{"id":15056,"date":"2002-11-01T00:00:00","date_gmt":"2002-11-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-clinico-biologica-de-la-linfogammagrafia-ganclio-centinela-en-los-tumores-malignos-mamarios\/"},"modified":"2002-11-01T00:00:00","modified_gmt":"2002-11-01T00:00:00","slug":"utilidad-clinico-biologica-de-la-linfogammagrafia-ganclio-centinela-en-los-tumores-malignos-mamarios","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-clinico-biologica-de-la-linfogammagrafia-ganclio-centinela-en-los-tumores-malignos-mamarios\/","title":{"rendered":"Utilidad clinico-biologica de la linfogammagrafia (ganclio centinela en los tumores malignos mamarios"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Resino Gonzalo M. Carmen <\/strong><\/h2>\n<p>El afectaci\u00f3n metast\u00e1stica de los ganglios regionales axilares constituyen uno de los principales factores pronosticos del c\u00e1ncer de mama, condicionando la actitud terap\u00e9utica posterior al tratamiento locorregional. La linfadenectomia axilar es el metodo empleado actualmente para establecer el estadio tumoral de las pacientes con cancer de mama. Pero, dado que este procedimiento implica una elevada morbilidad, innecesaria en las pacientes con c\u00e1ncer de mama sin afectaci\u00f3n nodal, la biopsia de uno de los ganglios de dicha cadena representar\u00eda una alternativa a la misma. Este ganglio seria aquel que primero recibiera el drenaje linfatico del tumor,denominado ganglio centinela, y por tanto, el que mayor probabilidad tendria de albergar met\u00e1stasis en caso de que existieran.  con este proposito, y para la localizaci\u00f3n y biopsia del ganglio centinela, estudiamos 110 pacientes portadoras de un cancer de mama de reciente diagn\u00f3stico. empleamos la t\u00e9cnica isot\u00f3pica, consistetes en la inyecci\u00f3n peritumoral de un coloide marcado con tc99 m. Mediante la realizaci\u00f3n de linfogammagrafia mamaria se consiguio visualizar y localizar el ganglio centinela en el 86,4% de las pacientes, y mediante el empleo intraoperatorio de una sonda detectora de particulas gama portatil conseguimos aislarlo en el 91% de los casos.  hemos observado que varios factores pueden condicionar la ausencia de visualizaci\u00f3n gammagr\u00e1fica de dicho ganglio, as\u00ed como, la imposiblidad de aislarlo con la sonda mencionada. Entre los factores m\u00e1s importantes encontramos la edad de las pacientes, ciertas localizaciones del tumor dentro de la mama, la existencia de met\u00e1stasis axilares, y el tama\u00f1o tumoral, factores que contribuyen al enlentecimiento, incluso obstrucci\u00f3n de flujo linfatico, adem\u00e1s ciertas caracteristicas biologicas como la sobrexpresi\u00f3n tumoral de la proteina p53 estuvieron presentes.  en el 94% de los casos el estado del ganglio centinela predijo el e<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad clinico-biologica de la linfogammagrafia (ganclio centinela en los tumores malignos mamarios<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad clinico-biologica de la linfogammagrafia (ganclio centinela en los tumores malignos mamarios <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Resino Gonzalo M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/01\/2002<\/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>Alvaro Ruibal Morell<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Jose Luis balibue cantero <\/li>\n<li>Antonio Mateo navarro (vocal)<\/li>\n<li>\u00e1ngel Su\u00e1rez Garc\u00eda (vocal)<\/li>\n<li>augusto Garcia villanueva (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Resino Gonzalo M. Carmen El afectaci\u00f3n metast\u00e1stica de los ganglios regionales axilares constituyen uno de los principales [&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":[155,9,141,346,347],"tags":[7918,37207,1814,17537,48211,48210],"class_list":["post-15056","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-diagnostico-por-imagen","category-oncologia-clinica","tag-alvaro-ruibal-morell","tag-angel-suarez-garcia","tag-antonio-mateo-navarro","tag-augusto-garcia-villanueva","tag-jose-luis-balibue-cantero","tag-resino-gonzalo-m-carmen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15056","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=15056"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15056\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=15056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=15056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=15056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}