Los casos de Dr. Pepe – Caso de tórax 5 (Resuelto)

ESP_torax_case_final_5

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.

PA tórax

lateral tórax

TAC axial

TAC sagital

Haz click aquí para ver la respuesta

08
Dec 2014
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DISCUSSION 63 Comments

63 Responses to : Los casos de Dr. Pepe – Caso de tórax 5 (Resuelto)

  1. Paula van kerckhoven says:

    Tumor de la pared

  2. Héctor says:

    Tumor de pared.DD; Sarcoma,rabdomiosarcoma

  3. Alberto Montemayor says:

    Estimado profesor.

    Pudiera tratarse de un abceso de pared frio por Tuberculosis.
    Ademas se acompaña de liquido pleural.

  4. Lola la piconera says:

    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?

    • Dr Pepe says:

      Imagino que podría ocurrir; pero no sería mi primer diagnóstico.
      Los testículos estaban bien clínicamente y el TAC abdominal sin alteraciones.

  5. Lola la Piconera says:

    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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