Images in Dermatology
Pulsatile Supraclavicular Skin Tumor
Tumoración cutánea pulsátil supraclavicular
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Utilidad de la ecografía cutánea" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1066 "Ancho" => 990 "Tamanyo" => 169185 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Well-defined, round and oval plaques affecting the anterior aspect of both lower legs. B, Detail of an isolated erythematous lesion, with orange, yellowish, brownish, and whitish areas; superficial atrophy and numerous telangiectasias can be observed. C, Dermoscopic image showing a dense network of branching anastomosing vessels on a yellow-orange background with whitish areas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. García-Gavín, L. Comba Pérez-Pérez, L. Requena, X. Wortsman" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "García-Gavín" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Comba Pérez-Pérez" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Requena" ] 3 => array:2 [ "nombre" => "X." 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Ferrándiz-Pulido, J. Juan, V. Pineda" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Ferrándiz-Pulido" "email" => array:1 [ 0 => "40879cfp@comb.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Juan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Pineda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitari Vall d’Hebron, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Vascular, Hospital Universitari Vall d’Hebron, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0015" ] 2 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitari Vall d’Hebron, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumoración cutánea pulsátil supraclavicular" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 750 "Ancho" => 784 "Tamanyo" => 59134 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A woman aged 68 years came to primary care dermatology outpatients requesting excision of a lesion situated over her right clavicle. The lesion had been present for more than 15 years but had recently increased in size. Physical examination revealed a pedunculated exophytic tumor measuring 13<span class="elsevierStyleHsp" style=""></span>mm in diameter. It had a violaceous color and a vascular appearance, and telangiectasias were observed peripherally (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). On palpation, the mass was pulsatile. Echo-Doppler showed the mass to be an elongation of the common carotid artery in the form of a loop, suggesting arteriovenous angiodysplasia. Magnetic resonance angiography with contrast confirmed that this was a high-flow vascular lesion (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The lesion was excised under local anesthesia.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Arteriovenous malformations or angiodysplasias arise as a result of errors in vascular morphogenesis; such lesions are very rare in the common carotid artery. The majority are congenital, but they can also develop after surgical procedures such as stent placement in the artery. Meticulous physical examination including inspection and palpation is essential to avoid diagnostic error, to decide on appropriate additional tests, and to determine the most suitable treatment.</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: Ferrándiz-Pulido C, Juan J, Pineda V. Tumoración cutánea pulsátil supraclavicular. Actas Dermosifiliogr. 2016;107:524.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 701 "Ancho" => 816 "Tamanyo" => 92801 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 750 "Ancho" => 784 "Tamanyo" => 59134 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000006/v2_201704050141/S1578219016300774/v2_201704050141/en/main.assets" "Apartado" => array:4 [ "identificador" => "41141" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010700000006/v2_201704050141/S1578219016300774/v2_201704050141/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016300774?idApp=UINPBA000044" ]
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