Clinical Image
Polypoid Tracheal Fibroma
Fibroma traqueal polipoide
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array:22 [ "pii" => "S0300289619306076" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.11.030" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2357" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:491" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 31 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 11 "PDF" => 12 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289619306106" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.12.004" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2360" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:492" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 189 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 136 "PDF" => 41 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Edema de reexpansión pulmonar ¿mito o realidad?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "492" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Reexpansion Pulmonary Edema: Myth or Reality?" ] ] "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" => 995 "Ancho" => 1500 "Tamanyo" => 177705 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A y B) TAC: muestra el neumotórax completo y el patrón en vidrio esmerilado unilateral. C y D) Hallazgos intraoperatorios: ampolla <span class="elsevierStyleItalic">(blebs).</span></p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Cózar Bernal, Luis Gerardo Zúñiga Sánchez, Irene Barrero García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cózar Bernal" ] 1 => array:2 [ "nombre" => "Luis Gerardo" "apellidos" => "Zúñiga Sánchez" ] 2 => array:2 [ "nombre" => "Irene" "apellidos" => "Barrero García" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619306106?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000007/v2_202107030624/S0300289619306106/v2_202107030624/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289619306064" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.11.029" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2356" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:490" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 67 "formatos" => array:3 [ "EPUB" => 24 "HTML" => 23 "PDF" => 20 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Laceración traqueobronquial tras traumatismo torácico cerrado" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "490" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheobronchial Laceration After Blunt Chest Trauma" ] ] "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" => 800 "Ancho" => 905 "Tamanyo" => 100776 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TC de tórax con contraste intravenoso: A) Plano axial, ventana de pulmón. Signo del pulmón caído (flecha blanca discontinua) por colapso y desplazamiento del hilio pulmonar hacia partes declives. Se observa también neumotórax derecho a tensión (asterisco blanco) que condiciona desplazamiento mediastínico contralateral y neumopericardio (flecha negra discontinua). B) Reconstrucción coronal, ventana de pulmón. Neumomediastino con aire rodeando los bronquios y los vasos pulmonares de disposición paralela a los mismos en el hilio pulmonar (cabeza de flecha negra). C) Reconstrucción multiplanar con proyección de mínima intensidad (MiniP), plano coronal, ventana de pulmón donde se identifica enfisema subcutáneo (flecha negra continua) y discontinuidad de la vía aérea (flecha blanca). D) Reconstrucción volumétrica 3D, proyección anteroposterior con supresión de pulmón derecho. Laceración del bronquio intermediario con amputación bronquial y discontinuidad de la vía aérea (flecha blanca).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diana Veiga Canuto, Joan Carreres Polo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Diana" "apellidos" => "Veiga Canuto" ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "Carreres Polo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921001671" "doi" => "10.1016/j.arbr.2021.05.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001671?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619306064?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000007/v2_202107030624/S0300289619306064/v2_202107030624/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Polypoid Tracheal Fibroma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "491" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Diana Organista, Joana Barbosa, Aurora Lino" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Diana" "apellidos" => "Organista" "email" => array:1 [ 0 => "dianaorganistamachado@gmail.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" => "Joana" "apellidos" => "Barbosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Aurora" "apellidos" => "Lino" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidade de Pneumologia de Intervenção, Hospital Pulido Valente – Centro Hospitalar Universitário Lisboa Norte, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Pneumologia do Hospital de Santo Espírito da Ilha Terceira, Açores, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma traqueal polipoide" ] ] "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" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 86-year-old woman, non-smoker, presented dyspnea of progressive aggravation with a few months of evolution that increased in dorsal decubitus, associated with episodes of cough with sputum difficult to expel and wheezing. Spirometry showed only bronchiolar obstruction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Thoracic CT scan showed a pedicled lesion in the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Flexible bronchoscopy confirmed the presence of a large, non-hemorrhagic, smooth, pink polypoid lesion with a pedicle implanted in the posterior wall of the middle third of the trachea. Rigid bronchoscopy was performed with argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D). Pathological examination was compatible with polypoid fibroma of the tracheal mucosa, a benign lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E). There was no recurrence and the patient remains asymptomatic to this day.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Primary tumors of the trachea are rare, accounting for about 2% of upper respiratory tract tumors and 0.3% of all tumors. Only 20% of these tumors are benign.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> These lesions often manifest themselves with symptoms that mimic obstructive pulmonary pathology, and patients are then treated with targeted therapy without clinical improvement.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> The gold standard method for the diagnosis of central airway obstruction is bronchoscopy, allowing not only the diagnosis of the lesions but also their treatment.</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" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</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" => "Revisão dos tumores da traqueia: A propósito de um caso clínico de tumor adenóide cístico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. António" 1 => "S.J. Moura e Sá" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0873-2159(15)30257-9" "Revista" => array:6 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2008" "volumen" => "14" "paginaInicial" => "527" "paginaFinal" => "534" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18622529" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer, trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Y. Zayed" 1 => "A.V. Chandran" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "StatPearls" "fecha" => "2019" "editorial" => "StatPearls Publishing" "editorialLocalizacion" => "Treasure Island (FL)" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005700000007/v2_202107030624/S0300289619306076/v2_202107030624/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/03002896/0000005700000007/v2_202107030624/S0300289619306076/v2_202107030624/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619306076?idApp=UINPBA00003Z" ]
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