Hola amigos, os presento un nuevo caso de tórax. Las imágenes son de un pakistaní de 29 años con dolor torácico desde hace dos meses. ¿Cuál sería vuestro diagnóstico?
1. Tumor de pared
2. Absceso tuberculoso
3. Tumor fibroso de pleura
4. Nada de lo expuesto
Podéis dejar vuestra opinión hasta el viernes, día en que se dará la solución.
Haz click aquí para ver la respuesta
Hallazgos: Las radiografías de tórax muestran una discreta elevación del hemidiafragma derecho, que presenta un bulto en su porción anterior (Fig 1B, flecha roja). Hay líquido libre pleural (Fig 1B, flecha). El TAC axial y sagital muestra una masa sólida en la pared anterior torácica (Fig 2, flechas). La masa es claramente parietal, lo que excluye el tumor fibroso pleural, que raramente invade la pared. Su densidad es de tejidos blandos, lo que también excluye el absceso tuberculoso, que es de densidad líquida. El PET-TAC muestra una marcada captación de la masa (Fig 3).
Fig 1
Fig 2
Fig 3
Con estos hallazgos, el diagnóstico más probable es el de tumor de pared. En una persona joven sin afectación costal, la primera consideración es un sarcoma de tejidos blandos.
Diagnóstico: PNET (peripheral neuroectodermal tumor).
Felicidades a Paula van Kerckhoven y Héctor por su diagnóstico.
Tumor de la pared
Le quieres poner un apellido?
Tumor de pared.DD; Sarcoma,rabdomiosarcoma
Estimado profesor.
Pudiera tratarse de un abceso de pared frio por Tuberculosis.
Ademas se acompaña de liquido pleural.
A mi me suena a carcinomatosis peritoneal. En un joven yo miraria los testiculos porque el cancer de testiculo es el mas frecuente en esa edad. Le haria una ecografia testicular y un TC de abdomen. Puede ser?
Imagino que podría ocurrir; pero no sería mi primer diagnóstico.
Los testículos estaban bien clínicamente y el TAC abdominal sin alteraciones.
Gracias dr Caceres. Entonces un tumor de celulas pequenas o una infeccion de las que atraviesan la pleura y la pared como una actinomicosis. El linfoma puede dar masas de partes blandas sin mucha lesion osea como este parece tener.El camino mas corto biopsiar guiado por eco y cultivar.
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It is a feature-rich rugged tablet which is equipped with Octa-core A53 CPU. Equipped with Android 11 system, the tablet is officially certified by Google Mobile Services.
JieYang HouZai Automation Equipment Co.,Ltd. is located in dongguan, guangdong province, which is known as”worldfactory”. HouZai is not only engaged in R&D, production and sales of high precision planetary reducer, robot special reducerbut also a great solution provider in the high precision planetary transmission field.
Since our establishment in 1999, we have proudly served as a premier manufacturer specializing in the production of lithium polymer (LiPo) and soft-packed CR batteries.
Established in 1995, over 25 years OEM & ODM service. Guangdong Sanchuang Sanitaryware Ceramic Co., Ltd. is a professional manufacturer and exporter concerned with the design, development, and production of bathwares. Our primary production line is including toilets,basins,urinals,led mirror and bathroom vanities.
T&L Biotechnology Ltd., focuses on the research and development of upstream GMPgrade raw materials and reagents for cell and gene therapy (CGT).
Dongguan XCH Metal Electronics Co., Ltd. was founded in 2020, specialized in sheet metal products design, manufacture and sales.
It is a cryptocurrency software that uses artificial intelligence to set up and execute cryptocurrency trades. The robot system makes it a reliable software as it reduces the risk of losing money by scanning different websites and providing you with only the best deals.
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SMARCAMP is the manufacturer and supplier of outdoor product in China since 2014. We have a group of passionate engineering experts who specializing in designing, producing rooftop tents, 270 degree awning and outdoor electronics, etc. .Relying on advanced technology and innovation, we invented a series of reliable and durable product to make camping easier and more comfortable.
The company’s products are widely used in China and exported to many countries around the world. Our main products include Polycarbonate Hollow sheet, Polycarbonate Soild Sheet, Polycarbonate Corrugated Sheet, Polycarbonate film, Polycarbonate Embossed sheet, PC Diffusion sheet, Polycarbonate VO Soild sheet, Polycarbonate Anti scratch sheet, Polycarbonate Anti static,anti-riot shields , Polycarbonate profile ec
In the ever-evolving world of furniture design, VENTIFURN stands at the forefront, seamlessly blending contemporary European aesthetics with the unparalleled production advantages of China.
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According to Forbes, the current crypto market has reached $2.07 Trillion, which is insane. Millions of traders are taking advantage of it, earning thousands out of the trillions.
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