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Imagen Clínica
Hemangioma lobular capilar en muñón bronquial posneumonectomía
Lobular Capillary Hemangioma in Post-Pneumonectomy Bronchial Stump
Blanca de Vega Sáncheza,c,d,
Corresponding author
blancadevegasanchez@gmail.com

Autor para correspondencia.
, Carlos Disdier Vicentea, Henar Borrego Pintadob,e
a Unidad de Broncoscopias y Técnicas Pleurales, Servicio de Neumología, Hospital Clínico Universitario de Valladolid, Valladolid, España
b Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valladolid, Valladolid, España
c Grupo Emergente de Broncoscopias y Neumología Intervencionista (GEBRYN)
d Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
e Centro de Investigación en Red Enfermedades Respiratorias (CIBERES)
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          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; Lesi&#243;n nodular de 7&#44;8<span class="elsevierStyleHsp" style=""></span>mm en el mu&#241;&#243;n posneumonectom&#237;a tras visi&#243;n con luz blanca convencional&#46; B&#41; Exploraci&#243;n endosc&#243;pica con autofluorescencia&#44; con p&#233;rdida de apariencia convencional&#46; C&#41; Tomograf&#237;a de coherencia &#243;ptica que revela integridad de la membrana basal&#46; D&#41; Muestra histol&#243;gica bajo tinci&#243;n con hematoxilina eosina&#44; con magnificaci&#243;n &#215;10 que permite apreciar la transici&#243;n en el epitelio respiratorio normal con una protuberancia en el interior de la luz bronquial bien delimitada con presencia de rasgos angiobl&#225;sticos y abundantes leucocitos &#40;subtipos polimorfonucleares&#41;&#44; compatible con hemangioma capilar lobar&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de un var&#243;n de 55 a&#241;os diagnosticado de carcinoma epidermoide en el l&#243;bulo superior derecho&#44; estadio patol&#243;gico prequir&#250;rgico T3N0M0<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a>&#44; y sometido a una neumonectom&#237;a derecha intraperic&#225;rdica &#40;tumor residual de 4<span class="elsevierStyleHsp" style=""></span>mm en el borde de resecci&#243;n&#41; con tratamiento adyuvante con quimioterapia y radioterapia&#46; Tras 5 meses&#44; el paciente fue remitido nuevamente por tos con expectoraci&#243;n de aspecto blanquecino&#46; La broncoscopia flexible &#40;BF&#41; mostr&#243; los hallazgos de la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#44; no visible en broncoscopia preoperatoria&#46; Se tomaron biopsias mediante pinza endosc&#243;pica Radial Jaw<span class="elsevierStyleSup">TM</span> 4 2<span class="elsevierStyleHsp" style=""></span>mm &#40;Boston Scientific<span class="elsevierStyleSup">&#174;</span>&#41;&#44; compatibles con hemangioma lobular capilar en el mu&#241;&#243;n bronquial &#40;HLC&#41;&#46; Se programaron BF para seguimiento endosc&#243;pico estrecho&#44; sin mostrar signos de malignidad&#44; reaparici&#243;n de las lesiones y con ausencia de alteraciones en las muestras de mucosa obtenidas en los siguientes 3 a&#241;os&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">El HLC es una lesi&#243;n vascular adquirida de etiolog&#237;a no neopl&#225;sica altamente infrecuente en la luz traqueal con presentaci&#243;n usual en forma de tos y hemoptisis<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a>&#46; A pesar de la ausencia de etiolog&#237;a bien definida&#44; algunas de las hip&#243;tesis planteadas abogan por la relaci&#243;n con un traumatismo menor&#44; intubaci&#243;n endotraqueal&#44; irritaci&#243;n local&#44; infecciones bacterianas y virales o desequilibrios hormonales<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a>&#46; Hasta nuestro conocimiento&#44; se trata del primer reporte de HLC descrito en el lecho del mu&#241;&#243;n posneumonectom&#237;a&#46;</p></span>"
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          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; Lesi&#243;n nodular de 7&#44;8<span class="elsevierStyleHsp" style=""></span>mm en el mu&#241;&#243;n posneumonectom&#237;a tras visi&#243;n con luz blanca convencional&#46; B&#41; Exploraci&#243;n endosc&#243;pica con autofluorescencia&#44; con p&#233;rdida de apariencia convencional&#46; C&#41; Tomograf&#237;a de coherencia &#243;ptica que revela integridad de la membrana basal&#46; D&#41; Muestra histol&#243;gica bajo tinci&#243;n con hematoxilina eosina&#44; con magnificaci&#243;n &#215;10 que permite apreciar la transici&#243;n en el epitelio respiratorio normal con una protuberancia en el interior de la luz bronquial bien delimitada con presencia de rasgos angiobl&#225;sticos y abundantes leucocitos &#40;subtipos polimorfonucleares&#41;&#44; compatible con hemangioma capilar lobar&#46;</p>"
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Article information
ISSN: 03002896
Original language: Spanish
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