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Case Reports
Diffuse Thoracic Lymphangiomatosis: Diagnosis and Treatment
E.J. Bermejo Casero*, R. Mongil Poce, R. Arrabal Sánchez, A. Fernández de Rota Avecilla, A. Benítez Doménech, J.L. Fernández Bermúdez
Servicio de Cirugía Torácica, Hospital Regional Universitario Carlos Haya, Málaga, Spain
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    "titulo" => "Diffuse Thoracic Lymphangiomatosis&#58; Diagnosis and Treatment"
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            1 => "Thoracic lymphangioma"
            2 => "Bronchovascular infiltrates"
          ]
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            1 => "Linfangioma tor&#225;ci-co"
            2 => "Infiltrados broncovasculares"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Histologically&#44; lymphangiomatosis is a rare type of benign neoplasm caused by abnormal development and proliferation of the lymphatic system&#46; Thoracic lymphangiomatosis can present in a localized &#40;lymphangioma&#41; or diffuse form &#40;lymphangiomatosis&#41;&#46; In most cases the disease progresses to serious morbidity or even death&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The treatment of choice for localized disease is usually surgery or&#44; less frequently&#44; local injection of sclerosing agents &#40;streptococcus antigen OK-432&#41;&#46; However&#44; in diffuse forms there is a gelatinous infiltrate without defined limits&#46; In these cases the main treatment option is radiotherapy&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">We report 2 cases of diffuse thoracic lymphangiomatosis with pulmonary infiltrate&#46; In both cases radiotherapy in appropriate doses successfully eliminated pulmonary infiltrates&#44; pleural effusion&#44; dyspnea&#44; and general discomfort&#46; Surgery was needed to resolve complications of the disease and for diagnosis&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La linfangiomatosis constituye una rara clase de tumora-ci&#243;n benigna&#44; desde el punto de vista histol&#243;gico&#44; resultado de un anormal desarrollo y proliferaci&#243;n del sistema linf&#225;ti-co&#46; La afectaci&#243;n tor&#225;cica puede presentarse localizada &#40;linfangioma&#41; o difusa &#40;linfangiomatosis&#41;&#46; En la mayor&#237;a de los casos el curso evolutivo de la enfermedad es progresivo con aparici&#243;n de clara morbilidad e incluso mortalidad&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En las formas localizadas la cirug&#237;a&#44; principalmente&#44; o la instilaci&#243;n local de sustancias esclerosantes &#40;ant&#237;geno estrep-toc&#243;cico OK-432&#41; son el tratamiento elegido&#46; Ahora bien&#44; en las formas difusas existe un material gelatinoso&#44; infiltrante&#44; sin l&#237;mites definidos&#46; Aqu&#237; la radioterapia constituye la principal opci&#243;n terap&#233;utica&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se presentan 2 casos de linfangiomatosis tor&#225;cica difusa con infiltraci&#243;n pulmonar&#46; Se comprueba que la radioterapia a dosis adecuadas consigue la desaparici&#243;n de los infil-trados pulmonares y del derrame pleural&#44; as&#237; como de la disnea y mal estado general&#46; La cirug&#237;a es necesaria en la re-soluci&#243;n de las complicaciones paralelas a la enfermedad y como t&#233;cnica diagn&#243;stica&#46;</p>"
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                      "titulo" => "Thoracic lymphangiomas&#44; lymphangiectasis&#44; lymphangiomatosis and lymphatic dysplasia syndrome"
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                            0 => "B Banieghbal"
                            1 => "MRQ Davies"
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Article information
ISSN: 15792129
Original language: English
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