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B) Imagen del territorio adenopático 11R mediante ecobroncoscopia. C) Punción transvascular mediante ecobroncoscopia. D) Imagen histológica a 20 aumentos de tinción con hematoxilina-eosina que muestra una proliferación celular fusiforme con atipias. E) Imagen histológica a 20 aumentos que demuestra positividad para actina músculo específica.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Blanca de Vega Sánchez, Carlos Disdier Vicente, Henar Borrego Pintado" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Blanca" "apellidos" => "de Vega Sánchez" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Disdier Vicente" ] 2 => array:2 [ "nombre" => "Henar" "apellidos" => "Borrego Pintado" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S157921292100375X" "doi" => "10.1016/j.arbr.2021.10.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921292100375X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620300892?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000012/v2_202112040821/S0300289620300892/v2_202112040821/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212921003761" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.10.002" "estado" => "S300" "fechaPublicacion" => "2021-12-01" "aid" => "2458" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:766" "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" => "Mediastinal Müllerian cyst: The importance of an immunohistochemical study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "766" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Quiste mediastínico de origen mülleriano: importancia del estudio inmunohistoquímico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1519 "Ancho" => 1000 "Tamanyo" => 388207 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Computd axial tomography showing a cystic lesion measuring 2.5 cm located in the posterior mediastinum. B) Cystic formation of thin walls on a fibrous stroma coated with a single layer of epithelial cells. C) Detail of the non-stratified ciliated cylindrical epithelium covering the cyst (H&E; B: ×40, C: ×400). D) Coating epithelium shows positive immunostaining for WT1, progesterone receptors (E) and estrogen receptors (F) (D-F: ×100).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Barona García, Jose Antonio Ruiz Maciá" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Barona García" ] 1 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Ruiz Maciá" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289620301083" "doi" => "10.1016/j.arbres.2020.03.027" "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/S0300289620301083?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003761?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921003761/v3_202201080532/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921004079" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.03.035" "estado" => "S300" "fechaPublicacion" => "2021-12-01" "aid" => "2433" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:764" "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" => "Changes in Ventilation–Perfusion Mismatch Associated With Inhaled Nitric Oxide in a Patient with Pneumonia That Met Criteria for Acute Respiratory Distress Syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "764" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cambios en la alteración de la ventilación-perfusión asociados a la inhalación de óxido nítrico en un paciente con neumonía que cumplía criterios de síndrome de distrés respiratorio agudo" ] ] "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" => 1701 "Ancho" => 1667 "Tamanyo" => 186225 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Electrical impedance tomography (EIT) ventilation and perfusion images obtained before (a) and after (b) inhaled nitric oxide therapy at 10<span class="elsevierStyleHsp" style=""></span>ppm. Color scale adjusted by linear normalization. LL: lower left; LR: lower right; UL: upper left; UR: upper right; ZV: ventilation estimated by EIT; ZQ: perfusion estimated by EIT. (a) Baseline: perfusion reduction in the RL lobe with no changes in ventilation. (b) After 1<span class="elsevierStyleHsp" style=""></span>h of iNO therapy at 10<span class="elsevierStyleHsp" style=""></span>ppm: increase in perfusion in the RL lobe with an improvement in the ventilation–perfusion ratio.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Anna Sánchez-Corral, Marina García-de-Acilu, Manel Santafè, Oriol Roca" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Anna" "apellidos" => "Sánchez-Corral" ] 1 => array:2 [ "nombre" => "Marina" "apellidos" => "García-de-Acilu" ] 2 => array:2 [ "nombre" => "Manel" "apellidos" => "Santafè" ] 3 => array:2 [ "nombre" => "Oriol" "apellidos" => "Roca" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921004079?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921004079/v3_202201080532/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Diagnosis of intrathoracic uterine leiomyosarcoma metastasis by endobronchial ultrasound-guided transvascular biopsy" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "765" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Blanca de Vega Sánchez, Carlos Disdier Vicente, Henar Borrego Pintado" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Blanca" "apellidos" => "de Vega Sánchez" "email" => array:1 [ 0 => "blancadevegasanchez@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Carlos" "apellidos" => "Disdier Vicente" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "Henar" "apellidos" => "Borrego Pintado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Unidad de Broncoscopias y Técnicas Pleurales, Servicio de Neumología, Hospital Clínico Universitario Valladolid, Valladolid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Clínico Universitario Valladolid, Valladolid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Grupo Emergente de Broncoscopia y Neumología Intervencionista (GEBRYN) de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Centro de Investigación en Red Enfermedades Respiratorias (CIBERES), Madrid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diagnóstico de metástasis intratorácica de leiomiosarcoma uterino mediante punción transvascular guiada por ecobroncoscopia" ] ] "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" => 1235 "Ancho" => 876 "Tamanyo" => 201678 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Computed tomography image with adenopathy in right hilar lymph node station. B) Image of lymph node station 11R from endobronchial ultrasound. C) Transvascular puncture by endobronchial ultrasound. D) Histological image at amplification ×20 of hematoxylin-eosin staining showing spindle cell proliferation with atypical forms. E) Histological image at amplification ×20 showing positivity for specific muscle actin.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 59-year-old woman with a diagnosis of uterine leiomyosarcoma (T1bN0, stage IB) undergoing hysterectomy and double adnexectomy, referred for profiling of right hilar adenopathy (corresponding to lymph node station 11R) of pathological appearance in a computed axial tomography performed during oncological follow-up (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Once the patient had been fully informed, endobronchial ultrasound was performed, and a single lymphadenopathy measuring 12.2 × 14 mm was found in lymph node station 11R. Given the presence of ultrasound characteristics predictive of malignancy<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> (hypoechoic appearance, homogeneous, rounded shape, presence of easily distinguishable margins, and absence of hilar center [<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B]), we performed a 2-pass transvascular puncture (EBUS-TVNA) using a Cook medical needle ECHO-HD-22-EBUS-P®, with a 5 cm aspiration, with no immediate complications (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Cytohistological diagnosis of the lesion demonstrated the presence of fusiform cells with hyperchromatic elongated nuclei, marked atypia and cell expression of specific muscle actin, histologically consistent with leiomyosarcoma metastases (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1</a>D and E).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Although the use of this approach is rare, EBUS-TVNA has demonstrated a 71% yield in units with extensive experience in endoscopic lymphadenopathy management and the absence of major complications requiring subsequent therapeutic interventions<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>. In spite of the limited information available in the literature, this technique should be considered as a diagnostic method provided that the appropriate physical infrastructure and personnel are on hand to mitigate possible complications.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: de Vega Sánchez B, Disdier Vicente C, Borrego Pintado H. Diagnóstico de metástasis intratorácica de leiomiosarcoma uterino mediante punción transvascular guiada por ecobroncoscopia. Arch Bronconeumol. 2021;57:765.</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" => 1235 "Ancho" => 876 "Tamanyo" => 201678 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Computed tomography image with adenopathy in right hilar lymph node station. B) Image of lymph node station 11R from endobronchial ultrasound. C) Transvascular puncture by endobronchial ultrasound. D) Histological image at amplification ×20 of hematoxylin-eosin staining showing spindle cell proliferation with atypical forms. E) Histological image at amplification ×20 showing positivity for specific muscle actin.</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" => "The utility of sonographic features during endobronchial ultrasound-guided transbronchial needle aspiration for lymph node staging in patients with lung cancer: a standard endobronchial ultrasound image classification system" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T. Fujiwara" 1 => "K. Yasufuku" 2 => "T. Nakajima" 3 => "M. Chiyo" 4 => "S. Yoshida" 5 => "M. Suzuki" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.09-2006" "Revista" => array:6 [ "tituloSerie" => "Chest." "fecha" => "2010" "volumen" => "138" "paginaInicial" => "641" "paginaFinal" => "647" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20382710" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transvascular endosonographic-guided needle biopsy of intrathoracic lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.C. Molina" 1 => "F. Chaudry" 2 => "V. Menezes" 3 => "P. Ferraro" 4 => "E. Lafontaine" 5 => "J. Martin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jtcvs.2019.10.017" "Revista" => array:3 [ "tituloSerie" => "J Thorac Cardiovasc Surg." "fecha" => "2019" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28942979" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000012/v3_202201080532/S157921292100375X/v3_202201080532/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/15792129/0000005700000012/v3_202201080532/S157921292100375X/v3_202201080532/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921292100375X?idApp=UINPBA00003Z" ]
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