{"id":18415,"date":"2002-12-07T00:00:00","date_gmt":"2002-12-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/radiociruga%c2%ada-estereotaxica-en-la-enfermedad-metastasica-cerebral-estudio-cla%c2%adnico-de-resultados\/"},"modified":"2002-12-07T00:00:00","modified_gmt":"2002-12-07T00:00:00","slug":"radiociruga%c2%ada-estereotaxica-en-la-enfermedad-metastasica-cerebral-estudio-cla%c2%adnico-de-resultados","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/radiociruga%c2%ada-estereotaxica-en-la-enfermedad-metastasica-cerebral-estudio-cla%c2%adnico-de-resultados\/","title":{"rendered":"Radiocirugia estereotaxica en la enfermedad metastasica cerebral: estudio cl\u00ednico de resultados"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Silvia Rodriguez Villalba <\/strong><\/h2>\n<p>La enfermedad metast\u00e1sica cerebral constituye una de las situaciones de peor pron\u00f3stico vital en oncolog\u00eda cl\u00ednica. La pr\u00e1ctica totalidad de los pacientes que no reciben tratamiento tras el diagn\u00f3stico de met\u00e1stasis cerebrales fallecer\u00e1n por compromiso neurol\u00f3gico con una supervivencia de entre 1 y 3 meses, dependiendo \u00f3 no de la instauraci\u00f3n de terapia corticoidea. la radioterapia holocraneal extiende este tiempo a 6 meses, existiendo un grupo de pacientes seleccionados en los que la intensidad de tratamiento promueve control local intracraneal con tasas entre el 80 y el 100%, al a\u00f1o, con efecto variable en la supervivencia.  la radiocirug\u00eda (rc) es una t\u00e9cnica radioter\u00e1pica de alta precisi\u00f3n dosim\u00e9trica en la que se administra una dosis alta  de irradiaci\u00f3n generalmente en una \u00fanica fracci\u00f3n, emple\u00e1ndose un sistema de esterotaxia que asegura la inmovilizaci\u00f3n, referenciaci\u00f3n anat\u00f3mica y por tanto la correcta localizaci\u00f3n.  el an\u00e1lisis retrospectivo de las caracter\u00edsticas y evoluci\u00f3n de 125 pacientes tratados con rc (262 met\u00e1stasis) entre agosto de 1991 y diciembre de 1996 en la unidad de radiocirug\u00eda y oncolog\u00eda radioter\u00e1pica del sanatorio san francisco de as\u00eds con seguimiento (cl\u00ednico y radiol\u00f3gico hasta marzo de 1999) identifica los siguientes datos epidemiol\u00f3gicos mayores: setenta y cuatro vanores y 51 mujeres, con una mediana de edad de 54 a\u00f1os (29-77); 37% adenocarcinomas, 18% carcinomas ductales infiltrantes de manera, 10% carcinomas epidermoides, carcinomas indeferenciados y mealnomas cut\u00e1neos, 6% oat cell, de origen pulmonar e hipernefroma; y en el restante 3% se incluy\u00f3 2 sarcomas de partes blandas y 1 carcinoma urotelial de vejiga. en el momento de la realizaci\u00f3n de la rc un 78% de los pacientes presentaban exclusivamente la diseminaci\u00f3n cerebral tumoral, incluy\u00e9ndose pacientes con control del tumor primario (74 pacientes), y enfermedad diseminada con respuesta completa a los tratamien<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Radiocirugia estereotaxica en la enfermedad metastasica cerebral: estudio cl\u00ednico de resultados<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Radiocirugia estereotaxica en la enfermedad metastasica cerebral: estudio cl\u00ednico de resultados <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Silvia Rodriguez Villalba <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/07\/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>Felipe Calvo Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Nistal mart\u00edn de serrano <\/li>\n<li>Manuel Santos ortega (vocal)<\/li>\n<li>rosa Magall\u00f3n sebasti\u00e1n (vocal)<\/li>\n<li> Bustos salcedo Jos\u00e9 Carlos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Silvia Rodriguez Villalba La enfermedad metast\u00e1sica cerebral constituye una de las situaciones de peor pron\u00f3stico vital en [&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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