Clinical Image
Right Vocal Cord Paralysis Due to Lymphatic Spread of Lung Cancer
Parálisis de cuerda vocal derecha por diseminación linfática de cáncer de pulmón
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The most aggressive visceral presentation of a bone tumor" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "771" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Afectación pulmonar y pleural severa por osteosarcoma en mujer de 24 años. La manifestación visceral más agresiva de un tumor óseo" ] ] "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" => 857 "Ancho" => 1300 "Tamanyo" => 112367 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Plain PA chest X-ray <span class="elsevierStyleBold">(A)</span> and chest-abdominal CT coronal slice <span class="elsevierStyleBold">(B)</span> at diagnosis, showing massive left pleural effusion, right humeral head blastic lesion, and multiple calcium density images in bilateral pulmonary parenchyma and pleura. Chest CT axial slice <span class="elsevierStyleBold">(C1 and C2)</span> after drainage of pleural effusion, significant for multiple bilateral metastases in lung parenchyma and pleura, and left pneumothorax. Plain PA and lateral chest X-rays <span class="elsevierStyleBold">(D.1 and D.2)</span> at 10 months after diagnosis, showing an increase in the number and size of bilateral pulmonary and pleural nodules and masses, left pleural effusion, and an increase in the size of the primary lesion in the right humeral head.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Katherin Martínez Barroso, Miguel Borregón Rivilla, Manuel Mazariegos Rubí, Javier Medina Martínez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Katherin" "apellidos" => "Martínez Barroso" ] 1 => array:2 [ "nombre" => "Miguel" "apellidos" => "Borregón Rivilla" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Mazariegos Rubí" ] 3 => array:2 [ "nombre" => "Javier" "apellidos" => "Medina Martínez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289621000600" "doi" => "10.1016/j.arbres.2021.01.034" "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/S0300289621000600?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003803?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921003803/v3_202201080532/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921004043" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.05.018" "estado" => "S300" "fechaPublicacion" => "2021-12-01" "aid" => "2520" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:769" "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" => "Is it Cyst or Neoplasm? The Role of Thorax Magnetic Resonance Imaging" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "769" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Quiste o neoplasia? El papel de la resonancia magnética de tórax" ] ] "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" => 1252 "Ancho" => 1267 "Tamanyo" => 167582 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Chest X ray PA view showing an ill-defined radiopacity in left upper lung field. (b) T2 weighted imagines haste coronal view hyperintense lesion was observed. There was band formation compatible with germinative membrane in the lesion. (c) Positron emission tomography (PET)/computed tomography (CT) showed hypometabolic cavitary lesion was observed in the left lung upper lobe. (d) T2 weighted imagines haste axial view hyperintense lesion was observed. There was band formation compatible with germinative membrane in the lesion.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Adem Karaman, Elif Yilmazel Ucar, Serhat Kaya, Ömer Araz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Adem" "apellidos" => "Karaman" ] 1 => array:2 [ "nombre" => "Elif Yilmazel" "apellidos" => "Ucar" ] 2 => array:2 [ "nombre" => "Serhat" "apellidos" => "Kaya" ] 3 => array:2 [ "nombre" => "Ömer" "apellidos" => "Araz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921004043?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921004043/v3_202201080532/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Right Vocal Cord Paralysis Due to Lymphatic Spread of Lung Cancer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "770" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Javier Navarro Esteva, Javier Travieso Betancor, Jordi Freixinet Gilart" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Javier" "apellidos" => "Navarro Esteva" "email" => array:1 [ 0 => "jnesteva7@hotmail.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" => "Javier" "apellidos" => "Travieso Betancor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Jordi" "apellidos" => "Freixinet Gilart" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Neumología, Hospital Universitario Gran Canaria “Dr. Negrín”, Las Palmas de GC, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Medicina Nuclear, Hospitales Universitarios San Roque, Las Palmas de GC, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cirugía Torácica, Hospital Universitario Gran Canaria “Dr. Negrín”, Las Palmas de GC, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Parálisis de cuerda vocal derecha por diseminación linfática de cáncer de pulmón" ] ] "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" => 1384 "Ancho" => 1874 "Tamanyo" => 247783 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray. Right apical solitary nodule and thickening of the right paratracheal stripe (arrows). (B) Endoscopic view of the larynx reveals RVCP. (C) CT-PET at the larynx. No uptake in the right vocal cord is compensated by hypermetabolism in the left one. (D) Chest CT, sagital view. A lower neck adenopathy (left arrow) lies just above the level of the first rib's (right arrow) trajectory (line). Therefore, it belongs to the 1R nodal station.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> (E) PET scan. Increased uptake of the radiotracer noted at 1R (arrow), 2R, 4R and 10R nodal stations. The lung nodule was also hypermetabolic (not shown). (F) CT-PET reveals hyperactivity in the right juxta thyroid adenopathy (1R).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50 year-old female smoker complained of recent onset hoarseness. The ENT physician diagnosed right vocal cord paralysis (RVCP) and ordered a chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), which was followed by CT, bronchoscopy, and CT-PET scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B–F).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Fine needle aspiration of the lower neck adenopathy yielded cells of adenocarcinoma, later confirmed by surgical biopsy. The invasion of the right recurrent laryngeal nerve by proliferation of neoplastic cells in lymph nodes at 1R and possibly 2R stations caused the RVCP and dysphonia. The lymphatic spread of lung cancer causing RVCP has been described, but it is seldom reported.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></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" => 1384 "Ancho" => 1874 "Tamanyo" => 247783 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray. Right apical solitary nodule and thickening of the right paratracheal stripe (arrows). (B) Endoscopic view of the larynx reveals RVCP. (C) CT-PET at the larynx. No uptake in the right vocal cord is compensated by hypermetabolism in the left one. (D) Chest CT, sagital view. A lower neck adenopathy (left arrow) lies just above the level of the first rib's (right arrow) trajectory (line). Therefore, it belongs to the 1R nodal station.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> (E) PET scan. Increased uptake of the radiotracer noted at 1R (arrow), 2R, 4R and 10R nodal stations. The lung nodule was also hypermetabolic (not shown). (F) CT-PET reveals hyperactivity in the right juxta thyroid adenopathy (1R).</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" => "International association for the study of lung cancer (IASLC) lymph node map: radiologic review with CT illustration" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.H. El-Sherief" 1 => "C.T. Lau" 2 => "C.C. Wu" 3 => "R.L. Drake" 4 => "G.F. Abbott" 5 => "T.W. Rice" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.346130097" "Revista" => array:5 [ "tituloSerie" => "Radiographics" "fecha" => "2014" "volumen" => "34" "paginaInicial" => "1680" "paginaFinal" => "1691" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT evaluation of vocal cord paralysis due to thoracic diseases: a 10-year retrospective study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Wha Song" 1 => "B. Cho Jun" 2 => "K. Jae Cho" 3 => "S. Lee" 4 => "Y. Joo Kim" 5 => "S. Hee Park" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3349/ymj.2011.52.5.831" "Revista" => array:6 [ "tituloSerie" => "Yonsei Med J" "fecha" => "2011" "volumen" => "52" "paginaInicial" => "831" "paginaFinal" => "837" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21786449" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921004006/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/S1579212921004006/v3_202201080532/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921004006?idApp=UINPBA00003Z" ]
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