Fibrobroncoscopia en el cáncer de pulmón: relación entre radiología, endoscopia, histología y rendimiento diagnóstico en una serie de 1.801 casos
Fibrobronchoscopy in lung cancer: associations among radiology, endoscopy, histology and diagnostic value in a series of 1,801 cases
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Álvarez, J.M. Valle, M.V. Martino, P. Gordo, J. Carreira, L. Valdés" "autores" => array:6 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Álvarez" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Valle" ] 2 => array:2 [ "nombre" => "M.V." "apellidos" => "Martino" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Gordo" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Carreira" ] 5 => array:2 [ "nombre" => "L." 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Medina Gallardo, J. Castillo Gómez, F. Capote Gil, R. Ayerbe García, M.A. Sánchez Armengol, M.L. Muñoz Biedma" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.F." "apellidos" => "Medina Gallardo" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Capote Gil" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Ayerbe García" ] 4 => array:2 [ "nombre" => "M.A." "apellidos" => "Sánchez Armengol" ] 5 => array:2 [ "nombre" => "M.L." "apellidos" => "Muñoz Biedma" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310565?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000006/v1_201509151236/S0300289615310565/v1_201509151236/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Fibrobroncoscopia en el cáncer de pulmón: relación entre radiología, endoscopia, histología y rendimiento diagnóstico en una serie de 1.801 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "291" "paginaFinal" => "296" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "E. Martínez Moragón, J. Sanchis Aldás, A. de Diego Damiá, M. Martínez Francés, E. Cases Viedma, F. Sanchis Moret" "autores" => array:6 [ 0 => array:3 [ "nombre" => "E." "apellidos" => "Martínez Moragón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sanchis Aldás" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "de Diego Damiá" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Martínez Francés" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Cases Viedma" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Sanchis Moret" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital Universitario La Fe. Valencia" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia." ] ] ] 1 => array:3 [ "autoresLista" => "J. Aparicio Urtasun" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Aparicio Urtasun" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Oncología Médica. Hospital Universitario La Fe. Valencia" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fibrobronchoscopy in lung cancer: associations among radiology, endoscopy, histology and diagnostic value in a series of 1,801 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1993-07-26" "fechaAceptado" => "1993-11-09" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un análisis retrospectivo de 1.801 pacientes diagnosticados de neoplasia pulmonar primaria mediante fibrobroncoscopia entre 1977 y 1992; el objetivo fue investigar la relación entre la radiografía de tórax, los hallazgos endoscopicós y la histología, así como valorar el rendimiento diagnóstico de las diversas técnicas endoscópicas empleadas.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Había 1.598 tumores de localización central y 203 periféricos. El tipo histológico más frecuente fue el carcinoma escamoso (39%) y el patrón radiográfico más común, la masa pulmonar (40%). La endoscopia mostró infiltración neoplásica en el 49% de los casos y tumor endobronquial en el 27%. Los patrones radiológicos de masa pulmonar, afectación hiliar y atelectasia se asociaron más frecuentemente con la presencia de infiltración, tumor y necrosis, y con los tipos histológicos escamoso y de células pequeñas; en ellos la biopsia bronquial obtuvo el máximo rendimiento diagnóstico. Por el contrario, en el nódulo pulmonar solitario y en el derrame pleural predominaron la endoscopia normal, con alteraciones inespecíficas o compresión extrínseca, y los tipos celulares de adenocarcinoma y carcinoma de células grandes; el procedimiento con mayor valor diagnóstico en este grupo fue la biopsia transbronquial (especialmente bajo control radioscópico).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se concluye que, en el cáncer de pulmón, la radiografía de tórax y el aspecto endoscópico pueden sugerir el tipo histológico más probable y orientar la elección de las técnicas diagnósticas.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A retrospective analysis of 1,801 patients with primary pulmonary neoplasm diagnosed by fibrobronchoscopy between 1977 and 1992 was carried out in order to determine the relation between chest <span class="elsevierStyleSmallCaps">X</span>-rays and endoscopic and histological findings, as well as to assess the diagnostic usefullness of the various endoscopic techniques used.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Central tumors numbered 1,598 and peripheral ones 203. The largest tissue classification was squamous (39%) and the most common <span class="elsevierStyleSmallCaps">X</span>-ray finding was pulmonary mass (40%). Endoscopy showed neoplasic infiltration in 49% of the cases and endobronchial tumor in 27%. <span class="elsevierStyleSmallCaps">X</span>-rays showing pulmonary mass, hiliar involvement and atelectasis were more often associated with infiltration, tumor and necrosis and with a smallcell tissue type. Bronchial biopsy gave the best diagnostic results in these cases. In cases of solitary pulmonary nodule and pleural effusion, on the other hand, normal endoscopic results with non-specific changes or extrapulmonary involvement, predominated, with adenocarcinoma and non-small cell tissue types. Transbronchial biopsy, especially with radioscopio monitoring, was most useful in these cases.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude that chest <span class="elsevierStyleSmallCaps">X</span>-rays and endoscopic results can be used to predict the most likely tissue type in lung cancer and that they can serve as guides for the choice of diagnostic technique.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "El cáncer de pulmón en España. Revisión epidemiológica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 2 | 9 |
| 2024 October | 56 | 15 | 71 |
| 2024 September | 53 | 18 | 71 |
| 2024 August | 60 | 24 | 84 |
| 2024 July | 52 | 30 | 82 |
| 2024 June | 85 | 22 | 107 |
| 2024 May | 56 | 34 | 90 |
| 2024 April | 51 | 28 | 79 |
| 2024 March | 55 | 39 | 94 |
| 2024 February | 34 | 47 | 81 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 3 | 3 |
| 2023 July | 0 | 2 | 2 |
| 2023 March | 6 | 3 | 9 |
| 2023 February | 35 | 13 | 48 |
| 2023 January | 28 | 31 | 59 |
| 2022 December | 34 | 26 | 60 |
| 2022 November | 49 | 17 | 66 |
| 2022 October | 40 | 33 | 73 |
| 2022 September | 35 | 21 | 56 |
| 2022 August | 47 | 48 | 95 |
| 2022 July | 36 | 41 | 77 |
| 2022 June | 49 | 31 | 80 |
| 2022 May | 47 | 31 | 78 |
| 2022 April | 44 | 26 | 70 |
| 2022 March | 42 | 41 | 83 |
| 2022 February | 34 | 26 | 60 |
| 2022 January | 36 | 28 | 64 |
| 2021 December | 25 | 40 | 65 |
| 2021 November | 30 | 35 | 65 |
| 2021 October | 39 | 28 | 67 |
| 2021 September | 22 | 49 | 71 |
| 2021 August | 26 | 27 | 53 |
| 2021 July | 34 | 29 | 63 |
| 2021 June | 23 | 31 | 54 |
| 2021 May | 32 | 19 | 51 |
| 2021 April | 79 | 61 | 140 |
| 2021 March | 59 | 16 | 75 |
| 2021 February | 33 | 17 | 50 |
| 2021 January | 12 | 15 | 27 |
| 2020 December | 43 | 18 | 61 |
| 2020 November | 39 | 19 | 58 |
| 2020 October | 57 | 10 | 67 |
| 2020 September | 28 | 10 | 38 |
| 2020 August | 49 | 10 | 59 |
| 2020 July | 31 | 21 | 52 |
| 2020 June | 37 | 9 | 46 |
| 2020 May | 48 | 23 | 71 |
| 2020 April | 49 | 16 | 65 |
| 2020 March | 42 | 24 | 66 |
| 2020 February | 35 | 15 | 50 |
| 2020 January | 75 | 22 | 97 |
| 2019 December | 53 | 34 | 87 |
| 2019 November | 26 | 19 | 45 |
| 2019 October | 26 | 25 | 51 |
| 2019 September | 27 | 29 | 56 |
| 2019 August | 28 | 25 | 53 |
| 2019 July | 35 | 28 | 63 |
| 2019 June | 47 | 53 | 100 |
| 2019 May | 45 | 63 | 108 |
| 2019 April | 65 | 37 | 102 |
| 2019 March | 27 | 19 | 46 |
| 2019 February | 12 | 11 | 23 |
| 2019 January | 13 | 15 | 28 |
| 2018 December | 14 | 25 | 39 |
| 2018 November | 21 | 28 | 49 |
| 2018 October | 34 | 12 | 46 |
| 2018 September | 33 | 13 | 46 |
| 2018 May | 9 | 1 | 10 |
| 2018 April | 11 | 22 | 33 |
| 2018 March | 7 | 8 | 15 |
| 2018 February | 7 | 22 | 29 |
| 2018 January | 12 | 8 | 20 |
| 2017 December | 20 | 15 | 35 |
| 2017 November | 13 | 6 | 19 |
| 2017 October | 8 | 8 | 16 |
| 2017 September | 5 | 6 | 11 |
| 2017 August | 13 | 18 | 31 |
| 2017 July | 9 | 17 | 26 |
| 2017 June | 25 | 21 | 46 |
| 2017 May | 12 | 20 | 32 |
| 2017 April | 5 | 23 | 28 |
| 2017 March | 7 | 29 | 36 |
| 2017 February | 8 | 20 | 28 |
| 2017 January | 7 | 20 | 27 |
| 2016 December | 22 | 18 | 40 |
| 2016 November | 29 | 22 | 51 |
| 2016 October | 31 | 25 | 56 |
| 2016 September | 38 | 23 | 61 |
| 2016 August | 29 | 7 | 36 |
| 2016 July | 40 | 14 | 54 |
| 2016 June | 27 | 12 | 39 |
| 2016 May | 46 | 27 | 73 |
| 2016 April | 26 | 0 | 26 |
| 2016 March | 23 | 0 | 23 |
| 2016 February | 19 | 3 | 22 |
| 2016 January | 26 | 9 | 35 |
| 2015 December | 30 | 13 | 43 |
| 2015 November | 44 | 9 | 53 |
| 2015 October | 7 | 1 | 8 |
| 2015 September | 1 | 0 | 1 |
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