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"tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "756" "paginaFinal" => "757" ] ] "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" => 1636 "Ancho" => 2007 "Tamanyo" => 589509 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Non-contrast thoracic CT scan that shows pleural thickening and irregular apical opacities as well as traction bronchiectasis suggestive of pleuroparenchymal fibroelastosis (diagnostic CT, two years before referral to a transplant center). (B) Contrast-enhanced thoracic CT scan that reveals progression of the images consistent with pleuroparenchymal fibroelastosis in the upper lobes as well as ground glass opacities and consolidation on the lower lobes, suggestive of diffuse alveolar damage (CT performed during acute exacerbation). (C) Chest X-ray, antero-posterior (AP) projection. First day of ECMO weaning attempt. Patient had been weaned from mechanical ventilation several weeks before. X-ray reveals mild bilateral pulmonary opacities and consolidation of the upper pulmonary lobes consistent with PPFE. Femoral and jugular ECMO cannulas and tracheostomy tube are also identified. (D) Chest X-ray, antero-posterior (AP) projection. Third day of ECMO weaning attempt. Patient had been weaned from mechanical ventilation several weeks before. Thoracic X-ray shows an increase in pulmonary opacities with consolidation in the lower pulmonary lobes and the PPFE pattern. (E) Fifth day after ECMO weaning attempt (weaning attempts ceased on day three). Thoracic X-ray shows a diffuse pattern of severe bilateral consolidation (white lung pattern). (F) Autopsy sample of lung (H/E staining, 20× magnification) reveals presence of hyaline membranes and neutrophilic inflammation in the alveoli with disrupted epithelium, compatible with diffuse alveolar damage in exudative (acute) stage. (G) Autopsy sample of lung (H/E staining, 20× magnification) shows thickening of the alveolar septa, in addition to proliferation of type II pneumocytes and myofibroblasts, compatible with diffuse alveolar damage in proliferative (subacute) stage. (H) Autopsy sample of lung (trichrome staining, 20× magnification) shows marked pleural thickening with fibrosis with abundant collagen deposition.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jordi Vallverdu, Natalia Rakislova, Jacob Sellares, Enric Barbeta" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jordi" "apellidos" => "Vallverdu" ] 1 => array:2 [ "nombre" => "Natalia" "apellidos" => "Rakislova" ] 2 => array:2 [ "nombre" => "Jacob" "apellidos" => "Sellares" ] 3 => array:2 [ "nombre" => "Enric" "apellidos" => "Barbeta" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002879?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000011/v2_202402070602/S0300289623002879/v2_202402070602/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S030028962300282X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.08.007" "estado" => "S300" "fechaPublicacion" => "2023-11-01" "aid" => "3387" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:752-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Primary Tracheal Small Cell Carcinoma: A Diagnostic Challenge" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "752" "paginaFinal" => "753" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 4561 "Ancho" => 3510 "Tamanyo" => 711071 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Spirometry and chest X-ray; (b) computerized thoracic tomography; (c) bronchoscopy. *The tumor: a subtle lump on the tracheal wall.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raquel de la Sota-Montero, Marta Corral-Blanco, María Aguado-Agudo, Fernando Revuelta-Salgado, Ricardo García-Lujan, José Ignacio de Granda-Orive" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Raquel" "apellidos" => "de la Sota-Montero" ] 1 => array:2 [ "nombre" => "Marta" "apellidos" => "Corral-Blanco" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Aguado-Agudo" ] 3 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta-Salgado" ] 4 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García-Lujan" ] 5 => array:2 [ "nombre" => "José Ignacio" "apellidos" => "de Granda-Orive" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962300282X?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000011/v2_202402070602/S030028962300282X/v2_202402070602/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Retrosternal Approach: Solution to Resect Bilateral Pleural Glial Implants" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "754" "paginaFinal" => "755" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Triviño, Juan Manuel Castillo-Tuñón, José López-Ruíz" "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" => "Juan Manuel" "apellidos" => "Castillo-Tuñón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "José" "apellidos" => "López-Ruíz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "F.E.A. Servicio de Cirugía Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General, 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" => 2260 "Ancho" => 3010 "Tamanyo" => 927799 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Positron emission tomography scan shows a right paracardiac mass (circle 1) and other mass in anterior left costo-phrenic angle (circle 2) and the retrosternal dissection pathway (blue lines and blue arrow). (B) Right paracardiac mass dissection by right videothorcoscopic approach. (C) Retrosternal pathway under xiphoid process. (D) Left mass dissection by right videothorcoscopic approach.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present a case report of a 40-year-old female patient, operated for ovarian immature teratoma (grade 3) with gliomatosis peritonei. Hysterectomy with double annexectomy, appendectomy, omentectomy, lymphadenectomy (glial tissue in 1 lymph node) and the adjuvant chemotherapy was performed. One year later, recurrence disease in peritoneal form and two chest masses (right paracardiac mass: 70<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>46<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>50<span class="elsevierStyleHsp" style=""></span>mm; mass in anterior left costo-phrenic angle: 7<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>mm) on positron emission tomography follow-up was observed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1A</a>). The patient had ASA III and APACHE II. A combined thoraco-abdominal approach for surgical rescue was decided. To resect both thoracic tumors, we would need a bilateral thoracic approach. However, we believed that a laparotomy and bilateral videothoracoscopy in the same surgical session were very invasive approach for this patient. In addition, bilateral chest drainages and abdominal drainages could be uncomfortable. Finally, we decided a right thoracoscopic access with CO<span class="elsevierStyleInf">2</span> insufflation and medial laparotomy. Under general anesthesia with selective intubation, the patient was placed in left lateral semidecubitus position. At the start of the intervention, carbon dioxide insufflation at pressures of 5–8<span class="elsevierStyleHsp" style=""></span>mmHg was used to facilitate rapid and complete lung collapse. Three right thoracoscopic ports were utilized: 5th intercostal space in anterior axillar line (5<span class="elsevierStyleHsp" style=""></span>mm), 9th intercostal space in anterior axillar line (5<span class="elsevierStyleHsp" style=""></span>mm) and 7th intercostal space in middle axillar line (10<span class="elsevierStyleHsp" style=""></span>mm). The right paracardiac mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1B</a>) and mediastinal tissue was completely resected, without any complications. Retrosternal dissection under xiphoid process (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1C</a>) to achieve left mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1D</a>) was performed. The presence of pericardium was avoided by this approach, so it is a safe and feasible procedure. After thoracic-time, radical peritonectomy, splenectomy and right hemicolectomy were performed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The chest tube was removed on the 4th day. The patient had a fever on the 5th postoperative day, and tomography scan revealed a collection in the right iliac fosse. The abdominal drainage tube placed during surgery and antibiotic treatment allowed control of this complication. Clinical and radiological progress was good, and the patient was discharged on the 13th postoperative day.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Eight months after surgery, there is no evidence of local tumor recurrence. The histological examination of specimens confirmed mature glial tissue on the surface of the peritoneum, mesentery, mediastinal tissues and pleura. The gliomatosis peritonei (GP) is the metastatic implantation of mature glial nodules in peritoneum.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> GP intraoperatively may be misdiagnosed as ovarian carcinomas or peritoneal tuberculosis. However, GP has a favorable prognosis.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> In rare cases, GP showed potential for malignant transformation after several years.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> Thus, the follow-up may be needed. In this report, we describe this innovative thoracic approach to resect bilateral lesions and the extremely rare presence of glial tissue outside abdominal cavity and in lymph nodes in the setting of ovarian immature teratoma.</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" => 2260 "Ancho" => 3010 "Tamanyo" => 927799 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Positron emission tomography scan shows a right paracardiac mass (circle 1) and other mass in anterior left costo-phrenic angle (circle 2) and the retrosternal dissection pathway (blue lines and blue arrow). (B) Right paracardiac mass dissection by right videothorcoscopic approach. (C) Retrosternal pathway under xiphoid process. (D) Left mass dissection by right videothorcoscopic approach.</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" => "Gliomatosis peritonei: a report of two cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.M. Muller" 1 => "D. Sondgen" 2 => "R. Strunz" 3 => "K.M. Muller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0301-2115(01)00486-9" "Revista" => array:6 [ "tituloSerie" => "Eur J Obstet Gynecol Reprod Biol" "fecha" => "2002" "volumen" => "100" "paginaInicial" => "213" "paginaFinal" => "222" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11750968" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gliomatosis peritonei: a clinicopathologic and immunohistochemical study of 21 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Liang" 1 => "Y. Zhang" 2 => "A. Malpica" 3 => "P. Ramalingam" 4 => "I.D. Euscher" 5 => "G.N. Fuller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/modpathol.2015.116" "Revista" => array:6 [ "tituloSerie" => "Mod Pathol" "fecha" => "2015" "volumen" => "28" "paginaInicial" => "1613" "paginaFinal" => "1620" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26564007" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000011/v2_202402070602/S0300289623002867/v2_202402070602/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/03002896/0000005900000011/v2_202402070602/S0300289623002867/v2_202402070602/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002867?idApp=UINPBA00003Z" ]
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