{"id":109655,"date":"2018-03-11T10:35:11","date_gmt":"2018-03-11T10:35:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tirotropina-alfa-recombinante-como-metodo-de-estimulacion-en-la-ablacion-del-carcinoma-diferenciado-de-tiroides\/"},"modified":"2018-03-11T10:35:11","modified_gmt":"2018-03-11T10:35:11","slug":"tirotropina-alfa-recombinante-como-metodo-de-estimulacion-en-la-ablacion-del-carcinoma-diferenciado-de-tiroides","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/oncologia-clinica\/tirotropina-alfa-recombinante-como-metodo-de-estimulacion-en-la-ablacion-del-carcinoma-diferenciado-de-tiroides\/","title":{"rendered":"Tirotropina alfa recombinante como m\u00e9todo de estimulaci\u00f3n en la ablaci\u00f3n del carcinoma diferenciado de tiroides"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luisa Mar\u00eda Mena Bares <\/strong><\/h2>\n<p>El carcinoma diferenciado de tiroides (cdt) constituye el 90% de todas las neoplasias tiroideas y su tratamiento inicial consta de una tiroidectom\u00eda total o casi total, seguida de una ablaci\u00f3n de restos tiroideos realizada con 131i. La captaci\u00f3n del radioyodo requiere de la estimulaci\u00f3n del tejido tiroideo normal o de los restos patol\u00f3gicos y dicha estimulaci\u00f3n se consigue elevado los niveles de tirotropina (tsh) por encima de 30 mu\/l con el m\u00e9todo cl\u00e1sico de supresi\u00f3n de levotiroxina o con la administraci\u00f3n ex\u00f3gena de tirotropina alfa recombinante (rhtsh). En una b\u00fasqueda del posible beneficio que supondr\u00eda para los pacientes el uso de rhtsh, nos hemos propuesto evaluar la eficacia del est\u00edmulo con rhtsh en la ablaci\u00f3n y seguimiento de los pacientes con cdt y comparar los resultados con los del m\u00e9todo tradicional tras supresi\u00f3n hormonal. El \u00e9xito del tratamiento se evalu\u00f3 en el seguimiento anual tras la valoraci\u00f3n conjunta de las determinaciones de tiroglobulina (tg) estimulada y el resultado del rastreo corporal total (rct) con 131i. Del an\u00e1lisis de los resultados se ha concluido, que en el tratamiento ablativo y seguimiento de los pacientes con cdt no existen diferencias significativas entre ambos grupos, permitiendo la estimulaci\u00f3n con rhtsh disminuir el tiempo medio de espera de los pacientes y el n\u00famero medio de d\u00edas de ingreso en nuestra unidad. La edad al diagn\u00f3stico superior a 45 a\u00f1os, la presencia de met\u00e1stasis a distancia y la existencia de invasi\u00f3n vascular, son los factores que influyen de forma negativa en la respuesta al tratamiento ablativo con 131i, independientemente del m\u00e9todo de estimulaci\u00f3n elegido. Adem\u00e1s, la valoraci\u00f3n de la respuesta al tratamiento ablativo en el seguimiento anual, es necesaria realizarla con los valores s\u00e9ricos de la tg estimulada y con el rct con 131i.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tirotropina alfa recombinante como m\u00e9todo de estimulaci\u00f3n en la ablaci\u00f3n del carcinoma diferenciado de tiroides<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tirotropina alfa recombinante como m\u00e9todo de estimulaci\u00f3n en la ablaci\u00f3n del carcinoma diferenciado de tiroides <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luisa Mar\u00eda Mena Bares <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/06\/2011<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Antonio Vallejo Casas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Carreras delgado <\/li>\n<li>Jos\u00e9 Mar\u00eda Latre romero (vocal)<\/li>\n<li>angel custodio Rebollo aguirre (vocal)<\/li>\n<li>pedro Benito lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luisa Mar\u00eda Mena Bares El carcinoma diferenciado de tiroides (cdt) constituye el 90% de todas las neoplasias [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[973,851,9343,347],"tags":[34696,1812,86224,219244,219243,2410],"class_list":["post-109655","post","type-post","status-publish","format-standard","hentry","category-cordoba","category-endocrinologia","category-medicina-nuclear","category-oncologia-clinica","tag-angel-custodio-rebollo-aguirre","tag-jose-luis-carreras-delgado","tag-jose-maria-latre-romero","tag-juan-antonio-vallejo-casas","tag-luisa-maria-mena-bares","tag-pedro-benito-lopez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/109655","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=109655"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/109655\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=109655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=109655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=109655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}