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Bronchial and Tracheal Mucosa-Associated Lymphoid Tissue Lymphoma
Linfoma del tejido linfoide asociado a mucosas bronquial y traqueal
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The right lower lung cavitary lesion (yellow arrow) is adjacent to a bronchus (yellow carrot). (B) Convex-probe endobronchial ultrasound image of thickened cavitary wall (yellow asterisk) of right lower lobe opacity. (C) Gomori Methenamine-Silver nitrate statin (A, 600×) highlights the branching gram-positive filamentous organisms. (D) <span class="elsevierStyleItalic">Nocardia</span> is weakly acid-fast, and FITE (B, 600×) stain, which is a modified acid fast stain, is positive with the branching filamentous organism.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Badar Patel, Ajay Sheshadri, Saadia A. Faiz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Badar" "apellidos" => "Patel" ] 1 => array:2 [ "nombre" => "Ajay" "apellidos" => "Sheshadri" ] 2 => array:2 [ "nombre" => "Saadia A." 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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" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Bronchial and Tracheal Mucosa-Associated Lymphoid Tissue Lymphoma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "767" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luciana Volpon Soares Souza, Arthur Soares Souza, Edson Marchiori" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Luciana Volpon Soares" "apellidos" => "Souza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Arthur Soares" "apellidos" => "Souza" "sufijo" => "Jr" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Edson" "apellidos" => "Marchiori" "email" => array:1 [ 0 => "edmarchiori@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Ultra X, São José do Rio Preto, SP, Brazil" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculdade de Medicina de Rio Preto, SP, Brazil" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma del tejido linfoide asociado a mucosas bronquial y traqueal" ] ] "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" => 600 "Ancho" => 761 "Tamanyo" => 116145 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal (A) and sagittal (B) reformatted images and a three-dimensional external rendering (C) of a chest computed tomography image show nodular lesions in the trachea and left main bronchus, with irregular luminal narrowing and severe stenosis. (D) <span class="elsevierStyleSup">18</span>F-fluorodeoxyglucose positron emission tomography/computed tomography demonstrated increased fluorodeoxyglucose uptake in the left main bronchus, with a maximum standard uptake value of 8.4. (E) Fiberoptic bronchoscopy revealed multiple small nodular mucosal lesions with a cobblestone appearance along the trachea and left main bronchus. (F) A histopathological section demonstrating the proliferation of atypical small lymphoid cells, compatible with lymphoma (hematoxylin and eosin stain, 100× magnification).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 72-year-old man presented with a 1-year history of progressive dyspnea. Chest radiography findings were normal. Chest computed tomography showed nodular lesions in the trachea and left main bronchus, with irregular luminal narrowing and severe stenosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–C). Pulmonary function testing revealed a variable intrathoracic obstruction. <span class="elsevierStyleSup">18</span>F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography showed increased FDG uptake in the left main bronchus, with a maximum standard uptake value of 8.4 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). Fiberoptic bronchoscopy revealed multiple small mucosal lesions along the trachea and left main bronchus (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E). Histopathology showed proliferation of atypical small lymphoid cells infiltrating the bronchial mucosa and submucosa (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F). Immunohistochemical staining supported the diagnosis of extranodal marginal-zone mucosa-associated lymphoid tissue (MALT) lymphoma. The patient was referred for radiotherapy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">MALT refers to the lymphoid tissue underlying the epithelia of the gastrointestinal, respiratory, and urogenital tracts. MALT related to the respiratory tract epithelia is called bronchus-associated lymphoid tissue. MALT lymphoma comprises a group of low-grade extranodal B-cell neoplasms. These tumors arising in the bronchial or tracheal wall are extremely rare. The treatment strategy for this condition has not been completely elucidated, and surgery, radiotherapy, or chemotherapy has been used, alone or in combination.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest to express.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "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" => 600 "Ancho" => 761 "Tamanyo" => 116145 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal (A) and sagittal (B) reformatted images and a three-dimensional external rendering (C) of a chest computed tomography image show nodular lesions in the trachea and left main bronchus, with irregular luminal narrowing and severe stenosis. (D) <span class="elsevierStyleSup">18</span>F-fluorodeoxyglucose positron emission tomography/computed tomography demonstrated increased fluorodeoxyglucose uptake in the left main bronchus, with a maximum standard uptake value of 8.4. (E) Fiberoptic bronchoscopy revealed multiple small nodular mucosal lesions with a cobblestone appearance along the trachea and left main bronchus. (F) A histopathological section demonstrating the proliferation of atypical small lymphoid cells, compatible with lymphoma (hematoxylin and eosin stain, 100× magnification).</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" => "Multiple mucosa-associated lymphoid tissue lymphoma of the trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Minami" 1 => "C. Ando" 2 => "K. Sato" 3 => "K. Moriwaki" 4 => "F. Sugahara" 5 => "T. Nakasuka" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2169/internalmedicine.8269-16" "Revista" => array:5 [ "tituloSerie" => "Intern Med" "fecha" => "2017" "volumen" => "56" "paginaInicial" => "2907" "paginaFinal" => "2911" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary endobronchial marginal zone B-cell lymphoma of bronchus-associated lymphoid tissue: CT findings in 7 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.G. Yoon" 1 => "M.Y. Kim" 2 => "J.W. Song" 3 => "E.J. Chae" 4 => "C.M. Choi" 5 => "S. Jang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3348/kjr.2013.14.2.366" "Revista" => array:6 [ "tituloSerie" => "Korean J Radiol" "fecha" => "2013" "volumen" => "14" "paginaInicial" => "366" "paginaFinal" => "374" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23483549" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000012/v3_202201080532/S1579212921004067/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/S1579212921004067/v3_202201080532/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921004067?idApp=UINPBA00003Z" ]
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