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array:22 [ "pii" => "S0300289622005051" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.08.002" "estado" => "S300" "fechaPublicacion" => "2022-12-01" "aid" => "3159" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:823-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622005087" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.07.016" "estado" => "S300" "fechaPublicacion" => "2022-12-01" "aid" => "3161" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:825-6" "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" => "Use of Awake C-MAC Videolaryngoscope in Spontaneous Breathing for the Diagnosis and Intubation of a Patient With Upper Airway Obstruction due to Floppy Epiglottis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "825" "paginaFinal" => "826" ] ] "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" => 1171 "Ancho" => 2508 "Tamanyo" => 305104 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">C-MAC videolaryngoscopic view in spontaneous breathing showing a floppy epiglottis preventing visualization of the glottis ((a) inspiration and (b) expiration). The epiglottis was lifted with the videolaryngoscope blade, allowing full visualization of the glottis. In spontaneous breathing, a flexible-tipped bougie was inserted and OTI could be performed (c). After the epiglottectomy, laryngoscopy showed how the remaining epiglottis prevented visualization and prolapsed slightly toward the glottis on inspiration (d). The epiglottectomy area was lifted with the videolaryngoscope blade, permitting the visualization of the glottis (e), and a flexible-tipped bougie was inserted through the glottis for patient intubation (f).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Javier Segurola, Javier García, Laura Dos Santos, Manuel Taboada" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Javier" "apellidos" => "Segurola" ] 1 => array:2 [ "nombre" => "Javier" "apellidos" => "García" ] 2 => array:2 [ "nombre" => "Laura" "apellidos" => "Dos Santos" ] 3 => array:2 [ "nombre" => "Manuel" "apellidos" => "Taboada" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622005087?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000012/v2_202305072241/S0300289622005087/v2_202305072241/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622004951" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.07.009" "estado" => "S300" "fechaPublicacion" => "2022-12-01" "aid" => "3152" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:821-2" "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" => "Pulmonary Hyalinizing Granuloma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "821" "paginaFinal" => "822" ] ] "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" => 2193 "Ancho" => 2341 "Tamanyo" => 660826 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray. (B) In the Thorax CT, an irregularly bounded mass lesion in the upper lobe posterior segment in the right lung and irregularities in the trachea. (C, D) In the Thorax CT Mediastynal conglomerate lymphadenopathies. (E) Focally increased 18F-FDG uptake is observed in the nodular lesion in the right upper lobe and at the carina level. (F) Invasive lesion to the posterior wall at the middle level of the trachea in bronchoscopy.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gokhan Karakurt, Mustafa Duger" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Gokhan" "apellidos" => "Karakurt" ] 1 => array:2 [ "nombre" => "Mustafa" "apellidos" => "Duger" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622004951?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000012/v2_202305072241/S0300289622004951/v2_202305072241/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Thoracic Mazabraud's Syndrome: Unusual Location" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "823" "paginaFinal" => "824" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carmen María Rodríguez Gómez, Roser Saumench Perramon, Xavier Baldó Padró" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Carmen María" "apellidos" => "Rodríguez Gómez" "email" => array:1 [ 0 => "mia_2612@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Roser" "apellidos" => "Saumench Perramon" ] 2 => array:2 [ "nombre" => "Xavier" "apellidos" => "Baldó Padró" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Thoracic Surgery, Hospital Universitario Dr. J Trueta de Girona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 569 "Ancho" => 755 "Tamanyo" => 37796 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">MRI reports the presence of two intramuscular myxomas (IM) hypointense on T1 (B) and hyperintense on T2 (A).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mazabraud's syndrome (MS) is a rare benign disorder characterized by the association of single or multiple intramuscular myxomas (IM) with fibrous dysplasia (FD), which can develop in a single bone (monostotic) or in multiple bones (polyostotic).<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In general, the onset of FD predates the appearance of the IM, and the soft-tissue lesions become apparent many years later, usually in the fifth or sixth decade of life. The disease is more frequent in women and patients are often asymptomatic. However, complications such as skeletal deformities, fractures and pain can occur.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">We present a case of a 60-year-old woman who underwent a right thoracotomy at the age of 35 and resection of the posterior arches of several right ribs (6th–8th and 11th) for bone deformation in the chest assessed by CT scan performed for pain after a car accident. The affected segments were resected and defect was repaired with a Marlex's prothesis. The anatomopathological result was FD ribs.</p><p id="par0020" class="elsevierStylePara elsevierViewall">25 years later, two lesions dependent on soft tissues, appear in the same area of the previous resected ribs. Magnetic resonance imaging (MRI) reports the presence of two intramuscular soft tissue expansive lesions at the level of D11 (upper lesion 44<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>26<span class="elsevierStyleHsp" style=""></span>mm and lower lesion 50<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>36<span class="elsevierStyleHsp" style=""></span>mm), hypointense on T1 and hyperintense on T2 with an edematous perilesional component due to expansion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A complete resection of these lesions was carried out. The histological result was IM. The postoperative course was uneventful. After 2 years of follow-up, the patient remains disease-free.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The first case of MS was described by Henschen in 1926.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The etiology is unknown, but is believed to be caused by point mutations in the GNAS-1 gene.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Fewer than 100 cases have been reported in recent literature.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> MS typically manifests as a polyostotic FD with multiple IM appearing close by. MS has a predisposition for females (68%) and often involves the long bones of the lower limbs bilaterally.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In the MRI myxomas demonstrate a sharply defined contour, low signal intensity on T1-weighted images and high signal intensity on T2-weighted images and STIR images. Sometimes there is a ring of perilesional fat and edema in the adjacent muscles. CT scans typically display a homogeneous, well-circumscribed mass with low attenuation.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> The image findings in our patient were in agreement with previously described.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Myxomas are benign soft-tissue tumors. There have been no reported cases of malignant transformation of myxomas so that conservative management is indicated. Myxomas should be excised if pain or pressure symptoms develop. Simple local excision is sufficient in most cases. FD progresses slowly but surgical intervention is also indicated for severe and progressive disease with persistent pain, skeletal deformity or pathological fracture.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> The presence of IM does not influence the severity or progression of FD.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Postoperative follow-up of MS should be undertaken to detect other myxomas that may not yet be clinically detectable or local recurrences of IM after incomplete resection.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Therefore, our case is considered of special interest due to the low prevalence of MS and costal location to emphasize the importance of recognizing in the diagnosis and appropriate management of the patient.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0050" class="elsevierStylePara elsevierViewall">No external financing has been needed for this study.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0055" class="elsevierStylePara elsevierViewall">No conflict of interests for this specific case report.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 569 "Ancho" => 755 "Tamanyo" => 37796 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">MRI reports the presence of two intramuscular myxomas (IM) hypointense on T1 (B) and hyperintense on T2 (A).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fibrous dysplasia of bone associated with soft-tissue myxomas as well as an intra-osseous myxoma in a woman with mazabraud's syndrome: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W.A. Van der Wal" 1 => "H. Unal" 2 => "J.W. de Rooy" 3 => "U. Flucke" 4 => "R.P. Veth" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1752-1947-5-239" "Revista" => array:5 [ "tituloSerie" => "J Med Case Rep" "fecha" => "2011" "volumen" => "5" "paginaInicial" => "239" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21707965" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fall von ostitis fibrosa mit multiplen tumoren in der umgebenden muskulatur" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Henschen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Verh Dtsch Ges Pathol" "fecha" => "1926" "volumen" => "21" "paginaInicial" => "93" "paginaFinal" => "97" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Activating gs(alpha) mutation in intramuscular myxomas with and without fibrous dysplasia of bone" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Okamoto" 1 => "M. Hisaoka" 2 => "M. Ushijima" 3 => "S. Nakahara" 4 => "S. Toyoshima" 5 => "H. Hashimoto" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s004280000217" "Revista" => array:6 [ "tituloSerie" => "Virchows Arch" "fecha" => "2000" "volumen" => "437" "paginaInicial" => "133" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10993273" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Multani I, Popovic S, Parasu N, Ghert M. Case reports in orthopedics, vol 2019, Article ID 2638478, 5 pp." ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Imaging findings in mazabraud's syndrome: seven new cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "N. Iwasko" 1 => "L.S. Steinbach" 2 => "D. Disler" 3 => "M. Pathria" 4 => "G.A. Hottya" 5 => "S. Kattapuram" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00256-001-0453-0" "Revista" => array:6 [ "tituloSerie" => "Skeletal Radiol" "fecha" => "2002" "volumen" => "31" "paginaInicial" => "81" "paginaFinal" => "87" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11828328" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000012/v2_202305072241/S0300289622005051/v2_202305072241/en/main.assets" "Apartado" => array:4 [ "identificador" => "93865" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000012/v2_202305072241/S0300289622005051/v2_202305072241/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622005051?idApp=UINPBA00003Z" ]
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