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(C) EBUS image showing subcarinal area (*) and left atrial mass (+). (D and E). Histology of biopsy from the subcarinal area. The spindle cells are ERG(D) and Fli1(E) positive.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Nilgün Yılmaz Demirci, Merve Güleryüz, Elif Kolay" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Nilgün Yılmaz" "apellidos" => "Demirci" ] 1 => array:2 [ "nombre" => "Merve" "apellidos" => "Güleryüz" ] 2 => array:2 [ "nombre" => "Elif" "apellidos" => "Kolay" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212918302957" "doi" => "10.1016/j.arbr.2018.03.004" "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/S1579212918302957?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618301467?idApp=UINPBA00003Z" "url" => 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"Inmaculada" "apellidos" => "Piedra-Fernández" ] 2 => array:2 [ "nombre" => "Francisco" "apellidos" => "Hernández-Escobar" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918302660?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000010/v1_201810020623/S1579212918302660/v1_201810020623/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212918302945" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.03.003" "estado" => "S300" "fechaPublicacion" => "2018-10-01" "aid" => "1868" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2018;54:518-23" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 512 "formatos" => array:3 [ "EPUB" => 93 "HTML" => 252 "PDF" => 167 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Special 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Masa, Miquel Felez, Ana Maria Fortuna-Gutierrez, Jorge Abad, Francisco García-Río, Luciano F. Drager, Ronald Lee Chi-Hang, Miguel Ángel Martínez-García, Ferran Barbé, Mireia Dalmases" "autores" => array:16 [ 0 => array:2 [ "nombre" => "Esther" "apellidos" => "Sapiña-Beltrán" ] 1 => array:2 [ "nombre" => "Gerard" "apellidos" => "Torres" ] 2 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Martínez-Alonso" ] 3 => array:2 [ "nombre" => "Manuel" "apellidos" => "Sánchez-de-la-Torre" ] 4 => array:2 [ "nombre" => "Maria" "apellidos" => "Franch" ] 5 => array:2 [ "nombre" => "Carmen" "apellidos" => "Bravo" ] 6 => array:2 [ "nombre" => "Juan F." "apellidos" => "Masa" ] 7 => array:2 [ "nombre" => "Miquel" "apellidos" => "Felez" ] 8 => array:2 [ "nombre" => "Ana Maria" "apellidos" => "Fortuna-Gutierrez" ] 9 => array:2 [ "nombre" => "Jorge" "apellidos" => "Abad" ] 10 => array:2 [ "nombre" => "Francisco" "apellidos" => "García-Río" ] 11 => array:2 [ "nombre" => "Luciano F." "apellidos" => "Drager" ] 12 => array:2 [ "nombre" => "Ronald" "apellidos" => "Lee Chi-Hang" ] 13 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Martínez-García" ] 14 => array:2 [ "nombre" => "Ferran" "apellidos" => "Barbé" ] 15 => array:2 [ "nombre" => "Mireia" "apellidos" => "Dalmases" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918302945?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000010/v1_201810020623/S1579212918302945/v1_201810020623/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Primary Cardiac Angiosarcoma Diagnosed From an Endobronchial Ultrasound (EBUS)-Guided Biopsy" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "524" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Nilgün Yılmaz Demirci, Merve Güleryüz, Elif Kolay" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Nilgün Yılmaz" "apellidos" => "Demirci" "email" => array:1 [ 0 => "nilgundemirci@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Merve" "apellidos" => "Güleryüz" ] 2 => array:2 [ "nombre" => "Elif" "apellidos" => "Kolay" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Chest Diseases, Gazi University Medical Faculty, Ankara, Turkey" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Angiosarcoma Cardíaco Primario Diagnosticado Con Biopsia Transbronquial Por Ecobroncoscopia (EBUS)" ] ] "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" => 942 "Ancho" => 1250 "Tamanyo" => 214698 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) CT scan showing the left atrial mass invading the right pulmonary artery. (C) EBUS image showing subcarinal area (*) and left atrial mass (+). (D and E). Histology of biopsy from the subcarinal area. The spindle cells are ERG(D) and Fli1(E) positive.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 50-year-old man who presented in an emergency department with a 3-day history of sore throat. A chest <span class="elsevierStyleSmallCaps">X</span>-ray revealed right pleural effusion, which was confirmed by a CT scan of the chest. The chest CT also revealed that a mass originating from the left atrium (LA) was spreading to the hilar area (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). Transthoracic echocardiography confirmed that the lateral wall of the LA was thickened and that there was an inhomogeneous 48<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>32<span class="elsevierStyleHsp" style=""></span>mm mass with an uneven surface in the LA, involving the mitral annulus and leaflets.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The patient was referred for an EBUS, which revealed a subcarinal mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). A 21 G needle was used to aspirate the lesion, and the histology was consistent with cardiac angiosarcoma. The immunohistochemistry results were as follows: ERG(+), FLI-1(+), F8(+), vimentin(+), CD31(−), CD34(−), CD68(−), SMA(−) and Desmin(−) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D and E).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Malignant tumors of the heart are most often sarcoma (76–78%) and angiosarcoma, the most aggressive histologic type, accounts for about 31% of all primary cardiac malignant tumors, which usually originates in the right atrium; LA localization is rare.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> To the best of our knowledge, this is the first case of primary cardiac angiosarcoma diagnosed on an EBUS-guided sample.</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" => 942 "Ancho" => 1250 "Tamanyo" => 214698 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) CT scan showing the left atrial mass invading the right pulmonary artery. (C) EBUS image showing subcarinal area (*) and left atrial mass (+). (D and E). Histology of biopsy from the subcarinal area. The spindle cells are ERG(D) and Fli1(E) positive.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Article ID 591512" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary cardiac angiosarcoma: a fatal disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Antonuzzo" 1 => "V. Rotella" 2 => "F. Mazzoni" 3 => "L. Doni" 4 => "D. Bianchini" 5 => "F. Garbini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1155/2009/591512" "Revista" => array:4 [ "tituloSerie" => "” Case Rep Med" "fecha" => "2009" "volumen" => "2009" "paginaInicial" => "4" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000010/v1_201810020623/S1579212918302957/v1_201810020623/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000010/v1_201810020623/S1579212918302957/v1_201810020623/en/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918302957?idApp=UINPBA00003Z" ]
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