000			02503na a2200265 4500
003			PC5225
005			20180417114632.0
008			130622s1981
040			_cH12O
100			_91530 _aDiego Estévez, M. _eCirugía General
100			_aMartínez Veiga, J. L. _91531 _eCirugía General
100			_91532 _aLucea Martínez, César _eCirugía General
100			_aCabello del Castillo, J. _91533 _eCirugía General
100			_aSalgado, G. _91534 _eCirugía General
245	0	0	_aMelanoma primario anorrectal con metástasis en duodeno _h[artículo]
260			_c1981 _bRevista Clínica Española,
300			_a160(3):193-195.
337			_aJOUR
500			_aFormato Vancouver: Diego Estévez M, Martínez Veiga JL, Lucea Martínez C, Cabello del Castillo J, Salagado G. Melanoma primario anorrectal con metástasis en duodeno. Rev Clin Esp. 1981;15;160(3):193-5.
501			_aContiene 17 referencias
520			_aINTRODUCTION: We define focal pulmonary lesion (FPL) as an intra-parenchymatous pulmonary lesion that is well circumscribed and completely surrounded by healthy lung. It is considered that the profitability of the fine needle aspiration puncture (FNAP) in FPL < or = 2 cm is better than that of the fibrobronchoscopy (FBC). OBJECTIVE: To analyze the diagnostic profitability of the FNAP in the malignant FPL and study if it varies according to site, size and histology. MATERIAL AND METHODS: We analyzed all the FBCs of our Unit between 01/2000 and 12/2001 in patients with solitary FLP < or = 6 cm with a definitive diagnosis of malignancy. The diagnostic profitability by size, site and histology was analyzed with Pearson's chi(2) statistics. RESULTS: 124 patients. Mean FBC per patient was 1.3. A total of 101 cases (82%) were diagnosed with FBC, 15 by thoracotomy and 8 by FNAP. Global diagnostic profitability of the FBC was 0.82 and the transbronchial biopsy 0.76. There are no diagnostic profitability differences by size (< or = 2 cm vs > 2 cm) (0.81 vs 0.82 p = 0.96), site (peripheral vs central) (0.79 vs 0.85 p = 0.41) and histology (epidermoid vs adenocarcinoma) (0.89 vs 0.75 p = 0.21). CONCLUSION: Profitability of the FBC in malignant FPL in our hospital is elevated without differences by size, site or histology. In our site, the initial diagnostic approach of the FLP is done with FBC.
710			_9271 _aServicio de Cirugía General y del Aparato Digestivo
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc5225.pdf _ySolicitar documento
942			_2ddc _cART _n0
999			_c5225 _d5225