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Nodulo pulmonar solitario I. Analisis de un estudio diagnostico prospectivo
Solitary pulmonary nodule I. Analysis of a prospective diagnostic study
A. Salvatierra Velazquez*, J. Lopez Pujol*, M. Velasco Garcia**, A. Cueto Ladron de Guevara***, J. Candelas Barrios***, F. Garrido Garcia**
* Servicio de Cirugía Torácica. Hospital Reina Sofía. Córdoba
** Cátedra de Patología Qurúrgica. Facultad de Medicina
*** Servicio de Cirugía Torácica. Hospital Ramón y Cajal. Madrid
F. Sebastian Quetglas
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan las caracter&#237;sticas cl&#237;nicas y paracl&#237;nicas de una serie de 100 n&#243;dulos pulmonares solitarios &#40;NPS&#41; intervenidos quir&#250;rgicamente tras la aplicaci&#243;n de un protocolo de estudio&#46; Se obtuvo un diagn&#243;stico preoperatorio de sospecha o certeza en el 86&#44;4&#37; de las neoplasias malignas &#40;44 casos&#41;&#44; resultando el aspirado&#44; cepillado y biopsia bronquiales&#44; biopsia transbronquial y punci&#243;n aspirativa transtor&#225;cica&#44; t&#233;cnicas complementarias entre s&#237;&#46; S&#243;lo el 7&#44;1&#37; de los n&#243;dulos de naturaleza benigna &#40;56&#41; pudieron ser diagnosticados preoperatoriamente&#46; La toracotom&#237;a&#44; con una mortalidad nula y una tasa de complicaciones del 13&#37;&#44; permiti&#243; la resecci&#243;n presuntamente curativa del 100&#37; de los NPS que resultaron ser tumores malignos primitivos&#44; alcanz&#225;ndose una supervivencia del 66&#44;2&#37; a los 46 meses&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors analyze the clinical and paraclinical characteristics of a series of 100 solitary pulmonary nodules &#40;S&#46;P&#46;N&#46;&#41; treated surgically after application of a study protocol&#46; A preoperatory suspected or firm diagnosis was obtained in 86&#44;4&#37; of all malignant neoplasias &#40;44 cases&#41;&#44; with apiration&#44; brushing and bronchial or transbronchial biopsy and transthoracic aspiration puncture used as diagnostic methods complementing each other&#46; Preoperatory diagnoses could be established in only 7&#44;1&#37; of all benign nodules &#40;56 cases&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Thoracotomy&#44; without mortality and a 13&#37; complications rate&#44; allowed resection considered as curative in 100&#37; of primary malignant tumors with a survival rate of 66&#44;2&#37; after 46 months&#46;</p></span>"
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ISSN: 03002896
Original language: Spanish
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