Clinical Image
Endobronquial Leiomyoma: Outcome of Conservative Management
Resultados del manejo conservador de un leiomioma endobronquial
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(D) Total thyroidectomy • resected goitre.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Sousa, Manuela Fernandes, Bárbara Rodrigues" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Sousa" ] 1 => array:2 [ "nombre" => "Manuela" "apellidos" => "Fernandes" ] 2 => array:2 [ "nombre" => "Bárbara" "apellidos" => "Rodrigues" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289617300649" "doi" => "10.1016/j.arbres.2017.02.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300649?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302525?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000009/v2_201708291344/S1579212917302525/v2_201708291344/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212917302513" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.02.016" "estado" => "S300" "fechaPublicacion" => "2017-09-01" "aid" => "1575" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:517" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1189 "formatos" => array:3 [ "EPUB" => 134 "HTML" => 671 "PDF" => 384 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Congenital Bi-segmental Bronchial Atresia with Areas of Congenital Pulmonary Airway Malformation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "517" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Atresia bronquial bisegmentaria congèc)nita acompañada de áreas de malformación congèc)nita de las vías respiratorias pulmonares" ] ] "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" => 633 "Ancho" => 1375 "Tamanyo" => 176287 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Contrast-enhanced, coronal plane, chest computed tomography. 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Radiological study and fiberoptic bronchoscopy revealed a rounded, hypervasculated, pedunculated mass, located 2<span class="elsevierStyleHsp" style=""></span>cm from the main carina, with an implantation base of less than 1<span class="elsevierStyleHsp" style=""></span>cm in the left main bronchus.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Given the characteristics of the mass and the risk of hemorrhage, we decided to perform resection under rigid fiberoptic bronchoscopy-guidance, to obtain a biopsy and resolution of the occlusion.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was discharged 24<span class="elsevierStyleHsp" style=""></span>h after the procedure without any incidents. A diagnosis of endobronchial leiomyoma was confirmed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), and the patient was followed up with flexible fiberoptic bronchoscopy and imaging tests. Nine months after treatment, she remains asymptomatic and free of disease.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Pulmonary leiomyoma is a rare tumor of mesodermal origin.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> Treatment of choice is resection using the most conservative technique possible. For endoluminal tumors, White et al.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> and Tan et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> defend the treatment of endobronchial leiomyoma using an endoscopic resection technique with endoforceps, electrocautery or laser, since no reports of relapse or distant seeding have been described after limited resection.</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: García Gómez F, Triviño A, Tello Collantes K. Resultados del manejo conservador de un leiomioma endobronquial. Arch Bronconeumol. 2017;53:518.</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" => 742 "Ancho" => 990 "Tamanyo" => 267765 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image showing a fasciculated subepithelial fusocellular tumor with no necrosis or mitotic activity (H&E ×4), with positive immunostaining for smooth muscle actin (lower image, SMA ×10).</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" => "Leiomyomas of the lower respiratory tract" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.H. White" 1 => "N.B.N. Ibrahim" 2 => "C.P. Forrester-Wood" 3 => "K. Jeyasingham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1985" "volumen" => "40" "paginaInicial" => "306" "paginaFinal" => "311" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4023981" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resection with preserved histologic morphology of a rare tumour via bronchoscopic cryosurgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.H. Tan" 1 => "A.M. Takano" 2 => "A.A. Hsu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.21037/jtd.2016.10.08" "Revista" => array:6 [ "tituloSerie" => "J Thorac Dis" "fecha" => "2016" "volumen" => "8" "paginaInicial" => "2964" "paginaFinal" => "2967" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27867576" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000009/v2_201708291344/S1579212917302239/v2_201708291344/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005300000009/v2_201708291344/S1579212917302239/v2_201708291344/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302239?idApp=UINPBA00003Z" ]
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