Clinical Image
Black Bronchoscopy in the Diagnosis of a Lung Mass
Broncoscopia negra en el diagnóstico de una masa pulmonar
Mariana Conceição
, Ângela Dias Cunha, António Reis
Corresponding author
Pulmonology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
Read
2093
Timeswas read the article
749
Total PDF
1344
Total HTML
Share statistics
array:23 [ "pii" => "S157921292100094X" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.08.016" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2611" "copyright" => "SEPAR" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:303" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:17 [ "pii" => "S1579212921000951" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.10.012" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2664" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:304" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Rare Cause of Hemoptysis Confused With Posttraumatic Acute Hemoptysis: Hughes-Stovin Syndrome Related to Behçet Disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "304" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una causa infrecuente de hemoptisis confundida con hemoptisis aguda postraumática: síndrome de Hughes-Stovin relacionado con la enfermedad de Behçet" ] ] "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" => 1504 "Ancho" => 1740 "Tamanyo" => 297171 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial contrast-enhanced thorax CT images(A, B) showed two pulmonary aneurysms in the lower lobe of the right lung(Arrows). 3D volumetric reconstruction image(C) showed pulmonary artery connections and aneurysms (Arrowheads). Aneurysm(Asterisk) in the lower lobe of the right lung were observed in the thorax CT lung mediastinal window(D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mutlu Ay, Gökhan Polat, Bahar Yılmaz Çankaya" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Mutlu" "apellidos" => "Ay" ] 1 => array:2 [ "nombre" => "Gökhan" "apellidos" => "Polat" ] 2 => array:2 [ "nombre" => "Bahar Yılmaz" "apellidos" => "Çankaya" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000951?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000951/v1_202104020819/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921000926" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.07.024" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2604" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:302" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "The Sandwich Sign in Pleural Lymphoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "302" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El signo sándwich en el linfoma pleural" ] ] "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" => 844 "Ancho" => 1740 "Tamanyo" => 227605 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial computed tomography (CT) image shows bilateral pleural effusion and parietal pleural thickening exhibiting the sandwich sign on the left side (arrow). (B) Immunohistochemistry showing lymphoid cell highlighted by BCL2 marker.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maged Hassan, Lindsey Taylor, Cyrus Daneshvar" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Maged" "apellidos" => "Hassan" ] 1 => array:2 [ "nombre" => "Lindsey" "apellidos" => "Taylor" ] 2 => array:2 [ "nombre" => "Cyrus" "apellidos" => "Daneshvar" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000926?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000926/v1_202104020819/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Black Bronchoscopy in the Diagnosis of a Lung Mass" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "303" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mariana Conceição, Ângela Dias Cunha, António Reis" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Mariana" "apellidos" => "Conceição" "email" => array:1 [ 0 => "mariana.conceic@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ângela Dias" "apellidos" => "Cunha" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Reis" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pulmonology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Broncoscopia negra en el diagnóstico de una masa pulmonar" ] ] "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" => 755 "Ancho" => 925 "Tamanyo" => 95912 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A</span>: Chest computed tomography showed right upper lobe mass with 9<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>12<span class="elsevierStyleHsp" style=""></span>cm, with invasion of RULB and the right pulmonary artery. <span class="elsevierStyleBold">B</span>: Bronchoscopic examination revealed black pigmented endobronchial lesion, leading to partial occlusion of the RULB. <span class="elsevierStyleBold">C</span>: Immunohistochemical analysis showed Melan-A and HMB45 expression in tumor cells.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 54-year-old, non-smoking woman presented with dry cough, asthenia and dyspnea for one month. Six years before, she had a history of left axillary malignant melanoma submitted to surgical treatment with sentinel lymph node biopsy - pathologic staging IB (T2aN0M0). The patient maintained an annual clinical and radiological surveillance, without relapse. On physical examination, she had decreased murmur in the right hemithorax and a palpable right supraclavicular adenopathy. Chest computed tomography showed a massive right upper lobe neoformation with 9<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>12<span class="elsevierStyleHsp" style=""></span>cm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) with invasion of the right upper lobe bronchus (RULB) and the right pulmonary artery, causing extrinsic compression of the brachiocephalic trunk. Flexible bronchoscopy revealed black pigmented endobronchial lesion, leading to nearly occlusion of the RULB entrance (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Endobronchial biopsies were compatible with metastatic melanoma (Melan-A and HMB45 expression – <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Due to the progressive brachiocephalic trunk tumoral occlusion, she was referred for emergent palliative radiotherapy, but died shortly thereafter.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Airway black pigmentation can be related with several etiologies such as environmental exposures, infections, iatrogenic and neoplastic causes. Regarding the latter, melanoma is one of the most frequently reported in literature. Pulmonary metastases of melanoma are often asymptomatic but are associated with a poor prognosis.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> This case illustrates the aggressiveness of melanoma even after a long disease-free period,<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> so any new symptomatology requires a targeted investigation for tumor recurrence.</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" => 755 "Ancho" => 925 "Tamanyo" => 95912 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">A</span>: Chest computed tomography showed right upper lobe mass with 9<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>12<span class="elsevierStyleHsp" style=""></span>cm, with invasion of RULB and the right pulmonary artery. <span class="elsevierStyleBold">B</span>: Bronchoscopic examination revealed black pigmented endobronchial lesion, leading to partial occlusion of the RULB. <span class="elsevierStyleBold">C</span>: Immunohistochemical analysis showed Melan-A and HMB45 expression in tumor cells.</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" => "Risk of melanoma recurrence after diagnosis of a high-risk primary tumor" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. von Schuckmann" 1 => "M. Hughes" 2 => "R. Ghiasvand" 3 => "M. Malt" 4 => "J. van der Pols" 5 => "V. Beesley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jamadermatol.2019.0440" "Revista" => array:5 [ "tituloSerie" => "JAMA Dermatol" "fecha" => "2019" "volumen" => "155" "paginaInicial" => "688" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31042258" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary metastasis with endobronchial spread from sinonasal melanoma during a 9-year follow-up" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Kobayashi" 1 => "T. Nakajima" 2 => "T. Iizasa" 3 => "H. Tsujimura" 4 => "M. Itami" 5 => "H. Kimura" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2169/internalmedicine.49.2755" "Revista" => array:6 [ "tituloSerie" => "Intern Med" "fecha" => "2010" "volumen" => "49" "paginaInicial" => "777" "paginaFinal" => "779" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20424370" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000004/v1_202104020819/S157921292100094X/v1_202104020819/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000004/v1_202104020819/S157921292100094X/v1_202104020819/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921292100094X?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 3 | 8 |
| 2024 October | 54 | 17 | 71 |
| 2024 September | 45 | 12 | 57 |
| 2024 August | 66 | 27 | 93 |
| 2024 July | 41 | 20 | 61 |
| 2024 June | 47 | 24 | 71 |
| 2024 May | 47 | 24 | 71 |
| 2024 April | 37 | 15 | 52 |
| 2024 March | 42 | 13 | 55 |
| 2024 February | 23 | 24 | 47 |
| 2024 January | 40 | 22 | 62 |
| 2023 December | 68 | 23 | 91 |
| 2023 November | 30 | 17 | 47 |
| 2023 October | 90 | 28 | 118 |
| 2023 September | 42 | 23 | 65 |
| 2023 August | 33 | 32 | 65 |
| 2023 July | 39 | 21 | 60 |
| 2023 June | 37 | 10 | 47 |
| 2023 May | 34 | 10 | 44 |
| 2023 April | 37 | 20 | 57 |
| 2023 March | 43 | 25 | 68 |
| 2023 February | 32 | 16 | 48 |
| 2023 January | 39 | 24 | 63 |
| 2022 December | 42 | 22 | 64 |
| 2022 November | 29 | 26 | 55 |
| 2022 October | 39 | 38 | 77 |
| 2022 September | 29 | 20 | 49 |
| 2022 August | 36 | 35 | 71 |
| 2022 July | 32 | 41 | 73 |
| 2022 June | 29 | 26 | 55 |
| 2022 May | 44 | 22 | 66 |
| 2022 April | 34 | 17 | 51 |
| 2022 March | 42 | 29 | 71 |
| 2022 February | 17 | 23 | 40 |
Show all
