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array:23 [ "pii" => "S0300289622006329" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.11.006" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3215" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:251-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622006342" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.11.009" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3218" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:253-4" "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" => "Adjuvant Use of Non-invasive Ventilation in Patients With Amyotrophic Lateral Sclerosis and Intrathoracic Stomach for Percutaneous Radiological Gastrostomy Placement" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "254" ] ] "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" => 568 "Ancho" => 1005 "Tamanyo" => 54411 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Fluoroscopy images performed during the radiological percutaneous gastrostomy (PRG) procedure. In the image on the left, the left diaphragmatic dome is not visible due to the very cranial location, which was maintained after air insufflation (the vertical arrow shows the right diaphragm and the letter A shows the procedure syringe), The second image shows the descent of the stomach after ventilation of the patient with an end-expiratory pressure of 14<span class="elsevierStyleHsp" style=""></span>cmH2O (see arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Berta Lloret, María Luisa Viguera, Manel Luján" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Berta" "apellidos" => "Lloret" ] 1 => array:2 [ "nombre" => "María Luisa" "apellidos" => "Viguera" ] 2 => array:2 [ "nombre" => "Manel" "apellidos" => "Luján" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622006342?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000004/v4_202307181303/S0300289622006342/v4_202307181303/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622006275" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.10.012" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3210" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:249-50" "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 Nodule and Gastric Thickening: Two Primary Tumors or Metastases?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "249" "paginaFinal" => "250" ] ] "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" => 1160 "Ancho" => 1674 "Tamanyo" => 285175 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Milky pleural effusion consistent with chylothorax. (B) Coronal PET/CT image, revealing increased metabolism in the pulmonary nodule of the left upper lobe (white arrow), moderate–severe ascites (asterisk), and lack of increased metabolism at the gastric level (black arrow). (C) Gastric fundus biopsy (40×, hematoxylin–eosin), showing intact oxyntic gastric mucosa. At higher magnifications, small tumor cell groups are observed, predominantly within the capillaries, with distorted glandular architecture and atypical cells with enlarged nuclei of irregular size. (D) Immunohistochemistry for TTF1 (40×), showing nuclear positivity in tumor cell clusters, consistent with pulmonary origin. (E) Immunohistochemistry for CDX2 (40×), a marker of gastrointestinal differentiation, which is negative in the tumor cell clusters.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ignacio Jara Alonso, Ignacio Ruz Caracuel, Ignacio Barbolla Díaz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Jara Alonso" ] 1 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Ruz Caracuel" ] 2 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Barbolla Díaz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622006275?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000004/v4_202307181303/S0300289622006275/v4_202307181303/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Chondrosarcoma of Manubrium: Innovative Chest Wall Reconstruction" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "251" "paginaFinal" => "252" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Triviño, Rafael López-Cano, Jesús Machuca" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ana" "apellidos" => "Triviño" "email" => array:1 [ 0 => "atrivi_17@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" => "Rafael" "apellidos" => "López-Cano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Jesús" "apellidos" => "Machuca" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Virgen Macarena. Sevilla, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "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" => 1507 "Ancho" => 2007 "Tamanyo" => 400042 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Sternal reconstruction with Trionyx Rib Fixation System® and sternoclavicular joint fixation with wedge anchor (Stryker®) (green cross: clavicles; blue cross: sternocleidomastoid muscle attached to titanium sternal plate). (B) Gross specimen of the manubrium shows tumor growth. (C) The post-operative chest X-ray shows the costal arches fixations (orange arrows) and the 3 wedge anchors in both clavicles (green arrows). (D) Outcomes at the first postoperative month: position with arms in abduction without functional limitation.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 42-year-old male presented a protruding mass in manubrium with progressive growing for 4 months. Physical examination revealed a firm, non-movable, well-defined 5<span class="elsevierStyleHsp" style=""></span>cm mass in sternum. Computed tomography and magnetic resonance showed a manubrial mass (45<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>39<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>34<span class="elsevierStyleHsp" style=""></span>mm) with cortical breach and adjacent soft tissue calcification. Bone scintigraphy revealed an increased focal uptake in an osteoblastic mass in manubrium. These radiological findings suggested a chondrosarcoma. An incisional biopsy established a diagnosis of low grade chondrosarcoma.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Anterior bloc-resection of the chest wall with 2<span class="elsevierStyleHsp" style=""></span>cm surgical margins was performed through a midline T-shaped skin incision. The manubrium, 1–3° costal cartilages of the right and left sides, and sternoclavicular joints bilaterally were removed. The affected area of the right pectoralis major muscle and the biopsy scar were also resected. A sternal titanium plate and pre-curved sternal staples (Trionyx System®) was used to reconstruction the chest wall and 3 wedge anchors (Stryker®) attached both clavicles to a multi-perforated sternal implant (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The defect resulted was covered with left pectoralis major muscle flap. The histological examination of specimen confirmed the diagnosis of a grade 2 chondrosarcoma with microscopically tumor-free surgical margins (R0) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The patient was discharged without complication on postoperative day 5 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and the upper extremities mobility was conserved (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). He is running and doing weight training since the first postoperative month. Eight months after surgery, the patient keeps up a stable fixation of the sternoclavicular joint, and there is no evidence of local tumor recurrence.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Primary neoplasms of the sternum are very rare, less than 1% of primary bone tumors.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> Most are malignant neoplasms, and chondrosarcoma is the most common,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> as in our case. The 5-year survival rate of chondrosarcoma is 64–92%.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">2–4</span></a> They are resistant to chemotherapy and radiotherapy. Radical resection with surgical margins R0 is the gold standard for treatment.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> A high-grade tumor, size >10<span class="elsevierStyleHsp" style=""></span>cm and incomplete resection (R1) are negative predictors. In our case, the tumor was a grade 2 of chondrosarcoma, the size was <5<span class="elsevierStyleHsp" style=""></span>cm and complete surgical resection was performed (R0). If manubrium is affected by a neoplasm, sternoclavicular joint will also be involved. These cases represent a challenging procedure to preserve respiratory function and to keep the sternoclavicular articulation function. There are different techniques and materials for chest wall reconstruction: non-rigid materials, rigid materials, autologous tissue or allografts. In our case, the reconstruction of the rigid wall of the chest is performed using a sternal plate plus rib attachments and a wedge anchor for both sternoclavicular joints. The ideal prosthesis by sternoclavicular articulation is no universally accepted. Our device is inserted in clavicle head like a screw and it is affixed at a sternal implant by non-absorbable suture. The advantages of our technique are as follows: reduction operative time, high versatility, easy to model in situ, perfect adaptability (different sizes) and multi-perforated sternal plate for clavicle attachment point or muscle reinsertion. This reconstruction procedure is a safe and cost-effective method with good orthopedic and oncological outcomes. We report our results with this thoracic implant and a new sternoclavicular fixation system.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => 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" => 1507 "Ancho" => 2007 "Tamanyo" => 400042 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Sternal reconstruction with Trionyx Rib Fixation System® and sternoclavicular joint fixation with wedge anchor (Stryker®) (green cross: clavicles; blue cross: sternocleidomastoid muscle attached to titanium sternal plate). (B) Gross specimen of the manubrium shows tumor growth. (C) The post-operative chest X-ray shows the costal arches fixations (orange arrows) and the 3 wedge anchors in both clavicles (green arrows). (D) Outcomes at the first postoperative month: position with arms in abduction without functional limitation.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary sternal tumours" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Jibah" 1 => "S. Sabaratnam" 2 => "N. Gautam" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Scand J Thor Cardiovasc Surg" "fecha" => "1989" "volumen" => "23" "paginaInicial" => "289" "paginaFinal" => "292" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chondrosarcoma of the chest wall: factors affecting survival" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K. McAfee" 1 => "P.C. Pairolero" 2 => "E.J. Bergstralh" 3 => "J.M. Piehler" 4 => "K.K. Unni" 5 => "R.A. McLeod" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0003-4975(10)60344-x" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1985" "volumen" => "40" "paginaInicial" => "535" "paginaFinal" => "540" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2416278" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pediatric chondrosarcoma of the sternum resected with thorascopic assistance" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H.S. Bawa" 1 => "D.D. Moore" 2 => "J.C. Pelayo" 3 => "N. Cipriani" 4 => "G. Mak" 5 => "R.C. Haydon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2174/1874325001711010479" "Revista" => array:6 [ "tituloSerie" => "Open Orthop J" "fecha" => "2017" "volumen" => "11" "paginaInicial" => "479" "paginaFinal" => "485" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28694886" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical features and prognostic analysis of patients with chest wall chondrosarcoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Gao" 1 => "Y. Zhou" 2 => "Z. Wang" 3 => "R. Zhao" 4 => "S. Gian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/MD.0000000000017025" "Revista" => array:5 [ "tituloSerie" => "Medicine (Baltimore)" "fecha" => "2019" "volumen" => "98" "paginaInicial" => "e17025" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31490388" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000004/v4_202307181303/S0300289622006329/v4_202307181303/en/main.assets" "Apartado" => array:4 [ "identificador" => "93562" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000004/v4_202307181303/S0300289622006329/v4_202307181303/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622006329?idApp=UINPBA00003Z" ]
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