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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Rodr&#237;guez Alvarado I&#44; et al&#46; Met&#225;stasis endobronquial de carcinoma tiroideo oculto&#46; Arch Bronconeumol&#46; 2019&#59;55&#58;648&#46;</p>"
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Clinical Image
Endobronchial metastasis of occult thyroid carcinoma
Metástasis endobronquial de carcinoma tiroideo oculto
Israel Rodríguez Alvarado, M. Teresa Gómez Hernández
Corresponding author
, Marcelo F. Jiménez López
Departamento de Cirugía Torácica, Hospital Universitario de Salamanca, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Chest computed tomography showing endobronchial tumor in the LMB&#46; &#40;B&#41; Flexible bronchoscopy showing a smooth&#44; rounded&#44; ochre-colored endobronchial lesion&#44; 3&#46;5&#8239;cm from the main carina&#44; completely occluding the LMB&#46;</p>"
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    "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&#46; The patient consulted with a 1-month history of dyspnea&#46; Chest X-ray showed complete atelectasis of the left lung&#44; and CT revealed an image of soft tissue in the left main bronchus &#40;LMB&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; causing complete pulmonary atelectasis&#44; and bilateral pulmonary nodules&#46; Fiberoptic bronchoscopy showed a rounded endobronchial lesion&#44; 3&#46;5&#8239;cm from the carina&#44; completely occluding the LMB &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Biopsies were negative for malignancy&#44; while the microbiological culture was positive for <span class="elsevierStyleItalic">Aspergillus fumigatus</span>&#46; Given the suspicion of metastatic disease&#44; bronchoscopy was repeated with aspiration of a left pulmonary nodule that did not yield a firm diagnosis&#46; Finally&#44; rigid bronchoscopy was performed&#44; and the mass could be completely resected&#44; resulting in a patent airway with reexpansion of the lung&#46; Pathology testing reported oncocytic tumor of thyroid origin&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Endobronchial metastases have been described in 2&#46;6&#37; of thyroid carcinomas&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In this case&#44; the metastasis appeared 2 years after removal of part of the thyroid&#44; with no histological evidence of malignancy&#46; Although diagnosis is made from endoscopy&#44; fiberoptic bronchoscopy may be inconclusive in some cases&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and rigid bronchoscopy may be needed to achieve a correct diagnosis&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Rodr&#237;guez Alvarado I&#44; et al&#46; Met&#225;stasis endobronquial de carcinoma tiroideo oculto&#46; Arch Bronconeumol&#46; 2019&#59;55&#58;648&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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