{"id":136628,"date":"2026-01-12T16:59:05","date_gmt":"2026-01-12T16:59:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mieloma-multiple-analisis-de-la-respuesta-al-tratamiento-en-112-pacientes\/"},"modified":"2026-01-12T16:59:05","modified_gmt":"2026-01-12T16:59:05","slug":"mieloma-multiple-analisis-de-la-respuesta-al-tratamiento-en-112-pacientes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/mieloma-multiple-analisis-de-la-respuesta-al-tratamiento-en-112-pacientes\/","title":{"rendered":"Mieloma multiple: analisis de la respuesta al tratamiento en 112 pacientes."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Araceli Canovas Fernandez <\/strong><\/h2>\n<p>En 112 pacientes con mieloma multiple atendidos en el s.  de medicina interna del h. De cruces (vizcaya) (1981-1990), tratados inicialmente con mp (17) o vmcp\/vcap (92) y con esta combinacion o m-2, como pautas de segunda linea (52 pacientes), con criterios de respuesta de c.L. Mtf, se analiza el significado pronostico de la respuesta precoz respecto a supervivencia (sv), desenlace de la insuficiencia renal aguda inicial (i.R.A.), Riesgo de infecciones y resultado final de quimioterapia (qip), junto con otras variables relacionadas.  conclusiones: el tipo de respuesta al tercer mes en qtp inicial no es utilizable como factor pronostico de sv, por recidiva temprana en un subgrupo de pacientes con respuesta objetiva precoz, siendo por el contrario la variable mas significativa en qtp de segunda linea. La ausencia de respuesta, al menos parcial, al tercer mes anticipa el fracaso final en qtp de primera linea (junto con plasmocitosis medular elevada y anemia iniciales, y ausencia de respuesta al 6 mes) y de segunda linea. La no obtencion de alguna respuesta al 6 mes en qtp de primera linea hace muy improbable la recuperacion de funcion renal. Estas observaciones subrayan la inconveniencia de mantener de forma prolongada una pauta de qtp o una actitud intervencionista en la i.R.A. En presencia de tales condiciones. La ausencia de respuesta precoz no se asocio a mayor riesgo posterior de infecciones, salvo bacteriemias.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mieloma multiple: analisis de la respuesta al tratamiento en 112 pacientes.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mieloma multiple: analisis de la respuesta al tratamiento en 112 pacientes. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Araceli Canovas Fernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1991<\/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>Ciriaco Aguirre Errasti<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Felipe Miguel De La Villa <\/li>\n<li>Eduardo Rocha Hernando (vocal)<\/li>\n<li> Bilbao Ercoreca F. Jos\u00e9 (vocal)<\/li>\n<li>Ignacio Alberola Gomez-escolar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Araceli Canovas Fernandez En 112 pacientes con mieloma multiple atendidos en el s. de medicina interna del [&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":[155,9,347,12909],"tags":[251067,251068,28111,8788,1734,18055],"class_list":["post-136628","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-oncologia-clinica","category-pais-vasco-euskal-herriko-unibertsitatea","tag-araceli-canovas-fernandez","tag-bilbao-ercoreca-f-jose","tag-ciriaco-aguirre-errasti","tag-eduardo-rocha-hernando","tag-felipe-miguel-de-la-villa","tag-ignacio-alberola-gomez-escolar"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136628","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=136628"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136628\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=136628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=136628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=136628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}