{"id":24619,"date":"2003-11-07T00:00:00","date_gmt":"2003-11-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronostico-para-la-supervivencia-y-recidiva-de-los-meningiomas-intracraneales\/"},"modified":"2003-11-07T00:00:00","modified_gmt":"2003-11-07T00:00:00","slug":"factores-pronostico-para-la-supervivencia-y-recidiva-de-los-meningiomas-intracraneales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronostico-para-la-supervivencia-y-recidiva-de-los-meningiomas-intracraneales\/","title":{"rendered":"Factores pron\u00f3stico para la supervivencia y recidiva de los meningiomas intracraneales"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Zimman Mansfeld Horacio Mario <\/strong><\/h2>\n<p>Objetivos  estudiar los factores pron\u00f3stico para la supervivencia y recidiva de los meningiomas intracraneales en los pacientes del servicio de neurocirug\u00eda del hospital cl\u00ednico san carlos (Madrid).  m\u00e9todos  se analizaron 161 pacientes (125 mujeres y 36 hombres, 2,5:1) diagn\u00f3sticados entre 1985-1995. La supervivencia y recidiva se estudiaron descriptivamente y de manera estad\u00edstica, identificando los factores pron\u00f3stico de manera uni y multivariable. La supervivencia global a los 5 y 10 a\u00f1os respectivamente es del 92,2% y 89,1%. Fueron intervenidos 148 pacientes y se hall\u00f3 un 19,9% de recidivas con un tiempo mediano para su aparici\u00f3n de 42 meses. La resecci\u00f3n completa se logr\u00f3 en el 88% de los casos y fue subtotal en el 12% de los mismos. En el 21,3% de los pacientes se encuentra un segundo tumor primario benigno en el 80% de los casos.  el estado funcional seg\u00fan la escala de karnofsky muestra una media preoperatoria de 92 y de 83 en la \u00faltima revisi\u00f3n. Los pacientes agrupados por el tipo histol\u00f3gico del meningioma muestra una supervivencia estimada para los benignos del 72%. El tiempo mediano de seguimiento es de 60 meses con una supervivencia al finalizar el estudio del 90,1% de los pacientes.  los factores pron\u00f3stico univariados para la supervivencia y recidiva son la localizaci\u00f3n, el tratamiento quir\u00fargico y la resecci\u00f3n completa.  la supervivencia es mayor para las mujeres. El estado funcional (karnofsky) mayor de 70 previo a la cirug\u00eda se asocia a una mayor supervivencia, as\u00ed como la ausencia de un segundo tumor primario maligno. En las mujeres no se observa una diferencia en la supervivencia con relaci\u00f3n a la paridad y menopausia. En la recidiva son factores pron\u00f3stico radiol\u00f3gico la hipodensidad tumoral, borde irregular, captaci\u00f3n heterog\u00e9nea de contraste, osteolisis e invasi\u00f3n extracraneal. El an\u00e1lisis multivariable por regresi\u00f3n de cox muestra que son factores pron\u00f3stico para la recidiva: el<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3stico para la supervivencia y recidiva de los meningiomas intracraneales<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3stico para la supervivencia y recidiva de los meningiomas intracraneales <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Zimman Mansfeld Horacio Mario <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/07\/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>Jos\u00e9 Luis Balibrea  Cantero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ramiro Diez lobato <\/li>\n<li>Jaime Broseta rodr\u00edgo (vocal)<\/li>\n<li>Jos\u00e9 Barbera alacreu (vocal)<\/li>\n<li>Jes\u00fas Vaquero crespo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Zimman Mansfeld Horacio Mario Objetivos estudiar los factores pron\u00f3stico para la supervivencia y recidiva de los meningiomas [&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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