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(D) Post-operative follow-up.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Gómez Tabales, Francisco García Gómez, José Luis López Villalobos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan Gómez" "apellidos" => "Tabales" ] 1 => array:2 [ "nombre" => "Francisco García" "apellidos" => "Gómez" ] 2 => array:2 [ "nombre" => "José Luis López" "apellidos" => "Villalobos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200309X?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000005/v2_202212170819/S030028962200309X/v2_202212170819/en/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S030028962200299X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.01.024" "estado" => "S300" "fechaPublicacion" => "2022-05-01" "aid" => "3069" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T441" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Lung Cancer With Thoracic Wall Involvement" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T441" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Masa pulmonar con extensión a pared torácica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 745 "Ancho" => 1300 "Tamanyo" => 126042 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Frontolateral view of the chest with tumor caused by lung mass, showing secondary collateral circulation. (B) Thoracic CT slice with extensive infiltrating mass.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Irene Nieto-Codesido, Carmen Diego Roza" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Irene" "apellidos" => "Nieto-Codesido" ] 1 => array:2 [ "nombre" => "Carmen Diego" "apellidos" => "Roza" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200299X?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000005/v2_202212170819/S030028962200299X/v2_202212170819/en/main.assets" ] ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Masa pulmonar con extensión a pared torácica" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "441" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Irene Nieto-Codesido, Carmen Diego Roza" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Irene" "apellidos" => "Nieto-Codesido" "email" => array:1 [ 0 => "irene.nieto.codesido@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Carmen" "apellidos" => "Diego Roza" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autora para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lung Cancer with Thoracic Wall Involvement" ] ] "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" => 745 "Ancho" => 1300 "Tamanyo" => 126042 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A.</span> Visión frontolateral del tórax con tumoración debida a la masa pulmonar, visualizándose la circulación colateral secundaria. <span class="elsevierStyleBold">B.</span> Corte de TC torácica con extensa masa infiltrante.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Varón de 61 años, fumador activo y con antecedente de exposición laboral a asbesto, que consulta por un cuadro de 3 meses de evolución consistente en síndrome general, aumento progresivo de disnea y crecimiento de una masa dolorosa en la pared anterior torácica. En la exploración física se objetiva la presencia de una tumoración paraesternal derecha de consistencia pétrea y con importante circulación colateral a lo largo del tórax y del abdomen (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La TC torácica revela la presencia de una masa que ocupa la práctica totalidad del pulmón derecho, con invasión y crecimiento extratorácico, además de afectación pleural bilateral, nódulos pulmonares bilaterales y adenopatías patológicas. La masa produce compresión de la vasculatura traqueal, esofágica y mediastínica, provocando trombosis de la vena cava superior desde su origen hasta la entrada en la aurícula derecha, con la consiguiente circulación colateral en la pared torácica (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B). El resultado de la punción-aspiración con aguja fina del conglomerado adenopático cervical y de la masa torácica confirma el diagnóstico de carcinoma pleomórfico. Esta neoplasia es un tipo de cáncer pulmonar de célula no pequeña pobremente diferenciado, englobado dentro de los tumores pulmonares sarcomatoides y que constituye menos del 1% del total de los tumores pulmonares malignos. Se presenta generalmente en varones fumadores y es característico su gran tamaño, afectando en más del 25% de los casos a la pared torácica. El pronóstico es sombrío, con una supervivencia a los 5 años de aproximadamente el 20%.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 745 "Ancho" => 1300 "Tamanyo" => 126042 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A.</span> Visión frontolateral del tórax con tumoración debida a la masa pulmonar, visualizándose la circulación colateral secundaria. <span class="elsevierStyleBold">B.</span> Corte de TC torácica con extensa masa infiltrante.</p>" ] ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="sect0005">Bibliografía recomendada</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleomorphic carcinoma of lung: Comparison of CT features and pathologic findings" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.H. Kim" 1 => "S.J. Kim" 2 => "Y.H. Ryu" 3 => "H.J. Lee" 4 => "J.M. Goo" 5 => "J.G. Im" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "2004" "volumen" => "232" "paginaInicial" => "554" "paginaFinal" => "559" "itemHostRev" => array:3 [ "pii" => "S095980492031306X" "estado" => "S300" "issn" => "09598049" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcomatoid neoplasms of the lung and pleura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.D. Travis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5858/2010-0086-RAR.1" "Revista" => array:6 [ "tituloSerie" => "Arch Pathol Lab Med." "fecha" => "2010" "volumen" => "134" "paginaInicial" => "1645" "paginaFinal" => "1658" "itemHostRev" => array:3 [ "pii" => "S0360301621009044" "estado" => "S300" "issn" => "03603016" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005800000005/v2_202212170819/S0300289622000199/v2_202212170819/es/main.assets" "Apartado" => array:4 [ "identificador" => "93646" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images/Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000005/v2_202212170819/S0300289622000199/v2_202212170819/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000199?idApp=UINPBA00003Z" ]
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