{"id":12617,"date":"2001-04-09T00:00:00","date_gmt":"2001-04-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-con-quimiorradioterapia-del-carcinoma-de-esofago-analisis-de-los-factores-pronosticos\/"},"modified":"2001-04-09T00:00:00","modified_gmt":"2001-04-09T00:00:00","slug":"tratamiento-con-quimiorradioterapia-del-carcinoma-de-esofago-analisis-de-los-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-con-quimiorradioterapia-del-carcinoma-de-esofago-analisis-de-los-factores-pronosticos\/","title":{"rendered":"Tratamiento con quimiorradioterapia del carcinoma de esofago. an\u00e1lisis de los factores pronosticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Alonso Ordu\u00f1a <\/strong><\/h2>\n<p>El tratamiento del carcinoma de es\u00f3fago localmente avanzado continua siendo controvertido, dada la elevada mortalidad de dicha enfermedad y la elevada morbilidad de los tratamientos administrados (sobre todo la cirug\u00eda). En los \u00faltimos a\u00f1os los esquemas de tratamiento con quimioterapia y radioterapia combinadas han permitido la preservaci\u00f3n de \u00f3rgano y en casos seleccionados la curaci\u00f3n, sin que hasta el momento se haya demostrado la necesidad de un tratamiento quir\u00fargico posterior.  se presentan los datos de un esquema de tratamiento con quimiorradioterapia concomitante o secuencial en 85 pacientes diagnosticados de carcinoma de es\u00f3fago localmente avanzado, as\u00ed como el an\u00e1lisis de los factores pron\u00f3sticos para la supervivencia. El tratamiento consisti\u00f3 en la administraci\u00f3n de 2-4 ciclos de tratamiento qt con el esquema cddp+5fu de forma concomitante (62p) o secuencial (23p) con radioterapia mediastinica como tratamiento radical (60 gy) o neoadyuvante (40 gy). En 16 pacientes se practic\u00f3 cirug\u00eda tras el tratamiento de inducci\u00f3n.  los datos de respuesta cl\u00ednica al tratamiento son: respuesta completa 24,7%, respuesta parcial 44,7%, estabilizaci\u00f3n 21,2% y progresi\u00f3n de enfermedad 5,9%. Respuestas globales 69,4% (ic 95% 62-76%). La mediana de supervivencia libre de progresi\u00f3n fue de 6 meses. La mediana de supervivencia para la serie global fue de 12 meses, mostrando diferencias seg\u00fan se administrase el tratamiento de forma concomitante (13 meses) o secuencial (12 meses). los pacientes que fueron intervenidos presentaron una mediana de supervivencia de 24 meses, aunque la supervivencia a 5 a\u00f1os no difiri\u00f3 de la presentada por los pacientes que recibieron tratamiento combinado sin cirug\u00eda. Tres de los 85 pacientes no fueron valorables para respuesta, 2 por exitus secundario a toxicidad por el tratamiento (3%) y 1 a causa de muerte no relacionada con el tratamiento. La toxicidad del esquema fue manejable, siendo la m\u00e1s<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento con quimiorradioterapia del carcinoma de esofago. an\u00e1lisis de los factores pronosticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento con quimiorradioterapia del carcinoma de esofago. an\u00e1lisis de los factores pronosticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Alonso Ordu\u00f1a <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/09\/2001<\/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>Alejandro Tres Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: gabriel Guill\u00e9n mart\u00ednez <\/li>\n<li>ricardo Esco baron (vocal)<\/li>\n<li>valentin Del villar sordo (vocal)<\/li>\n<li>Antonio Anton torres (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Alonso Ordu\u00f1a El tratamiento del carcinoma de es\u00f3fago localmente avanzado continua siendo controvertido, dada la elevada [&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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