Original Article
Bronchoscopic Lung Biopsy With Fluoroscopy to Study 164 Localized Pulmonary Lesions
M. Haro Estarriola,
, M. Rubio Godoya, M. Vizcaya Sánchezb, X. Baldó Padróc, M.T. Casamitjá Sota, F. Sebastián Quetglásc
Corresponding author
mip.mharo@htrueta.scs.es
Correspondence: Dr. M. Haro Estarriol. Sección de Neumología. Planta 4.° B. Hospital Universitario de Girona Doctor Josep Trueta. Avda. de Francia, s/n. 17007 Girona. España
Correspondence: Dr. M. Haro Estarriol. Sección de Neumología. Planta 4.° B. Hospital Universitario de Girona Doctor Josep Trueta. Avda. de Francia, s/n. 17007 Girona. España
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Haro Estarriol, M. Rubio Godoy, M. Vizcaya Sánchez, X. Baldó Padró, M.T. Casamitjá Sot, F. Sebastián Quetglás" "autores" => array:6 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "M." "apellidos" => "Haro Estarriol" "email" => array:1 [ 0 => "mip.mharo@htrueta.scs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Rubio Godoy" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Vizcaya Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "X." "apellidos" => "Baldó Padró" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 4 => array:3 [ "nombre" => "M.T." "apellidos" => "Casamitjá Sot" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "F." "apellidos" => "Sebastián Quetglás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Neumología, Hospital Universitario Doctor Josep Trueta, Girona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Complejo Hospitalario de Albacete, Albacete, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Doctor Josep Trueta, Girona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. M. Haro Estarriol. Sección de Neumología. Planta 4.° B. Hospital Universitario de Girona Doctor Josep Trueta. Avda. de Francia, s/n. 17007 Girona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-12-01" "fechaAceptado" => "2004-05-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153165" "palabras" => array:4 [ 0 => "Fiberoptic bronchoscopy" 1 => "Bronchoscopic lung biopsy" 2 => "Localized pulmonary lesions" 3 => "Fluoroscopy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153164" "palabras" => array:4 [ 0 => "Fibrobroncoscopia" 1 => "Biopsia pulmonar broncoscópica" 2 => "Lesiones pulmonares localizadas" 3 => "Fluoroscopia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO assess the usefulness of bronchoscopic lung biopsy (BLB) in the diagnosis of localized pulmonary lesions.</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective, descriptive study of consecutive patients with a suspected neoplastic nodule, mass, or infiltrate with nonspecific bronchoscopic findings after performing BLB with fluoroscopy. The lesions, clinical and patient characteristics, and outcomes were evaluated.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">One hundred sixty-four patients with a mean (SD) age of 65 (12) years and a total of 156 masses or nodules and 8 infiltrates (144 neoplasms and 20 nonneoplastic lesions) participated in the study. On average, the lesion was 4.3 (2) cm in diameter and 6 (2) BLBs were performed on each patient, with a rate of serious complications of less than 1%. BLB was diagnostic in 113 cases (69% of the neoplasms and 70% of the nonneoplastic). In cases diagnosed by BLB, the lesions were larger (4.6 [2] cm), more samples were obtained (6 [2] biopsies), nondiagnostic endoscopic alterations were found (30%), and the bronchus sign was present (22%). Moreover, bronchoscopy was better tolerated by those patients.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">BLB with fluoroscopy increased the diagnostic yield of bronchoscopy for localized lesions with nonspecific findings, regardless of etiology. Larger neoplasms, the bronchus sign, good tolerance, and more tissue samples increased the number of diagnoses, with few complications.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la utilidad de las biopsias pulmonares broncoscópicas (BPB) en el diagnóstico de las lesiones pulmonares localizadas.</p> <span class="elsevierStyleSectionTitle">Método</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo y prospectivo de pacientes consecutivos con un nódulo, masa o infiltrado sospechosos de neoplasia y con una broncoscopia inespecífica, después de realizar BPB con fluoroscopia. Se valoraron las lesiones, las características antropométricas, clínicas y los resultados.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyó en el estudio a 164 pacientes, con una edad media ± desviación estándar de 65 ± 12 años, con un total de 156 masas o nódulos y 8 infiltrados (144 neoplasias y 20 no neoplásicos). El diámetro de la lesión fue de 4,3 ± 2 cm y se realizaron 6 ± 2 BPB por paciente, con menos del 1% de complicaciones graves. En 113 casos, la BPB fue diagnóstica (un 69% de neoplasias y el 70% no neoplasias). En los casos con BPB diagnóstica, las lesiones tenían mayor tamaño (4,6 ± 2 cm), aumentó el número de BPB (6 ± 2 biopsias), tenían al-teraciones endoscópicas no diagnósticas (30%), el signo del bronquio (22%) y mejor tolerancia a la exploración.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las BPB con fluoroscopia aumentaron la rentabilidad de la broncoscopia en las lesiones localizadas con una exploración inespecífica independientemente de su etiología. Un mayor tamaño, el signo del bronquio, una bue-na tolerancia y un mayor número de BPB aumentaron el número de diagnósticos con escasas complicaciones.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology, etiology and prevention of lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "KS Bilello" 1 => "S Murin" 2 => "RA Matthay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Chest Med" "fecha" => "2002" "volumen" => "23" "paginaInicial" => "1" "paginaFinal" => "25" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11901905" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D Ost" 1 => "A Fein" 2 => "SH Feinsilver" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMcp012290" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2003" "volumen" => "348" "paginaInicial" => "2535" "paginaFinal" => "2542" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12815140" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of bronchoscopy in lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "AC Arroliga" 1 => "RA Matthay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Chest Med" "fecha" => "1993" "volumen" => "14" "paginaInicial" => "87" "paginaFinal" => "98" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8462250" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchoscopy and needle biopsy techniques for diagnosis and staging of lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P Mazzone" 1 => "P Jain" 2 => "AC Arroliga" 3 => "RA Matthay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Chest Med" "fecha" => "2002" "volumen" => "23" "paginaInicial" => "137" "paginaFinal" => "158" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11901908" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Role of bronchoscopy in the evaluation of solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "AC Mehta" 1 => "SA Kathawalla" 2 => "CC Chan" 3 => "A Arroliga" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bronchology" "fecha" => "1995" "volumen" => "2" "paginaInicial" => "315" "paginaFinal" => "322" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The utility of fiberoptic bronchoscopy in the evaluation of solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "KG Torrington" 1 => "JD Kern" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "104" "paginaInicial" => "1021" "paginaFinal" => "1024" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8404158" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fiberoptic bronchoscopy. Enhancing the diagnostic yield" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "SL Kamholz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "1996" "volumen" => "109" "paginaInicial" => "593" "paginaFinal" => "594" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complicaciones de la fibrobroncoscopia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E García" 1 => "C Puzo" 2 => "J Castella" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1993" "volumen" => "29" "paginaInicial" => "153" "paginaFinal" => "157" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "BB Tan" 1 => "KR Flaherty" 2 => "EA Kazeeroni" 3 => "MD Iannettoni" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2003" "volumen" => "123" "paginaInicial" => "89S" "paginaFinal" => "96S" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12527568" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nódulo pulmonar solitario: ^que ha cambiado en su evaluación diagnóstica?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R Moreno" 1 => "L Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2003" "volumen" => "39" "paginaInicial" => "246" "paginaFinal" => "248" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12797938" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rentabilidad de la broncoscopia flexible en el diagnóstico y estadificación del carcinoma broncogénico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C Disdier" 1 => "J Sánchez de Cos" 2 => "JF Masa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neumosur" "fecha" => "1997" "volumen" => "9" "paginaInicial" => "228" "paginaFinal" => "235" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manejo del nódulo pulmonar solitario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B Jurado" 1 => "F Díaz" 2 => "R Ysamat" 3 => "C Baamonde" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "1998" "volumen" => "198" "paginaInicial" => "36" "paginaFinal" => "40" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9534346" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchoscopic diagnosis of solitary pulmonary nodules and lung masses in the absence of endobronchial abnormality" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "V Chechani" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1996" "volumen" => "109" "paginaInicial" => "620" "paginaFinal" => "625" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8617067" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic yield of fiberoptic bronchoscopy in evaluating solitary pulmonary nodules" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "WA Baaklini" 1 => "M Reinoso" 2 => "AB Gorin" 3 => "A Sharafkaneh" 4 => "P Manian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "1 17" "paginaInicial" => "1049" "paginaFinal" => "1054" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rentabilidad de la punción transbronquial en neoplasias pulmonares periféricas" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C Disdier" 1 => "J Sánchez de Cos" 2 => "L Ferrando" 3 => "JM Hernández" 4 => "JF Masa" 5 => "MJ Martín" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1994" "volumen" => "30" "numero" => "Supl 1" "paginaInicial" => "128" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Biopsia transbronquial en el estudio del nódulo pulmonar solitario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "JR Donado" 1 => "CJ Álvarez" 2 => "L Yebero" 3 => "MA Galán" 4 => "E Miguel" 5 => "JJ Alfaro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1995" "volumen" => "31" "numero" => "Supl 1" "paginaInicial" => "91" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rentabilidad del abordaje transbronquial en el diagnóstico de nódulos pulmonares neoplásicos no visibles endoscópicamente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C Disdier" 1 => "J Corral" 2 => "MJ Martín" 3 => "M Hernández" 4 => "J Sánchez de Cos" 5 => "JA Riesco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2000" "volumen" => "36" "numero" => "Supl 2" "paginaInicial" => "61" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10726191" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rentabilidad de la broncoscopia en el carcinoma broncogénico en lesiones endoscópicas no visibles" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C García" 1 => "F Díaz" 2 => "MA Ponce" 3 => "F Rodríguez" 4 => "P Cabrera" 5 => "A López" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2002" "volumen" => "38" "numero" => "Supl 2" "paginaInicial" => "125" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rendimiento de la fibrobroncoscopia asociada a fluoroscopia en el diagnóstico de la lesión pulmonar periférica" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "JM Martínez" 1 => "V Curull" 2 => "A Cayete" 3 => "MJ Santos" 4 => "M Orozco" 5 => "E Balcells" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2002" "volumen" => "38" "numero" => "Supl 2" "paginaInicial" => "173" "paginaFinal" => "174" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transbronchial biopsy smear for the diagnosis of peripheral pulmonary carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E Tsuboi" 1 => "S Ikeda" 2 => "M Tajima" 3 => "Y Shiosato" 4 => "S Ishikawa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cancer" "fecha" => "1967" "volumen" => "20" "paginaInicial" => "687" "paginaFinal" => "698" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6024282" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An integrated approach to evaluation of the solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "SJ Swensen" 1 => "JR Jett" 2 => "WS Payne" 3 => "RW Viggiano" 4 => "PC Pairolero" 5 => "VF Trastek" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Mayo Clin Proc" "fecha" => "1990" "volumen" => "65" "paginaInicial" => "173" "paginaFinal" => "176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2248630" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation and management of the solitary pulmonary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D Ost" 1 => "A Fein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "782" "paginaFinal" => "787" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solitary pulmonary nodules: CT-bronchoscopic correlations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "DP Naidich" 1 => "R Sussman" 2 => "WL Kutcher" 3 => "CP Aranda" 4 => "SM Garay" 5 => "NA Ettenger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1988" "volumen" => "93" "paginaInicial" => "595" "paginaFinal" => "598" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3342671" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Staging bronchoscopy in the preoperative assessment of a solitary nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L Landow" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "1994" "volumen" => "106" "paginaInicial" => "653" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7774377" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Integration of transbronchial and percutaneous approach in the diagnosis of peripheral pulmonary nodules or masses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S Gasparini" 1 => "M Ferretti" 2 => "E Bichi" 3 => "S Baldelli" 4 => "L Zuccatosta" 5 => "P Gusella" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1995" "volumen" => "108" "paginaInicial" => "131" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7606947" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of solitary pulmonary nodule. How to decide when resection is required" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "GA Lillington" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Posgrad Med" "fecha" => "1997" "volumen" => "101" "paginaInicial" => "145" "paginaFinal" => "150" "itemHostRev" => array:3 [ "pii" => "S0300893210000977" "estado" => "S300" "issn" => "03008932" ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utilidad de la biopsia pulmonar endoscópica en el diagnóstico de los nódulos pulmonares reumatoides" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A Núñez" 1 => "M Haro" 2 => "M Vizcaya" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "564" "paginaFinal" => "565" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9929728" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004000000011/v1_201305141823/S1579212906603625/v1_201305141823/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004000000011/v1_201305141823/S1579212906603625/v1_201305141823/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906603625?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 6 | 10 |
| 2024 October | 26 | 21 | 47 |
| 2024 September | 21 | 13 | 34 |
| 2024 August | 45 | 39 | 84 |
| 2024 July | 24 | 21 | 45 |
| 2024 June | 26 | 19 | 45 |
| 2024 May | 28 | 30 | 58 |
| 2024 April | 15 | 20 | 35 |
| 2024 March | 20 | 19 | 39 |
| 2024 February | 14 | 13 | 27 |
| 2023 March | 2 | 3 | 5 |
| 2023 February | 12 | 25 | 37 |
| 2023 January | 17 | 34 | 51 |
| 2022 December | 15 | 43 | 58 |
| 2022 November | 22 | 23 | 45 |
| 2022 October | 17 | 30 | 47 |
| 2022 September | 13 | 18 | 31 |
| 2022 August | 18 | 28 | 46 |
| 2022 July | 15 | 33 | 48 |
| 2022 June | 17 | 38 | 55 |
| 2022 May | 13 | 19 | 32 |
| 2022 April | 15 | 28 | 43 |
| 2022 March | 17 | 34 | 51 |
| 2022 February | 17 | 19 | 36 |
| 2022 January | 15 | 27 | 42 |
| 2021 December | 13 | 34 | 47 |
| 2021 November | 14 | 37 | 51 |
| 2021 October | 16 | 29 | 45 |
| 2021 September | 18 | 46 | 64 |
| 2021 August | 14 | 38 | 52 |
| 2021 July | 10 | 22 | 32 |
| 2021 June | 13 | 41 | 54 |
| 2021 May | 12 | 29 | 41 |
| 2021 April | 16 | 25 | 41 |
| 2021 March | 10 | 17 | 27 |
| 2021 February | 19 | 12 | 31 |
| 2021 January | 10 | 9 | 19 |
| 2020 December | 7 | 14 | 21 |
| 2020 November | 10 | 10 | 20 |
| 2020 October | 7 | 12 | 19 |
| 2020 September | 4 | 4 | 8 |
| 2020 August | 6 | 6 | 12 |
| 2020 July | 11 | 14 | 25 |
| 2020 June | 8 | 5 | 13 |
| 2020 May | 10 | 17 | 27 |
| 2020 April | 6 | 9 | 15 |
| 2020 March | 4 | 13 | 17 |
| 2020 February | 8 | 18 | 26 |
| 2020 January | 16 | 24 | 40 |
| 2019 December | 11 | 14 | 25 |
| 2019 November | 4 | 23 | 27 |
| 2019 October | 9 | 8 | 17 |
| 2019 September | 12 | 12 | 24 |
| 2019 August | 8 | 24 | 32 |
| 2019 July | 8 | 28 | 36 |
| 2019 June | 7 | 12 | 19 |
| 2019 May | 18 | 23 | 41 |
| 2019 April | 12 | 23 | 35 |
| 2019 March | 12 | 21 | 33 |
| 2019 February | 12 | 16 | 28 |
| 2019 January | 1 | 10 | 11 |
| 2018 December | 7 | 16 | 23 |
| 2018 November | 11 | 14 | 25 |
| 2018 October | 20 | 15 | 35 |
| 2018 September | 10 | 15 | 25 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 8 | 11 | 19 |
| 2018 March | 5 | 4 | 9 |
| 2018 February | 3 | 5 | 8 |
| 2018 January | 8 | 9 | 17 |
| 2017 December | 7 | 10 | 17 |
| 2017 November | 3 | 5 | 8 |
| 2017 October | 6 | 8 | 14 |
| 2017 September | 1 | 7 | 8 |
| 2017 August | 6 | 10 | 16 |
| 2017 July | 3 | 2 | 5 |
| 2017 June | 5 | 6 | 11 |
| 2017 May | 4 | 10 | 14 |
| 2017 April | 2 | 2 | 4 |
| 2017 March | 3 | 4 | 7 |
| 2017 February | 1 | 2 | 3 |
| 2017 January | 1 | 0 | 1 |
| 2016 December | 11 | 8 | 19 |
| 2016 November | 16 | 15 | 31 |
| 2016 October | 6 | 6 | 12 |
| 2016 September | 9 | 5 | 14 |
| 2016 August | 6 | 5 | 11 |
| 2016 July | 3 | 3 | 6 |
| 2016 March | 2 | 0 | 2 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 105 | 1 | 106 |
| 2015 September | 115 | 20 | 135 |
| 2015 August | 84 | 11 | 95 |
| 2015 July | 117 | 11 | 128 |
| 2015 June | 74 | 5 | 79 |
| 2015 May | 72 | 5 | 77 |
| 2015 April | 71 | 19 | 90 |
| 2015 March | 74 | 7 | 81 |
| 2015 February | 70 | 5 | 75 |
| 2015 January | 68 | 7 | 75 |
| 2014 December | 77 | 6 | 83 |
| 2014 November | 68 | 9 | 77 |
| 2014 October | 77 | 10 | 87 |
| 2014 September | 109 | 8 | 117 |
| 2014 August | 68 | 8 | 76 |
| 2014 July | 70 | 9 | 79 |
| 2014 June | 79 | 6 | 85 |
| 2014 May | 87 | 10 | 97 |
| 2014 April | 73 | 6 | 79 |
| 2014 March | 87 | 8 | 95 |
| 2014 February | 72 | 8 | 80 |
| 2014 January | 66 | 9 | 75 |
| 2013 December | 58 | 10 | 68 |
| 2013 November | 51 | 11 | 62 |
| 2013 October | 45 | 7 | 52 |
| 2013 September | 50 | 9 | 59 |
| 2013 August | 62 | 7 | 69 |
| 2013 July | 43 | 15 | 58 |
| 2013 June | 41 | 9 | 50 |
| 2013 May | 47 | 4 | 51 |
| 2013 April | 27 | 6 | 33 |
| 2013 March | 10 | 4 | 14 |
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