metricas
covid
Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Littoral cell angioma. An uncommon cause of constitutional syndrome
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
Littoral cell angioma. An uncommon cause of constitutional syndrome
Angioma de células del litoral, una causa infrecuente de síndrome constitucional
Eduardo L. Callejas Moraga
Corresponding author
educallejasmoraga@hotmail.com

Corresponding author.
, Iago Pinal Fernández, Luisa Roade Tato, Manel Santafé Colomina
Servicio de Medicina Interna, Hospital Universitario Vall d’Hebron, Barcelona, Spain
Read
96
Times
was read the article
17
Total PDF
79
Total HTML
Share statistics
 array:24 [
  "pii" => "S2387020615000844"
  "issn" => "23870206"
  "doi" => "10.1016/j.medcle.2015.05.037"
  "estado" => "S300"
  "fechaPublicacion" => "2015-03-09"
  "aid" => "3001"
  "copyright" => "Elsevier España, S.L.U.. All rights reserved"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Clin. 2015;144:239"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 96
    "formatos" => array:2 [
      "HTML" => 79
      "PDF" => 17
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:18 [
      "pii" => "S0025775314003716"
      "issn" => "00257753"
      "doi" => "10.1016/j.medcli.2014.04.019"
      "estado" => "S300"
      "fechaPublicacion" => "2015-03-09"
      "aid" => "3001"
      "copyright" => "Elsevier España, S.L.U."
      "documento" => "simple-article"
      "subdocumento" => "cor"
      "cita" => "Med Clin. 2015;144:239"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 196
        "formatos" => array:2 [
          "HTML" => 145
          "PDF" => 51
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>"
        "titulo" => "Angioma de c&#233;lulas del litoral&#44; una causa infrecuente de s&#237;ndrome constitucional"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "239"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Littoral cell angioma&#46; An uncommon cause of constitutional syndrome"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Eduardo L&#46; Callejas Moraga, Iago Pinal Fern&#225;ndez, Luisa Roade Tato, Manel Santaf&#233; Colomina"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Eduardo L&#46;"
                "apellidos" => "Callejas Moraga"
              ]
              1 => array:2 [
                "nombre" => "Iago"
                "apellidos" => "Pinal Fern&#225;ndez"
              ]
              2 => array:2 [
                "nombre" => "Luisa"
                "apellidos" => "Roade Tato"
              ]
              3 => array:2 [
                "nombre" => "Manel"
                "apellidos" => "Santaf&#233; Colomina"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2387020615000844"
          "doi" => "10.1016/j.medcle.2015.05.037"
          "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/S2387020615000844?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775314003716?idApp=UINPBA00004N"
      "url" => "/00257753/0000014400000005/v3_201706012134/S0025775314003716/v3_201706012134/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S238702061500090X"
    "issn" => "23870206"
    "doi" => "10.1016/j.medcle.2015.05.043"
    "estado" => "S300"
    "fechaPublicacion" => "2015-03-09"
    "aid" => "3101"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Clin. 2015;144:240"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 97
      "formatos" => array:2 [
        "HTML" => 87
        "PDF" => 10
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>"
      "titulo" => "Eagle syndrome"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "240"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome de Eagle"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0015"
          "etiqueta" => "Fig&#46; 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 810
              "Ancho" => 1078
              "Tamanyo" => 143077
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Frank Alberto Betances Reinoso, Carlos Miguel Chiesa Estomba, Teresa Rivera Schmitz, Carmelo Santidrian Hidalgo"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Frank Alberto"
              "apellidos" => "Betances Reinoso"
            ]
            1 => array:2 [
              "nombre" => "Carlos Miguel"
              "apellidos" => "Chiesa Estomba"
            ]
            2 => array:2 [
              "nombre" => "Teresa"
              "apellidos" => "Rivera Schmitz"
            ]
            3 => array:2 [
              "nombre" => "Carmelo"
              "apellidos" => "Santidrian Hidalgo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S002577531400637X"
        "doi" => "10.1016/j.medcli.2014.08.004"
        "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/S002577531400637X?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061500090X?idApp=UINPBA00004N"
    "url" => "/23870206/0000014400000005/v1_201511080018/S238702061500090X/v1_201511080018/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S238702061500087X"
    "issn" => "23870206"
    "doi" => "10.1016/j.medcle.2015.05.040"
    "estado" => "S300"
    "fechaPublicacion" => "2015-03-09"
    "aid" => "3018"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Clin. 2015;144:238"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 109
      "formatos" => array:2 [
        "HTML" => 68
        "PDF" => 41
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Reply"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "238"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Respuesta"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sergio Serrano Villar, Jes&#250;s Porta-Etessam"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Sergio"
              "apellidos" => "Serrano Villar"
            ]
            1 => array:2 [
              "nombre" => "Jes&#250;s"
              "apellidos" => "Porta-Etessam"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0025775314004011"
        "doi" => "10.1016/j.medcli.2014.05.018"
        "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/S0025775314004011?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061500087X?idApp=UINPBA00004N"
    "url" => "/23870206/0000014400000005/v1_201511080018/S238702061500087X/v1_201511080018/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Littoral cell angioma&#46; An uncommon cause of constitutional syndrome"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "239"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Eduardo L&#46; Callejas Moraga, Iago Pinal Fern&#225;ndez, Luisa Roade Tato, Manel Santaf&#233; Colomina"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Eduardo L&#46;"
            "apellidos" => "Callejas Moraga"
            "email" => array:1 [
              0 => "educallejasmoraga&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Iago"
            "apellidos" => "Pinal Fern&#225;ndez"
          ]
          2 => array:2 [
            "nombre" => "Luisa"
            "apellidos" => "Roade Tato"
          ]
          3 => array:2 [
            "nombre" => "Manel"
            "apellidos" => "Santaf&#233; Colomina"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Universitario Vall d&#8217;Hebron&#44; Barcelona&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Angioma de c&#233;lulas del litoral&#44; una causa infrecuente de s&#237;ndrome constitucional"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Described by Falk et al&#46; in 1991&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> littoral cell angioma consists of an infrequent splenic neoplasia&#44; barely known and clinically asymptomatic or with non-specific symptoms&#46; It affects both genders equally and has sometimes been related to cancer in other locations&#46; There is a patient with constitutional syndrome attributed to the presence of this rare type of tumour&#44; which was resolved after a splenectomy&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient is a 78-year old female with a history of endometrial carcinoma treated with a hysterectomy and radiotherapy&#44; currently free from disease&#46; She consulted for a 3-month progression of asthenia and anorexia&#44; occasional vomiting and weight loss of 10<span class="elsevierStyleHsp" style=""></span>kg during this period&#44; with no other accompanying symptom&#46; Physical examination revealed a cachectic female&#44; through an anodyne exploration using devices&#46; Laboratory tests showed an emphasized discrete anaemia&#44; with the remaining values for haemogram&#44; biochemical&#44; acute phase reactants and thyroid function within normal limits&#46; Recurrence was ruled out for her gynaecological neoplasia through vaginal examination and ultrasound scan&#46; A thoracoabdominal CT scan showed solid&#44; multifocal&#44; non-determined splenic affection&#44; with no lymph node affection&#44; oriented from a radiological standpoint as a probable lymphoproliferative process&#46; A splenectomy was deemed the most convenient measure&#44; from the diagnostic and therapeutic standpoints&#44; and was performed with no complications&#46; The anathomopathological spleen study showed multiple small vascular lesions &#40;&#60;5<span class="elsevierStyleHsp" style=""></span>mm&#41;&#44; with lining of CD34 and CD68 positive cuboid cells&#44; CD8 and CD31 negative cuboid cells&#44; with no signs of malignancy&#44; all typical for littoral cell angioma&#46; After six months&#44; the patient is still asymptomatic and has gained weight&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Littoral cell angioma is considered&#44; in general&#44; a benign splenic neoplasia&#44; although it can sometimes be malignant&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">2&#44;3</span></a> Clinically&#44; it can be asymptomatic&#44; although digestive symptoms have been described&#44; such as nausea&#44; vomiting and abdominal pain&#46; Some cases may appear with accompanying toxic syndrome and&#47;or fever of unknown origin&#44; due to the immunological disorder which is believed to accompany this type of tumour&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">1&#44;4&#44;5</span></a> Moreover&#44; it has been related to Crohn&#39;s Disease&#44; Gaucher&#39;s Disease&#44; aplastic anaemia or myelodysplastic syndrome&#44; among other conditions&#44; although it is an entity in itself&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> However&#44; up to one third of cases have been related to colon&#44; kidney&#44; pancreas and liver cancer&#44; or other non-Hodgkin&#39;s lymphomas&#44; testicular seminoma or gastric leiomyosarcoma&#44; so a clinical follow-up is advisable during the first year after the diagnosis to detect potential appearance of neoplasias&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although a CT scan-guided puncture sometimes leads to a diagnosis&#44; a splenectomy usually confirms the diagnosis and at the same time leads to a resolution of the process&#46; The ultrasound scan shows isoechogenic lesions in the splenic parenchyma&#44; which reflect its solid nature&#44; the CT scan shows masses or hypoattenuated nodes of different sizes and morphology&#44; and the MRI shows hypointense images on T1 and T2&#44; but none of those findings provide a diagnosis on their own&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">7&#44;8</span></a> The differential diagnosis is considered for splenic vascular tumours&#44; the most frequent splenic neoplasias&#44; among which the angiosarcoma stands out due to its malignity&#46; Other entities to take into consideration in the differential diagnosis of splenic lesions with such characteristics are lymphoproliferative processes&#44; solid organ metastases&#44; disseminating infectious diseases &#40;tuberculosis or fungal diseases&#41; and other inflammatory processes&#44; such as sarcoidosis&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In patients with constitutional syndrome and splenic lesions&#44; like in this case&#44; littoral cells splenic angioma is a diagnosis to take into consideration&#46; A splenectomy in these cases provides confirmation of the diagnosis and helps to resolve the symptoms&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Callejas Moraga EL&#44; Pinal Fern&#225;ndez I&#44; Roade Tato L&#44; Santaf&#233; Colomina M&#46; Angioma de c&#233;lulas del litoral&#44; una causa infrecuente de s&#237;ndrome constitucional&#46; Med Clin &#40;Barc&#41;&#46; 2015&#59;144&#58;239&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma&#46; A novel splenic vascular lesion demonstrating histiocytic differentiation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Falk"
                            1 => "H&#46;J&#46; Stutte"
                            2 => "G&#46; Frizzera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "1991"
                        "volumen" => "15"
                        "paginaInicial" => "1023"
                        "paginaFinal" => "1033"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1928554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Priego"
                            1 => "G&#46; Rodr&#237;guez Velasco"
                            2 => "P&#46;S&#46; Griffith"
                            3 => "V&#46; Fresneda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Transl Oncol"
                        "fecha" => "2008"
                        "volumen" => "10"
                        "paginaInicial" => "61"
                        "paginaFinal" => "63"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18208795"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S002191501300693X"
                          "estado" => "S300"
                          "issn" => "00219150"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen in a patient with hepatocellular carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;H&#46; Lin"
                            1 => "J&#46;C&#46; Yu"
                            2 => "M&#46;L&#46; Shih"
                            3 => "Y&#46;J&#46; Peng"
                            4 => "C&#46;B&#46; Hsieh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Formos Med Assoc"
                        "fecha" => "2005"
                        "volumen" => "104"
                        "paginaInicial" => "282"
                        "paginaFinal" => "285"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15909068"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0085253815528706"
                          "estado" => "S300"
                          "issn" => "00852538"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Y&#46;M&#46; Tan"
                            1 => "K&#46;L&#46; Chuah"
                            2 => "W&#46;K&#46; Wong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Acad Med Singapore"
                        "fecha" => "2004"
                        "volumen" => "33"
                        "paginaInicial" => "524"
                        "paginaFinal" => "526"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15329769"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma associated with portal hypertension and resected colon cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;P&#46; Steensma"
                            1 => "W&#46;G&#46; Morice"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "39747"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Haematol"
                        "fecha" => "2000"
                        "volumen" => "104"
                        "paginaInicial" => "131"
                        "paginaFinal" => "134"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11154990"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral-cell angioma as a cause of splenomegaly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;M&#46; Dascalescu"
                            1 => "D&#46; Wendum"
                            2 => "N&#46;C&#46; Gorin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM200109063451016"
                      "Revista" => array:7 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2001"
                        "volumen" => "345"
                        "paginaInicial" => "772"
                        "paginaFinal" => "773"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11547761"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109701017818"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen&#58; CT features with clinicopathologic comparison"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;D&#46; Levy"
                            1 => "R&#46;M&#46; Abbott"
                            2 => "S&#46;L&#46; Abbondanzo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiol.2302030196"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2004"
                        "volumen" => "230"
                        "paginaInicial" => "485"
                        "paginaFinal" => "490"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14752189"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen&#58; US and MR imaging findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Oliver-Goldaracena"
                            1 => "A&#46; Blanco"
                            2 => "M&#46; Miralles"
                            3 => "M&#46;A&#46; Martin-Gonzalez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Abdom Imaging"
                        "fecha" => "1998"
                        "volumen" => "23"
                        "paginaInicial" => "636"
                        "paginaFinal" => "639"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9922201"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Littoral cell angioma of the spleen in a patient with previous pulmonary sarcoidosis&#58; a TNF-&#945; related pathogenesis&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Cordesmeyer"
                            1 => "M&#46; P&#252;tzler"
                            2 => "U&#46; Titze"
                            3 => "H&#46; Paulus"
                            4 => "M&#46;W&#46; Hoffmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1477-7819-9-106"
                      "Revista" => array:5 [
                        "tituloSerie" => "World J Surg Oncol"
                        "fecha" => "2011"
                        "volumen" => "9"
                        "paginaInicial" => "106"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21929754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23870206/0000014400000005/v1_201511080018/S2387020615000844/v1_201511080018/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/23870206/0000014400000005/v1_201511080018/S2387020615000844/v1_201511080018/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615000844?idApp=UINPBA00004N"
]
Article information
ISSN: 23870206
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2017 October 6 1 7
2017 September 18 3 21
2017 August 7 1 8
2017 July 4 0 4
2017 June 13 2 15
2017 May 8 7 15
2017 April 11 0 11
2017 March 9 2 11
2017 February 0 1 1
2015 November 3 0 3

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos