Coexistencia de carcinoma broncogénico y tuberculosis pulmonar activa
Coincident bronchogenic carcinoma and active tuberculosis of the lung
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Cantó, A.F. Arnau, A. Centeno, R. Guijarro, J. Galbis, E. Martín, L. Hernández, M. Martorell, R. García Aguado" "autores" => array:9 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Cantó" ] 1 => array:2 [ "nombre" => "A.F." "apellidos" => "Arnau" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Centeno" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Guijarro" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Galbis" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Martín" ] 6 => array:2 [ "nombre" => "L." "apellidos" => "Hernández" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Martorell" ] 8 => array:2 [ "nombre" => "R." "apellidos" => "García Aguado" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615309844?idApp=UINPBA00003Z" "url" => "/03002896/0000003100000001/v1_201506240021/S0300289615309844/v1_201506240021/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Coexistencia de carcinoma broncogénico y tuberculosis pulmonar activa" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "32" "paginaFinal" => "34" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "E. Martínez Moragón, P. Cordero Rodríguez, J. Sanchís Aldás, M. León Fábregas, M. Perpiñá Tordera" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Martínez Moragón" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Cordero Rodríguez" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Sanchís Aldás" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "León Fábregas" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Perpiñá Tordera" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Neumología, Hospital Universitario La Fe. Valencia" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "autoresLista" => "J. Aparicio Urtasun" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Aparicio Urtasun" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de Oncología Médica. Hospital Universitario La Fe. Valencia" "etiqueta" => "*" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Oncología Médica. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Coincident bronchogenic carcinoma and active tuberculosis of the lung" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-02-18" "fechaAceptado" => "1994-04-19" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546373" "palabras" => array:2 [ 0 => "Tuberculosis pulmonar" 1 => "Carcinoma broncogénico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546372" "palabras" => array:2 [ 0 => "Tuberculosis of the lung" 1 => "Bronchogenic carcinoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 9 pacientes con diagnóstico sincrónico de tuberculosis pulmonar activa y carcinoma broncogénico en un período de S años. Todos eran varones, de edad media 55<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10 años. El síntoma predominante fue un síndrome tóxico de 1-3 meses de evolución y el patrón radiológico más común, la consolidación alveolar. La estirpe histológica correspondió a carcinoma escamoso (4 casos), adenocarcinoma (4 casos, con uno bronquioloalveolar) y carcinoma de células grandes (uno). Con frecuencia el estadio tumoral era avanzado: IV (44%) y III (33%). El bacilo tuberculoso se aisló en el esputo (100%) y en el aspirado bronquial (50%); no aparecieron resistencias in vitro. Tres pacientes fueron tratados con cirugía radical y tres con radioterapia. La mediana de supervivencia de la serie se alcanzó a los 3 meses.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We describe 9 patients with coincident active tuberculosis of the lung and bronchogenic carcinoma who were all diagnosed within a 5-year period. All were men, with a mean age of 55<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10 years. The principal symptom was toxic syndrome lasting 1-3 months and the most common X-ray sign was alveolar consolidation. Analysis of tissue samples revealed squamous carcinoma (4 cases), adenocarcinoma (4 cases, one of which was broncholoalveolar) and non-small cell carcinoma (1 case). Tumoral stage was often advanced: IV (44%) and III (33%). The tuberculosis bacillus was isolated in sputum (100%) and in bronchial aspirate (50%); no in vitro resistance was observed. Three patients were treated with radical surgery and three with radiotherapy. Average survival was 3 months in this series.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis complicating neoplastic disease. A review of 201 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.H. Kaplan" 1 => "D. Armostron" 2 => "P. 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