array:23 [
  "pii" => "S0300289624001728"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2024.05.011"
  "estado" => "S300"
  "fechaPublicacion" => "2024-10-01"
  "aid" => "3569"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2024;60:664-5"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289624001753"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2024.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2024-10-01"
    "aid" => "3572"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2024;60:666-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Endobronchial Hamartoma Resected by Flexible Bronchoscopy&#58; A Complex Approach"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "666"
          "paginaFinal" => "667"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1395
              "Ancho" => 2000
              "Tamanyo" => 359268
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A and B&#41; Initial chest computed tomography revealing a lesion &#40;red arrow&#41; at the left main bronchial bifurcation&#59; &#40;C&#41; air entrapment observed in the left lung during expiratory phase in chest computed tomography&#59; &#40;D&#41; endoscopic view of the left main bronchus&#59; &#40;E&#41; bronchial repermeabilization process using cryoablation and argon-plasma coagulation by flexible bronchoscopy&#59; &#40;F&#41; endoscopic view of the left main bronchus after endoscopic resection&#59; &#40;G&#41; endoscopic view inside left b6 segment showing a small remaining lesion &#40;yellow arrow&#41; at a b6 subdivision&#59; &#40;H&#41; chest computed tomography follow-up&#44; 1 month after endoscopic resection&#44; identifying a residual endobronchial lesion &#40;red arrow&#41; at the left b6 segment&#59; &#40;I&#41; endoscopic view of left b6 segment showing a growing lesion &#40;yellow arrow&#41;&#44; 2 months after endoscopic resection&#59; &#40;J&#41; endoscopic view inside left b6 segment after the second endoscopic treatment&#59; &#40;K&#41; endoscopic view of left b6 segment&#44; 3 months after the first resection&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joana Louren&#231;o, Lu&#237;s Rodrigues, Paulo Matos, Michele Santis, Am&#233;lia Estev&#227;o, Lourdes Barradas"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Louren&#231;o"
            ]
            1 => array:2 [
              "nombre" => "Lu&#237;s"
              "apellidos" => "Rodrigues"
            ]
            2 => array:2 [
              "nombre" => "Paulo"
              "apellidos" => "Matos"
            ]
            3 => array:2 [
              "nombre" => "Michele"
              "apellidos" => "Santis"
            ]
            4 => array:2 [
              "nombre" => "Am&#233;lia"
              "apellidos" => "Estev&#227;o"
            ]
            5 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Barradas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624001753?idApp=UINPBA00003Z"
    "url" => "/03002896/0000006000000010/v1_202410020659/S0300289624001753/v1_202410020659/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289624002308"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2024.06.010"
    "estado" => "S300"
    "fechaPublicacion" => "2024-10-01"
    "aid" => "3605"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2024;60:662-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Letter</span>"
      "titulo" => "Right Adrenal Metastasis of Lung Cancer Diagnosed via Endoscopic Ultrasound &#40;EUS-B&#41; by a Pulmonologist"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "662"
          "paginaFinal" => "663"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1647
              "Ancho" => 2467
              "Tamanyo" => 397561
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Coronal PET scan&#58; mediastinal mass&#44; right &#40;thick arrow&#41; and left adrenal &#40;thin arrow&#41;&#46; &#40;B&#41; and &#40;C&#41; Right adrenal gland &#40;thick arrow&#41; in axial PET scan &#40;B&#41; and EUS-B &#40;C&#41;&#46; &#40;D&#41; and &#40;E&#41; Left adrenal gland &#40;thin arrow&#41; in axial PET scan &#40;D&#41; and EUS-B &#40;E&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Juan Casc&#243;n-Hern&#225;ndez, Javier L&#243;pez-Garc&#237;a, Imane Saidi"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Casc&#243;n-Hern&#225;ndez"
            ]
            1 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "L&#243;pez-Garc&#237;a"
            ]
            2 => array:2 [
              "nombre" => "Imane"
              "apellidos" => "Saidi"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002308?idApp=UINPBA00003Z"
    "url" => "/03002896/0000006000000010/v1_202410020659/S0300289624002308/v1_202410020659/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Sometimes it&#39;s What it Doesn&#8217;t Look Like&#58; Atypical Dissemination of Lung Adenocarcinoma"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "664"
        "paginaFinal" => "665"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Miguel Jim&#233;nez-G&#243;mez, Ignacio Alba-de-C&#225;ceres, Jos&#233; Ignacio de-Granda-Orive"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Miguel"
            "apellidos" => "Jim&#233;nez-G&#243;mez"
            "email" => array:1 [
              0 => "migueljimenezgomez@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ignacio"
            "apellidos" => "Alba-de-C&#225;ceres"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jos&#233; Ignacio"
            "apellidos" => "de-Granda-Orive"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Pulmonology Department&#44; 12th of October University Hospital&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Radiology Department&#44; 12th of October University Hospital&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Medicine Department&#44; Complutense University of Madrid&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 3573
            "Ancho" => 2510
            "Tamanyo" => 888191
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical case images&#58; chest X-ray&#44; computed tomography scan and positron emission tomography&#47;computed tomography&#46; Posteroanterior &#40;A&#41; and lateral &#40;B&#41; chest X-ray with bilateral nodular pattern&#46; Chest computed tomography showing the lung mass &#40;asterisk&#41; in left lower lobe &#40;coronal &#40;C&#41; and axial &#40;E&#41; views&#41; with multiple bilateral ground-glass nodules&#44; with a tendency to cavitation better defined in lower lobes &#40;lateral view &#40;D&#41;&#41;&#46; Fluorine-18 fluorodeoxyglucose positron emission tomography &#40;E&#41; with pathologic increased uptake in the mass&#44; with unspecific low generalized metabolic activity&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">71-Year-old woman&#44; never smoker&#44; with no significant medical or family history&#46; She presented with asthenia and progressive dyspnea of subacute onset to modified Medical Research Council grade 3&#46; She had bilateral pulmonary pseudo-nodular pattern on chest X-ray &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#41;&#44; not present two years before&#46; No relevant exposures or autoimmunity symptoms were identified&#46; Room air oxygen saturation was 95&#37;&#44; without clubbing or crackles on chest exam&#46; High-resolution chest computed tomography &#40;CT&#41; scan showed a left subpleural lung mass in the left lower lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C and E&#41; with multiple bilateral ground-glass nodular opacities &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#44; without enlarged mediastinal lymph nodes&#46; A fluorine-18 fluorodeoxyglucose positron emission tomography&#47;CT revealed pathological increased uptake in the mass and unspecific low generalized activity&#44; ruling out distant metastatic activity &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>F&#41;&#46; A CT-guided transthoracic biopsy was diagnostic of adenocarcinoma with acinar growth pattern according to 2021 World Health Organization classification&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a> Next sequencing generation found epidermal growth factor exon 19 deletion&#44; without PDL-1 expression on immunohistochemistry&#46; She was referred to Oncology to consider systemic treatment&#46; This is an uncommon presentation of metastatic lung adenocarcinoma&#44; given the broad differential diagnosis of multiple nodular images in the absence of clear identifiable lung mass in the X-ray&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare not to have any conflicts of interest that may be considered to influence directly or indirectly the content of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Artificial intelligence involvement</span><p id="par0020" class="elsevierStylePara elsevierViewall">Not used&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflicts of interest"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Artificial intelligence involvement"
        ]
        3 => array:1 [
          "titulo" => "Reference"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 3573
            "Ancho" => 2510
            "Tamanyo" => 888191
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical case images&#58; chest X-ray&#44; computed tomography scan and positron emission tomography&#47;computed tomography&#46; Posteroanterior &#40;A&#41; and lateral &#40;B&#41; chest X-ray with bilateral nodular pattern&#46; Chest computed tomography showing the lung mass &#40;asterisk&#41; in left lower lobe &#40;coronal &#40;C&#41; and axial &#40;E&#41; views&#41; with multiple bilateral ground-glass nodules&#44; with a tendency to cavitation better defined in lower lobes &#40;lateral view &#40;D&#41;&#41;&#46; Fluorine-18 fluorodeoxyglucose positron emission tomography &#40;E&#41; with pathologic increased uptake in the mass&#44; with unspecific low generalized metabolic activity&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Reference"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:1 [
            0 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The 2021 WHO Classification of Lung Tumors&#58; impact of advances since 2015"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;G&#46; Nicholson"
                            1 => "M&#46;S&#46; Tsao"
                            2 => "M&#46;B&#46; Beasley"
                            3 => "A&#46;C&#46; Borczuk"
                            4 => "E&#46; Brambilla"
                            5 => "W&#46;A&#46; Cooper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jtho.2021.11.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Oncol"
                        "fecha" => "2022"
                        "volumen" => "17"
                        "paginaInicial" => "362"
                        "paginaFinal" => "387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34808341"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000006000000010/v1_202410020659/S0300289624001728/v1_202410020659/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "98298"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cllinical Images"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000010/v1_202410020659/S0300289624001728/v1_202410020659/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624001728?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 60. Issue 10.
Pages 664-665 (October 2024)
Share
Share
Download PDF
More article options
Vol. 60. Issue 10.
Pages 664-665 (October 2024)
Clinical Image
Sometimes it's What it Doesn’t Look Like: Atypical Dissemination of Lung Adenocarcinoma
Visits
835
Miguel Jiménez-Gómeza,
Corresponding author
migueljimenezgomez@gmail.com

Corresponding author.
, Ignacio Alba-de-Cáceresb, José Ignacio de-Granda-Orivea,c
a Pulmonology Department, 12th of October University Hospital, Madrid, Spain
b Radiology Department, 12th of October University Hospital, Madrid, Spain
c Medicine Department, Complutense University of Madrid, Spain
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)

Article

These are the options to access the full texts of the publication Archivos de Bronconeumología
Member
If you are a member of SEPAR:
  • Go to >>>SEPAR<<< website and sign in.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Archivos de Bronconeumología

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?