Caso Clínico/Case Report
Derrame pleural recidivante e polipose gástrica – Caso clínico
Relapsing pleural effusion and gastric polyposis – A case report
E. Fragoso1,
, I. Correia1, P. Campos2, M.J. Palhano3, R. Sotto-Mayor1, A. Bugalho de Almeida1
Corresponding author
elsagcfragoso@gmail.com
Correspondência: Elsa Fragoso Serviço de Pneumologia Hospital de Santa Maria, CHLN Av. Professor Egas Moniz 1649-035 Lisboa, Portugal.
Correspondência: Elsa Fragoso Serviço de Pneumologia Hospital de Santa Maria, CHLN Av. Professor Egas Moniz 1649-035 Lisboa, Portugal.
1 Serviço de Pneumologia (Director: Prof. Doutor A Bugalho de Almeida), Hospital de Santa Maria, CHLN, Lisboa, Portugal
2 Serviço de Imagiologia (Director: Dra. Isabel Távora), Hospital de Santa Maria, CHLN, Lisboa, Portugal
3 Serviço de Anatomia Patológica (Director: Prof. Doutor Afonso Fernandes), Hospital de Santa Maria, CHLN, Lisboa, Portugal
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Professor Egas Moniz 1649-035 Lisboa, Portugal." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Relapsing pleural effusion and gastric polyposis – A case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-22" "fechaAceptado" => "2009-02-05" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570224" "palabras" => array:6 [ 0 => "Linfoma não Hodgkin" 1 => "linfoma MALT gástrico" 2 => "Helicobacter pylori" 3 => "derrame pleural" 4 => "diagnóstico diferencial" 5 => "polipose gástrica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570225" "palabras" => array:6 [ 0 => "Non-Hodgkin’s lymphoma" 1 => "gastric MALT lymphoma" 2 => "Helicobacter pylori" 3 => "pleural effusion" 4 => "differential diagnosis" 5 => "gastric polyposis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Os autores descrevem um caso de doença linfoproliferativa (DLP) com repercussão pleuropulmonar. Trata-se de um linfoma MALT primário do estômago com comportamento agressivo numa mulher de 86 anos internada no serviço de pneumologia do nosso hospital com derrame pleural como forma de apresentação clínica.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">A pesquisa de <span class="elsevierStyleItalic">Helicobacter pylori</span> foi negativa, situação pouco frequente. A doença apresentou-se disseminada e sem qualquer resposta às múltiplas terapêuticas instituídas, o que não é frequente.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Abordam-se as formas de apresentação clínica desta patologia, aspectos diagnósticos e terapêuticos, fazendo-se uma discussão sobre as características particulares deste caso e cotejando-os com os dados existentes na literatura. Realça-se a importância de se incluir a DLP no diagnóstico diferencial dos derrames pleurais de etiologia em estudo.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 713-720</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">The authors present the case of a lymphoproliferative disorder (LPD) with pleuro-pulmonary involvement. It was a very aggressive primary gastric lymphoma of the MALT subtype, diagnosed in an 86-year-old woman admitted in Pulmonology ward at our Hospital with pleural effusion.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Helicobacter pylori</span> search was negative, what is infrequent. The disease was already disseminated at the time of the diagnosis and did not respond to various treatment modalities, what is also an uncommon finding.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Clinical presentation, diagnosis and management of this disease are reviewed, pointing out its unique features and comparing the particular aspects of this case with the published literature. The authors stress that LPD is an important diagnosis to be held in mind in the case of a pleural effusion of unknown aetiology.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 713-720</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-Hodgkin’s lymphoproliferative disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.F. García" 1 => "M.A. Piris" 2 => "M.M. 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Al-Mofleh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "World J Gastroenterol" "fecha" => "2004" "volumen" => "10" "numero" => "1" "paginaInicial" => "5" "paginaFinal" => "11" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14695759" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Therapy of gastric mucosa associated lymphoid tissue lymphoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Morgner" 1 => "R. Schmelz" 2 => "C. Thiede" 3 => "M. Stolte" 4 => "S. Miehlke" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "World J Gastroenterol" "fecha" => "2007" "volumen" => "13" "numero" => "26" "paginaInicial" => "3554" "paginaFinal" => "3566" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17659705" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical significance of serum neuron-specific enolase in patients with adult T-cell leukemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:10 [ 0 => "H. Fujiwara" 1 => "N. Arima" 2 => "H. Ohtsubo" 3 => "T. Matsumoto" 4 => "T. Kukita" 5 => "H. Kawada" 6 => "R. Imaizumi" 7 => "A. Ozaki" 8 => "K. Matsushita" 9 => "C. Tei" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ajh.10190" "Revista" => array:7 [ "tituloSerie" => "Am J Hematol" "fecha" => "2002" "volumen" => "71" "numero" => "2" "paginaInicial" => "80" "paginaFinal" => "84" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12353304" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "MALT Lymphoma: Recent advances in aetiology and molecular genetics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.Q. Du" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Exp Hematopathol" "fecha" => "2007" "volumen" => "47" "numero" => "2" "paginaInicial" => "31" "paginaFinal" => "42" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of malignant pleural effusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V.B. Antony" 1 => "S.A. Sahn" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.162.5.ats8-00" "Revista" => array:7 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "numero" => "5" "paginaInicial" => "1987" "paginaFinal" => "2001" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11069845" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301677/v1_201509151451/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43360" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos Clínicos/Cases Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000004/v1_201509151451/S0873215915301677/v1_201509151451/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301677?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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