{"id":145948,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-tratamiento-preoperatorio-en-el-control-local-y-la-supervivencia-de-los-pacientes-con-carcinoma-transicional-infiltrante-de-vejiga\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"efecto-del-tratamiento-preoperatorio-en-el-control-local-y-la-supervivencia-de-los-pacientes-con-carcinoma-transicional-infiltrante-de-vejiga","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-del-tratamiento-preoperatorio-en-el-control-local-y-la-supervivencia-de-los-pacientes-con-carcinoma-transicional-infiltrante-de-vejiga\/","title":{"rendered":"Efecto del tratamiento preoperatorio en el control local y la supervivencia de los pacientes con carcinoma transicional infiltrante de vejiga"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Castro Barbosa Fernando De <\/strong><\/h2>\n<p>Se estudia la influencia del tratamiento complementario (radioterapia, quimioterapia) en 82 pacientes sometidos a tratamiento radical por carcinoma infiltrante de vejiga.  se realiza un estudio inmunohistoquimico para determinar la frecuencia de la expresion ectopica de b-hcg por los tumores vesicales. Los pacientes fueron divididos en 3 grupos de acuerdo al tratamiento preoperatorio realizado:  grupo 1:25 pacientes tratados con rtu del tumor vesical y cistectomia radical. Grupo 2:33 pacientes tratados con rtu, radioterapia preoperatoria (45-60 gy) y cistectomia radical. Grupo 3:24 pacientes tratados con rtu, radioterapia intraoperatoria (rio) 15 gy, radioterapia externa (46 gy), 3 ciclos de quimioterapia neoadyuvante (cddp, 5-fu, adm, hxm) y cistectomia radical.  los 3 grupos son homogeneos para estadio clinico, grado tumoral, ganglios metastasicos, metaplasia escamosa, infiltracion vascular de estructuras de la pared vesical, expresion tisular de b-hcg y morfolog\u00eda renal. El descenso de estadio tumoral y el estadio po fueron significativamente mas frecuentes en el grupo 3 que en los grupos 1 y 2 y son mas frecuentes en el grupo 2 que en el 1. La supervivencia de los grupos 2 y 3 (80+-5%, 59+-8%, 56+-8% a 1,3 y 5 a\u00f1os) fue significativamente superior a la del grupo 1 (58+-10%, 41+-10%, 35+-10%). El estudio multivariado de la supervivencia identifico a la funcion renal y al tratamiento complementario como las variables con mayor valor pronostico. En 14\/59 (24%) pacientes se aprecio produccion ectopica de b-hcg y se asocio a la presencia de enfermedad ganglionar (p=0,02).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto del tratamiento preoperatorio en el control local y la supervivencia de los pacientes con carcinoma transicional infiltrante de vejiga<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto del tratamiento preoperatorio en el control local y la supervivencia de los pacientes con carcinoma transicional infiltrante de vejiga <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Castro Barbosa Fernando De <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/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> Berian Polo Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Javier Pardo Mind\u00e1n <\/li>\n<li>Jes\u00fas Herreros Gonzalez (vocal)<\/li>\n<li> Romero Fernandez Fco. Javier (vocal)<\/li>\n<li>Antonio Brugarolas Masllorens (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Castro Barbosa Fernando De Se estudia la influencia del tratamiento complementario (radioterapia, quimioterapia) en 82 pacientes sometidos [&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":[155,9,141,1533,17749,347],"tags":[9012,114551,260877,2940,17967,255063],"class_list":["post-145948","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-urologica","category-navarra","category-oncologia-clinica","tag-antonio-brugarolas-masllorens","tag-berian-polo-jose-m","tag-castro-barbosa-fernando-de","tag-francisco-javier-pardo-mindan","tag-jesus-herreros-gonzalez","tag-romero-fernandez-fco-javier"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/145948","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=145948"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/145948\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=145948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=145948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=145948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}