Mesotelioma pleural: utilidad de la toracoscopia en su diagnostico y tratamiento
The usefulness of thoracoscopy in the diagnosis and treatment of pleural mesothelioma
F. Sebastian Quetglas, A. Fernandez Lopez, L. Muñoz Cabrera, J. Lopez Pujol, F. Lopez Rubio
Servicio Cirugía Torácica. Ciudad Sanitaria Reina Sofía. Córdoba
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Peset Reig, T.H. Van Der Mark" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Peset Reig" ] 1 => array:2 [ "nombre" => "T.H." "apellidos" => "Van Der Mark" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322468?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000003/v1_201509151156/S0300289615322468/v1_201509151156/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Mesotelioma pleural: utilidad de la toracoscopia en su diagnostico y tratamiento" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "105" "paginaFinal" => "111" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F. Sebastian Quetglas, A. Fernandez Lopez, L. Muñoz Cabrera, J. Lopez Pujol, F. Lopez Rubio" "autores" => array:5 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Sebastian Quetglas" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernandez Lopez" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Muñoz Cabrera" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Lopez Pujol" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Lopez Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio Cirugía Torácica. Ciudad Sanitaria Reina Sofía. Córdoba" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The usefulness of thoracoscopy in the diagnosis and treatment of pleural mesothelioma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1983-05-15" "fechaAceptado" => "1983-09-24" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Durante el período de tiempo comprendido entre los años 1979 y 1982, hemos tenido ocasión de diagnosticar, mediante toracoscopia, cuatro casos de mesotelioma difuso que evolucionaron clínicamente con derrame pleural importante. Los diversos estudios realizados sobre el líquido pleural no consiguieron un diagnóstico preciso aunque permitieron desechar la presencia de otra patología.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Toracoscópicamente las imágenes obtenidas y recopiladas en película fotográfica fueron muy sugestivas de un proceso maligno y difuso de la cavidad pleural (mesotelioma), realizándose un diagnóstico de presunción correcto en todos los casos, si bien el diagnóstico definitivo fue anatomopatológico.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La práctica de la toracoscopia en este tipo de enfermos tiene en nuestra opinión, además del interés diagnóstico, un sentido terapéutico, pues permite una vez conocido el proceso, desde el punto de vista histopatológico, realizar además de una evacuación completa del derrame, una pleurodesis. No somos partidarios de la práctica de pleuroneumonectomías en este tipo de enfermos, debido a la alta malignidad del proceso nosológico, así como a su frecuente bilateralidad.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We diagnosed by thoracoscopy, between 1979 and 1982, four cases of diffuse mesothelioma with large pleural effusions. Although several studies of pleural fluid ruled out the presence of other causes, they could not establish the exact diagnosis.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The images obtained by thoracoscopy and recorded on photographic film were very suggestive of a malignant and diffuse process of the pleural cavity (mesothelioma). A presumptive diagnosis was correctly made in all cases although only pathological examination could confirm it.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We think that thoracoscopy in these patients is not only diagnostically useful but has a therapeutical purpose because it permits the complete evacuation of the pleural effusion and pleurodesis once the histopathological diagnosis has been made. We do not favour pleuropneumonectomies in these patients due to the high malignancy of this process and its frequent bilateral localization.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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