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Radiología Adenocarcinoma de pulmón: Presentaciones radiológicas características
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Vol. 66. Núm. 6.
Páginas 499-596 (Noviembre - Diciembre 2024)
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Vol. 66. Núm. 6.
Páginas 499-596 (Noviembre - Diciembre 2024)
ACTUALIZACIÓN

Adenocarcinoma de pulmón: Presentaciones radiológicas características

Lung adenocarcinoma: characteristic radiological presentations
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A. Robles Gómeza,b, J. Oliva Lozanoc,d, P. Rodríguez Fernándeza,b,
Autor para correspondencia
hola@paularodriguez.info

Autor para correspondencia.
, E. Ruiz Gonzálezc,d, A. Tilve Gómeza,b, J. Arenas-Jiménezc,d,e
a Servicio de Radiodiagnóstico, Hospital Álvaro Cunqueiro, Vigo, España
b Instituto de Investigación Sanitaria Galicia Sur (IISGS), Vigo, España
c Servicio de Radiodiagnóstico, Hospital General Universitario Dr. Balmis, Alicante, España
d Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, España
e Departamento de Patología y Cirugía, Universidad Miguel Hernández, Alicante, España
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Resumen

La radiología, principalmente la tomografía computarizada, tiene un papel fundamental en el diagnóstico, estadificación y seguimiento del adenocarcinoma de pulmón, tipo más frecuente de cáncer de pulmón. Dentro de su amplio espectro de presentación, las características patológicas, clínicas y morfológicas de esta neoplasia permiten, en un contexto clínico adecuado, sugerir determinados subtipos histológicos entre los que se encuentran el adenocarcinoma mucinoso, el adenocarcinoma de crecimiento lepídico o el asociado a lesiones quísticas pulmonares. El objetivo de esta revisión es describir los hallazgos patológicos, clínicos y radiológicos de esas formas características de carcinoma de pulmón que pueden ser diagnosticadas radiológicamente de forma bastante precisa.

Palabras clave:
Cancer de pulmón
Adenocarcinoma mucinoso
Crecimiento lepídico
Lesiones quísticas pulmonares
Tomografía computerizada
Abstract

Radiology, mainly computed tomography, has a fundamental role in diagnosis, staging and follow-up of lung adenocarcinoma, the most common type of pulmonary cancer. Within its broad spectrum of presentation, the pathological, clinical and morphological characteristics of this neoplasm allow, in an appropriate clinical context, to suggest certain histological subtypes among which are mucinous adenocarcinoma, lepidic growth adenocarcinoma or associated with cystic lung lesions. The objective of this review is to describe the pathologic, clinical and radiological features of those characteristic forms of lung carcinoma that can be diagnosed radiologically with fair accuracy.

Keywords:
Lung Cancer
Mucinous adenocarcinoma
Lepidic growth
Pulmonary cysts
Computed tomography
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