Linfangitis carcinomatosa pulmonar. Correlaciones Clinico-morfologicas
Pulmonary carcinomatous lymphangitis. Clinical-morphological correlations
F. Muñoz Lucena, D. Martinez Parra, F. Rodriguez Panadero, N. Peña Griñan, J. Lopez Mejias
Servicio de Neumología. C. S. Virgen del Roció. Sevilla
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Lemoine" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Lemoine" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322389?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000004/v1_201509151146/S0300289615322389/v1_201509151146/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Linfangitis carcinomatosa pulmonar. Correlaciones Clinico-morfologicas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "147" "paginaFinal" => "155" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F. Muñoz Lucena, D. Martinez Parra, F. Rodriguez Panadero, N. Peña Griñan, J. Lopez Mejias" "autores" => array:5 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Muñoz Lucena" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Martinez Parra" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Rodriguez Panadero" ] 3 => array:2 [ "nombre" => "N." "apellidos" => "Peña Griñan" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Lopez Mejias" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. C. S. Virgen del Roció. Sevilla" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary carcinomatous lymphangitis. Clinical-morphological correlations" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1983-09-07" "fechaAceptado" => "1984-03-03" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se revisan los hallazgos anatomopatológicos, clínicos, radiográficos y sus posibles correlaciones en 29 casos de linfangitis carcinomatosa pulmonar diagnosticados por necropsia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los principales hallazgos anatomopatológicos fueron: linfangitis macroscópica (28 casos), invasión neoplásica de ganglios linfáticos biliares y mediastínicos (21 casos), nódulos tumorales diseminados bilateralmente (14 casos) y trombosis arteriales tumorales (9 casos). La asociación y distribución de estas lesiones fue distinta según la localización del tumor primitivo, sugiriendo la posibilidad de dos vías diferentes de llegada de las células tumorales al sistema linfático pulmonar. Sólo en 23 casos existieron manifestaciones clínicas respiratorias. Disnea, tos y dolor torácico fueron los síntomas más frecuentes. El hallazgo radiográfico más sobresaliente y frecuente fue la existencia de un patrón lineal de tipo intersticial que predominaba en campos superiores y medios y que muy a menudo se acompañaba de derrame pleural de morfología y extensión variables y de un número variable de micronódulos diseminados por ambos pulmones.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las correlaciones entre estos hallazgos fueron buenas, si exceptuamos las referentes a la valoración radiográfica de las adenopatías. Se discuten las posibles explicaciones de estos hechos y se comparan nuestros resultados con los de la literatura.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The pathological, clinical and radiological findings in 29 cases of pulmonary carcinomatous lymphangitis, diagnosed at autopsy, and their possible correlations, are analyzed.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The main pathological findings were: Macroscopical lymphangitis (28 cases), hilar and mediastinal lymph node invasión (21 cases), tumor nodes with bilateral disse-mination (14 cases) and tumoral arterial thrombosis (9 cases). The association and distribution of these lesions depended on the site of the primary tumor, suggesting the possibility of two different pathways for the arrival of tumor cells to the pulmonary lymphatic system. Only in 23 cases there clinical respiratory features. Dyspnea, cough and thoracic pain were the most common symptoms. The most outstanding and common radiological finding was a lineal interstitial pattern predominating in mid and high radiological lung fields, very often accompanied by pleural effusion (varying in morphology and extent) and a variable number of micronodules thoughout both lungs.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Correlation between these findings was good except for the case of radiological lymph node assessment. Possible explanations for these facts are discussed, and our are compared to those from literature.</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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| 2018 November | 80 | 87 | 167 |
| 2018 October | 109 | 70 | 179 |
| 2018 September | 123 | 66 | 189 |
| 2018 May | 30 | 3 | 33 |
| 2018 April | 101 | 8 | 109 |
| 2018 March | 61 | 7 | 68 |
| 2018 February | 9 | 7 | 16 |
| 2018 January | 7 | 8 | 15 |
| 2017 December | 9 | 60 | 69 |
| 2017 November | 58 | 71 | 129 |
| 2017 October | 135 | 22 | 157 |
| 2017 September | 131 | 22 | 153 |
| 2017 August | 152 | 35 | 187 |
| 2017 July | 151 | 16 | 167 |
| 2017 June | 184 | 73 | 257 |
| 2017 May | 175 | 32 | 207 |
| 2017 April | 123 | 36 | 159 |
| 2017 March | 196 | 43 | 239 |
| 2017 February | 189 | 52 | 241 |
| 2017 January | 65 | 95 | 160 |
| 2016 December | 107 | 15 | 122 |
| 2016 November | 99 | 65 | 164 |
| 2016 October | 27 | 150 | 177 |
| 2016 September | 67 | 232 | 299 |
| 2016 August | 161 | 199 | 360 |
| 2016 July | 99 | 127 | 226 |
| 2016 June | 57 | 97 | 154 |
| 2016 May | 77 | 92 | 169 |
| 2016 April | 12 | 2 | 14 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 10 | 0 | 10 |
| 2016 January | 30 | 29 | 59 |
| 2015 December | 26 | 21 | 47 |
| 2015 November | 39 | 17 | 56 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
Show all
