{"id":16149,"date":"2018-03-09T09:03:37","date_gmt":"2018-03-09T09:03:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-del-adenocarcinoma-endometrial-y-patrones-de-fracaso-terapeutico\/"},"modified":"2018-03-09T09:03:37","modified_gmt":"2018-03-09T09:03:37","slug":"factores-pronosticos-del-adenocarcinoma-endometrial-y-patrones-de-fracaso-terapeutico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-del-adenocarcinoma-endometrial-y-patrones-de-fracaso-terapeutico\/","title":{"rendered":"Factores pron\u00f3sticos del adenocarcinoma endometrial y patrones de fracaso terap\u00e9utico"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  O\u00f1a Lopez M. Rosa <\/strong><\/h2>\n<p>El presente trabajo es un estudio retrospectivo de car\u00e1cter hist\u00f3rico que incluye 125 pacientes con adenocarcinoma endometrial y est\u00e1 centrado en el an\u00e1lisis de los factores pron\u00f3sticos cl\u00e1sicos y de los patrones de recurrencia de esta neoplasia. Para ello hemos sometido cada una de las variables estudiadas a un an\u00e1lisis univariante basado en las curvas de kaplan y meier y a un an\u00e1lisis multivariante fundamentado en la regresi\u00f3n de cox. Se ha valorado tambi\u00e9n el papel de la irradiaci\u00f3n como tratamiento complementario que a\u00fan sigue estando debatida en ia y ib.  conclusiones  1,- la sg en nuestra serie fue excelente con un 90% a los 7 a\u00f1os y una sle del 84%.  2,- el grado citol\u00f3gico es la variable con m\u00e1s significaci\u00f3n pron\u00f3stica en el c\u00e1ncer endometrial en nuestra serie, tanto en el an\u00e1lisis univariante como en el multivariante.  3,- en el an\u00e1lisis univariante destaca el mal pron\u00f3stico de los tumores de c\u00e9lulas claras y papilares.  4,- la invasi\u00f3n de m\u00e1s del 50% del miometrio implica peor pron\u00f3stico cuando se considera el conjunto de todos les estadios.  5,- la administraci\u00f3n de tratamientos complementarios, especialmente la radioterapia postoperatoria ha conllevado mejora de la supervivencia sobre la cirug\u00eda sola.  6,- el estadio patol\u00f3gico figo\/uicc tiene importancia pron\u00f3stica, peor supervivencia para el estadio iii, en el an\u00e1lisis univariante.  7,- ninguno de los factores clasicamente estudiados como predisponentes muestran valor pron\u00f3stico.  8,- principal forma de fracaso terap\u00e9utico, la recidiva p\u00e9lvica.  9,- la no realizaci\u00f3n de linfadenectom\u00eda p\u00e9lvica y lumboa\u00f3rtica supone factor de sesgo induciendo subestadificaci\u00f3n.  necesidad de correcta estadificaci\u00f3n del tumor para sentar bases del tratamiento complementario. Importancia de nuevos factores pron\u00f3sticos como los marcadores tumorales cerb-b2, p53, ki 67.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos del adenocarcinoma endometrial y patrones de fracaso terap\u00e9utico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos del adenocarcinoma endometrial y patrones de fracaso terap\u00e9utico <\/li>\n<li><strong>Autor:<\/strong>\u00a0  O\u00f1a Lopez M. Rosa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/03\/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>Rogelio Garrido Teruel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas S\u00e1nchez ramos <\/li>\n<li>eloisa Bayo lozano (vocal)<\/li>\n<li>gonzalo S\u00e1nchez del cura (vocal)<\/li>\n<li>Ana Albero tamarit (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de O\u00f1a Lopez M. Rosa El presente trabajo es un estudio retrospectivo de car\u00e1cter hist\u00f3rico que incluye 125 [&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":[9,141,387,10715],"tags":[51170,51169,6164,1676,51168,20617],"class_list":["post-16149","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-sevilla","tag-ana-albero-tamarit","tag-eloisa-bayo-lozano","tag-gonzalo-sanchez-del-cura","tag-jesus-sanchez-ramos","tag-ona-lopez-m-rosa","tag-rogelio-garrido-teruel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16149","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=16149"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16149\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=16149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=16149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=16149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}