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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudian once casos de carcinomas bronquiales <span class="elsevierStyleItalic">in situ</span> o microinvasivos que fueron resecados en un per&#237;odo de tiempo comprendido desde el a&#241;o 1977 al 1984&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En todos los casos el diagn&#243;stico fue realizado mediante citolog&#237;a de las secreciones obtenidas por lavado y aspirado bronquial&#46; La radiolog&#237;a fue negativa en todos los casos excepto en uno en que hab&#237;a una imagen neum&#243;nica&#46; Tos acompa&#241;ada de esputo hemoptoico&#44; fue el s&#237;ntoma m&#225;s frecuente &#40;ocho casos&#41;&#46; Un paciente tuvo dolor tor&#225;cico y neumonitis contralateral y los dos restantes fueron asintom&#225;ticos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El tumor se localiz&#243; mediante examen de broncoaspirados selectivos&#44; requiri&#233;ndose en algunos casos intervalos largos de tiempo hasta que se realiz&#243; el diagn&#243;stico &#40;14 meses en uno de ellos&#41; y varios broncoaspirados &#40;siete&#41;&#46; La lobectom&#237;a fue el tratamiento quir&#250;rgico m&#225;s frecuente&#44; en siete casos&#44; seguido de la segmentectom&#237;a en tres casos&#44; solamente en un caso se realiz&#243; una neumonectom&#237;a debido a la gran extensi&#243;n del tumor en superficie&#46; Estos pacientes tienen un buen pron&#243;stico&#44; aunque tres de ellos han desarrollado un segundo tumor maligno&#46; El estudio de supervivencia oscila entre ocho a&#241;os para el primer paciente operado&#44; a seis meses para el &#250;ltimo paciente&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We report on eleven cases of in situ or microinvasive bronchial carcinomas removed between 1977 and 1984&#46; The diagnosis was always established by cytology of the secretions obtained by bronchial lavage and aspiration&#46; Thorax x-ray study was negative in all patients&#44; except one who showed a pneumonic pattern&#46; The most commonly found symptom &#40;8 patients&#41; was cough accompanied by haemoptoic sputum&#46; One patient complained of thoracic pain and developed pneumonitis on the other side&#44; while the other two patients remained asymptomatic&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Tumours were identified by selective bronchial aspirates examination&#46; Occasionally&#44; long intervals elapsed before establishing the diagnosis &#40;as long as 14 months in one patient&#41; and several bronchial aspirations &#40;as many as seven&#41; were required&#46; Lobectomy&#44; performed in seven patients&#44; was the most frequent surgical approach&#44; followed by segmentectomy&#44; which was indicated in three patients&#46; Only one patient required pneumectomy due to the wide spreading of the tumour&#46; Such patients have a good prognosis&#44; even though three of them have developed a second malignancy&#46; The survival time study of the patients of this series is between eight years for the first patient surgically treated and six months for the last patient recruited&#46;</p></span>"
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Carcinomas bronquiales in situ e invasores precoces. Estudio de 11 casos
In situ and early invading bronchial carcinomas. Report on 11 cases
C. Rodriguez Casquero*, P. De las Heras*, C. Leon**, G. Estrada**, G. Gomez**, C. Puzo***
* Servicio Anatomía Patológica. Hospital de la Sta. Creu i St. Pau. Barcelona
** Unidad de Cirugía Torácica. Hospital de la Sta. Creu i St. Pau. Barcelona
*** Servicio Aparato Respiratorio. Hospital de la Sta. Creu i St. Pau. Barcelona
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Article information
ISSN: 03002896
Original language: Spanish
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