{"id":117957,"date":"2018-03-11T10:47:44","date_gmt":"2018-03-11T10:47:44","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultados-del-tratamiento-del-sarcoma-sinovial-en-un-centro-de-3ao-nivel\/"},"modified":"2018-03-11T10:47:44","modified_gmt":"2018-03-11T10:47:44","slug":"resultados-del-tratamiento-del-sarcoma-sinovial-en-un-centro-de-3ao-nivel","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/traumatologia\/resultados-del-tratamiento-del-sarcoma-sinovial-en-un-centro-de-3ao-nivel\/","title":{"rendered":"Resultados del tratamiento del sarcoma sinovial en un centro de 3\u00c2\u00ba nivel"},"content":{"rendered":"

Tesis doctoral de Javier Martinez Ros <\/strong><\/h2>\n

Resumen tesis doctoral javier mart\u00ednez ros resultados del tratamiento del sarcoma sinovial en un centro de 3\u00c2\u00ba nivel objetivos 1.\tAnalizar las pruebas complementarias realizadas, y su evoluci\u00f3n a lo largo del tiempo. 2.\tAnalizar los resultados en el tratamiento quir\u00fargico y de las terapias adyuvantes en el sarcoma sinovial, as\u00ed como su evoluci\u00f3n a lo largo del tiempo. 3.\tEsclarecer factores pron\u00f3sticos dependientes del propio paciente, as\u00ed como de la terap\u00e9utica aplicada. 4.\tEn base a los resultados establecer un algoritmo de tratamiento y seguimiento en los pacientes diagnosticados de sarcoma sinovial. metodolog\u00eda se realiz\u00f3 un estudio retrospectivo que inclu\u00eda a los pacientes que con el diagn\u00f3stico de sarcoma sinovial fueron tratados y seguidos desde enero del a\u00f1o 1983 hasta diciembre del a\u00f1o 2012 en el hospital cl\u00ednico universitario virgen de la arrixaca (hcuva). Se establecieron los siguientes criterios de inclusi\u00f3n: "\tdiagn\u00f3stico de sarcoma sinovial por el servicio de anatom\u00eda patol\u00f3gica y tratados en el hcuva. "\thistoria cl\u00ednica completa y disponible para su uso y an\u00e1lisis. "\tseguimiento m\u00ednimo de 12 meses. todas las historias cl\u00ednicas de los pacientes fueron revisadas recogiendo sobre ellos un total de 104 "\u00edtems", que recog\u00edan datos en cuanto a la epidemiolog\u00eda, la exploraci\u00f3n f\u00edsica, las pruebas complementarias para el diagn\u00f3stico local y de extensi\u00f3n, los tiempos diagn\u00f3sticos y terap\u00e9uticos, el diagn\u00f3stico anatomopatol\u00f3gico, las distintas t\u00e9cnicas quir\u00fargicas realizadas, las terapias adyuvantes usadas, las complicaciones, el estadiaje, su evoluci\u00f3n cl\u00ednica, las recidivas y o met\u00e1stasis, la valoraci\u00f3n funcional, as\u00ed como datos sobre supervivencia y seguimiento. Se realiz\u00f3 un estudio descriptivo, un an\u00e1lisis de factores de riesgo, as\u00ed como de la supervivencia. El an\u00e1lisis se llev\u00f3 a cabo con el programa spss v.18.0. conclusiones en base a los resultados obtenidos establecemos: "\tlos cursos de formaci\u00f3n continuada en patolog\u00eda tumoral, dirigidos a los m\u00e9dicos de atenci\u00f3n primaria son de gran importancia para optimizar los tiempos diagn\u00f3stico-terap\u00e9uticos. "\tse debe sospechar el diagn\u00f3stico de sarcoma sinovial ante tumoraciones de partes blandas localizadas periarticularmente que presenten calcificaciones, independientemente de la edad. "\ta pesar de no mostrar un patr\u00f3n caracter\u00edstico en la rm, \u00e9sta es actualmente la prueba de referencia. "\tla biopsia ecoguiada debe ser un proceso estandarizado que concluya el periodo diagn\u00f3stico, antes de plantear las distintas posibilidades terap\u00e9uticas. "\tlos principales factores pron\u00f3sticos del tratamiento del sarcoma sinovial son la obtenci\u00f3n de m\u00e1rgenes libres mediante la cirug\u00eda, as\u00ed como el tama\u00f1o tumoral. "\tel uso de la radioterapia debe personalizarse seg\u00fan los factores de riesgo y lo resultados quir\u00fargicos. "\tla indicaci\u00f3n de la administraci\u00f3n de quimioterapia en el sarcoma sinovial contin\u00faa siendo controvertida, precisando la realizaci\u00f3n de estudios multic\u00e9ntricos con fin de esclarecer los subgrupos que se pudieran beneficiar. doctoral thesis summary. javier mart\u00ednez ros results synovial sarcoma treatment in a 3rd level hospital center \titems 1.\t Analyze the complementary tests, and its evolution over time. 2.\tAnalyze the results in the surgical treatment and adjuvant therapies in synovial sarcoma treatment and its evolution over time. 3.\tClarify prognostic factors dependent on the patient and the therapy applied. 4.\tBased on the results establish a treatment algorithm and monitoring patients diagnosed with synovial sarcoma. \tmethodology a retrospective study involving patients with a diagnosis of synovial sarcoma was conducted were treated and followed from january 1983 to december 2012 in the university hospital virgen de la arrixaca (hcuva). The following inclusion criteria were established: o\tdiagnosis of synovial sarcoma by the department of pathology and treated at the hcuva. o\tcomplete and available medical records for its use and analysis. o\tmonitoring at least 12 months. all medical records of patients were reviewed picking on them a total of 104 "items" which collected data regarding the epidemiology, physical examination, complementary tests for local diagnosis and extension, diagnostic and therapeutic times, pathological diagnosis, the various surgical techniques performed, adjuvant therapies used, complications, staging, its clinical course, recurrences and \/or metastasis, functional assessment, and thus, data on survival and monitoring. A descriptive study, an analysis of risk factors and survival was performed. The analysis was conducted using spss v.18.0 program. \tconclusions based on the results we conclude: o\tthe continued training courses in tumor pathology, aimed at primary health care doctors are of great importance to optimize the diagnostic and therapeutic times. o\tsuspect diagnosis of synovial sarcoma tumors to soft tissue calcifications located nearby articular submit, regardless of age. o\tdespite not show a characteristic pattern on rm, this is currently the reference test. o\tthe ultrasound-guided biopsy should be a standardized process to conclude the diagnosis period, before considering the different therapeutic possibilities. o\tthe main prognostic factors for treatment of synovial sarcoma are the obtaining free margins through surgery, and thereby tumor size. o\tthe use of radiation therapy should be individualized according to the risk factors and surgical outcomes. o\tthe indication for chemotherapy administration in synovial sarcoma remains controversial, requiring conducting multicenter studies to clarify the subgroups that might benefit.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abResultados del tratamiento del sarcoma sinovial en un centro de 3\u00c2\u00ba nivel<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Resultados del tratamiento del sarcoma sinovial en un centro de 3\u00c2\u00ba nivel <\/li>\n
  • Autor:<\/strong>\u00a0 Javier Martinez Ros <\/li>\n
  • Universidad:<\/strong>\u00a0 Murcia<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 24\/07\/2015<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Antonio Valcarcel Diaz<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: pascual Parrilla paricio <\/li>\n
        • Francisco Baixauli Garc\u00eda (vocal)<\/li>\n
        • (vocal)<\/li>\n
        • (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Javier Martinez Ros Resumen tesis doctoral javier mart\u00ednez ros resultados del tratamiento del sarcoma sinovial en un […]<\/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":[4233,8235,254],"tags":[218513,232149,232148,34764],"class_list":["post-117957","post","type-post","status-publish","format-standard","hentry","category-cirugia-ortopedica","category-murcia","category-traumatologia","tag-antonio-valcarcel-diaz","tag-francisco-baixauli-garcia","tag-javier-Martinez-ros","tag-pascual-parrilla-paricio"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117957","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=117957"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117957\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117957"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117957"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}