{"id":139446,"date":"2026-01-12T17:45:43","date_gmt":"2026-01-12T17:45:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cancer-de-laringe-factores-pronosticos-y-supervivencia\/"},"modified":"2026-01-12T17:45:43","modified_gmt":"2026-01-12T17:45:43","slug":"cancer-de-laringe-factores-pronosticos-y-supervivencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cancer-de-laringe-factores-pronosticos-y-supervivencia\/","title":{"rendered":"Cancer de laringe. factores pronosticos y supervivencia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Esteban Merino Galvez <\/strong><\/h2>\n<p>Estudio retrospectivo sobre 390 pacientes laringuectomizados, por padecer cancer de laringe, para mejorar el enfoque inicial del paciente y ofrecerle informacion sobre el pronostico. La edad media fue de 60 a\u00f1os. La localizacion mas frecuente fue la region supraglotica (67,3%), seguida de la glotica (30,8%). La mayoria de los pacientes (80%) acudieron a consulta con estadios ii o iii. La afectacion ganglionar homolateral fue del 32% de los vaciados, existiendo un 19% de falsos negativos en la palpacion, frente a un 24,7% de falsos positivos. Se han producido un 12,3% de recidivas locales, un 9,7% de recidivas cervicales y un 3,1% de metastasis a distancia. La recidiva local se ha asociadosde forma significativa con las neoplasias supragloticas extralaringeas, estadio iv, traqueotomia urgente y etilismo; la recidiva local solo se asocio a la presencia de metastasis en el vaciado. El seguimiento ha sido de cinco a\u00f1os para todos los pacientes. La supervivencia libre de enfermedad a cinco a\u00f1os, fue del 73,5% en el grupo general, del 83,2% para las neoplasias gloticas, y del 68,2% para las supragloticas. El analisis discriminante realizado muestra asociacion estadistica de la supervivencia libre de enfermedad a cinco a\u00f1os con el estadio clinico, adenopatias metastasicas, motilidad cuerdas, etilismo y traqueotomia.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cancer de laringe. factores pronosticos y supervivencia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cancer de laringe. factores pronosticos y supervivencia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Esteban Merino Galvez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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> Jimenez Cervantes Nicolas Juan  Antonio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Sprekeesen Gasso <\/li>\n<li>Ramon Lopez Martinez (vocal)<\/li>\n<li>Domingo Perez Flores (vocal)<\/li>\n<li> De Grado Palomares Federico (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Esteban Merino Galvez Estudio retrospectivo sobre 390 pacientes laringuectomizados, por padecer cancer de laringe, para mejorar el [&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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