Valoracion de la broncofibroscopia y de la puncion transparietal en el diagnostico del nodulo pulmonar solitario
An evaluation of fiberoptic bronchoscopy and transparietal puncture in the diagnosis of a solitary pulmonary nodule
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Morales Marin, R. Navarro Ivañez, V. Marco Martinez, D. Nauffal Manzur, F. Planas Comerma, B. Agüera Perez, E. Benlloch Garcia" "autores" => array:7 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Morales Marin" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Navarro Ivañez" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Marco Martinez" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Nauffal Manzur" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Planas Comerma" ] 5 => array:2 [ "nombre" => "B." "apellidos" => "Agüera Perez" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Benlloch Garcia" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322213?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000006/v1_201509151135/S0300289615322213/v1_201509151135/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Valoracion de la broncofibroscopia y de la puncion transparietal en el diagnostico del nodulo pulmonar solitario" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "255" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.M. Gali, J. Alegret, C. Puzo, J. Castella, J. Caceres, R. Cornudella" "autores" => array:6 [ 0 => array:3 [ "nombre" => "J.M." "apellidos" => "Gali" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Alegret" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Puzo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Castella" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Caceres" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "R." "apellidos" => "Cornudella" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio Aparato Respiratorio. Hospital de la Santa Creu i Sant Pau. Barcelona" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio Radiodiagnóstico. Hospital de la Santa Creu i Sant Pau. Barcelona" "etiqueta" => "**" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "An evaluation of fiberoptic bronchoscopy and transparietal puncture in the diagnosis of a solitary pulmonary nodule" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-04-26" "fechaAceptado" => "1984-07-05" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se revisa la eficacia de la broncoscopia (BF) y de la punción torácica transparietal (PTT) en 100 enfermos con un nódulo pulmonar solitario.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La BF se practicó en los 100 casos y permitió el diagnóstico en 48. En 14 se detectaron lesiones endobronquiales y la biopsia fue diagnóstica. En seis casos sólo la citología de esputos post-BF fue positiva. El rendimiento de los métodos endoscópicos (biopsia, broncoaspirado, legrado y esputos post-BF) fue significativamente más alto en los casos en que había síntomas de afectación bronquial, cuando el diámetro máximo del nódulo era superior a 2 cm y cuando la distancia a la carina traqueal era inferior a 5 cm.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La PTT se practicó en 36 casos con BF no diagnóstica, y fue positiva en 22 (72%), aumentando de forma significativa el número de diagnósticos. Como complicaciones se registró neumotórax en siete pacientes (19,4%), uno de los cuales (2,7%) requirió drenaje torácico.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La práctica sucesiva de BF y PTT permitió el diagnóstico en 70 de los 100 pacientes con un nódulo pulmonar solitario.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The efficacy of bronchoscopy (FB) and transparietal thoracic puncture (TTP) were evaluated in 100 patients with solitary pulmonary nodules.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">FB was performed in 100 cases; a definite diagnosis could be established in 48 of these. In 14 endobronchial lesions were detected and diagnosis established through biopsy. In six cases cytology established a positive postFB diagnosis in the sputum.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The efficacy of endoscopic methods (biopsy, bronchial aspiration, post-FB diagnosis in the sputum) was significantly higher of the nodule was more than 2 cm and when the distance to the tracheal carina was less than 5 cm.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">TTP was performed in 36 cases in which FB could not establish the diagnosis with positive results in 22 patients (72%) thus increasing significantly the number of established diagnoses.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Complications included pneumothorax in seven patients (19.4%), one of which required thoracic draining</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">(2.7%).</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Sucessive FB and TTP established the diagnosis in 70 out of 100 patients with a solitary pulmonary nodule.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Tobin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1980.122.5.725" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1980" "volumen" => "122" "paginaInicial" => "725" "paginaFinal" => "729" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6255842" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thin needle biopsy of chest lesions: time saving potential" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Jereb" 1 => "M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 45 | 16 | 61 |
| 2024 September | 53 | 14 | 67 |
| 2024 August | 52 | 38 | 90 |
| 2024 July | 34 | 33 | 67 |
| 2024 June | 39 | 18 | 57 |
| 2024 May | 50 | 43 | 93 |
| 2024 April | 29 | 19 | 48 |
| 2024 March | 37 | 21 | 58 |
| 2024 February | 33 | 30 | 63 |
| 2024 January | 0 | 5 | 5 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 4 | 4 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 12 | 12 |
| 2023 March | 6 | 4 | 10 |
| 2023 February | 29 | 14 | 43 |
| 2023 January | 31 | 20 | 51 |
| 2022 December | 30 | 22 | 52 |
| 2022 November | 45 | 13 | 58 |
| 2022 October | 28 | 25 | 53 |
| 2022 September | 33 | 68 | 101 |
| 2022 August | 41 | 47 | 88 |
| 2022 July | 24 | 23 | 47 |
| 2022 June | 25 | 32 | 57 |
| 2022 May | 27 | 19 | 46 |
| 2022 April | 20 | 18 | 38 |
| 2022 March | 33 | 40 | 73 |
| 2022 February | 20 | 15 | 35 |
| 2022 January | 25 | 16 | 41 |
| 2021 December | 12 | 26 | 38 |
| 2021 November | 25 | 29 | 54 |
| 2021 October | 22 | 28 | 50 |
| 2021 September | 15 | 37 | 52 |
| 2021 August | 13 | 25 | 38 |
| 2021 July | 19 | 16 | 35 |
| 2021 June | 24 | 22 | 46 |
| 2021 May | 15 | 23 | 38 |
| 2021 April | 44 | 44 | 88 |
| 2021 March | 53 | 9 | 62 |
| 2021 February | 40 | 14 | 54 |
| 2021 January | 15 | 12 | 27 |
| 2020 December | 24 | 17 | 41 |
| 2020 November | 18 | 13 | 31 |
| 2020 October | 13 | 10 | 23 |
| 2020 September | 13 | 3 | 16 |
| 2020 August | 25 | 11 | 36 |
| 2020 July | 23 | 12 | 35 |
| 2020 June | 16 | 10 | 26 |
| 2020 May | 11 | 9 | 20 |
| 2020 April | 31 | 9 | 40 |
| 2020 March | 25 | 24 | 49 |
| 2020 February | 16 | 19 | 35 |
| 2020 January | 31 | 20 | 51 |
| 2019 December | 32 | 21 | 53 |
| 2019 November | 4 | 8 | 12 |
| 2019 October | 22 | 16 | 38 |
| 2019 September | 24 | 26 | 50 |
| 2019 August | 23 | 16 | 39 |
| 2019 July | 21 | 31 | 52 |
| 2019 June | 20 | 20 | 40 |
| 2019 May | 15 | 23 | 38 |
| 2019 April | 40 | 20 | 60 |
| 2019 March | 21 | 28 | 49 |
| 2019 February | 6 | 18 | 24 |
| 2019 January | 15 | 13 | 28 |
| 2018 December | 13 | 24 | 37 |
| 2018 November | 13 | 14 | 27 |
| 2018 October | 26 | 16 | 42 |
| 2018 September | 12 | 9 | 21 |
| 2018 May | 12 | 1 | 13 |
| 2018 April | 17 | 5 | 22 |
| 2018 March | 9 | 5 | 14 |
| 2018 February | 12 | 11 | 23 |
| 2018 January | 8 | 7 | 15 |
| 2017 December | 15 | 14 | 29 |
| 2017 November | 6 | 7 | 13 |
| 2017 October | 4 | 6 | 10 |
| 2017 September | 10 | 6 | 16 |
| 2017 August | 13 | 11 | 24 |
| 2017 July | 1 | 0 | 1 |
| 2017 June | 12 | 16 | 28 |
| 2017 May | 12 | 11 | 23 |
| 2017 April | 7 | 4 | 11 |
| 2017 March | 6 | 4 | 10 |
| 2017 February | 9 | 11 | 20 |
| 2017 January | 6 | 7 | 13 |
| 2016 December | 11 | 10 | 21 |
| 2016 November | 21 | 15 | 36 |
| 2016 October | 21 | 21 | 42 |
| 2016 September | 17 | 8 | 25 |
| 2016 August | 21 | 6 | 27 |
| 2016 July | 28 | 5 | 33 |
| 2016 June | 17 | 7 | 24 |
| 2016 May | 21 | 7 | 28 |
| 2016 April | 20 | 0 | 20 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 12 | 1 | 13 |
| 2016 January | 14 | 6 | 20 |
| 2015 December | 21 | 15 | 36 |
| 2015 November | 31 | 6 | 37 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 1 | 0 | 1 |
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