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Nótese el aspecto radiológico normal del parénquima pulmonar interpuesto entre los quistes. B) Reconstrucción minIP (proyección de intensidad mínima) axial de la TC de tórax (ventana de parénquima pulmonar) en la que se observan múltiples quistes en ambos pulmones (flechas). C) Imagen axial de la TC de abdomen en la que se identifica una masa (asterisco negro) en el riñón derecho (RD) con un foco de densidad grasa (asterisco blanco), compatible con un angiomiolipoma.</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" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212916303354" "doi" => "10.1016/j.arbr.2016.12.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916303354?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961630062X?idApp=UINPBA00003Z" "url" => "/03002896/0000005300000003/v4_201705130114/S030028961630062X/v4_201705130114/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212916303391" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.12.005" "estado" => "S300" "fechaPublicacion" => "2017-03-01" "aid" => "1421" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:163-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1330 "formatos" => array:3 [ "EPUB" => 112 "HTML" => 871 "PDF" => 347 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Short-term Outcome of Percutaneous Treatment of Pulmonary Sequestration in a Pediatric Hospital in the Andes: A Case Series" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "164" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados a corto plazo del tratamiento percutáneo de secuestro pulmonar en hospital pediátrico ubicado en la región andina: serie de casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raúl E. Ríos-Méndez, Jimena N. Andrade-Herrera, María E. Aráuz-Martínez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Raúl E." "apellidos" => "Ríos-Méndez" ] 1 => array:2 [ "nombre" => "Jimena N." "apellidos" => "Andrade-Herrera" ] 2 => array:2 [ "nombre" => "María E." "apellidos" => "Aráuz-Martínez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616301958" "doi" => "10.1016/j.arbres.2016.06.012" "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/S0300289616301958?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916303391?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000003/v1_201703240112/S1579212916303391/v1_201703240112/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212916303421" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.12.008" "estado" => "S300" "fechaPublicacion" => "2017-03-01" "aid" => "1426" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:160" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1330 "formatos" => array:3 [ "EPUB" => 148 "HTML" => 778 "PDF" => 404 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Electrical Impedance Tomography in a Patient With Non-Specific Interstitial Pneumonia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "160" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tomografía de impedancia eléctrica en un paciente con neumonía intersticial no específica" ] ] "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" => 880 "Ancho" => 3333 "Tamanyo" => 316437 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Only the central part is ventilated. 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FR: breathing rate; PCV: pressure-controlled ventilation; PEEP: positive expiratory end pressure: Tinsp: inspiratory time; Vt: tidal volume.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Abella, Marcela Homez, Isabel Conejo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Abella" ] 1 => array:2 [ "nombre" => "Marcela" "apellidos" => "Homez" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Conejo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616302046" "doi" => "10.1016/j.arbres.2016.07.003" "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/S0300289616302046?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916303421?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000003/v1_201703240112/S1579212916303421/v1_201703240112/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Incidental Pulmonary Lymphangioleiomyomatosis in a Patient With Breast Cancer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "161" "paginaFinal" => "162" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Gorospe Sarasúa, Ana María Ayala-Carbonero, María Ángeles Fernández-Méndez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" "email" => array:1 [ 0 => "luisgorospe@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ana María" "apellidos" => "Ayala-Carbonero" ] 2 => array:2 [ "nombre" => "María Ángeles" "apellidos" => "Fernández-Méndez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfangioleiomiomatosis pulmonar incidental en una paciente con cáncer de mama" ] ] "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" => 1000 "Ancho" => 1413 "Tamanyo" => 183166 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial image of chest CT (pulmonary parenchymal window) showing multiple cysts in both lungs (arrows). Note the normal radiological appearance of the pulmonary parenchyma interposed between the cysts. (B) Minimum intensity projection (min<span class="elsevierStyleHsp" style=""></span>IP) axial reconstruction of chest CT (pulmonary parenchymal window) showing multiple cysts in both lungs (arrows). (C) Axial CT image of the abdomen, showing a mass (black asterisk) in the right kidney (RD) with an area of fatty density (white asterisk), consistent with angiomyolipoma.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 56-year-old woman, non-smoker, recently diagnosed with breast cancer, who underwent a chest and abdomen computed tomography (CT) as part of her staging study. Multiple pulmonary cysts with a fine, well-defined wall were unexpectedly detected on the CT (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B), along with a mass in the right kidney containing foci of fatty attenuation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), consistent with angiomyolipoma (AML). The pulmonary parenchyma interposed between the pulmonary cysts was rigorously normal. In view of these findings, the patient was given a diagnosis of pulmonary lymphangioleiomyomatosis (PLAM).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">PLAM is a rare systemic disease that occurs predominantly in women of childbearing age. It is characterized by interstitial proliferation of abnormal smooth muscle that can obstruct venules, lymph vessels or bronchioles, particularly in the lung, kidney and spleen, and can lead to the development of lymphadenopathies, lymphangioleiomyomas, or chylous collections in the abdominal cavity. PLAM can be sporadic or appear in association with tuberous sclerosis complex (TSC), and many authors consider it a frustrated form of the latter. The existence of mild or subclinical forms of PLAM has recently been demonstrated in some women with AML, and the incidence of breast cancer is higher in women with PLAM.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</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: Gorospe Sarasúa L, Ayala-Carbonero AM, Fernández-Méndez MÁ. Linfangioleiomiomatosis pulmonar incidental en una paciente con cáncer de mama. Arch Bronconeumol. 2017;53:161–162.</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" => 1000 "Ancho" => 1413 "Tamanyo" => 183166 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial image of chest CT (pulmonary parenchymal window) showing multiple cysts in both lungs (arrows). Note the normal radiological appearance of the pulmonary parenchyma interposed between the cysts. (B) Minimum intensity projection (min<span class="elsevierStyleHsp" style=""></span>IP) axial reconstruction of chest CT (pulmonary parenchymal window) showing multiple cysts in both lungs (arrows). (C) Axial CT image of the abdomen, showing a mass (black asterisk) in the right kidney (RD) with an area of fatty density (white asterisk), consistent with angiomyolipoma.</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" => "Frequency of undiagnosed cystic lung disease in patients with sporadic renal angiomyolipomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.H. Ryu" 1 => "T.E. Hartman" 2 => "V.E. Torres" 3 => "P.A. Decker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.11-0669" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2012" "volumen" => "141" "paginaInicial" => "163" "paginaFinal" => "168" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21737494" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Study of breast cancer incidence in patients of lymphangioleiomyomatosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O. Nuñez" 1 => "A. Román" 2 => "S.R. Johnson" 3 => "Y. Inoue" 4 => "M. Hirose" 5 => "Á. Casanova" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10549-016-3737-8" "Revista" => array:7 [ "tituloSerie" => "Breast Cancer Res Treat" "fecha" => "2016" "volumen" => "156" "paginaInicial" => "195" "paginaFinal" => "201" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26951504" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1542356515006345" "estado" => "S300" "issn" => "15423565" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000003/v1_201703240112/S1579212916303354/v1_201703240112/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/15792129/0000005300000003/v1_201703240112/S1579212916303354/v1_201703240112/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916303354?idApp=UINPBA00003Z" ]
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