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B) Broncoscopia flexible en la que se aprecia lesión endobronquial redondeada, lisa, de color ocre a 3,5<span class="elsevierStyleHsp" style=""></span>cm de la carina principal que ocluye completamente el BPI.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Israel Rodríguez Alvarado, M. Teresa Gómez Hernández, Marcelo F. Jiménez López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Israel" "apellidos" => "Rodríguez Alvarado" ] 1 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" ] 2 => array:2 [ "nombre" => "Marcelo F." 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"tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "649" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía izquierda recurrente ¿estamos ante el diagnóstico correcto?" ] ] "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" => 807 "Ancho" => 900 "Tamanyo" => 109022 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography and angiography with sagittal (A) and axial (B) reconstructions showing: A (arrow) – an abnormal artery from the thoracic aorta to supply the left lower lobe of the lung; B (arrow) – the left inferior pulmonary vein receiving the drainage from the lobe defining an intralobar sequestration; C (arrow) – both the aberrant artery branch (#) and the inferior pulmonary vein (*) parallel to each other; D (arrow) – a heterogeneous density of the pulmonary parenchyma surrounded by ground glass opacity corresponding to the affected left lower lobe of the lung.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Lopes Machado, Ana Dias, Inês Faria" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Lopes Machado" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Dias" ] 2 => array:2 [ "nombre" => "Inês" "apellidos" => "Faria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289619300845" "doi" => "10.1016/j.arbres.2019.02.001" "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/S0300289619300845?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919303635?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919303635/v2_201912171000/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212919302885" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.05.012" "estado" => "S300" "fechaPublicacion" => "2019-12-01" "aid" => "2186" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "rev" "cita" => "Arch Bronconeumol. 2019;55:642-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4 "formatos" => array:2 [ "HTML" => 2 "PDF" => 2 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "The future of pharmacological treatment in idiopathic pulmonary fibrosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "642" "paginaFinal" => "647" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Futuro del tratamiento farmacológico en fibrosis pulmonar idiopática" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1407 "Ancho" => 2500 "Tamanyo" => 500360 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Treatment of idiopathic pulmonary fibrosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maria Molina-Molina" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Maria" "apellidos" => "Molina-Molina" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619302601" "doi" => "10.1016/j.arbres.2019.05.008" "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/S0300289619302601?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919302885?idApp=UINPBA00003Z" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919302885/v2_201912171000/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Endobronchial metastasis of occult thyroid carcinoma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "648" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Israel Rodríguez Alvarado, M. Teresa Gómez Hernández, Marcelo F. Jiménez López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Israel" "apellidos" => "Rodríguez Alvarado" ] 1 => array:4 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" "email" => array:1 [ 0 => "mteresa.gomez.hernandez@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez López" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Cirugía Torácica, Hospital Universitario de Salamanca, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis endobronquial de carcinoma tiroideo oculto" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 986 "Ancho" => 2342 "Tamanyo" => 189197 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest computed tomography showing endobronchial tumor in the LMB. (B) Flexible bronchoscopy showing a smooth, rounded, ochre-colored endobronchial lesion, 3.5 cm from the main carina, completely occluding the LMB.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 77-year-old woman with a history of arterial hypertension and left hemithyroidectomy for multinodular hyperplasia. The patient consulted with a 1-month history of dyspnea. Chest X-ray showed complete atelectasis of the left lung, and CT revealed an image of soft tissue in the left main bronchus (LMB) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) causing complete pulmonary atelectasis, and bilateral pulmonary nodules. Fiberoptic bronchoscopy showed a rounded endobronchial lesion, 3.5 cm from the carina, completely occluding the LMB (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Biopsies were negative for malignancy, while the microbiological culture was positive for <span class="elsevierStyleItalic">Aspergillus fumigatus</span>. Given the suspicion of metastatic disease, bronchoscopy was repeated with aspiration of a left pulmonary nodule that did not yield a firm diagnosis. Finally, rigid bronchoscopy was performed, and the mass could be completely resected, resulting in a patent airway with reexpansion of the lung. Pathology testing reported oncocytic tumor of thyroid origin.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Endobronchial metastases have been described in 2.6% of thyroid carcinomas.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In this case, the metastasis appeared 2 years after removal of part of the thyroid, with no histological evidence of malignancy. Although diagnosis is made from endoscopy, fiberoptic bronchoscopy may be inconclusive in some cases,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and rigid bronchoscopy may be needed to achieve a correct diagnosis.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-04-08" "fechaAceptado" => "2019-04-09" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez Alvarado I, et al. Metástasis endobronquial de carcinoma tiroideo oculto. Arch Bronconeumol. 2019;55:648.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 986 "Ancho" => 2342 "Tamanyo" => 189197 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest computed tomography showing endobronchial tumor in the LMB. (B) Flexible bronchoscopy showing a smooth, rounded, ochre-colored endobronchial lesion, 3.5 cm from the main carina, completely occluding the LMB.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Massive hemoptysis from an endobronchial metastasis of thyroid papillary carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H Nomori" 1 => "H Horio" 2 => "T Mimura" 3 => "S Morinaga" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2007-1013725" "Revista" => array:7 [ "tituloSerie" => "Thorac Cardiovasc Surg" "fecha" => "1997" "volumen" => "45" "numero" => "4" "paginaInicial" => "205" "paginaFinal" => "207" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9323825" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sensitivity, specificity, and predictive values of bronchoscopy in neoplasm metastatic to lung" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "RH Poe" 1 => "C Ortiz" 2 => "RH Israel" 3 => "MG Marin" 4 => "R Qazi" 5 => "RC Dale" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.88.1.84" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1985" "volumen" => "88" "paginaInicial" => "84" "paginaFinal" => "88" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4006560" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005500000012/v2_201912171000/S1579212919302812/v2_201912171000/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/15792129/0000005500000012/v2_201912171000/S1579212919302812/v2_201912171000/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919302812?idApp=UINPBA00003Z" ]
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