{"id":117161,"date":"2018-03-11T10:46:32","date_gmt":"2018-03-11T10:46:32","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/biopsia-de-vesa%c2%adculas-seminales-como-ayuda-a-la-estadificacion-del-cancer-de-prostata\/"},"modified":"2018-03-11T10:46:32","modified_gmt":"2018-03-11T10:46:32","slug":"biopsia-de-vesa%c2%adculas-seminales-como-ayuda-a-la-estadificacion-del-cancer-de-prostata","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/biopsia-de-vesa%c2%adculas-seminales-como-ayuda-a-la-estadificacion-del-cancer-de-prostata\/","title":{"rendered":"Biopsia de ves\u00edculas seminales como ayuda a la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ra\u00fal Montoya Chinchilla <\/strong><\/h2>\n<p>Objetivos. 1. Analizar la presencia de invasi\u00f3n seminal por c\u00e1ncer de pr\u00f3stata de cada criterio de indicaci\u00f3n utilizado, as\u00ed como de las asociaciones entre ellos. 2. Analizar la presencia de invasi\u00f3n seminal por c\u00e1ncer de pr\u00f3stata de las variables utilizadas, as\u00ed como la sensibilidad, especificidad, valores predictivos y riesgo relativo de las mismas. 3. Comparar, de forma descriptiva, las caracter\u00edsticas cl\u00ednico-patol\u00f3gicas de los pacientes con invasi\u00f3n de ves\u00edculas seminales diagnosticados mediante prostatectom\u00eda radical, respecto a los diagnosticados mediante biopsias de ves\u00edculas seminales. 4. Crear un nomograma predictor de la invasi\u00f3n de ves\u00edculas seminales por c\u00e1ncer de pr\u00f3stata. 5. Modificar, en base a los resultados obtenidos, el protocolo actual de biopsias de ves\u00edculas seminales. 6. Describir los costes que supone la realizaci\u00f3n de toma de muestras de ves\u00edculas seminales respecto a la realizaci\u00f3n de una resonancia magn\u00e9tica p\u00e9lvica.  material y m\u00e9todos. estudio retrospectivo y observacional, desde mayo de 2006 hasta diciembre de 2012.  criterios de inclusi\u00f3n: pacientes a los que se les va a realizar un primer set de biopsias de pr\u00f3stata candidatos a tratamiento curativo radical, menores de 75 a\u00f1os, con psa menor o igual a 50 ng\/ml y alguno de los siguientes criterios:  psa total mayor o igual de 15 ng\/ml,  alteraciones (al tacto rectal o en la ecograf\u00eda transrectal) sugestivas de infiltraci\u00f3n neopl\u00e1sica por cp hacia las ves\u00edculas seminales, n\u00f3dulo (al tacto rectal o en la ecograf\u00eda transrectal) sugestivo de cp en localizaci\u00f3n basal prost\u00e1tica. la muestra del estudio fue de 140 pacientes.  conclusiones. 1. La mayor invasi\u00f3n de ves\u00edculas seminales est\u00e1 asociada a la presencia de m\u00e1s de uno de los criterios de indicaci\u00f3n empleados. 2. El criterio que ha presentado mayor valor predictivo positivo ha sido la presencia cl\u00ednica o ecogr\u00e1fica de un n\u00f3dulo tumoral en bases prost\u00e1ticas. 3. Las variables que han mostrado diferencias estad\u00edsticamente significativas entre pacientes con y sin invasi\u00f3n de ves\u00edculas seminales han sido los niveles de psa total, la sospecha de n\u00f3dulo tumoral en bases prost\u00e1ticas y el porcentaje de tejido infiltrado por c\u00e1ncer de pr\u00f3stata. 4. Los pacientes con invasi\u00f3n de ves\u00edculas seminales diagnosticados mediante biopsia, han presentado asociado un tipo de c\u00e1ncer de pr\u00f3stata mucho m\u00e1s avanzado que los diagnosticados tras una prostatectom\u00eda radical. 5. Los resultados obtenidos han permitido desarrollar un nomograma predictor de invasi\u00f3n de ves\u00edculas seminales, pendiente de validaci\u00f3n externa, y modificar el protocolo de biopsias de ves\u00edculas seminales que, esperamos, mejore la capacidad diagn\u00f3stica. 6. El coste de la realizaci\u00f3n de la biopsia de ves\u00edculas seminales, en la regi\u00f3n de murcia, es claramente inferior al de una resonancia magn\u00e9tica prost\u00e1tica.   abstract  objectives.  1. Analyze the presence of seminal invasion by prostate c\u00e1ncer of each indication criterion indicator used, as well as associations between them. 2. Analyze the presence of seminal invasion by prostate cancer of variables used and its sensitivity, specificity, predictive values and relative risk. 3. Compare, descriptively, clinicopathologic characteristics of patients with seminal vesicle invasion diagnosed by radical prostatectomy, regarding diagnosed by seminal vesicles biopsies. 4. Create a predictive nomogram of seminal vesicle invasion by cancer prostate. 5. Modify, based on the results, the current protocol used of seminal vesicles biopsies. 6. . Describe the costs involved performing seminal vesicles biopsies respect to the performance of a pelvic mri.  material and methods.  retrospective and observational study from may 2006 to december 2012.  seminal vesicle biopsy was performed in a first set of prostate biopsy, in patients eligible for curative treatment (age &lt;75 years and psa? 50 ng\/ml) and any of the following criteria:  1. Psa ?15 ng\/ml 2. Suspicion of neoplastic seminal vesicles invasion in the trus 3. Suspicion node in the prostate base in the dre or in the trus the study sample was 140 patients.  conclusions.   1. Most seminal vesicle invasion is associated with the presence of more than one indication criteria employed. 2. The criterion that presented higher positive predictive value was the presence clinical or ultrasound of a tumor nodule in prostate bases. 3. The variables showed statistically significant differences between patients with and without invasion of seminal vesicles were: total psa, the suspicion of prostate tumor nodule, the percentage of bases and infiltrated tissue from prostate cancer. 4. Patients with seminal vesicle invasion diagnosed by biopsy, associated prostate cancer far more advanced than those diagnosed after radical prostatectomy. 5. The results have allowed us to develop a predictive nomogram seminal vesicle invasion, pending external validation, and change the protocol biopsies seminal vesicles that will hopefully improve the diagnostic ability. 6. The cost of performing a biopsy of seminal vesicles in the region of murcia, is clearly less than a pelvic mri.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Biopsia de ves\u00edculas seminales como ayuda a la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Biopsia de ves\u00edculas seminales como ayuda a la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ra\u00fal Montoya Chinchilla <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/02\/2015<\/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>Antonio Rosino S\u00e1nchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Romero maroto <\/li>\n<li>enrique Cao avellaneda (vocal)<\/li>\n<li>pedro Lopez cubillana (vocal)<\/li>\n<li>bernardino Mi\u00f1ana l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ra\u00fal Montoya Chinchilla Objetivos. 1. Analizar la presencia de invasi\u00f3n seminal por c\u00e1ncer de pr\u00f3stata de cada [&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":[8235,1027,384,971],"tags":[166752,93037,137482,24170,25057,230994],"class_list":["post-117161","post","type-post","status-publish","format-standard","hentry","category-murcia","category-oncologia","category-patologia-clinica","category-urologia","tag-antonio-rosino-sanchez","tag-bernardino-minana-lopez","tag-enrique-cao-avellaneda","tag-jesus-romero-maroto","tag-pedro-lopez-cubillana","tag-raul-montoya-chinchilla"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117161","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=117161"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117161\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}