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Amiloidosis traqueobronquial como hallazgo incidental en un paciente con neoplasia pulmonar
Tracheobronchial Amyloidosis as an Incidental Finding in a Patient With Lung Cancer
Blanca de Vega Sáncheza,
Corresponding author
blancadevegasanchez@gmail.com

Autor para correspondencia.
, Carlos Disdier Vicentea,b, Gerardo Martínez Garcíac
a Unidad de Broncoscopias y Técnicas Pleurales, Servicio de Neumología, Hospital Clínico Universitario de Valladolid, Valladolid, España
b Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Valladolid, España
c Servicio de Anatomía Patológica, Hospital Clínico Universitario Valladolid, Valladolid, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Var&#243;n exfumador de 67 a&#241;os asintom&#225;tico&#44; remitido para la realizaci&#243;n de una broncoscopia flexible &#40;BF&#41; ante unos hallazgos radiol&#243;gicos indicativos de neoplasia pulmonar&#46; El estudio detallado de las pruebas de imagen demostr&#243; la existencia de una masa pulmonar y la presencia de un aumento de densidad en ambas paredes laterales del tercio medio traqueal y la carina principal&#44; sin captaci&#243;n patol&#243;gica en la PET&#44; visibles en la broncoscopia flexible &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Ante los hallazgos descritos y el aspecto endosc&#243;pico de las lesiones&#44; se procedi&#243; tanto a la toma de muestras traqueales para confirmar la sospecha endosc&#243;pica de amiloidosis traqueobronquial vs&#46; infiltraci&#243;n neopl&#225;sica como de la masa pulmonar&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La anatom&#237;a patol&#243;gica determin&#243; el diagn&#243;stico de amiloidosis traqueobronquial primaria localizada y adenocarcinoma pulmonar no resecable quir&#250;rgicamente &#40;T2bN3M0&#41;&#46; La amiloidosis traqueobronquial es una enfermedad infrecuente&#44; en la que su detecci&#243;n endosc&#243;pica obliga a la realizaci&#243;n de estudios complementarios para descartar una afectaci&#243;n org&#225;nica secundaria<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>&#46; Ante la inexistencia de un tratamiento estandarizado<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> y la ausencia de compromiso de la luz traqueobronquial&#44; se instaur&#243; tratamiento quimioter&#225;pico y se desestim&#243; tratamiento endosc&#243;pico inicial&#44; con seguimiento cl&#237;nico-endosc&#243;pico&#46; La presencia de placas eritematosas sobreelevadas en el &#225;rbol traqueobronquial debe de plantear al endoscopista el diagn&#243;stico diferencial con dicha enfermedad&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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Archivos de Bronconeumología

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