{"id":131382,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-de-factores-pronosticos-y-actitud-quirurgica-en-el-cancer-diferenciado-de-tiroides\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"valoracion-de-factores-pronosticos-y-actitud-quirurgica-en-el-cancer-diferenciado-de-tiroides","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-de-factores-pronosticos-y-actitud-quirurgica-en-el-cancer-diferenciado-de-tiroides\/","title":{"rendered":"Valoracion de factores pronosticos y actitud quirurgica en el cancer diferenciado de tiroides."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ramos Garcia Serrano Francisco Jose <\/strong><\/h2>\n<p>Se han estudiado 321 pacientes comprendidos desde 1963 a 1992, correspondientes a carcinomas papilares y foliculares tiroideos.El cancer de tiroides es la neoformacion endocrina mas frecuente, representando el 1% del total de carcinomas. Dentro de su clasificacion se pueden establecer 2 grandes grupos, el de los carcinomas diferenciados (papilar y folicular) y por otro lado los demas tipos histologicos.  en este trabajo el carcinoma papilar representa el 66.36% del total de carcinomas tiroideos, y el folicular el 20.25% de los mismos. En cuanto a la edad de presentacion la mas frecuente fue de los 40-50 a\u00f1os en el papilar y 50-60 a\u00f1os en el folicular. Afecta fundamentalmente a mujeres (80.28% y 80.01% respectivamente), y la forma mas frecuente de presentacion fue como bocio modular, seguida por el multinodular.  se han encontrado tumores fundamentalmente unifocales (81.22% en carcinomas papilares y 89.24% en foliculares).  en cuanto al tama\u00f1o, la mayoria de los tumores son clinicos correspondiendo al total de carcinomas una cifra del 64.39%. La extension era intratiroidea en un 53.24% en la suma de ambos tipos tumorales.  se practico tiroidectomia casi totalen el 69% de los carcinomas papilares y el 43% de los foliculares, combinandose con diferentes tipos de linfoadenectomias.  las complicaciones quirurgicas fueron fundamentalmente transitorias con un 4% de paralisis recurrencial, y un 2% de hipoparatiroidismo definitivo.  la supervivencia global a los 10 a\u00f1os fue de un 88.5% para el carcinoma papilar y un 80% para el folicular.  los factores pronosticos mas importantes fueron para el carcinoma papilar la presencia de metastasis previas, metastasis a distancia, extension extratiroidea, tama\u00f1o y dureza del nodulo, edad avanzada y sexo masculino. Para el c. Folicular coinciden las metastasis previas y a distancia, y la extension extratiroidea, junto a presencia de adenopatias y la edad avanzada.  en el carcinoma papil<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion de factores pronosticos y actitud quirurgica en el cancer diferenciado de tiroides.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion de factores pronosticos y actitud quirurgica en el cancer diferenciado de tiroides. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ramos Garcia Serrano Francisco Jose <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/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  Manuel San Roman Teran<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juli\u00e1n Sanz Esponera <\/li>\n<li>Pedro Nata Lopez (vocal)<\/li>\n<li>Guadalupe Renedo Pascual (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ramos Garcia Serrano Francisco Jose Se han estudiado 321 pacientes comprendidos desde 1963 a 1992, correspondientes a [&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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