{"id":144954,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-estrategias-terapeuticas-y-factores-pronosticos-en-cancer-avanzado-de-cervix\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"estudio-de-estrategias-terapeuticas-y-factores-pronosticos-en-cancer-avanzado-de-cervix","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-estrategias-terapeuticas-y-factores-pronosticos-en-cancer-avanzado-de-cervix\/","title":{"rendered":"Estudio de estrategias terapeuticas y factores pronosticos en cancer avanzado de cervix."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Mercadal Capella <\/strong><\/h2>\n<p>Se analizan los resultados de un grupo de 109 pacientes, con edad media de 59 a\u00f1os, atendidas en el servicio de oncolog\u00eda del hospital de la sta. Creu i sant pau entre 1981-90, con neoplasia de cervix localmente avanzada.  100\/109 (92%) tenian carcinoma escamoso. El primer sintoma fue hemorragia vaginal en el 92% de los casos, difiriendose el diagnostico, a pesar de ser tan llamativo, una media de 6 meses. En cambio, el intervalo hasta el primer tratamiento fue solo de 1,6 meses.  el protocolo terapeutico se fundamenta en la radioterapia (tele o braquiterapia o ambas) asociada a cirugia o quimioterapia segun estadio, respuesta y tolerancia a cada tratamiento. Supervivencia:  global 49% a 5 a\u00f1os (error est. 0,13). Libre de enfermedad: 40% (e.E.0,06). En el analisis univariado de la supervivencia (sv) a 5 a\u00f1os se hallaron las siguientes variables como factores pronostico: 1 -estadio de la figo: estadio ii 60% a 5 a\u00f1os (iia 70% a 4 a\u00f1os, iib 60% a 5 a\u00f1os); estadio iii 20% a 5 a\u00f1os (iiia 66% a 2 a\u00f1os, iiib 9% a 5 a\u00f1os) (p=0,0000). 2 &#8211; tama\u00f1o tumoral: menor de 4 cm 84%sv a 5 a\u00f1os; 4 cm 54%.3 -afectacion cervical:  substitucion por masa exofitica, 29% a 2 a\u00f1os. Resto del grupo: 70% a 2 a\u00f1os, 60% a 3 a\u00f1os (p=0,001).  4- parametro afectado:  infiltracion parametrio izquierdo 67% a 4 a\u00f1os; derecho, 14% (p=0,01).  5- afectacion vaginal: libre, 70% a 3 a\u00f1os; infiltrada, 50% a 3 a\u00f1os, 38% a 5 a\u00f1os (p=0,01).  6- cistoscopia: negativa, 67% a 2 a\u00f1os, 30% a 5; positiva, 16% (p=0,009). 7-urografia: negativa, 75% a 2 a\u00f1os, 37% a 5 a\u00f1os; positiva a 2 a\u00f1os 35%, a 5,11%. (P=0,003).  analisis multivariado: las variables pronosticas halladas son: urografia, palpacion de cervix, palpacion de parametrio y estadio de la figo.  conclusiones: resultados de la evaluacion sobre procesos exploratorios y terapeuticos equiparables a la literatura. *Se resalta la importancia pronostica de la exploracion ginecologica. La afectacio<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de estrategias terapeuticas y factores pronosticos en cancer avanzado de cervix.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de estrategias terapeuticas y factores pronosticos en cancer avanzado de cervix. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Mercadal Capella <\/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>Alberto Biete Sola<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Javier Iglesias Guiu <\/li>\n<li>Ferran Guedea Edo (vocal)<\/li>\n<li>Josep Mar\u00eda Lailla Vicens (vocal)<\/li>\n<li>Guerson Benarroch Salomon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Mercadal Capella Se analizan los resultados de un grupo de 109 pacientes, con edad media de 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