Clinical Image
A Moving Pleural Mass
Una masa pleural móvil
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El valor diagnóstico de la imagen endoscópica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "226" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Aspergillus</span> Tracheobronchitis. The Diagnostic Value of Endoscopic Imaging" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 975 "Ancho" => 1300 "Tamanyo" => 150245 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Rx de tórax: infiltrados parenquimatosos en lóbulo superior izquierdo y lóbulo inferior izquierdo. B) TC de tórax: infiltrados en ambos lóbulos superiores, de predominio en LSI. C) Endoscopia: traqueobronquitis aspergilar pseudomembranosa.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Isabel Pina-Maiquez, Ricardo García-Lujan, Fernando Revuelta-Salgado, Juan Margallo-Iribarnegaray, Eduardo de Miguel-Poch" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pina-Maiquez" ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García-Lujan" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta-Salgado" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Margallo-Iribarnegaray" ] 4 => array:2 [ "nombre" => "Eduardo" "apellidos" => "de Miguel-Poch" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921000021" "doi" => "10.1016/j.arbr.2021.01.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000021?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619305952?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000003/v2_202106060540/S0300289619305952/v2_202106060540/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S030028961930585X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.10.025" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "2335" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:224" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 96 "formatos" => array:3 [ "EPUB" => 22 "HTML" => 51 "PDF" => 23 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Hallazgo radiológico incidental de un caso de drenaje venoso pulmonar anómalo parcial" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "224" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Incidental Radiological Finding of Partial Anomalous Pulmonary Vein Drainage" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1032 "Ancho" => 3000 "Tamanyo" => 262168 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía de tórax (proyección posteroanterior) en la que se observa un crecimiento de la aurícula derecha (punta de flecha), un aumento del tamaño y de la densidad de ambos hilios (flechas curvas); nótese la presencia de una estructura tubular en pulmón derecho (flechas rectas). B y C) Imágenes de reconstrucción coronal MIP (proyección de intensidad máxima) (B) y 3<span class="elsevierStyleHsp" style=""></span>D (C) en las que se confirma la existencia de un drenaje de la vena lobar superior derecha a la vena cava superior (flechas rectas). Además el retorno venoso del lóbulo medio y de varios segmentos del lóbulo inferior derecho también drenaba en dicha estructura tubular. Se observan signos de hipertensión pulmonar precapilar con aumento del calibre del tronco de la arteria pulmonar (asterisco) y crecimiento secundario de la AD. AD: aurícula derecha; Inn: vena innominada; VCS: vena cava superior; VD: ventrículo derecho.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sofía Ventura-Díaz, Ana Ayala-Carbonero, Luis Gorospe" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sofía" "apellidos" => "Ventura-Díaz" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Ayala-Carbonero" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S157921292100001X" "doi" => "10.1016/j.arbr.2021.01.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921292100001X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961930585X?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000003/v2_202106060540/S030028961930585X/v2_202106060540/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Moving Pleural Mass" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "225" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Maria Kipourou, Ioannis Tsanaktsidis, Georgios Zibilidis" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Maria" "apellidos" => "Kipourou" "email" => array:1 [ 0 => "mariakipo@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Ioannis" "apellidos" => "Tsanaktsidis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Georgios" "apellidos" => "Zibilidis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Pulmonology Department, 424 General Military Hospital, Thessaloniki, Greece" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Computed Tomography Department, 424 General Military Hospital, Thessaloniki, Greece" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Interventional Radiology Department, 424 General Military Hospital, Thessaloniki, Greece" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una masa pleural móvil" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 431 "Ancho" => 600 "Tamanyo" => 44980 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) CTPA revealing a right sided, well circumscribed, pleural based, soft tissue mass. (b) CT in prone position after CT guided FNB was completed, showing mass with lateral paravertebral displacement. (c) Patient in the prone position, the needle inserted during CT guided FNB (the arrow shows the insertion point). (d) The same level as (c), right after removal of the needle when CT guided FNB was completed (the arrow shows the point where the needle was previously inserted). Apart from lateral displacement shown in (b), craniocaudal displacement of the mass is evident too.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A Computed Tomography Pulmonary Angiography (CTPA) was performed for a previously healthy, 45-year-old male patient with chest pain and high clinical suspicion for pulmonary embolism (PE). CTPA revealed a right sided, well circumscribed, pleural based, soft tissue enhancing mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a) and no evidence for PE.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Patient underwent CT guided fine needle biopsy, in prone position, when insertion of the needle resulted in translocation of the mass in the pleural space (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c: on needle insertion and <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b and d: right after removal of the needle), despite absence of complications during the procedure. Biopsy revealed a Solitary Fibrous Tumor (SFT) of the pleura and patient was referred for surgical treatment. Intraoperatively, a mass in the pleural space with a pedicle originating from the visceral pleura was resected.</p><p id="par0015" class="elsevierStylePara elsevierViewall">SFTs are uncommon primary pleural neoplasms, originating from the subpleural mesenchymal cells.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Before the development of immunohistochemical methods they were considered as ‘benign mesotheliomas’.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Less than 1000 have been reported in literature, mostly generated from the visceral pleura.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> SFTs are often pedunculated and thus – depending on tumor size – may appear agile in the pleural space.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Recurrence of SFTs has been described after radical surgical treatment so follow-up after surgery is highly recommended.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 431 "Ancho" => 600 "Tamanyo" => 44980 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) CTPA revealing a right sided, well circumscribed, pleural based, soft tissue mass. (b) CT in prone position after CT guided FNB was completed, showing mass with lateral paravertebral displacement. (c) Patient in the prone position, the needle inserted during CT guided FNB (the arrow shows the insertion point). (d) The same level as (c), right after removal of the needle when CT guided FNB was completed (the arrow shows the point where the needle was previously inserted). Apart from lateral displacement shown in (b), craniocaudal displacement of the mass is evident too.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solitary fibrous tumor – less common neoplasms of the pleural cavity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Vejvodova" 1 => "V. Spidlen" 2 => "P. Mukensnabl" 3 => "G. Krakorova" 4 => "J. Molacek" 5 => "J. Vodicka" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5761/atcs.oa.16-00108" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Cardiovasc Surg" "fecha" => "2017" "volumen" => "23" "paginaInicial" => "12" "paginaFinal" => "18" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28049955" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solitary fibrous tumors of chest: another look with the oncologic perspective" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Saynak" 1 => "N.K. Veeramachaneni" 2 => "J.L. Hubbs" 3 => "D. Okumuş" 4 => "L.B. Marks" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4274/balkanmedj.2017.0350" "Revista" => array:6 [ "tituloSerie" => "Balkan Med J" "fecha" => "2017" "volumen" => "34" "paginaInicial" => "188" "paginaFinal" => "199" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28443588" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005700000003/v2_202106060540/S0300289619305915/v2_202106060540/en/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005700000003/v2_202106060540/S0300289619305915/v2_202106060540/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619305915?idApp=UINPBA00003Z" ]
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