Grasa en el torax
Intrathoracic fat tissue
A. Orueta, L.F. Fau, J. Prieto, Y.W. Pun tam, R. Casanova
Servicio de Cirugía Torácica. Gran Hospital del Estado (Universidad Autónoma) y Departamento de Radiología, Hospital Clínico (Universidad Complutense) Madrid
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Morales Ballesteros, J.J. Palacios Rojo, J. De La Morena Fernandez, J. Sanchez, J. Cuevas Santos, S. Martin Carballido" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Morales Ballesteros" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Palacios Rojo" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "De La Morena Fernandez" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Sanchez" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Cuevas Santos" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Martin Carballido" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322614?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000002/v1_201509151130/S0300289615322614/v1_201509151130/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Grasa en el torax" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "87" "paginaFinal" => "93" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Orueta, L.F. Fau, J. Prieto, Y.W. Pun tam, R. Casanova" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Orueta" ] 1 => array:2 [ "nombre" => "L.F." "apellidos" => "Fau" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Prieto" ] 3 => array:2 [ "nombre" => "Y.W." "apellidos" => "Pun tam" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Casanova" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Gran Hospital del Estado (Universidad Autónoma) y Departamento de Radiología, Hospital Clínico (Universidad Complutense) Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intrathoracic fat tissue" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1983-01-31" "fechaAceptado" => "1983-05-24" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 9 casos de acúmulos de tejido lipoideo que hemos estudiado y tratado en estos últimos años.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hasta la introducción de la Tomografía Axial Computarizada (TAC) el diagnóstico preoperatorio era, en la práctica, imposible. Hoy en día, la mayor parte de los tumores o acúmulos grasos pueden ser identificados sin toracotomia, aunque algunos de ellos son difícilmente diagnosticables y pueden ser confundidos, sobre todo, con quiste hidatídico. La actitud terapéutica debe ser esencialmente quirúrgica con sólo dos excepciones: l.° en los enfermos de alto riesgo en los que no haya duda de que la masa es de naturaleza grasa. 2.° cuando dicha masa se localiza en lugares donde la grasa se acumula con mayor frecuencia, es decir, yuxtapericardio o mediastino antero-superior en pacientes con tratamiento con corticoides.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The authors present 9 cases of fat tissue deposits studied and treated during the past few years.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Diagnosis before surgery was practically impossible before the introduction of computerized axial tomography (TAC). At present, most tumors or deposits of fat tissue can be demonstrated without thoracotomy. Although the diagnosis of some of them is extremely difficult and can be confused especially with hydatid cysts. The therapeutical approach is usually surgical with only two exceptions: first, in high risk patients when there is no doubt about the mass being fat and, second, when such mass is localized in areas where fat accumulates more frequently, like the juxtapericardium or the anterosuperior mediatinum of patients receiving steroid therapy.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Widening of the mediastinum resulting from fat accumulation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.E. Price" 1 => "L.G. 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