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Multiple Cervicomediastinal Hamartomas Associated with Lymphangioleiomyomatosis
a Department of Radiology, Suleyman Demirel University, Medical Faculty, Isparta, Turkey
b Department of Thoracic Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey
c Anesthesiology, Clinical Research Office, Ataturk University, Medical Faculty, Erzurum, Turkey
d Department of Radiology, Duzce University, Medical Faculty, Duzce, Turkey
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array:23 [ "pii" => "S0300289622000904" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.01.018" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3021" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:713" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S030028962200182X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.02.011" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3048" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:714" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Brachiocephalic Vein Aneurysm: An Unusual Cause of an Anterior Mediastinal Mass" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "714" ] ] "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" => 635 "Ancho" => 950 "Tamanyo" => 145655 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Non-enhanced chest CT (A–C) showed a prevascular mediastinal mass (asterisks). Enhanced CT with coronal reconstruction (D, E) and 3D volumetric reconstruction (F) demonstrated a fusiform aneurysm of the brachiocephalic vein, beginning 1.5<span class="elsevierStyleHsp" style=""></span>cm distal to the internal jugular vein and extending to the superior vena cava (asterisks).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luciana Volpon Soares Souza, Arthur Soares Souza Jr, Edson Marchiori" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luciana Volpon Soares" "apellidos" => "Souza" ] 1 => array:2 [ "nombre" => "Arthur Soares" "apellidos" => "Souza Jr" ] 2 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962200182X?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000010/v2_202302271800/S030028962200182X/v2_202302271800/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622004483" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.05.013" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3133" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:711-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Spontaneous Pneumomediastinum, Pneumopericardium, and Pneumoperitoneum in a Patient With Lung Cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "711" "paginaFinal" => "712" ] ] "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" => 1257 "Ancho" => 1255 "Tamanyo" => 169238 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Plain chest X-ray with left parahilar mass and interstitial pattern consistent with bilateral lymphangitis. Significant subcutaneous emphysema can be observed at the cervical and costal level. Pneumomediastinum is also identified around the cardiac silhouette and pneumoperitoneum in the right hemidiaphragm. (B) Computed tomography of the chest (lung window) showing pneumomediastinum, pneumopericardium, and subcutaneous emphysema, in addition to the previously identified tumors and left pleural effusion. (C) Computed tomography of the abdomen (lung window) showing pneumoperitoneum, retropneumoperitoneum, and subcutaneous emphysema. (D) Computed tomography of the chest (lung window) showing a fistula in the posterior wall of the right main bronchus (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jorge Rodríguez Prida, Gema Castaño de las Pozas, Jessica Rugeles Niño" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jorge" "apellidos" => "Rodríguez Prida" ] 1 => array:2 [ "nombre" => "Gema" "apellidos" => "Castaño de las Pozas" ] 2 => array:2 [ "nombre" => "Jessica" "apellidos" => "Rugeles Niño" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622004483?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000010/v2_202302271800/S0300289622004483/v2_202302271800/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Multiple Cervicomediastinal Hamartomas Associated with Lymphangioleiomyomatosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "713" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Veysel Ayyildiz, Yener Aydin, Hayri Ogul" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Veysel" "apellidos" => "Ayyildiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Yener" "apellidos" => "Aydin" "email" => array:1 [ 0 => "dryeneraydin@hotmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Hayri" "apellidos" => "Ogul" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Department of Radiology, Suleyman Demirel University, Medical Faculty, Isparta, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Thoracic Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Anesthesiology, Clinical Research Office, Ataturk University, Medical Faculty, Erzurum, Turkey" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Department of Radiology, Duzce University, Medical Faculty, Duzce, Turkey" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 585 "Ancho" => 1984 "Tamanyo" => 131002 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal chest CT scan (A) in mediastinal window demonstrates multiple parenchimal cystic lesions. Coronal chest (B) and neck (C) CT scans show multiple hamartomatous lesions (circle and arrows) with complex lipid density.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old female patient presented with a dyspnea for several years. She had a history of lymphangioleiomyomatosis and had undergone a right nephrectomy for angiomyolipoma. Multiple hamartomatous lesions were detected in the mediastinal and cervical regions on control thoracic computed tomography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Angiomyolipoma is a tumoral lesion involving various combinations of smooth muscle, adipose tissue and vascular structures that most commonly affects the kidneys, but can also be observed in the liver, lung, lymph nodes, mediastinum, and retroperitoneal soft tissues. They are almost always benign neoplasms. However, they can cause massive or even fatal retroperitoneal hemorrhage. Lymphangioleiomyomatosis is a pathology that can diffusely affect the lungs and cause respiratory failure, spontaneous pneumothorax or chylothorax. There is the theory that lymphangioleiomyomatosis cells may actually arise from these angiomyolipomas.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> In these cases, resection for mediastinal and cervical angiomyolipomas can be considered, if possible.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors received no financial support for the research and/or authorship of this article.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest to the publication of this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "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" => 585 "Ancho" => 1984 "Tamanyo" => 131002 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal chest CT scan (A) in mediastinal window demonstrates multiple parenchimal cystic lesions. Coronal chest (B) and neck (C) CT scans show multiple hamartomatous lesions (circle and arrows) with complex lipid density.</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" => "Pulmonary lymphangioleiomyomatosis associated with aggressive renal angiomyolipoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Cooper" 1 => "L. Baugh" 2 => "S. Kelley" 3 => "H. Huang" 4 => "J. Guileyardo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/08998280.2017.1391038" "Revista" => array:6 [ "tituloSerie" => "Proc (Bayl Univ Med Cent)" "fecha" => "2018" "volumen" => "31" "paginaInicial" => "81" "paginaFinal" => "83" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29686563" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence-based protocol-led management of renal angiomyolipoma: a review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Vaggers" 1 => "P. Rice" 2 => "B.K. Somani" 3 => "R. Veeratterapillay" 4 => "B.P. Rai" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5152/tud.2020.20343" "Revista" => array:7 [ "tituloSerie" => "Turk J Urol" "fecha" => "2021" "volumen" => "47" "numero" => "Suppl. 1" "paginaInicial" => "S9" "paginaFinal" => "S18" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32966208" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000010/v2_202302271800/S0300289622000904/v2_202302271800/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000010/v2_202302271800/S0300289622000904/v2_202302271800/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622000904?idApp=UINPBA00003Z" ]
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