Clinical Image
An Example of Difficulty in Diagnosing and Treating Lung Sarcoma
Ilustramos la dificultad en el diagnóstico y tratamiento del sarcoma pulmonar
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(B) Chest computed axial tomography image (pulmonary parenchymal window) showing areas of ground glass attenuation and interstitial thickening in the herniated pulmonary parenchyma, consistent with areas of venous congestion and edema.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe Sarasúa, Ana María Ayala Carbonero, María Ángeles Fernández Méndez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" ] 1 => array:2 [ "nombre" => "Ana María" "apellidos" => "Ayala Carbonero" ] 2 => array:2 [ "nombre" => "María Ángeles" "apellidos" => "Fernández Méndez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S030028961500112X" "doi" => "10.1016/j.arbres.2015.03.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961500112X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916300301?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916300301/v1_201605260126/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212916300416" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.04.002" "estado" => "S300" "fechaPublicacion" => "2016-06-01" "aid" => "1153" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:329-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1929 "formatos" => array:3 [ "EPUB" => 119 "HTML" => 1289 "PDF" => 521 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Resolution of Thoracic and Abdominal Lymphangioleiomyomas in a Patient With Lymphangioleiomyomatosis Treated With Sirolimus" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "329" "paginaFinal" => "330" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resolución de los linfangioleiomiomas torácicos y abdominales en una paciente con linfangioleiomiomatosis tratada con sirolimus" ] ] "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" => 1039 "Ancho" => 1500 "Tamanyo" => 201372 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed axial tomography (CAT) (A) showing a right paravertebral cystic lesion 3.2<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>1.9<span class="elsevierStyleHsp" style=""></span>cm, consistent with retrocrural lymphangioleiomyoma. 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(B) Positron emission tomography; left lower mass with marked increase in glucidic metabolism, in contact with the posterior pleura, paravertebral space and oblique fissure.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old woman with a significant smoking history presented with cough. Chest X-ray revealed a 4<span class="elsevierStyleHsp" style=""></span>cm pulmonary mass in the left hemithorax. The examination was completed with a positron emission tomography, which confirmed uptake in this region and ruled out secondary involvement (cT2cN0) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>); bronchoscopy, which was normal; and computed tomography (CT)-guided fine needle aspiration. Pathology results were indicative of non-small cell lung cancer. In view of these findings, surgery involving left pneumonectomy and hilar-mediastinal lymphadenectomy was planned. Definitive histology results showed a pleomorphic sarcomatoid carcinoma with areas of squamous differentiation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Sarcoma of the lung is an uncommon neoplasm (0.5%–1%). It can be difficult to diagnose since it presents certain similarities to lung cancer, although it progresses more slowly.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> An additional problem is the difficulty in reaching a diagnosis from a biopsy specimen, since the heterogeneous nature of these tumors means that they are often incorrectly diagnosed as squamous cell carcinoma, resulting in the application of an inappropriate treatment plan.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Quintana Cortés L, Cruz Castellanos P, de Castro Carpeño J. Ilustramos la dificultad en el diagnóstico y tratamiento del sarcoma pulmonar. Arch Bronconeumol. 2016;52:331.</p>" ] ] "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" => 679 "Ancho" => 1501 "Tamanyo" => 98073 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray: left paracardiac mass. (B) Positron emission tomography; left lower mass with marked increase in glucidic metabolism, in contact with the posterior pleura, paravertebral space and oblique fissure.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Synovial sarcoma: a clinicopathologic, staging, and prognostic assessment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.J. Spillane" 1 => "R. A’Hern" 2 => "I.R. Judson" 3 => "C. Fisher" 4 => "J.M. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1200/jco.2000.18.22.3794" "Revista" => array:6 [ "tituloSerie" => "J Clin Oncol" "fecha" => "2000" "volumen" => "18" "paginaInicial" => "3794" "paginaFinal" => "3803" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11078492" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neo/adjuvant chemotherapy does not improve outcome in resected primary synovial sarcoma: a study of the French Sarcoma Group" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Italiano" 1 => "N. Penel" 2 => "Y.M. Robin" 3 => "B. Bui" 4 => "A. Le Cesne" 5 => "S. Piperno-Neumann" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/annonc/mdn678" "Revista" => array:6 [ "tituloSerie" => "Ann Oncol" "fecha" => "2009" "volumen" => "20" "paginaInicial" => "425" "paginaFinal" => "430" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19088169" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916300313/v1_201605260126/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000006/v1_201605260126/S1579212916300313/v1_201605260126/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916300313?idApp=UINPBA00003Z" ]
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