{"id":135605,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cancer-de-mama-tratamiento-conservador-vs-mastectomia-implicaciones-pronosticas-y-terapeuticas\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"cancer-de-mama-tratamiento-conservador-vs-mastectomia-implicaciones-pronosticas-y-terapeuticas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cancer-de-mama-tratamiento-conservador-vs-mastectomia-implicaciones-pronosticas-y-terapeuticas\/","title":{"rendered":"Cancer de mama: tratamiento conservador vs mastectomia. implicaciones pronosticas y terapeuticas."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Pe\u00f1as Cabrera M. Dolores De Las <\/strong><\/h2>\n<p>Estudiamos el impacto del tratamiento conservador frente al tratamiento radical o mutilante en pacientes con cancer de mama inicial (estadios i-ii) en relacion a la supervivencia global, la supervivencia libre de enfermedad y las recurrencias locorregionales.Se realiza un estudio casos-control, seleccionando las 50 pacientes que recibieron tratamiento conservador en el hospital universitario \u00abvirgen macarena\u00bb de sevilla entre enero de 1987 y diciembre de 1993. El periodo de seguimiento medio fue de 45.9 meses.  la incidencia del cancer de mama en nuestra area sanitaria fue del 13.13% de los enfermos remitidos al servicio de oncolog\u00eda. La proporcion de estadios iniciales esta aumentando lentamente. En nuestras pacientes en estadios iniciales el 78.5% se somete a cirugia mutilante. Los resultados del tratamiento conservador expresados en supervivencia global, supervivencia libre de enfermedad y tasa de recurrencias locorregionales son superponibles a los del tratamiento mutilante. La edad inferior a 40 a\u00f1os es un factor desfavorable en la aparicion de recurrencia locorregional tanto a 2 como a 5 a\u00f1os de seguimiento (p=0.003 y p=0.033 respectivamente). Entre los factores relacionados con la extension del tumor, destacar la influencia en la supervivencia libre de enfermedad a 2 a\u00f1os del tama\u00f1o tumoral (p=0.037); la afectacion ganglionar (p=0.031); el numero de ganglios afectados; el estadio tumoral.  conclusion: el tratamiento conservador del cancer de mama en estadios iniciales es una alternativa valida al tratamiento mutilante, debiendo ser ofertada a todas las pacientes en estos estadios, sin limitacion de edad, nivel sociocultural, etc.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cancer de mama: tratamiento conservador vs mastectomia. implicaciones pronosticas y terapeuticas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cancer de mama: tratamiento conservador vs mastectomia. implicaciones pronosticas y terapeuticas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Pe\u00f1as Cabrera M. Dolores De Las <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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> Errazquin Saez De Tejada Luis<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Zaragoza Rubira Juan  Ramon <\/li>\n<li>Pablo Roman Rodriguez (vocal)<\/li>\n<li>Alfredo Matilla Vicente (vocal)<\/li>\n<li>Federico Bonilla Blanes (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pe\u00f1as Cabrera M. Dolores De Las Estudiamos el impacto del tratamiento conservador frente al tratamiento radical o [&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":[155,9,347,1809,10715],"tags":[7890,26749,10982,10996,249850,10778],"class_list":["post-135605","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-oncologia-clinica","category-radioterapia","category-sevilla","tag-alfredo-matilla-vicente","tag-errazquin-saez-de-tejada-luis","tag-federico-bonilla-blanes","tag-pablo-roman-rodriguez","tag-penas-cabrera-m-dolores-de-las","tag-zaragoza-rubira-juan-ramon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/135605","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=135605"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/135605\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=135605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=135605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=135605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}