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Clinical Image
Lobular Capillary Hemangioma in Post-Pneumonectomy Bronchial Stump
Hemangioma lobular capilar en muñón bronquial posneumonectomía
Blanca de Vega Sáncheza,c,d,
Corresponding author
blancadevegasanchez@gmail.com

Corresponding author.
, Carlos Disdier Vicentea, Henar Borrego Pintadob,e
a Unidad de Broncoscopias y Técnicas Pleurales, Servicio de Neumología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
b Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
c Grupo Emergente de Broncoscopias y Neumología Intervencionista (GEBRYN)
d Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
e Centro de Investigación en Red Enfermedades Respiratorias (CIBERES)
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 55-year-old man diagnosed with squamous cell carcinoma in the right upper lobe&#44; preoperative pathological stage T3N0M0&#44;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> who underwent right intrapericardial pneumonectomy &#40;residual tumor measuring 4<span class="elsevierStyleHsp" style=""></span>mm on resection border&#41;&#44; and was treated with adjuvant chemotherapy and radiation therapy&#46; After 5 months&#44; the patient was referred to our clinic again&#44; complaining of cough with whitish expectoration&#46; Flexible bronchoscopy &#40;FB&#41; findings&#44; not visible in the preoperative bronchoscopy&#44; are shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; Biopsies were obtained using Radial Jaw&#8482; 4 2<span class="elsevierStyleHsp" style=""></span>mm endoscopic forceps &#40;Boston Scientific&#174;&#41;&#44; which were consistent with lobular capillary hemangioma in the bronchial stump &#40;LCH&#41;&#46; FB was scheduled for close endoscopic follow-up&#44; and the patient showed no signs of malignancy or recurrent lesions&#44; and no changes were found in the mucosa samples obtained over the following 3 years&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">LCH is a highly unusual acquired vascular lesion of non-neoplastic etiology that occurs in the lumen of the trachea&#44; generally causing cough and hemoptysis&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Despite the absence of a well-defined etiology&#44; some of the hypotheses proposed suggest an association with minor trauma&#44; endotracheal intubation&#44; local irritation&#44; bacterial and viral infections&#44; or hormonal imbalances&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> To our knowledge&#44; this is the first report of LCH described in a post-pneumonectomy stump&#46;</p></span>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; de Vega S&#225;nchez B&#44; Disdier Vicente C&#44; Borrego Pintado H&#46; Hemangioma lobular capilar en mu&#241;&#243;n bronquial posneumonectom&#237;a&#46; Arch Bronconeumol&#46; 2019&#59;55&#58;536&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Nodular lesion measuring 7&#46;8<span class="elsevierStyleHsp" style=""></span>mm in the post-pneumonectomy stump after visualization with conventional white light&#46; &#40;B&#41; Endoscopic exploration with autofluorescence&#44; with loss of the conventional appearance&#46; &#40;C&#41; Optical coherence tomography showing an intact basal membrane&#46; &#40;D&#41; Histological sample stained with hematoxylin eosin&#44; 10&#215; magnification&#44; revealing the transition in the respiratory epithelium with a well delimited protuberance in the interior of the bronchial lumen with presence of angioblastic features and abundant leukocytes &#40;polymorphonuclear subtypes&#41;&#44; consistent with lobar capillary hemangioma&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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