{"id":131398,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/correlacion-clinico-inmunohistoquimica-de-los-adenomas-hipofisarios\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"correlacion-clinico-inmunohistoquimica-de-los-adenomas-hipofisarios","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/correlacion-clinico-inmunohistoquimica-de-los-adenomas-hipofisarios\/","title":{"rendered":"Correlacion clinico-inmunohistoquimica de los adenomas hipofisarios."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ruiz Barnes Pedro Antonio <\/strong><\/h2>\n<p>Se analizan 91 casos de adenomas hipofisarios, operados en la fjd de 1981 a 1991, todos ellos con valoracion histologica, siendo 18 prolactinomas, 28 adenomas somatotropos, 10 adenomas corticotropos, 10 adenomas mixtos o plurihormonales y 22 adenomas no secretores, ocurridos en 40 hombres y 51 mujeres, con edad media de 43 a\u00f1os.Los sintomas clinicos orientan al diagnostico de la enfermedad en el 80% de los casos y los datos radiologicos tienen un indice de fiabilidad del 58% con tac y del 82% con rm. El abordaje tsf, fue altamente eficaz en el 91% de los casos, bien curando o bien reduciendo el tama\u00f1o tumoral sensiblemente y con un indice de morbi-mortalidad definitiva del 0%. Las curaciones con criterios rigidos y con solo cirugia, son del 48.8% y con tratamiento complementario del 79%; pero referido solo a los microadenomas es del 96%.  inmunohistoquimicamente, la correlacion es total, correspondiendo los hallazgos de la tincion con la hormona periferica, aunque no en proporcion relativa al tama\u00f1o, salvo en los prolactinomas.  en los casos concretos de micro-prolactinomas la curacion con solo cirugia fue del 37%, mientras en los micro-adenomas-somatotropos y los micro-adenomas-corticotropos fue del 96.6% los casos de macro-adenomas tuvieron peor pronostico, desde el 10% de los prl al 52% de los gh.  se analizan datos clinicos, analiticos, radiologicos, y seguimiento entre 2 y 10 a\u00f1os con sus complicaciones, imagen evolutiva y resultados; unidos y correlacionados con datos histologicos y de inmunotincion, y comparandolos y discutiendolos con la literatura, encontrandose que el caracter invasivo radiologico, se acompa\u00f1a de mayor nivel de hormona periferica, pero no influye en su evolucion. En los prolactinomas la relacion tama\u00f1o-secrecion es significativa, tanto antes como despues de la operacion, pero no es significativa en los otros tipos tumorales.  se deduce finalmente que el tratamiento ideal e inicial de los aden<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Correlacion clinico-inmunohistoquimica de los adenomas hipofisarios.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Correlacion clinico-inmunohistoquimica de los adenomas hipofisarios. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ruiz Barnes Pedro Antonio <\/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> Boixados Servat Jos\u00e9 Ramon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Munuera Martinez <\/li>\n<li>Ramiro Diaz Lobato (vocal)<\/li>\n<li>Maximo Poza Poza (vocal)<\/li>\n<li>Jos\u00e9 Luis Herrera Pombo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ruiz Barnes Pedro Antonio Se analizan 91 casos de adenomas hipofisarios, operados en la fjd de 1981 [&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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