{"id":112852,"date":"2018-03-11T10:40:04","date_gmt":"2018-03-11T10:40:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-del-prolactinoma-a-largo-plazo-con-tratamiento-medico\/"},"modified":"2018-03-11T10:40:04","modified_gmt":"2018-03-11T10:40:04","slug":"evolucion-del-prolactinoma-a-largo-plazo-con-tratamiento-medico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evolucion-del-prolactinoma-a-largo-plazo-con-tratamiento-medico\/","title":{"rendered":"Evolucion del prolactinoma a largo plazo con tratamiento medico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Martin De Santa Olalla Llanes <\/strong><\/h2>\n<p>Evoluci\u00f3n del prolactinoma a largo plazo con tratamiento m\u00e9dico.  introducci\u00f3n: el prolactinoma es el tumor hipofisario funcionante m\u00e1s frecuente y a menudo causa hipogonadismo e infertilidad. Existen escasos estudios a largo plazo sobre la duraci\u00f3n  \u00f3ptima del tratamiento del prolactinoma con agonistas dopamin\u00e9rgicos para garantizar su curaci\u00f3n sin recidiva tras suspender la medicaci\u00f3n y no ofrecen un claro consenso al respecto ni sobre criterios de retirada del tratamiento. Objetivos: establec er criterios de curaci\u00f3n del prolactinoma con tratamiento m\u00e9dico y analizar los posibles factores implicados. material y m\u00e9todos: estudio retrospectivo de un total de 82 pacientes diagnosticados y tratados de prolactinoma en el servicio de endocrinol og\u00eda del hgu gregorio mara\u00f1\u00f3n, desde 1975 a 2010. Se incluyeron mujeres, 57 microprolactinomas y 6 macroprolactinomas, tratadas exclusivamente con agonistas dopamin\u00e9rgicos al menos 2 a\u00f1os.  Se dividi\u00f3 la muestra en 4 grupos para su estudio: microprol actinomas curados (24); microprolactinomas no curados (30); microprolactinomas en observaci\u00f3n con suspensi\u00f3n provisional del tratamiento (3) y macroprolactinomas (6).  resultados: de las variables analizadas (edad al diagn\u00f3stico, nivel de prolactina al diagn\u00f3stico, f\u00e1rmaco, dosis y tiempo de tratamiento, evoluci\u00f3n de la rm, embarazo, hipotiroidismo primario autoinmune, menopausia, tiempo total de evoluci\u00f3n, tiempo hasta normalizar la rm, tiempo desde la normalizaci\u00f3n de la rm hasta la curaci\u00f3n);  ninguna salvo la edad de diagn\u00f3stico result\u00f3 significativa en cuanto a factor pron\u00f3stico: las pacientes m\u00e1s j\u00f3venes curaron en mayor proporci\u00f3n y en menos tiempo. La evoluci\u00f3n hacia silla turca vac\u00eda parcial o rm normal fue similar en cuanto al tiem po para alcanzar la curaci\u00f3n. No encontramos clara superioridad de un agonista dopamin\u00e9rgico frente a otro en cuanto a la evoluci\u00f3n del adenoma. Tampoco el embarazo ni la menopausia aceleraron el proceso de curaci\u00f3n.   conclusi\u00f3n: el prolactinoma pue de curarse con agonistas dopamin\u00e9rgicos y el tratamiento no ha de ser de por vida aunque se requieran varios a\u00f1os, en nuestra experiencia 11,7 \u00c2\u00b1 5,1 a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evolucion del prolactinoma a largo plazo con tratamiento medico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evolucion del prolactinoma a largo plazo con tratamiento medico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Martin De Santa Olalla Llanes <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/06\/2012<\/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>Antonino Jara Albarran<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: arturo Fern\u00e1ndez-cruz p\u00e9rez <\/li>\n<li>julia \u00e1lvarez hern\u00e1ndez (vocal)<\/li>\n<li>Luis felipe Pallardo sanchez (vocal)<\/li>\n<li>Jos\u00e9 alfonso Arranz mart\u00edn (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Martin De Santa Olalla Llanes Evoluci\u00f3n del prolactinoma a largo plazo con tratamiento m\u00e9dico. introducci\u00f3n: el [&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 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