{"id":26303,"date":"2018-03-09T09:18:04","date_gmt":"2018-03-09T09:18:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-puncion-aspiracion-mediastinica-en-la-estadificacion-ganglionar-en-el-carcinoma-broncogenico\/"},"modified":"2018-03-09T09:18:04","modified_gmt":"2018-03-09T09:18:04","slug":"utilidad-de-la-puncion-aspiracion-mediastinica-en-la-estadificacion-ganglionar-en-el-carcinoma-broncogenico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-puncion-aspiracion-mediastinica-en-la-estadificacion-ganglionar-en-el-carcinoma-broncogenico\/","title":{"rendered":"Utilidad de la punci\u00f3n aspiraci\u00f3n mediastinica en la estadificaci\u00f3n ganglionar en el carcinoma broncogenico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Maximo G\u00f3mez Fern\u00e1ndez <\/strong><\/h2>\n<p>Se ha realizado un estudio prospectivo en pacientes con carcinoma broncogenico (cb) con los objetivos de conocer:  1,- rendimiento de la punci\u00f3n aspiraci\u00f3n mediastinica (pam) en el diagnostico de la enfermedad n2.  2,- producci\u00f3n de exploraciones quirurgicas del mediastino (eqm) que se ahorran si se introduce la pam en el algoritmo diagnostico de la enfermedad.  3,- los factores relacionados con el rendimiento tumoral de la pam.  4,- el impacto diagnostico de la pam en el diagnostico del carcinom a de celulas peque\u00f1as con respecto a las t\u00e9cnicas habituales broncoscopicas.  en total se han estudiado 100 pacientes: 82 cb no celulas peque\u00f1as y 18 cb celulas peque\u00f1as. Dentro del grupo de cb no c\u00e9lulas peque\u00f1as hubo 40 pacientes operables\/resecables (o\/r).  se han obtenido las siguientes conclusiones:  1,- la pam presenta una sensibilidad del 61% y una especificidad del 100% en los cb no celulas pqeu\u00f1as o\/r.  2,- la introducci\u00f3n de la pam en el algoritmo diagnostico de la enfermedad n2 reduce el n\u00famero de eqm con el consiguiente ahorro econ\u00f3mico.  3,- en la poblaci\u00f3n total de cb, la regi\u00f3n subcarinal fue la meljor zona para la pam con un rendimiento tumoral mayor que en regiones paratraqueales.  4,- en los casos con tc normal, la pam tiene un rendimiento diagnostico insignificante y no esta justificada su relaci\u00f3n.  5,- en los casos con cb no de c\u00e9lulas peque\u00f1as, la pam presenta asociaci\u00f3n positiva con: presencia, tama\u00f1o y localizaci\u00f3n subcarinal de las adenopatias, ensanchamiento endoscopico de la carina.  6,- en la correlaci\u00f3n entre tc y calidad citol\u00f3gica se ha obtenido que: los tc normales se relacionan con punciones de calidad \u00abs\u00bb, la calidad citologica es mayor en regi\u00f3n subcarinal que en regiones paratraqueales, la presencia de punciones superficiales con tc patologico es indicativo de mala t\u00e9cnica.  7,- en los casos de cb celulas peque\u00f1as, la pam incrementa el rendimiento diagnostico de las tecn<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la punci\u00f3n aspiraci\u00f3n mediastinica en la estadificaci\u00f3n ganglionar en el carcinoma broncogenico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la punci\u00f3n aspiraci\u00f3n mediastinica en la estadificaci\u00f3n ganglionar en el carcinoma broncogenico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Maximo G\u00f3mez Fern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/10\/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>Javier Flandes Aldeyturriaga<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Villamor leon <\/li>\n<li> Bravo bravo Jos\u00e9 Luis (vocal)<\/li>\n<li>angel L\u00f3pez encuentra (vocal)<\/li>\n<li>Jos\u00e9 Luis Alvarez sala walther (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Maximo G\u00f3mez Fern\u00e1ndez Se ha realizado un estudio prospectivo en pacientes con carcinoma broncogenico (cb) con los [&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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