Imágenes en Dermatología
Diferencias en equipos de ecografía para la detección de metástasis de melanoma
Differences in Ultrasound Scanners’ Detection of Metastasis in Melanoma
P. Giavedoni
, D. Morgado-Carrasco, J. Malvehy, S. Puig
Corresponding author
Servicio de Dermatología, Hospital Clínic, Barcelona, España
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Giavedoni, D. Morgado-Carrasco, J. Malvehy, S. Puig" "autores" => array:4 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Giavedoni" "email" => array:1 [ 0 => "pgiavedo@clinic.cat" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Morgado-Carrasco" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Malvehy" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Puig" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Clínic, Barcelona, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Differences in Ultrasound Scanners’ Detection of Metastasis in Melanoma" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 537 "Ancho" => 1305 "Tamanyo" => 94413 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Una mujer de 75 años diagnosticada de un melanoma en el brazo izquierdo en el año 2006 (índice de Breslow: 1,1<span class="elsevierStyleHsp" style=""></span>mm, tratada con cirugía y vaciamiento ganglionar), acude a revisión a los 10 años por un nódulo de 1<span class="elsevierStyleHsp" style=""></span>cm en el codo izquierdo, próximo a la cicatriz del melanoma. Se realizó una ecografía Doppler con el equipo MyLab™ 25 Gold con PRF 740 y ganancia del 79%, y se evidenció una imagen redondeada hipoecoica con refuerzo posterior y sombras laterales sin flujo en el modo Doppler, compatible con un quiste simple. Se repitió la imagen con el equipo MyLab™ Class C con PRF 750 y ganancia del 80%, y se evidenció una imagen hipoecoica con abundante flujo Doppler en su interior compatible con una metástasis de melanoma. Se realizó exéresis de la lesión y se confirmó metástasis de melanoma (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">En los últimos años ha habido un aumento exponencial en el uso de ecografía Doppler en España. Creemos que es importante conocer la potencia de los diferentes equipos, especialmente en casos como el nuestro, donde el aumento del flujo Doppler fue fundamental para diagnosticar una metástasis de un melanoma.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 537 "Ancho" => 1305 "Tamanyo" => 94413 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011100000010/v1_202012050701/S0001731020302714/v1_202012050701/es/main.assets" "Apartado" => array:4 [ "identificador" => "41021" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011100000010/v1_202012050701/S0001731020302714/v1_202012050701/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020302714?idApp=UINPBA000044" ]
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