{"id":144858,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/necrosis-intratumoral-en-los-adenomas-de-hipofisis\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"necrosis-intratumoral-en-los-adenomas-de-hipofisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/necrosis-intratumoral-en-los-adenomas-de-hipofisis\/","title":{"rendered":"Necrosis intratumoral en los adenomas de hipofisis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Gil Bustamante <\/strong><\/h2>\n<p>La apoplejia hipofisaria, ha sido descrita como un sindrome clinico caracterizado por cefalea subita, perdida visual y oftalmoplejia causado por el aumento del tama\u00f1o del adenoma hipofisario, secundario a un infarto o hemorragia, tambien se han descrito hemorragias o necrosis que han cursado en forma asintomaticos o silente, o manifestarse de otras formas como la curacion espontanea o la disminucion del tama\u00f1o de la tumoracion, con o sin empeoramiento endocrino, habiendose empleado terminos como \u00abtumor quemado\u00bb o \u00abapoplejia hipofisaria subclinica\u00bb. El objetivo del trabajo fue determinar la incidencia de la necrosis intratumoral en los adenomas de hipofisis, esclarecer si existe un cuadro clinico \u00abpatognomonico\u00bb que la distinga, determinar las actitudes diagnosticas y terapeuticas e intentar esclarecer el mecanismo fisiopatologico que la produce.  en un periodo de 11 a\u00f1os (1981-1992), estudiamos 77 pacientes que tenian un adenoma hipofisario, dichos pacientes se les realizo un estudio clinico endocrino y radiologico completo y se clasifican segun la escala de hardy que hemos modificado.  se intervienen por via transesfenoidal, con excepcion de los macroadenomas con importante extension parasellar, que se abordan por via transcraneal. A las piezas quirurgicas, se les practica sistematicamente tecnicas de hematoxilinaeosina, tricronico de masson y con la tincion de acido peryodico de schiff, para valorar la fibrosis.  de los 77 pacientes, 36 (47%) eran hombres y 41 (53%) eran mujeres, los cuales tenian una edad promedio de 42,73 a\u00f1os. El 42,85% (33 de 77 pacientes) presentaron necrosis o hemorragia del adenoma y el 11,68% (9 de 77 pacientes) tuvieron alguna sintomatolog\u00eda, y esta sintomatolog\u00eda no tenia diferencias estadisticamente significativas con los tumores que no tenian necrosis ni hemorragia. No hubo diferencia estadisticamente significativa, en cuanto al tiempo de evolucion del cuadro clinico de los pacientes que tenia<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Necrosis intratumoral en los adenomas de hipofisis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Necrosis intratumoral en los adenomas de hipofisis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Gil Bustamante <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Enrique Rubio Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Salva Miquel Jos\u00e9 A. <\/li>\n<li>Jaime Guardia Mass\u00f3 (vocal)<\/li>\n<li>Pedro Quesada Manila (vocal)<\/li>\n<li>Juan Sahuquillo Barris (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Gil Bustamante La apoplejia hipofisaria, ha sido descrita como un sindrome clinico caracterizado por cefalea subita, [&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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