{"id":24117,"date":"2018-03-09T09:14:56","date_gmt":"2018-03-09T09:14:56","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cancer-de-presentacion-metastasica-eficacia-de-un-algoritmo-diagnostico-de-exploraciones-complementarias-y-determinacion-de-los-factores-pronosticos\/"},"modified":"2018-03-09T09:14:56","modified_gmt":"2018-03-09T09:14:56","slug":"cancer-de-presentacion-metastasica-eficacia-de-un-algoritmo-diagnostico-de-exploraciones-complementarias-y-determinacion-de-los-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cancer-de-presentacion-metastasica-eficacia-de-un-algoritmo-diagnostico-de-exploraciones-complementarias-y-determinacion-de-los-factores-pronosticos\/","title":{"rendered":"C\u00e1ncer de presentaci\u00f3n metast\u00e1sica. eficacia de un algoritmo diagn\u00f3stico de exploraciones complementarias y determinaci\u00f3n de los factores pron\u00f3sticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ferran Losa Gaspa <\/strong><\/h2>\n<p>Introducci\u00f3n  los tumores diagnosticados a partir de sus met\u00e1stasis en los que no se identifica el tumor primario, a pesar de un estudio m\u00e1s o menos exhaustivo, se conocen con el nombre de c\u00e1ncer metast\u00e1sico de origen desconocido (cmod). aquellos casos en que, siendo el motivo de consulta una met\u00e1stasis y el origen no es evidente antes de la visita inicial, los hemos etiquetado como c\u00e1ncer de presentaci\u00f3n metast\u00e1sica cpm. El estudio diagn\u00f3stico debe consistir en un programa de exploraciones dirigidas a la identificaci\u00f3n de aquellos casos que se puedan beneficiar de un tratamiento espec\u00edfico, tanto por raz\u00f3n de su tumor primario, como por determinados factores pron\u00f3sticos individuales.  material y m\u00e9todos  entre enero de 1992 y diciembre de 1997 se estudiaron de forma prospectiva aquellos pacietnes (pts) ingresados con cpm. Se aplic\u00f3 un estudio b\u00e1sico (eb) consistente en una historia cl\u00ednica y exploraci\u00f3n f\u00edsica completa, an\u00e1lisis est\u00e1ndar de sangre con marcadores tumorales y una rx t\u00f3rax. Se consideraron cm od los pts con eb negativo, y a \u00e9stos se les aplic\u00f3 el estudio adicional (ea): tac abdominal y mamograf\u00eda (mujeres). El resto depts se sometieron a seguimiento. Se realiz\u00f3n un an\u00e1lisis uni y multivariado para la identificaci\u00f3n de los factores pron\u00f3sticos relacionados con la supervivencia.  resultados  se incluyeron 234 pts. El eb result\u00f3 positivo en 140 pts (59,8%). El ea identific\u00f3 el tumor primario en 24 casos m\u00e1s, 8 considerados tratables. el tumor primario fue identificado en 182 casos (77,8%). El c\u00e1ncer de pulm\u00f3n fue el m\u00e1s frecuente (40,1%), seguido por la pr\u00f3stata (6,4%), mama (5,1%) y ovario (4,7%). Por histolog\u00edas: adenocarcinoma bien y moder\u00e1ndamente diferenciado (55,6%), seguido del carcinoma y adenocarcinoma indiferenciado (24,0%) y carcinoma neuroendocrino y de c\u00e9lula peque\u00f1a (10,7%).  los an\u00e1lisis uni y el multivariado identificaron al tumor primario como el factor pron\u00f3s<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>C\u00e1ncer de presentaci\u00f3n metast\u00e1sica. eficacia de un algoritmo diagn\u00f3stico de exploraciones complementarias y determinaci\u00f3n de los factores pron\u00f3sticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 C\u00e1ncer de presentaci\u00f3n metast\u00e1sica. eficacia de un algoritmo diagn\u00f3stico de exploraciones complementarias y determinaci\u00f3n de los factores pron\u00f3sticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ferran Losa Gaspa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/06\/2003<\/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>Josep Ramon Germ?  Lluch<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: francesc Gudiol munt\u00e9 <\/li>\n<li>agust\u00ed Barnadas molins (vocal)<\/li>\n<li>ramon Pujol farriols (vocal)<\/li>\n<li>pedro Barrios sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ferran Losa Gaspa Introducci\u00f3n los tumores diagnosticados a partir de sus met\u00e1stasis en los que no se [&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":[951,155,9,347],"tags":[44049,71081,33800,71082,71083,20195],"class_list":["post-24117","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-clinicas","category-ciencias-medicas","category-oncologia-clinica","tag-agusti-barnadas-molins","tag-ferran-losa-gaspa","tag-francesc-gudiol-munte","tag-josep-ramon-germ-lluch","tag-pedro-barrios-sanchez","tag-ramon-pujol-farriols"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24117","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=24117"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24117\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=24117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=24117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=24117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}