Carcinoma broncogenico: localizacion radiologica y rentabilidad diagnostica de la fibrobroncoscopia
Bronchogenic carcinoma: radiographic location and effectiveness of fiberoptic bronchoscopy
L. Valdes Cuadrado, P. Alvarez-Calderon Prat, M. Salgueiro Rodriguez, A. Golpe Gomez, J.R. Rodriguez Suarez
Servicio de Neumología. Hospital General de Galicia. Santiago de Compostela
* Servicio de Cirugía Torácica. Hospital General de Galicia. Santiago de Compostela
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Agusti, A. Xaubet, A. Marin, J.M.<span class="elsevierStyleSup">a</span> Montserrat, C. Picado, A. Agusti-vidal" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Agusti" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Xaubet" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Marin" ] 3 => array:2 [ "nombre" => "J.M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Montserrat" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Picado" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Agusti-vidal" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615319402?idApp=UINPBA00003Z" "url" => "/03002896/0000002300000004/v1_201509151109/S0300289615319402/v1_201509151109/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Carcinoma broncogenico: localizacion radiologica y rentabilidad diagnostica de la fibrobroncoscopia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "172" "paginaFinal" => "176" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "L. Valdes Cuadrado, P. Alvarez-Calderon Prat, M. Salgueiro Rodriguez, A. Golpe Gomez, J.R. Rodriguez Suarez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Valdes Cuadrado" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Alvarez-Calderon Prat" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Salgueiro Rodriguez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Golpe Gomez" ] 4 => array:2 [ "nombre" => "J.R." "apellidos" => "Rodriguez Suarez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital General de Galicia. Santiago de Compostela" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "G. Calzadilla Martin, R. Ledo Andion" "autores" => array:2 [ 0 => array:3 [ "nombre" => "G." "apellidos" => "Calzadilla Martin" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Ledo Andion" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica. Hospital General de Galicia. Santiago de Compostela" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bronchogenic carcinoma: radiographic location and effectiveness of fiberoptic bronchoscopy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1986-10-08" "fechaAceptado" => "1987-02-16" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio sobre 156 pacientes con imagen radiológica única de nodulo pulmonar solitario (NPS) que fueron diagnosticados de carcinoma broncogénico (CB), con el fin de relacionar la posición radiológica del tumor con la rentabilidad diagnóstica de la fibrobroncoscopia (FB). Para la localización radiológica del tumor se utilizó un método de división pulmonar con el fin de delimitar dos zonas: central y periférica. Este método está basado en el campo de máxima visualización al fibrobroncoscopio del árbol bronquial. La FB se realizó en todos los casos sin fluoroscopia. En los NPS de localización central, el porcentaje diagnóstico de la FB fue del 89,6% (78/ 87) descendiendo al 34,8% (24/69) en los de localización periférica con una diferencia estadísticamente significativa entre ambos grupos de p < 0,001.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A la vista de los resultados obtenidos, concluimos que el sistema de clasificación radiológica que hemos utilizado tiene una gran validez y por ello, así como por la baja rentabilidad de la FB en los tumores periféricos, debería de ser aplicado sistemáticamente a todos aquellos pacientes con un NPS a fin de elegir la técnica diagnóstica más adecuada en cada caso, sin necesidad de recurrir para ello a una FB previa.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In order to assess the relationship between the radiographic location of tumours and the diagnostic effectiveness of fiberoptic bronchoscopy (FB), we studied 156 patients with the only radiographic finding of a sole pulmonary node (NPS) diagnosed as bronchogenic carcinoma (CB). For radiographic location of every tumour, the pulmonary fields were divided in two areas: central and peripheral. This method is based on the maximum visualization scope of the bronchial tree by using fiberoptic bronchoscopy. Bronchoscopy was ahvays performed without fluoroscopy. The diagnostic rates were 89.6% (78/87) for centrally located pulmonary nodes and 34.8% (24/69) for nodes of peripheral location. That difference is statistically significant at p < 0.001.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Based on the results obtained in this study we conclude that the radiographic classification we used is highly effective. For that reason, as well as for the low diagnostic effectiveness of fiberoptic bronchoscopy in peripheral tumours, it should be used systematically in every patient with a sole pulmonary node in order to select the adequate diagnostic procedure in every case without the need for a previous fiberoptic bronchoscopy examination.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G.A. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 37 | 16 | 53 |
| 2024 September | 30 | 16 | 46 |
| 2024 August | 44 | 35 | 79 |
| 2024 July | 32 | 26 | 58 |
| 2024 June | 52 | 21 | 73 |
| 2024 May | 42 | 34 | 76 |
| 2024 April | 18 | 17 | 35 |
| 2024 March | 29 | 21 | 50 |
| 2024 February | 27 | 37 | 64 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 4 | 4 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 5 | 5 |
| 2023 August | 0 | 9 | 9 |
| 2023 July | 0 | 6 | 6 |
| 2023 June | 0 | 1 | 1 |
| 2023 March | 11 | 6 | 17 |
| 2023 February | 22 | 20 | 42 |
| 2023 January | 24 | 30 | 54 |
| 2022 December | 26 | 27 | 53 |
| 2022 November | 30 | 17 | 47 |
| 2022 October | 25 | 28 | 53 |
| 2022 September | 17 | 30 | 47 |
| 2022 August | 22 | 51 | 73 |
| 2022 July | 34 | 32 | 66 |
| 2022 June | 60 | 36 | 96 |
| 2022 May | 67 | 33 | 100 |
| 2022 April | 50 | 23 | 73 |
| 2022 March | 37 | 32 | 69 |
| 2022 February | 51 | 16 | 67 |
| 2022 January | 27 | 20 | 47 |
| 2021 December | 21 | 34 | 55 |
| 2021 November | 21 | 29 | 50 |
| 2021 October | 20 | 30 | 50 |
| 2021 September | 43 | 38 | 81 |
| 2021 August | 17 | 29 | 46 |
| 2021 July | 9 | 30 | 39 |
| 2021 June | 17 | 31 | 48 |
| 2021 May | 17 | 23 | 40 |
| 2021 April | 19 | 32 | 51 |
| 2021 March | 37 | 20 | 57 |
| 2021 February | 37 | 21 | 58 |
| 2021 January | 24 | 20 | 44 |
| 2020 December | 19 | 27 | 46 |
| 2020 November | 11 | 42 | 53 |
| 2020 October | 24 | 30 | 54 |
| 2020 September | 10 | 19 | 29 |
| 2020 August | 19 | 28 | 47 |
| 2020 July | 18 | 32 | 50 |
| 2020 June | 10 | 18 | 28 |
| 2020 May | 31 | 32 | 63 |
| 2020 April | 23 | 17 | 40 |
| 2020 March | 8 | 32 | 40 |
| 2020 February | 22 | 32 | 54 |
| 2020 January | 34 | 24 | 58 |
| 2019 December | 21 | 35 | 56 |
| 2019 November | 12 | 22 | 34 |
| 2019 October | 17 | 47 | 64 |
| 2019 September | 11 | 33 | 44 |
| 2019 August | 14 | 22 | 36 |
| 2019 July | 10 | 57 | 67 |
| 2019 June | 16 | 42 | 58 |
| 2019 May | 9 | 63 | 72 |
| 2019 April | 30 | 62 | 92 |
| 2019 March | 10 | 43 | 53 |
| 2019 February | 9 | 36 | 45 |
| 2019 January | 7 | 34 | 41 |
| 2018 December | 11 | 38 | 49 |
| 2018 November | 24 | 47 | 71 |
| 2018 October | 21 | 46 | 67 |
| 2018 September | 13 | 57 | 70 |
| 2018 May | 13 | 1 | 14 |
| 2018 April | 7 | 9 | 16 |
| 2018 March | 11 | 4 | 15 |
| 2018 February | 8 | 9 | 17 |
| 2018 January | 15 | 9 | 24 |
| 2017 December | 9 | 15 | 24 |
| 2017 November | 12 | 26 | 38 |
| 2017 October | 11 | 19 | 30 |
| 2017 September | 10 | 15 | 25 |
| 2017 August | 8 | 24 | 32 |
| 2017 July | 7 | 32 | 39 |
| 2017 June | 16 | 18 | 34 |
| 2017 May | 16 | 28 | 44 |
| 2017 April | 9 | 21 | 30 |
| 2017 March | 6 | 27 | 33 |
| 2017 February | 4 | 11 | 15 |
| 2017 January | 2 | 10 | 12 |
| 2016 December | 6 | 6 | 12 |
| 2016 November | 17 | 16 | 33 |
| 2016 October | 16 | 15 | 31 |
| 2016 September | 19 | 18 | 37 |
| 2016 August | 22 | 9 | 31 |
| 2016 July | 20 | 5 | 25 |
| 2016 June | 23 | 8 | 31 |
| 2016 May | 18 | 5 | 23 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 12 | 1 | 13 |
| 2016 January | 13 | 5 | 18 |
| 2015 December | 15 | 9 | 24 |
| 2015 November | 24 | 7 | 31 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
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