quir&#250;rgica sin un diagn&#243;stico histopatol&#243;gico&#46; Este art&#237;culo presenta dos casos de fibromas intrapulmonares&#44; que son histol&#243;gicamente id&#233;nticos a los tumores fibrosos localizados de la pleura&#46; El hallazgo de una localizaci&#243;n intraparenquimatosa constituye una rareza&#44; siendo la presentaci&#243;n m&#250;ltiple y bilateral excepcional&#44; descrita tan s&#243;lo en una ocasi&#243;n&#46; De nuestros 2 casos&#44; uno de ellos se presenta como un nodulo pulmonar solitario de hallazgo casual radiol&#243;gico&#44; y el otro en forma de m&#250;ltiples nodulos bilaterales&#44; que requiri&#243; varias intervenciones&#44; siendo de localizaci&#243;n intraparenquimatosa&#44; a diferencia del caso mencionado&#44; lo cual supone que sea la primera vez que se describe un caso de estas caracter&#237;sticas&#46; Se discuten&#44; as&#237; mismo&#44; aspectos cl&#237;nicos&#44; terap&#233;uticos e histopatol&#243;gicos de estos tumores y se hace una revisi&#243;n de la literatura&#46;</p></span>"
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Tumor fibroso localizado intraparenquimatoso. A propósito de dos casos, uno de ellos múltiple y bilateral
Localized fibrous tumor in the parenchyma. Two cases: one both multiple and bilateral
J.C. Vázquez-Pelillo*, E. Peña, N. Moreno, E. Orusco, F. González-Aragoneses, E. Folqué
Servicio de Cirugía Torácica. Hospital General Universitario Gregorio Marañón. Madrid
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        "autoresLista" => "J&#46;C&#46; V&#225;zquez-Pelillo, E&#46; Pe&#241;a, N&#46; Moreno, E&#46; Orusco, F&#46; Gonz&#225;lez-Aragoneses, E&#46; Folqu&#233;"
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      "en" => array:1 [
        "titulo" => "Localized fibrous tumor in the parenchyma&#46; Two cases&#58; one both multiple and bilateral"
      ]
    ]
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    "tienePdf" => true
    "fechaRecibido" => "1995-02-15"
    "fechaAceptado" => "1995-04-04"
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            0 => "Tumor fibroso localizado de la pleuramesotelioma fibroso benigno"
            1 => "Fibroma de pulm&#243;n y pleura"
          ]
        ]
      ]
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          "palabras" => array:3 [
            0 => "Localized fibrous tumor of the pleura"
            1 => "Benign pleural mesothelioma"
            2 => "Fibroma of the lung and pleura"
          ]
        ]
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tumor fibroso localizado es una neoplasia poco frecuente&#44; que se localiza habitualmente en la pleura visceral&#46; Histol&#243;gicamente est&#225;n compuestos por fasc&#237;culos dispuestos al azar o entrelazados de c&#233;lulas fusiformes&#44; entre las que se aprecia una cantidad variable de col&#225;geno&#59; su origen se establece&#44; para la mayor&#237;a de los autores&#44; en c&#233;lulas mesenquim&#225;ticas submesoteliales&#46; Cl&#237;nicamente suelen ser asintom&#225;ticos&#44; aunque&#44; a veces&#44; producen hipoglucemia&#44; osteoartropat&#237;a hipertr&#243;fica u otros s&#237;ntomas&#44; siendo el tratamiento de elecci&#243;n su resecci&#243;n completa&#46; Los m&#233;todos de imagen sirven de gran ayuda para establecer una estrategia quir&#250;rgica&#44; aunque es habitual que se llegue a la intervenci&#243;n quir&#250;rgica sin un diagn&#243;stico histopatol&#243;gico&#46; Este art&#237;culo presenta dos casos de fibromas intrapulmonares&#44; que son histol&#243;gicamente id&#233;nticos a los tumores fibrosos localizados de la pleura&#46; El hallazgo de una localizaci&#243;n intraparenquimatosa constituye una rareza&#44; siendo la presentaci&#243;n m&#250;ltiple y bilateral excepcional&#44; descrita tan s&#243;lo en una ocasi&#243;n&#46; De nuestros 2 casos&#44; uno de ellos se presenta como un nodulo pulmonar solitario de hallazgo casual radiol&#243;gico&#44; y el otro en forma de m&#250;ltiples nodulos bilaterales&#44; que requiri&#243; varias intervenciones&#44; siendo de localizaci&#243;n intraparenquimatosa&#44; a diferencia del caso mencionado&#44; lo cual supone que sea la primera vez que se describe un caso de estas caracter&#237;sticas&#46; Se discuten&#44; as&#237; mismo&#44; aspectos cl&#237;nicos&#44; terap&#233;uticos e histopatol&#243;gicos de estos tumores y se hace una revisi&#243;n de la literatura&#46;</p></span>"
      ]
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Localized fibrous tumor is an uncommon neoplasm that is usually located in the visceral pleura&#46; Histologically these tumors are composed of randomly arranged fascicles or networks of fusiform cells&#44; among which there is a varying amount of collagen&#46; Most authors consider that these cells orig&#237;nate in submesothelial mesenchymal cells&#46; The condition is normally silent&#44; though hypoglycemia&#44; hypertrophic osteoarthropathy or other symptoms sometimes result&#46; The treatment of choice is total resection and imaging techniques are extremely helpful for establishing surgical strategy&#44; eventhough surgery is often performed before a histopathologic diagnosis is available&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We present 2 patients with intrapulmonary fibromas that were histologically identical to localized fibrous pleural tumors&#46; These tumors are rarely found in the parenchyma and multiple bilateral presentation is exceptional&#44; having been described only once in the literature&#46; One of our patients had a single pulmonary node that happened to be noticed on an X-ray&#46; The other had multiple bilateral nodes that required several surgical procedures&#59; the intraparenchymatous location for this type of tumor has not been described to date&#46; We discuss clinical&#44; therapeutic and histopathological aspects of these tumors and review the literature&#46;</p></span>"
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                          "etal" => false
                          "autores" => array:5 [
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                          "etal" => false
                          "autores" => array:4 [
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Article information
ISSN: 03002896
Original language: Spanish
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