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array:22 [ "pii" => "S1579212921001993" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.11.029" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2357" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:491" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S1579212921001683" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.05.008" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2360" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:492" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Reexpansion Pulmonary Edema: Myth or Reality?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "492" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Edema de reexpansión pulmonar ¿mito o realidad?" ] ] "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" => 995 "Ancho" => 1500 "Tamanyo" => 177705 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) CT showing complete pneumothorax and unilateral ground glass pattern. (C and D) Intraoperative findings: blebs.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Cózar Bernal, Luis Gerardo Zúñiga Sánchez, Irene Barrero García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cózar Bernal" ] 1 => array:2 [ "nombre" => "Luis Gerardo" "apellidos" => "Zúñiga Sánchez" ] 2 => array:2 [ "nombre" => "Irene" "apellidos" => "Barrero García" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001683?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001683/v1_202107020656/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S1579212921001671" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.05.007" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2356" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:490" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Tracheobronchial Laceration After Blunt Chest Trauma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "490" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Laceración traqueobronquial tras traumatismo torácico cerrado" ] ] "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" => 800 "Ancho" => 905 "Tamanyo" => 100776 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT with intravenous contrast agent: (A) Axial plane, lung window. Fallen lung sign (dashed white arrow) due to collapse and displacement of the pulmonary hilum toward the lower segments. Right tension pneumothorax (white asterisk) is also observed, causing contralateral mediastinal displacement and pneumopericardium (dashed black arrow). (B) Coronal reconstruction, lung window. Pneumomediastinum with air surrounding the bronchi and pulmonary vessels lying in parallel to bronchi in the pulmonary hilum (black arrowhead). (C) Multiplanar reconstruction with minimum intensity projection, coronal plane, lung window showing subcutaneous emphysema (solid black arrow) and airway discontinuity (white arrow). (D) Three-D volume rendering, anteroposterior projection with suppression of right lung. Laceration of the intermediate bronchus with bronchial amputation and discontinuity of the airway (white arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diana Veiga-Canuto, Joan Carreres-Polo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Diana" "apellidos" => "Veiga-Canuto" ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "Carreres-Polo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619306064" "doi" => "10.1016/j.arbres.2019.11.029" "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/S0300289619306064?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001671?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001671/v1_202107020656/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Polypoid Tracheal Fibroma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "491" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Diana Organista, Joana Barbosa, Aurora Lino" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Diana" "apellidos" => "Organista" "email" => array:1 [ 0 => "dianaorganistamachado@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" => "Joana" "apellidos" => "Barbosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Aurora" "apellidos" => "Lino" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidade de Pneumologia de Intervenção, Hospital Pulido Valente – Centro Hospitalar Universitário Lisboa Norte, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Pneumologia do Hospital de Santo Espírito da Ilha Terceira, Açores, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma traqueal polipoide" ] ] "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" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 86-year-old woman, non-smoker, presented dyspnea of progressive aggravation with a few months of evolution that increased in dorsal decubitus, associated with episodes of cough with sputum difficult to expel and wheezing. Spirometry showed only bronchiolar obstruction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Thoracic CT scan showed a pedicled lesion in the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Flexible bronchoscopy confirmed the presence of a large, non-hemorrhagic, smooth, pink polypoid lesion with a pedicle implanted in the posterior wall of the middle third of the trachea. Rigid bronchoscopy was performed with argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D). Pathological examination was compatible with polypoid fibroma of the tracheal mucosa, a benign lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E). There was no recurrence and the patient remains asymptomatic to this day.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Primary tumors of the trachea are rare, accounting for about 2% of upper respiratory tract tumors and 0.3% of all tumors. Only 20% of these tumors are benign.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> These lesions often manifest themselves with symptoms that mimic obstructive pulmonary pathology, and patients are then treated with targeted therapy without clinical improvement.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> The gold standard method for the diagnosis of central airway obstruction is bronchoscopy, allowing not only the diagnosis of the lesions but also their treatment.</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" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</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" => "Revisão dos tumores da traqueia: A propósito de um caso clínico de tumor adenóide cístico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. António" 1 => "S.J. Moura e Sá" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0873-2159(15)30257-9" "Revista" => array:6 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2008" "volumen" => "14" "paginaInicial" => "527" "paginaFinal" => "534" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18622529" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer, trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Y. Zayed" 1 => "A.V. Chandran" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "StatPearls" "fecha" => "2019" "editorial" => "StatPearls Publishing" "editorialLocalizacion" => "Treasure Island (FL)" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001993/v1_202107020656/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/15792129/0000005700000007/v1_202107020656/S1579212921001993/v1_202107020656/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001993?idApp=UINPBA00003Z" ]
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