array:25 [
  "pii" => "S1578219020300743"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2020.04.002"
  "estado" => "S300"
  "fechaPublicacion" => "2020-05-01"
  "aid" => "2277"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2020;111:335-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0001731019303795"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2018.09.021"
      "estado" => "S300"
      "fechaPublicacion" => "2020-05-01"
      "aid" => "2277"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2020;111:335-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3
        "formatos" => array:2 [
          "HTML" => 1
          "PDF" => 2
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
        "titulo" => "PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "335"
            "paginaFinal" => "336"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma"
          ]
        ]
        "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" => 605
                "Ancho" => 805
                "Tamanyo" => 58153
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Met&#225;stasis ganglionar en axila derecha&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "D&#46; Vidal, M&#46; Pujol"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Vidal"
              ]
              1 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Pujol"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219020300743"
          "doi" => "10.1016/j.adengl.2020.04.002"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300743?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303795?idApp=UINPBA000044"
      "url" => "/00017310/0000011100000004/v3_202009220625/S0001731019303795/v3_202009220625/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S1578219020300755"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2020.04.003"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "2227"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:337-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Acquired Facial Dermal Melanocytosis of the Sun&#39;s Nevus Type&#58; A Case Report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "337"
          "paginaFinal" => "338"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Melanocitosis d&#233;rmica facial adquirida tipo nevo de Sun&#46; Reporte de un caso"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 679
              "Ancho" => 905
              "Tamanyo" => 97407
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermal spindle melanocytes located between collagen and perivascular fibers &#40;S100 staining&#44; original magnification &#215;20&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Mar&#237;n Hern&#225;ndez, Y&#46; Calder&#243;n Ponce de Le&#243;n, V&#46; Bautista Pi&#241;a, L&#46; S&#225;nchez Rodr&#237;guez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Mar&#237;n Hern&#225;ndez"
            ]
            1 => array:2 [
              "nombre" => "Y&#46;"
              "apellidos" => "Calder&#243;n Ponce de Le&#243;n"
            ]
            2 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Bautista Pi&#241;a"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "S&#225;nchez Rodr&#237;guez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019301929"
        "doi" => "10.1016/j.ad.2019.02.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301929?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300755?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300755/v1_202006060751/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219020300731"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.08.006"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "2283"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:333-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
      "titulo" => "Severe Rhabdomyolysis Associated With Low-Dose Isotretinoin Therapy"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "333"
          "paginaFinal" => "335"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Rabdomiolisis grave asociada al tratamiento con bajas dosis de isotretino&#237;na"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; Morgado-Carrasco, A&#46; del Rosario, X&#46; Fust&#224;-Novell, P&#46; Giavedoni"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Morgado-Carrasco"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "del Rosario"
            ]
            2 => array:2 [
              "nombre" => "X&#46;"
              "apellidos" => "Fust&#224;-Novell"
            ]
            3 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Giavedoni"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019303850"
        "doi" => "10.1016/j.ad.2018.08.016"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303850?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300731?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300731/v1_202006060751/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
    "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "335"
        "paginaFinal" => "336"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "D&#46; Vidal, M&#46; Pujol"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "D&#46;"
            "apellidos" => "Vidal"
            "email" => array:1 [
              0 => "david.vidal@sanitatintegral.org"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Pujol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital de Sant Joan Desp&#237; Mois&#232;s Broggi&#44; Sant Joan Desp&#237;&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital de Sant Joan Desp&#237; Mois&#232;s Broggi&#44; Sant Joan Desp&#237;&#44; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n"
      ]
    ]
    "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" => 606
            "Ancho" => 806
            "Tamanyo" => 59697
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old female smoker was seen for 3 subcutaneous nodules that had appeared during the preceding month&#46; The patient had a history of colon cancer &#40;6 years earlier&#41; but was cancer-free at the time of the consultation&#46; Physical examination revealed 3 firm nodules of 1<span class="elsevierStyleHsp" style=""></span>cm in diameter located beneath healthy-looking skin on the upper chest&#44; rib cage&#44; and armpit on the right side of the body &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Doppler ultrasound revealed 3 ovoid hypoechoic lesions in the subcutaneous tissue that lacked posterior reinforcement&#44; exhibited internal vascularization&#44; and were compatible with 2 subcutaneous metastases and 1 lymph node metastasis&#46; After providing written informed consent&#44; the patient underwent fine-needle aspiration &#40;FNA&#41; of the axillary adenopathy with a 21-G needle and core-needle biopsy &#40;CNB&#41; of the lesion on the upper chest with an 18-G needle&#46; The procedures were performed under local anesthesia with ultrasound guidance in the operating room of the dermatology service on the same day as the consultation&#44; with no complications&#46; FNA cytology was positive for malignant cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Histology of the CNB was diagnostic of adenocarcinoma metastasis &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; and the immunohistochemistry profile &#40;CK7<span class="elsevierStyleSup">&#43;</span>&#44; TTF-1<span class="elsevierStyleSup">&#43;</span>&#44; CK20<span class="elsevierStyleSup">&#8722;</span>&#44; CDX2<span class="elsevierStyleSup">&#8722;</span>&#41; was compatible with a pulmonary origin&#46; Computed tomography revealed findings compatible with lung cancer and the patient was referred to the oncology service for further studies and treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In cases involving subcutaneous nodules with suspected malignancy the usual practice is to perform an incisional biopsy with a scalpel&#46; Because our patient had 3 lesions&#44; we opted to perform ultrasound-guided FNA and CNB in parallel in order to examine 2 lesions with minimal morbidity&#46; FNA can be performed rapidly and causes minimal pain&#44; and the corresponding pathology report can be rapidly obtained&#46; In some cases&#44; the small sample volume obtained by FNA can complicate the job of the pathologist and can give rise to false negatives&#46; CNB is a better diagnostic technique than FNA as it yields one or more cylinders of histological tissue&#44; from which multiple sections can be obtained and stained&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Ultrasound-guided FNA and CNB are routinely performed by radiologists&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> but can also be performed by other well-trained ultrasound specialists &#40;e&#46;g&#46; endocrinologists&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Our dermatology service has had an ultrasound scanner available for consultations for the past 5 years&#44; and we regularly carry out ultrasound-guided procedures&#46; Consequently&#44; our patient was able to benefit from these diagnostic techniques on the day of her consultation&#46; In conclusion&#44; this case illustrates the value of knowledge and experience in performing ultrasound-guided FNA and CNB&#44; which can help dermatologists to rapidly diagnose subcutaneous metastases&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of Interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of Interest"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "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; Vidal D&#44; Pujol M&#46; PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n&#46; Actas Dermosifiliogr&#46; 2020&#59;111&#58;335&#8211;336&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 59697
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 78446
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Malignant epithelial cells&#46; Fine-needle aspiration smear &#40;Giemsa staining&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 128865
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Metastatic adenocarcinoma of the lung&#46; Core-needle biopsy obtained using an 18-G needle &#40;hematoxylin-eosin staining&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46; Balasubramanian"
                            1 => "C&#46;A&#46; Fleming"
                            2 => "M&#46;A&#46; Corrigan"
                            3 => "H&#46;P&#46; Redmond"
                            4 => "M&#46;J&#46; Kerin"
                            5 => "A&#46;J&#46; Lowery"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/bjs.10920"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Surg"
                        "fecha" => "2018"
                        "volumen" => "105"
                        "paginaInicial" => "1244"
                        "paginaFinal" => "1253"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29972239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sonographically guided percutaneous needle biopsy of soft tissue masses with histopathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Soudack"
                            1 => "A&#46; Nachtigal"
                            2 => "E&#46; Vladovski"
                            3 => "O&#46; Brook"
                            4 => "D&#46; Gaitini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.7863/jum.2006.25.10.1271"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Ultrasound Med"
                        "fecha" => "2006"
                        "volumen" => "25"
                        "paginaInicial" => "1271"
                        "paginaFinal" => "1277"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16998099"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incorporaci&#243;n de la ecograf&#237;a y la punci&#243;n de tiroides a la actividad de endocrinolog&#237;a en una consulta de alta resoluci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Tof&#233; Povedano"
                            1 => "I&#46; Arg&#252;elles Jim&#233;nez"
                            2 => "H&#46; Garc&#237;a Fern&#225;ndez"
                            3 => "J&#46; Quevedo Juanals"
                            4 => "S&#46; D&#237;az Medina"
                            5 => "G&#46; Serra Soler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.endonu.2009.12.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endocrinol Nutr"
                        "fecha" => "2010"
                        "volumen" => "57"
                        "paginaInicial" => "43"
                        "paginaFinal" => "48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20138596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6157"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case and Research Letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300743?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Case and Research Letters
Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma
PAAF y BAG ecoguiadas en metástasis ganglionar y subcutánea de adenocarcinoma de pulmón
D. Vidala,
Autor para correspondencia
david.vidal@sanitatintegral.org

Corresponding author.
, M. Pujolb
a Servicio de Dermatología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain
b Servicio de Anatomía Patológica, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain
Leído
4541
Veces
se ha leído el artículo
1531
Total PDF
3010
Total HTML
Compartir estadísticas
 array:25 [
  "pii" => "S1578219020300743"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2020.04.002"
  "estado" => "S300"
  "fechaPublicacion" => "2020-05-01"
  "aid" => "2277"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2020;111:335-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0001731019303795"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2018.09.021"
      "estado" => "S300"
      "fechaPublicacion" => "2020-05-01"
      "aid" => "2277"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2020;111:335-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3
        "formatos" => array:2 [
          "HTML" => 1
          "PDF" => 2
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
        "titulo" => "PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "335"
            "paginaFinal" => "336"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma"
          ]
        ]
        "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" => 605
                "Ancho" => 805
                "Tamanyo" => 58153
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Met&#225;stasis ganglionar en axila derecha&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "D&#46; Vidal, M&#46; Pujol"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Vidal"
              ]
              1 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Pujol"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219020300743"
          "doi" => "10.1016/j.adengl.2020.04.002"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300743?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303795?idApp=UINPBA000044"
      "url" => "/00017310/0000011100000004/v3_202009220625/S0001731019303795/v3_202009220625/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S1578219020300755"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2020.04.003"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "2227"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:337-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Acquired Facial Dermal Melanocytosis of the Sun&#39;s Nevus Type&#58; A Case Report"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "337"
          "paginaFinal" => "338"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Melanocitosis d&#233;rmica facial adquirida tipo nevo de Sun&#46; Reporte de un caso"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 679
              "Ancho" => 905
              "Tamanyo" => 97407
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermal spindle melanocytes located between collagen and perivascular fibers &#40;S100 staining&#44; original magnification &#215;20&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Mar&#237;n Hern&#225;ndez, Y&#46; Calder&#243;n Ponce de Le&#243;n, V&#46; Bautista Pi&#241;a, L&#46; S&#225;nchez Rodr&#237;guez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Mar&#237;n Hern&#225;ndez"
            ]
            1 => array:2 [
              "nombre" => "Y&#46;"
              "apellidos" => "Calder&#243;n Ponce de Le&#243;n"
            ]
            2 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Bautista Pi&#241;a"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "S&#225;nchez Rodr&#237;guez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019301929"
        "doi" => "10.1016/j.ad.2019.02.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301929?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300755?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300755/v1_202006060751/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219020300731"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.08.006"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "2283"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:333-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
      "titulo" => "Severe Rhabdomyolysis Associated With Low-Dose Isotretinoin Therapy"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "333"
          "paginaFinal" => "335"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Rabdomiolisis grave asociada al tratamiento con bajas dosis de isotretino&#237;na"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; Morgado-Carrasco, A&#46; del Rosario, X&#46; Fust&#224;-Novell, P&#46; Giavedoni"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Morgado-Carrasco"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "del Rosario"
            ]
            2 => array:2 [
              "nombre" => "X&#46;"
              "apellidos" => "Fust&#224;-Novell"
            ]
            3 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Giavedoni"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019303850"
        "doi" => "10.1016/j.ad.2018.08.016"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303850?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300731?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300731/v1_202006060751/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
    "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "335"
        "paginaFinal" => "336"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "D&#46; Vidal, M&#46; Pujol"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "D&#46;"
            "apellidos" => "Vidal"
            "email" => array:1 [
              0 => "david.vidal@sanitatintegral.org"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Pujol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital de Sant Joan Desp&#237; Mois&#232;s Broggi&#44; Sant Joan Desp&#237;&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital de Sant Joan Desp&#237; Mois&#232;s Broggi&#44; Sant Joan Desp&#237;&#44; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n"
      ]
    ]
    "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" => 606
            "Ancho" => 806
            "Tamanyo" => 59697
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old female smoker was seen for 3 subcutaneous nodules that had appeared during the preceding month&#46; The patient had a history of colon cancer &#40;6 years earlier&#41; but was cancer-free at the time of the consultation&#46; Physical examination revealed 3 firm nodules of 1<span class="elsevierStyleHsp" style=""></span>cm in diameter located beneath healthy-looking skin on the upper chest&#44; rib cage&#44; and armpit on the right side of the body &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Doppler ultrasound revealed 3 ovoid hypoechoic lesions in the subcutaneous tissue that lacked posterior reinforcement&#44; exhibited internal vascularization&#44; and were compatible with 2 subcutaneous metastases and 1 lymph node metastasis&#46; After providing written informed consent&#44; the patient underwent fine-needle aspiration &#40;FNA&#41; of the axillary adenopathy with a 21-G needle and core-needle biopsy &#40;CNB&#41; of the lesion on the upper chest with an 18-G needle&#46; The procedures were performed under local anesthesia with ultrasound guidance in the operating room of the dermatology service on the same day as the consultation&#44; with no complications&#46; FNA cytology was positive for malignant cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Histology of the CNB was diagnostic of adenocarcinoma metastasis &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; and the immunohistochemistry profile &#40;CK7<span class="elsevierStyleSup">&#43;</span>&#44; TTF-1<span class="elsevierStyleSup">&#43;</span>&#44; CK20<span class="elsevierStyleSup">&#8722;</span>&#44; CDX2<span class="elsevierStyleSup">&#8722;</span>&#41; was compatible with a pulmonary origin&#46; Computed tomography revealed findings compatible with lung cancer and the patient was referred to the oncology service for further studies and treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In cases involving subcutaneous nodules with suspected malignancy the usual practice is to perform an incisional biopsy with a scalpel&#46; Because our patient had 3 lesions&#44; we opted to perform ultrasound-guided FNA and CNB in parallel in order to examine 2 lesions with minimal morbidity&#46; FNA can be performed rapidly and causes minimal pain&#44; and the corresponding pathology report can be rapidly obtained&#46; In some cases&#44; the small sample volume obtained by FNA can complicate the job of the pathologist and can give rise to false negatives&#46; CNB is a better diagnostic technique than FNA as it yields one or more cylinders of histological tissue&#44; from which multiple sections can be obtained and stained&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Ultrasound-guided FNA and CNB are routinely performed by radiologists&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> but can also be performed by other well-trained ultrasound specialists &#40;e&#46;g&#46; endocrinologists&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Our dermatology service has had an ultrasound scanner available for consultations for the past 5 years&#44; and we regularly carry out ultrasound-guided procedures&#46; Consequently&#44; our patient was able to benefit from these diagnostic techniques on the day of her consultation&#46; In conclusion&#44; this case illustrates the value of knowledge and experience in performing ultrasound-guided FNA and CNB&#44; which can help dermatologists to rapidly diagnose subcutaneous metastases&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of Interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of Interest"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "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; Vidal D&#44; Pujol M&#46; PAAF y BAG ecoguiadas en met&#225;stasis ganglionar y subcut&#225;nea de adenocarcinoma de pulm&#243;n&#46; Actas Dermosifiliogr&#46; 2020&#59;111&#58;335&#8211;336&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 59697
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 78446
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Malignant epithelial cells&#46; Fine-needle aspiration smear &#40;Giemsa staining&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 606
            "Ancho" => 806
            "Tamanyo" => 128865
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Metastatic adenocarcinoma of the lung&#46; Core-needle biopsy obtained using an 18-G needle &#40;hematoxylin-eosin staining&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46; Balasubramanian"
                            1 => "C&#46;A&#46; Fleming"
                            2 => "M&#46;A&#46; Corrigan"
                            3 => "H&#46;P&#46; Redmond"
                            4 => "M&#46;J&#46; Kerin"
                            5 => "A&#46;J&#46; Lowery"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/bjs.10920"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Surg"
                        "fecha" => "2018"
                        "volumen" => "105"
                        "paginaInicial" => "1244"
                        "paginaFinal" => "1253"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29972239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sonographically guided percutaneous needle biopsy of soft tissue masses with histopathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Soudack"
                            1 => "A&#46; Nachtigal"
                            2 => "E&#46; Vladovski"
                            3 => "O&#46; Brook"
                            4 => "D&#46; Gaitini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.7863/jum.2006.25.10.1271"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Ultrasound Med"
                        "fecha" => "2006"
                        "volumen" => "25"
                        "paginaInicial" => "1271"
                        "paginaFinal" => "1277"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16998099"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incorporaci&#243;n de la ecograf&#237;a y la punci&#243;n de tiroides a la actividad de endocrinolog&#237;a en una consulta de alta resoluci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Tof&#233; Povedano"
                            1 => "I&#46; Arg&#252;elles Jim&#233;nez"
                            2 => "H&#46; Garc&#237;a Fern&#225;ndez"
                            3 => "J&#46; Quevedo Juanals"
                            4 => "S&#46; D&#237;az Medina"
                            5 => "G&#46; Serra Soler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.endonu.2009.12.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endocrinol Nutr"
                        "fecha" => "2010"
                        "volumen" => "57"
                        "paginaInicial" => "43"
                        "paginaFinal" => "48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20138596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6157"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case and Research Letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300743?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 4 4 8
2024 Octubre 70 35 105
2024 Septiembre 72 20 92
2024 Agosto 83 64 147
2024 Julio 74 35 109
2024 Junio 96 41 137
2024 Mayo 74 44 118
2024 Abril 74 18 92
2024 Marzo 83 37 120
2024 Febrero 68 27 95
2024 Enero 69 32 101
2023 Diciembre 63 16 79
2023 Noviembre 76 24 100
2023 Octubre 58 19 77
2023 Septiembre 56 33 89
2023 Agosto 49 21 70
2023 Julio 45 25 70
2023 Junio 58 21 79
2023 Mayo 64 33 97
2023 Abril 47 26 73
2023 Marzo 60 35 95
2023 Febrero 56 22 78
2023 Enero 55 25 80
2022 Diciembre 66 31 97
2022 Noviembre 38 27 65
2022 Octubre 35 26 61
2022 Septiembre 32 38 70
2022 Agosto 23 35 58
2022 Julio 26 31 57
2022 Junio 23 24 47
2022 Mayo 50 38 88
2022 Abril 64 22 86
2022 Marzo 72 44 116
2022 Febrero 48 25 73
2022 Enero 72 34 106
2021 Diciembre 44 26 70
2021 Noviembre 67 40 107
2021 Octubre 70 43 113
2021 Septiembre 54 38 92
2021 Agosto 81 25 106
2021 Julio 80 19 99
2021 Junio 61 23 84
2021 Mayo 65 39 104
2021 Abril 76 35 111
2021 Marzo 42 18 60
2021 Febrero 42 18 60
2021 Enero 25 16 41
2020 Diciembre 18 12 30
2020 Noviembre 25 10 35
2020 Octubre 21 12 33
2020 Septiembre 34 19 53
2020 Agosto 35 23 58
2020 Julio 46 12 58
2020 Junio 86 51 137
2020 Mayo 35 20 55
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Actas Dermo-Sifiliográficas
es en

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

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