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Tracheobronchopathia Osteochondroplastica. A Chance Finding
Traqueobroncopatía osteocondroplásica, un hallazgo casual
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The hyperdense areas are calcification and irregular ossification. Several non-enhanced hypodense areas considered to be necrosis or hemorrhage. (B) Histopathology confirmed the diagnosis of mesenchymal chondrosarcoma (H&E ×200).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Min Li, Rongchun Wang, Zhuang Luo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Min" "apellidos" => "Li" ] 1 => array:2 [ "nombre" => "Rongchun" "apellidos" => "Wang" ] 2 => array:2 [ "nombre" => "Zhuang" "apellidos" => "Luo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289617303034" "doi" => "10.1016/j.arbres.2017.09.007" "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/S0300289617303034?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301381?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918301381/v1_201804290447/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212918300946" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.11.019" "estado" => "S300" "fechaPublicacion" => "2018-05-01" "aid" => "1786" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2018;54:270-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1450 "formatos" => array:3 [ "EPUB" => 171 "HTML" => 870 "PDF" => 409 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Medical Care According to Risk Level and Adaptation to Spanish COPD Guidelines (GesEPOC): The Epoconsul Study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "270" "paginaFinal" => "279" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Atención médica según el nivel de riesgo y su adecuación a las recomendaciones de la guía española de la enfermedad pulmonar obstructiva crónica (EPOC) (GesEPOC): Estudio EPOCONSUL" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1364 "Ancho" => 2503 "Tamanyo" => 149129 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Distribution of patients by risk level and GesEPOC clinical phenotype. 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A Chance Finding" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "280" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Alfonso Sota Yoldi, Roberto Fernández Mellado, Laura Vigil Vigil" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Luis Alfonso" "apellidos" => "Sota Yoldi" "email" => array:1 [ 0 => "lsotayol@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Roberto" "apellidos" => "Fernández Mellado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Laura" "apellidos" => "Vigil Vigil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Fundación Hospital de Jove, Gijón, Asturias, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital El Bierzo, Ponferrada, León, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Traqueobroncopatía osteocondroplásica, un hallazgo casual" ] ] "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" => 543 "Ancho" => 950 "Tamanyo" => 111046 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bronchoscopy image of the trachea (A) and the main carina (B), showing irregular cartilaginous protrusions in the lumen, with no involvement of the pars membranosa.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 78-year-old woman with an incidental finding of a pulmonary nodule measuring 18<span class="elsevierStyleHsp" style=""></span>mm in the right upper lobe in a chest computed tomography study performed to determine possible myasthenia gravis. The patient had no respiratory symptoms. A bronchoscopy was performed, revealing significant irregular nodular involvement of the anterolateral wall of the trachea and main bronchi, with a stony consistency, not impinging on the pars membranosa in any way (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Given these characteristic findings, tracheobronchopathia osteochondroplastica was diagnosed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tracheobronchopathia osteochondroplastica is a rare benign disease of unknown etiology that affects the trachea and, to a lesser extent, the main bronchi. It is caused by the formation of cartilaginous or bony submucous nodules that project into the lumen of the airway, with no involvement of the posterior wall.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Visualization of these lesions on bronchoscopy is sufficient to confirm diagnosis, without the need for a histology study.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> However, biopsies are performed if bone or calcification of the submucosa is seen. The disease course is benign and slow, and complications are unusual.</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: Sota Yoldi LA, Fernández Mellado R, Vigil Vigil L. Traqueobroncopatía osteocondroplásica, un hallazgo casual. Arch Bronconeumol. 2018;54:280.</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" => 543 "Ancho" => 950 "Tamanyo" => 111046 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bronchoscopy image of the trachea (A) and the main carina (B), showing irregular cartilaginous protrusions in the lumen, with no involvement of the pars membranosa.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchopathia osteochondroplastica: awareness is the key for diagnosis and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Devaraja" 1 => "P. Sagar" 2 => "A.S. Chirom" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bcr-2017-220567" "Revista" => array:2 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2017" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-malignant central airway obstuction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. Barros Casas" 1 => "S. Fernández-Bussy" 2 => "E. Folch" 3 => "J. Flandes Aldeyturriaga" 4 => "A. Majid" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2013.12.012" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2014" "volumen" => "50" "paginaInicial" => "345" "paginaFinal" => "354" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24703501" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300740/v1_201804290447/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/15792129/0000005400000005/v1_201804290447/S1579212918300740/v1_201804290447/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300740?idApp=UINPBA00003Z" ]
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