{"title":"Congresos y contagios. Neumólogos como pacientes","authors":"J. L. Sandoval-Gutiérrez","doi":"10.35366/108504","DOIUrl":"https://doi.org/10.35366/108504","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115907250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Acuña, C. Araque, J. Cháves, Julián Jiménez, F. Polo, Rafael Parra Medina
{"title":"Concordancia diagnóstica entre la broncoscopia y la histopatología en pacientes con neoplasias pulmonares","authors":"R. Acuña, C. Araque, J. Cháves, Julián Jiménez, F. Polo, Rafael Parra Medina","doi":"10.35366/NT192C","DOIUrl":"https://doi.org/10.35366/NT192C","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131501655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Guerrero-Ixtláhuac, Melissa Pamela Solano-Velásquez, Estefanía Murrieta-Peralta, Gustavo Adolfo Villegas-Villa
. Thoracic duct injury is a rare complication of any intrathoracic surgical intervention but potentially severe if proper treatment is not instituted. Early surgical intervention is required in cases with large refractory chyle output but may be associated with substantial morbidity and mortality. Next, we present the case of a 66-year-old male patient with a history of having undergone radical hybrid esophagectomy for neoplasia in the lower third of the oesophagus, who in the mediate postoperative period presented bilateral pleural effusion, compatible with chylothorax. Treatment was initially conservative; given the unfavourable evolution, it was subsequently treated with percutaneous embolization of the thoracic duct, yielding an adequate resolution. This case demonstrates the efficacy of percutaneous thoracic duct embolization as a treatment alternative, as it is a minimally invasive, safe and effective method.
{"title":"Embolización percutánea del conducto torácico en quilotórax iatrogénico. Reporte de caso","authors":"J. Guerrero-Ixtláhuac, Melissa Pamela Solano-Velásquez, Estefanía Murrieta-Peralta, Gustavo Adolfo Villegas-Villa","doi":"10.35366/108500","DOIUrl":"https://doi.org/10.35366/108500","url":null,"abstract":". Thoracic duct injury is a rare complication of any intrathoracic surgical intervention but potentially severe if proper treatment is not instituted. Early surgical intervention is required in cases with large refractory chyle output but may be associated with substantial morbidity and mortality. Next, we present the case of a 66-year-old male patient with a history of having undergone radical hybrid esophagectomy for neoplasia in the lower third of the oesophagus, who in the mediate postoperative period presented bilateral pleural effusion, compatible with chylothorax. Treatment was initially conservative; given the unfavourable evolution, it was subsequently treated with percutaneous embolization of the thoracic duct, yielding an adequate resolution. This case demonstrates the efficacy of percutaneous thoracic duct embolization as a treatment alternative, as it is a minimally invasive, safe and effective method.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131745386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Los eicosanoides como reguladores de procesos inflamatorios e inmunológicos en la tuberculosis pulmonar","authors":"Esmeralda Juárez, Ana Luisa Escalona-Sarabia","doi":"10.35366/108497","DOIUrl":"https://doi.org/10.35366/108497","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130962598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Rosarys Martínez-Romero, Tunyth Secretário-Chilemo, Dihadenys Lemus-Molina, L. M. Mederos-Cuervo, M. Sardiñas-Aragón, Grechen García-León, Miguel Echemendía-Font, Raúl Díaz-Rodríguez
RESUMEN. Introducción: La emergencia de la tuberculosis y de cepas multidrorresistentes representa un problema para el control de la tuber‐ culosis. El objetivo fue evaluar el Xpert MTB/RIF en grupos vulnerables. Material y métodos: Se estudiaron 82 muestras pulmonares con indi‐ cación de Xpert, en el Laboratorio Nacional de Referencia del Instituto «Pedro Kourí» de mayo a octubre del 2016. Se realizó la baciloscopia y cultivo según los procedimientos del laboratorio, el Xpert de acuerdo con las normas del fabricante. Los resultados del ensayo molecular se compararon con el cultivo (detección de Mycobacterium tuberculosis) y método de las proporciones (susceptibilidad a rifampicina). Resultados: Los grupos vulnerables donde más se diagnosticaron casos de tuberculo‐ sis fueron los VIH positivos (nueve), seguido de los previamente tratados (ocho). El Xpert detectó tuberculosis en 21 casos, de los cuales ocho fueron baciloscopia negativa. Existió buena concordancia entre Xpert y los métodos de cultivo (mayor de 92%) y excelente coincidencia con el método de las proporciones. Conclusiones: El Xpert tuvo un efecto positivo en el manejo oportuno de casos. La excelente correlación entre Xpert MTB/RIF y el método de las proporciones demuestra la utilidad del sistema para la evaluación rápida de la resistencia a rifampicina como indicador de tuberculosis‐multidrogorresistente.
{"title":"Evaluación del Xpert MTB RIF para el diagnóstico de tuberculosis y detección de resistencia a rifampicina en grupos vulnerables","authors":"María Rosarys Martínez-Romero, Tunyth Secretário-Chilemo, Dihadenys Lemus-Molina, L. M. Mederos-Cuervo, M. Sardiñas-Aragón, Grechen García-León, Miguel Echemendía-Font, Raúl Díaz-Rodríguez","doi":"10.35366/nt193d","DOIUrl":"https://doi.org/10.35366/nt193d","url":null,"abstract":"RESUMEN. Introducción: La emergencia de la tuberculosis y de cepas multidrorresistentes representa un problema para el control de la tuber‐ culosis. El objetivo fue evaluar el Xpert MTB/RIF en grupos vulnerables. Material y métodos: Se estudiaron 82 muestras pulmonares con indi‐ cación de Xpert, en el Laboratorio Nacional de Referencia del Instituto «Pedro Kourí» de mayo a octubre del 2016. Se realizó la baciloscopia y cultivo según los procedimientos del laboratorio, el Xpert de acuerdo con las normas del fabricante. Los resultados del ensayo molecular se compararon con el cultivo (detección de Mycobacterium tuberculosis) y método de las proporciones (susceptibilidad a rifampicina). Resultados: Los grupos vulnerables donde más se diagnosticaron casos de tuberculo‐ sis fueron los VIH positivos (nueve), seguido de los previamente tratados (ocho). El Xpert detectó tuberculosis en 21 casos, de los cuales ocho fueron baciloscopia negativa. Existió buena concordancia entre Xpert y los métodos de cultivo (mayor de 92%) y excelente coincidencia con el método de las proporciones. Conclusiones: El Xpert tuvo un efecto positivo en el manejo oportuno de casos. La excelente correlación entre Xpert MTB/RIF y el método de las proporciones demuestra la utilidad del sistema para la evaluación rápida de la resistencia a rifampicina como indicador de tuberculosis‐multidrogorresistente.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133688669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pandemia de COVID-19: preparando la lucha contra la peste del siglo XXI","authors":"Patricio Santillán-Doherty","doi":"10.35366/93422","DOIUrl":"https://doi.org/10.35366/93422","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115540332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Vázquez-García, R. Hernández-Zenteno, J. R. Pérez-Padilla, María del Carmen Cano-Salas, M. Fernández-Vega, Jorge Salas-Hernández, M. A. Figueroa-Morales, R. Benítez-Pérez, Luis Adrián Rendón-Pérez, Jesús Vázquez-Cortés, M. Mejía-Ávila, J. L. Mayorga-Butrón, Moisés Acuña-Kaldman, Rocío Barriga-Acevedo, Alma Rosa Bizarrón-Muro, R. Camargo-Ángeles, Catalina Casillas-Suárez, Celia Oralia Castañeda-Hernández, Rafael Patricio Castañón-Rodríguez, Juan Francisco Castillo-Sánchez, Arturo Cortés-Telles, Jesús Javier Díaz-Castañón, A. Ríos, María Guadalupe Espitia-Hernández, Martha Angélica García-Avilés, R. García-Torrentera, Julio Javier Gonzalez Aguirre, F. Guillén-Ortega, José Carlos os Herrera-García, Marco Antonio Loustaunau-Andrade, Gerardo Ezequiel Magdaleno Maldonado, Luz Audina Mendoza Topete, José Padua-García, Andrés Palomar-Lever, Rafael Páramo-Arroyo, Saraí del Carmen Toral-Freyre, José Felipe Villegas-Elizondo, Edgar Gerardo Zozoaga-Velázquez
{"title":"Guía de Práctica Clínica Mexicana para el diagnóstico y tratamiento de la Enfermedad Pulmonar Obstructiva Crónica GUÍA MEXICANA DE EPOC, 2020","authors":"J. Vázquez-García, R. Hernández-Zenteno, J. R. Pérez-Padilla, María del Carmen Cano-Salas, M. Fernández-Vega, Jorge Salas-Hernández, M. A. Figueroa-Morales, R. Benítez-Pérez, Luis Adrián Rendón-Pérez, Jesús Vázquez-Cortés, M. Mejía-Ávila, J. L. Mayorga-Butrón, Moisés Acuña-Kaldman, Rocío Barriga-Acevedo, Alma Rosa Bizarrón-Muro, R. Camargo-Ángeles, Catalina Casillas-Suárez, Celia Oralia Castañeda-Hernández, Rafael Patricio Castañón-Rodríguez, Juan Francisco Castillo-Sánchez, Arturo Cortés-Telles, Jesús Javier Díaz-Castañón, A. Ríos, María Guadalupe Espitia-Hernández, Martha Angélica García-Avilés, R. García-Torrentera, Julio Javier Gonzalez Aguirre, F. Guillén-Ortega, José Carlos os Herrera-García, Marco Antonio Loustaunau-Andrade, Gerardo Ezequiel Magdaleno Maldonado, Luz Audina Mendoza Topete, José Padua-García, Andrés Palomar-Lever, Rafael Páramo-Arroyo, Saraí del Carmen Toral-Freyre, José Felipe Villegas-Elizondo, Edgar Gerardo Zozoaga-Velázquez","doi":"10.35366/nts191a","DOIUrl":"https://doi.org/10.35366/nts191a","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115833373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Iván Waldo-Hernández, José Pablo Rueda-Villalpando, Marco Antonio Cruz-López, Juan Carlos Vázquez-Minero
{"title":"Mediastinitis necrosante descendente. Experiencia de un centro de referencia durante 16 años","authors":"Luis Iván Waldo-Hernández, José Pablo Rueda-Villalpando, Marco Antonio Cruz-López, Juan Carlos Vázquez-Minero","doi":"10.35366/111087","DOIUrl":"https://doi.org/10.35366/111087","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115834000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Jesús García-Vega, Juan Pablo Gutiérrez-Rentería, Raymundo García-González, César Francisco García-Carrazco, Daniel Enrique Aguilar-Soto
. Mediastinal germ cell tumors are a heterogeneous group of benign and malignant neoplasms with histology identical to some neoplasms of the testicle and ovary. Only a small percentage of primary germ cell tumors arise in the mediastinum, but this site accounts for the majority of all extragonadal germ cell tumors. Males are far more likely to have these types of tumors than are females. Careful physical examination and ultrasound of the testes are routine measures to exclude a gonadal germ cell tumor. Mediastinal germ cell tumors are frequently asymptomatic and may be identified incidentally as mediastinal masses on chest radiographs. When symptoms are present, they are usually the result of compression of the tracheobronchial tree. We report the case of a 12-years-old boy with a primary germ cell tumor in the mediastinum, one of the largest tumors reported in the medical literature, which represented a challenge for the team of surgeons.
{"title":"Tumor mediastinal gigante de células germinales. Un reto en el manejo quirúrgico","authors":"Luis Jesús García-Vega, Juan Pablo Gutiérrez-Rentería, Raymundo García-González, César Francisco García-Carrazco, Daniel Enrique Aguilar-Soto","doi":"10.35366/103456","DOIUrl":"https://doi.org/10.35366/103456","url":null,"abstract":". Mediastinal germ cell tumors are a heterogeneous group of benign and malignant neoplasms with histology identical to some neoplasms of the testicle and ovary. Only a small percentage of primary germ cell tumors arise in the mediastinum, but this site accounts for the majority of all extragonadal germ cell tumors. Males are far more likely to have these types of tumors than are females. Careful physical examination and ultrasound of the testes are routine measures to exclude a gonadal germ cell tumor. Mediastinal germ cell tumors are frequently asymptomatic and may be identified incidentally as mediastinal masses on chest radiographs. When symptoms are present, they are usually the result of compression of the tracheobronchial tree. We report the case of a 12-years-old boy with a primary germ cell tumor in the mediastinum, one of the largest tumors reported in the medical literature, which represented a challenge for the team of surgeons.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129820382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Alatorre-Alexander, Patricio Santillán-Doherty, L. Martínez-Barrera, J. Rodríguez-Cid, Carla Paola Sánchez-Ríos
. Introduction: Lung cancer is the leading cause of cancer death worldwide, showing an increase in women and non-smokers in the last decade. Progress in the diagnostic-therapeutic approach has been achieved thanks to the knowledge of tumor heterogeneity and molecular analysis. Material and methods: The base of patients with lung cancer was analyzed from January 2013 to June 2018, with registration of sociodemographic, clinical and molecular profile variables. Results expressed through measures of central tendency and crude odd ratio was estimated for EGFR mutation and exposure antecedent and its statistical significance by Fisher’s exact test. Results: A cohort analyzed from January 2013 to June 2018 with 751 patients. The average age was 62.2 years, 53% (n = 398) were female, 51.8% (n = 389) were never smokers. The most common symptoms were cough in 87.1% and dyspnea in 74.4%. The bronchoscopic procedure was the preferred diagnostic method. Clinical stage IV was the most frequently reported. EGFR was positive in 38.19% of NSCLC. Conclusion: The clinical-epidemiological situation of the INER resembles global statistics in both diagnosis and personalized treatments.
{"title":"Descripción clínico-epidemiológica y molecular del cáncer de pulmón en un centro de referencia nacional","authors":"J. Alatorre-Alexander, Patricio Santillán-Doherty, L. Martínez-Barrera, J. Rodríguez-Cid, Carla Paola Sánchez-Ríos","doi":"10.35366/nt194d","DOIUrl":"https://doi.org/10.35366/nt194d","url":null,"abstract":". Introduction: Lung cancer is the leading cause of cancer death worldwide, showing an increase in women and non-smokers in the last decade. Progress in the diagnostic-therapeutic approach has been achieved thanks to the knowledge of tumor heterogeneity and molecular analysis. Material and methods: The base of patients with lung cancer was analyzed from January 2013 to June 2018, with registration of sociodemographic, clinical and molecular profile variables. Results expressed through measures of central tendency and crude odd ratio was estimated for EGFR mutation and exposure antecedent and its statistical significance by Fisher’s exact test. Results: A cohort analyzed from January 2013 to June 2018 with 751 patients. The average age was 62.2 years, 53% (n = 398) were female, 51.8% (n = 389) were never smokers. The most common symptoms were cough in 87.1% and dyspnea in 74.4%. The bronchoscopic procedure was the preferred diagnostic method. Clinical stage IV was the most frequently reported. EGFR was positive in 38.19% of NSCLC. Conclusion: The clinical-epidemiological situation of the INER resembles global statistics in both diagnosis and personalized treatments.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130833261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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