{"id":1703,"date":"1994-01-01T00:00:00","date_gmt":"1994-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1994\/01\/01\/factores-pronosticos-en-el-tratamiento-del-cancer-de-laringe-y-faringolaringe\/"},"modified":"1994-01-01T00:00:00","modified_gmt":"1994-01-01T00:00:00","slug":"factores-pronosticos-en-el-tratamiento-del-cancer-de-laringe-y-faringolaringe","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-en-el-tratamiento-del-cancer-de-laringe-y-faringolaringe\/","title":{"rendered":"Factores pronosticos en el tratamiento del cancer de laringe y faringolaringe."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Rodriguez Rivero <\/strong><\/h2>\n<p>Se trata de un estudio retrospectivo limitado a 8 a\u00f1os (1978-1985, ambos inclusive) sobre 593 pacientes con cancer de laringe o laringofaringe tratados en el hospital 12 de octubre. Ha estudiado 78 variables sobre los antecedentes personales del paciente, el estadiaje clinico y anatomopatologico, los datos hematologicos y bioquimicos pre y postoperatorios y los datos del tratamiento, seguimiento y recidiva, con el fin de etiquetar cuales de ellas tienen asociado un valor pronostico. Ha llegado a las siguientes conclusiones:  i. La presencia de infiltrado inflamatorio mononuclear peritumoral, sobre todo si este es intenso, supone un factor de buen pronostico en los pacientes con cancer de faringo-laringe, traducido en un aumento de la supervivencia a los 5 a\u00f1os mayor del 80%. Incluso en los caos de recidiva, la existencia de este infiltrado se acompa\u00f1a de una presentacion mas tardia de la misma.  ii. El infiltrado inflamatorio mononuclear peritumoral intenso se asocia a baja invasion ganglionar. Se exceptua:  a) los tumores de localizacion glotica, por la escasa red linfatica de esta zona, que por consiguiente tiene menos posibilidad de dar adenopatias invadidas b) los tumores orofaringeos porque gran parte de ellos se desarrollan ya en un tejido linfoideo.  iii. Unos valores de globulinas plasmaticas por encima de 3 g\/dl en un enfermo con cancer de faringo-laringe se asocian significativamente a un peor pronostico.  iv. Los pacientes anemicos se acompa\u00f1an de peor pronostico. Para valores bajos de hemoglobina y hematocrito la recidiva es mayor.  v. Un porcentaje alto de linfocitos y monocitos previos a la cirugia, se asocia a un menor porcentaje de recidivas.  vi. La enzima ldh, por ser indice del grado de necrosis tisular, tiene un fuerte valor pronostico, pues sus niveles se elevan en los tumores mas evolucionados, ya que estos infiltran y destruyen las celulas que los rodean.  vii. En cuanto a los habitos tox<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pronosticos en el tratamiento del cancer de laringe y faringolaringe.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pronosticos en el tratamiento del cancer de laringe y faringolaringe. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Rodriguez Rivero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1994<\/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>Juan  Jos\u00e9 \u00e1lvarez Vicent<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Joaqu\u00edn Poch Broto <\/li>\n<li>Jos\u00e9 Trasserra Paradera (vocal)<\/li>\n<li>Rosa Vilas Diaz (vocal)<\/li>\n<li>Reineiro Rodriguez Fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Rodriguez Rivero Se trata de un estudio retrospectivo limitado a 8 a\u00f1os (1978-1985, ambos inclusive) sobre [&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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