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(D) Diffuse expression of CD20 in the neoplastic cells, 400×.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Filipa Ramalho Fernandes, Rui Caetano Oliveira, Luís Vaz Rodrigues" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Filipa Ramalho" "apellidos" => "Fernandes" ] 1 => array:2 [ "nombre" => "Rui Caetano" "apellidos" => "Oliveira" ] 2 => array:2 [ "nombre" => "Luís Vaz" "apellidos" => "Rodrigues" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212918302404" "doi" => "10.1016/j.arbr.2017.10.031" "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/S1579212918302404?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617303915?idApp=UINPBA00003Z" "url" => "/03002896/0000005400000008/v1_201808020445/S0300289617303915/v1_201808020445/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212918301769" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.06.002" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1736" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Arch Bronconeumol. 2018;54:431-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 748 "formatos" => array:3 [ "EPUB" => 95 "HTML" => 435 "PDF" => 218 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Cavitating Pulmonary Nodules in a Patient Receiving Anti-TNF" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "431" "paginaFinal" => "432" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Nódulos pulmonares cavitados en paciente tratada con anti-TNF" ] ] "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" => 1466 "Ancho" => 3167 "Tamanyo" => 810269 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT showing a cavitating nodular lesion in the left upper lobe and (B) another in the upper segment of the lingula. (C) Staining of elastic fibers to highlight the irregular destruction of the arterial wall by the inflammatory process. Necrosis is seen in the upper right corner. Orcein 200×.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Roberto Martín-de León, Jorge Moisés, Pilar Peris, Carlos Agustí, Ramón María Marrades" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Roberto" "apellidos" => "Martín-de León" ] 1 => array:2 [ "nombre" => "Jorge" "apellidos" => "Moisés" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "Peris" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Agustí" ] 4 => array:2 [ "nombre" => "Ramón María" "apellidos" => "Marrades" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289617303186" "doi" => "10.1016/j.arbres.2017.08.017" "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/S0300289617303186?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301769?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918301769/v1_201808020514/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212918301770" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.06.003" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1757" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:429" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 755 "formatos" => array:3 [ "EPUB" => 118 "HTML" => 420 "PDF" => 217 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Ectopic Intrathoracic Liver Tissue" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "429" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tejido hepático ectópico intratorácico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1188 "Ancho" => 2500 "Tamanyo" => 356262 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray showing two right supradiaphragmatic nodules (arrows). (B) Hepatic tissue with mild steatosis, immersed in a fibroconnective tissue coated with mesothelial cellularity (diaphragmatic parietal pleura) (H&E 20×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen María Rodríguez Gómez, Xavier Baldó Padró, Matilde Rubio Garay" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Carmen María" "apellidos" => "Rodríguez Gómez" ] 1 => array:2 [ "nombre" => "Xavier Baldó" "apellidos" => "Padró" ] 2 => array:2 [ "nombre" => "Matilde Rubio" "apellidos" => "Garay" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289617304039" "doi" => "10.1016/j.arbres.2017.10.012" "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/S0300289617304039?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301770?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918301770/v1_201808020514/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical image</span>" "titulo" => "Primary Pleural Lymphoma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "430" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Filipa Ramalho Fernandes, Rui Caetano Oliveira, Luís Vaz Rodrigues" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Filipa Ramalho" "apellidos" => "Fernandes" "email" => array:1 [ 0 => "filipasrfernandes@gmail.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" => "Rui Caetano" "apellidos" => "Oliveira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Luís Vaz" "apellidos" => "Rodrigues" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Pneumology, Unidade Local de Saúde da Guarda E.P.E. • Hospital Sousa Martins, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Anatomical Pathology, Centro Hospitalar e Universitário de Coimbra, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma pleural primario" ] ] "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" => 492 "Ancho" => 2167 "Tamanyo" => 235295 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT (axial plan (AP)): extensive right pleural effusion conditioning almost complete atelectasis of the middle and lower lobes. No mediastinal or hilar pulmonary lymphadenopathies were found. (B) Medical thoracoscopy: pericentrimetric macular lesions with multifocal distribution and stony consistency. (C) Small to intermedium lymphocytes with nuclear irregularity, admixed with mesothelial cells, H&E 400í. (D) Diffuse expression of CD20 in the neoplastic cells, 400í.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 80-year-old male, smoker, presented with chronic complaints of dyspnoea, anorexia and asthenia. Lung sounds were absent on the lower two-thirds of the right hemithorax.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Chest computed tomography (CT) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) confirmed the presence of extensive right pleural effusion, without mediastinal or hilar lymphadenopathies.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Thoracentesis revealed an exudative pleural effusion with absence of malignant cells.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Medical thoracoscopy allowed the visualization and biopsy of multifocal parietal pleural based pericentimetric macular lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Histopathological examination revealed small and intermediate cells (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), with eosinophilic cytoplasm and mild nuclear irregularity with occasional nucleoli, expressing CD20 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D), Bcl2, Bcl6, PAX5 and CD70a, CD10, MUM1 and p53; there was no expression of CD5 and TTF1; MIB-1 proliferative index was 50%. There was also mesothelial cells hyperplasia, with eosinophils.<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Neck, abdomen and bone positron emission CT showed no abnormalities.</p><p id="par0030" class="elsevierStylePara elsevierViewall">A final diagnosis of primary pleural lymphoma (PPL) was made and chemotherapy was started. PPL is a rare cause of pleural effusion and its endoscopic appearance has seldom been fully characterized (both as multifocal nodular lesions and diffuse unspecified pleural involvement).<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">3,4</span></a> The clinical manifestations are unspecific and large biopsy samples are the key to the diagnosis, allowing for extensive immunohistochemical analysis.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 492 "Ancho" => 2167 "Tamanyo" => 235295 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT (axial plan (AP)): extensive right pleural effusion conditioning almost complete atelectasis of the middle and lower lobes. No mediastinal or hilar pulmonary lymphadenopathies were found. (B) Medical thoracoscopy: pericentrimetric macular lesions with multifocal distribution and stony consistency. (C) Small to intermedium lymphocytes with nuclear irregularity, admixed with mesothelial cells, H&E 400í. (D) Diffuse expression of CD20 in the neoplastic cells, 400í.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "WHO classification of tumours of the lung, pleura, thymus and heart" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W.D. Travis" 1 => "E. Brambilla" 2 => "A.P. Burke" 3 => "A. Marx" 4 => "A.G. Nicholson" 5 => "W.D. 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Jian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Thoracic Cancer" "fecha" => "2016" "paginaInicial" => "145" "paginaFinal" => "150" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary pleural lymphomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Ahmad" 1 => "J. Pawade" 2 => "S. Falk" 3 => "J.A. Morgan" 4 => "L. Blacumaraswami" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2003" "volumen" => "58" "paginaInicial" => "908" "paginaFinal" => "909" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14514950" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918302404/v1_201808020514/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/15792129/0000005400000008/v1_201808020514/S1579212918302404/v1_201808020514/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918302404?idApp=UINPBA00003Z" ]
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