RESUMEN
TITLE: Leucoencefalopatia multifocal progresiva y disfuncion inmune no especificada.
Asunto(s)
Huésped Inmunocomprometido , Leucoencefalopatía Multifocal Progresiva/inmunología , Anciano , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Diagnóstico Diferencial , Resultado Fatal , Femenino , Genes BRCA2 , Humanos , Virus JC/aislamiento & purificación , Virus JC/fisiología , Leucemia Linfocítica Crónica de Células B/complicaciones , Leucemia Linfocítica Crónica de Células B/inmunología , Leucoencefalopatía Multifocal Progresiva/diagnóstico , Leucoencefalopatía Multifocal Progresiva/virología , Neoplasias Primarias Múltiples/complicaciones , Neoplasias Primarias Múltiples/tratamiento farmacológico , Neoplasias Primarias Múltiples/genética , Neoplasias Primarias Múltiples/inmunología , Síndromes Neoplásicos Hereditarios/complicaciones , Síndromes Neoplásicos Hereditarios/tratamiento farmacológico , Síndromes Neoplásicos Hereditarios/inmunología , Neuroimagen , Accidente Vascular Cerebral Lacunar/diagnóstico , Activación ViralRESUMEN
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology (SERAM) and the Spanish Society of Medical Oncology (SEOM) have therefore produced a national consensus statement in order to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography (MDCT) as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only Response Evaluation Criteria in Solid Tumours (RECIST 1.1) but also Immune-Related Response Criteria (irRC).
Asunto(s)
Neoplasias Pulmonares/diagnóstico por imagen , Tomografía Computarizada Multidetector , Humanos , Neoplasias Pulmonares/terapia , Radiología , Registros , Sociedades Médicas , España , Resultado del TratamientoRESUMEN
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology and the Spanish Society of Medical Oncology have therefore produced a national consensus statement to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only response evaluation criteria in solid tumours, but also immune-related response criteria.
Asunto(s)
Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/terapia , Radiología/métodos , Conferencias de Consenso como Asunto , Fibrosis , Humanos , Inmunoterapia/métodos , Neoplasias Pulmonares/diagnóstico , Oncología Médica , Tomografía Computarizada Multidetector , Necrosis , Estadificación de Neoplasias , Perfusión , Pronóstico , Neumonitis por Radiación , Radiología/organización & administración , Sociedades Médicas , España , Resultado del TratamientoRESUMEN
Bronchoscopic identification of an endobronchial foreign body is an unexpected finding in adults. Modern imaging techniques such as computerised tomography (CT) may identify bronchial obstruction but not the cause. Moreover, images may be suggestive of other pathologies, especially when the previous aspiration cases are unknown. The most common CT findings in this setting are atelectasis, lung hyperlucency, localised bronchiectases and lobar consolidation. CT diagnosis of false endobronchial tumors in patients who have swallowed a foreign body is rarely described in the bibliography. In view of the potential adverse outcome in the case of wrong diagnosis we consider it is of interest to report two cases of endobronchial tumors diagnosed by CT in which flexible bronchoscopy allowed identification and extraction of an endobronchial foreign body.