Share
array:24 [ "pii" => "S2387020620300668" "issn" => "23870206" "doi" => "10.1016/j.medcle.2019.03.036" "estado" => "S300" "fechaPublicacion" => "2020-04-10" "aid" => "4818" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2020;154:285-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775319302131" "issn" => "00257753" "doi" => "10.1016/j.medcli.2019.03.010" "estado" => "S300" "fechaPublicacion" => "2020-04-10" "aid" => "4818" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2020;154:285-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al editor</span>" "titulo" => "Sarcoma alveolar pulmonar primario. Un caso poco habitual" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "286" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary pulmonary alveolar sarcoma. An unusual case" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2400 "Ancho" => 2917 "Tamanyo" => 388229 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen hipercaptante en lóbulo inferior derecho que contacta con la pleura parietal diafragmática (flecha), obtenida mediante tomografía por emisión de positrones.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Antonio Delgado Torralbo, Estefanía Luque Crespo, María Pavón Masa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "José Antonio" "apellidos" => "Delgado Torralbo" ] 1 => array:2 [ "nombre" => "Estefanía" "apellidos" => "Luque Crespo" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Pavón Masa" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020620300668" "doi" => "10.1016/j.medcle.2019.03.036" "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/S2387020620300668?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775319302131?idApp=UINPBA00004N" "url" => "/00257753/0000015400000007/v1_202003280612/S0025775319302131/v1_202003280612/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2387020620300942" "issn" => "23870206" "doi" => "10.1016/j.medcle.2019.05.022" "estado" => "S300" "fechaPublicacion" => "2020-04-10" "aid" => "4907" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2020;154:287" "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">Image in medicine</span>" "titulo" => "Inverse cardiac tamponade in severe pulmonary hypertension" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "287" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Taponamiento cardiaco inverso en hipertensión pulmonar grave" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 800 "Ancho" => 800 "Tamanyo" => 106082 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pedro Caravaca Perez, Francisco Galvan Roman, Pilar Escribano Subias" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Pedro" "apellidos" => "Caravaca Perez" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "Galvan Roman" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "Escribano Subias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775319304257" "doi" => "10.1016/j.medcli.2019.05.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775319304257?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620300942?idApp=UINPBA00004N" "url" => "/23870206/0000015400000007/v1_202004071208/S2387020620300942/v1_202004071208/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S238702062030067X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2019.03.037" "estado" => "S300" "fechaPublicacion" => "2020-04-10" "aid" => "4828" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2020;154:284" "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">Letter to the Editor</span>" "titulo" => "Physician's perception as second victim after an error during clinical practice" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "284" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Percepción del médico como segunda víctima tras un error durante la práctica clínica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carla Martos, Juan Gutierrez, Priscila Giraldo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Carla" "apellidos" => "Martos" ] 1 => array:2 [ "nombre" => "Juan" "apellidos" => "Gutierrez" ] 2 => array:2 [ "nombre" => "Priscila" "apellidos" => "Giraldo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775319302428" "doi" => "10.1016/j.medcli.2019.03.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775319302428?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062030067X?idApp=UINPBA00004N" "url" => "/23870206/0000015400000007/v1_202004071208/S238702062030067X/v1_202004071208/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Primary pulmonary alveolar sarcoma. An unusual case" "tieneTextoCompleto" => true "saludo" => "Dear Editor" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "286" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Antonio Delgado Torralbo, Estefanía Luque Crespo, María Pavón Masa" "autores" => array:3 [ 0 => array:4 [ "nombre" => "José Antonio" "apellidos" => "Delgado Torralbo" "email" => array:1 [ 0 => "joseantoniodelgadotorralbo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Estefanía" "apellidos" => "Luque Crespo" ] 2 => array:2 [ "nombre" => "María" "apellidos" => "Pavón Masa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Hospital Universitario Virgen Macarena, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sarcoma alveolar pulmonar primario. Un caso poco habitual" ] ] "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" => 2376 "Ancho" => 2917 "Tamanyo" => 355248 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hypercaptant image in the right lower lobe that makes contact with the diaphragmatic parietal pleura (arrow), obtained by Positron Emission Tomography.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Alveolar soft part sarcoma (ASPS) is a rare and aggressive entity, with a higher incidence in young adults. It typically arises in soft and deep tissue of the lower extremities.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Here presented is the case of a 62-year-old woman, non-smoker, with a personal history of mitral valve prolapse, with mild valve insufficiency, and histologically confirmed fibrocystic mastopathy. No treatment was being received on a regular basis. She came to the consultancy due to presenting self-limiting hemoptysis, with no accompanying dyspnoea, chest pain or palpitations, and weight loss of about 6 or 7 kg in the last year. Not associated with fever or night sweats. In the initial study, in the posteroanterior view of the thorax, an image of right supradiaphragmatic consolidation was observed. A computed tomography (CT scan) of the thorax was requested, which showed a «heterogeneous mass located in the anterior segment of the right lower lobe, which contacts with the diaphragm, with a diameter of 6 × 6.2 × 7.2 cm with well-defined contours and notable vascularisation. No mediastinal or hilar lymph nodes were noticed» (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). In the extensive CT examinations of the abdomen and pelvis, no alterations were noted. Given the finding, a fibrobronchoscopy was performed, in which a neoformative excrescent lesion was seen in basal subsegment 8. Multiple samples were extracted by biopsy and bronchial brushing. The histological result showed findings compatible with non-small cell carcinoma, but no further typing was possible with the immunohistochemical study. In the positron emission tomography (PET) scan, a pathological tracer uptake was detected, with a <span class="elsevierStyleItalic">maximum standardised uptake value</span> (SUVmax) of 7.8, in the region described previously (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). After finding normal values for spirometry, a lower right lobectomy with ipsilateral lymphadenectomy was performed. The biopsy of the surgical material was reported as alveolar sarcoma. Given this finding, it was agreed to perform a new PET scan, and include an evaluation of the lower extremities, to rule out a primary tumour in said location, with the findings being negative. The final diagnosis was primary alveolar soft part sarcoma of the lung pT2b N0 M0.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Alveolar soft part sarcoma is a malignant mesenchymal tumour with distinctive morphological, ultrastructural and cytogenetic characteristics.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> It usually occurs in the extremities of adolescents and young adults (15–35 years), but it has also been documented in unusual locations, which often causes diagnostic confusion.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> Tissues such as lung, liver or brain, when affected, are usually metastatic stations, presenting in the form of multiple and bilateral nodules.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Therefore, the primary lung involvement of this sarcoma, without evidence of soft tissue tumour elsewhere, is very exceptional.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a></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: Delgado Torralbo JÁ, Luque Crespo E, Pavón Masa M. Sarcoma alveolar pulmonar primario. Un caso poco habitual. Med Clin (Barc). 2020;154:285–286.</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" => 2376 "Ancho" => 2917 "Tamanyo" => 355248 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hypercaptant image in the right lower lobe that makes contact with the diaphragmatic parietal pleura (arrow), obtained by Positron Emission Tomography.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metastatic alveolar soft part sarcoma of the lung: metastatic alveolar soft partsarcoma of the lung-a morphologic pitfall on cytology and aberrant CD10 expression on histology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Nambirajan" 1 => "D. Jain" 2 => "P. Malik" 3 => "S. Arava" 4 => "S.R. Mathur" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/dc.23416" "Revista" => array:6 [ "tituloSerie" => "Diagn Cytopathol." "fecha" => "2016" "volumen" => "44" "paginaInicial" => "250" "paginaFinal" => "254" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26693959" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alveolar soft part sarcoma of lung: report of a unique case with emphasis on diagnostic utility of molecular genetic analysis for TFE3 gene rearrangement and immunohistochemistry for TFE3 antigen expression" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Zhao" 1 => "Q. Rao" 2 => "C. Wu" 3 => "Z. Zhao" 4 => "X. He" 5 => "G. Ru" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s13000-015-0399-5" "Revista" => array:5 [ "tituloSerie" => "Diagn Pathol." "fecha" => "2015" "volumen" => "10" "paginaInicial" => "160" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26369552" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "[Primary alveolar soft part sarcoma of the lung]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Trabelsi" 1 => "A.S. Ben" 2 => "Y.M. Taher" 3 => "S. Mlika" 4 => "S. Hmissa" 5 => "M. Mokni" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0761-8425(09)72591-4" "Revista" => array:6 [ "tituloSerie" => "Rev Mal Respir." "fecha" => "2009" "volumen" => "26" "paginaInicial" => "329" "paginaFinal" => "332" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19367208" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary alveolar soft part sarcoma of the lung" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Y.D. Kim" 1 => "C.H. Lee" 2 => "M.K. Lee" 3 => "Y.J. Jeong" 4 => "J.Y. Kim" 5 => "D.Y. Park" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3346/jkms.2007.22.2.369" "Revista" => array:6 [ "tituloSerie" => "J Korean Med Sci." "fecha" => "2007" "volumen" => "22" "paginaInicial" => "369" "paginaFinal" => "372" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17449953" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015400000007/v1_202004071208/S2387020620300668/v1_202004071208/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015400000007/v1_202004071208/S2387020620300668/v1_202004071208/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620300668?idApp=UINPBA00004N" ]
