{"id":2788,"date":"1994-01-01T00:00:00","date_gmt":"1994-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1994\/01\/01\/estudio-de-flujos-vasculares-en-adenocarcinoma-de-endometrio-con-doppler-duplex-color\/"},"modified":"1994-01-01T00:00:00","modified_gmt":"1994-01-01T00:00:00","slug":"estudio-de-flujos-vasculares-en-adenocarcinoma-de-endometrio-con-doppler-duplex-color","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-flujos-vasculares-en-adenocarcinoma-de-endometrio-con-doppler-duplex-color\/","title":{"rendered":"\u00abestudio de flujos vasculares en adenocarcinoma de endometrio con doppler duplex color\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roberto Girones Soriano <\/strong><\/h2>\n<p>Se estudian 62 mujeres diagnosticadas de adenocarcinoma de endometrio y otras 68 climatericas con metrorragias en que se descubrio otra condicion benigna. Se realiza ecografia transvaginal con doppler color previa al legrado. De las 62 mujeres con adenocarcinoma endometrial 5 fueron reevaluadas tras administrarles un tratamiento combinado de tamoxifeno + medroxiprogesterona y 28 tras tratamiento gestageno exclusivamente.  el estudio del grosor de la linea endometrial en corte longitudinal, con un punto de corte de 10 mm permite una sensibilidad diagnostica del 92% y una especificidad del 59%.  el mapa vascular intraendometrial en la menopausia debe hacer sospechar patolog\u00eda endometrial.  existen diferencias significativas en los indices de flujo de las arterias uterinas e intraendometriales entre patolog\u00eda benigna y maligna.  considerando solo los flujos endometriales la eficacia diagnostica del metodo es del 90%, con una sensibilidad del 92% y especificidad del 88%.  en la valoracion de los flujos cabe considerar el tiempo transcurrido de menopausia y la posible terapia hormonal sustitutiva como factores de correccion. La disminucion de indices de flujo en postmenopausicas, aun asintomaticas, debe hacer sospechar patolog\u00eda endometrial. Los cambios de la gestagenoterapia en cortos plazos deben ser evaluados con mas casos, pero no parecen tener gran significacion.  no se observo relacion entre los indices de flujo con el grado de extension tumoral, segun la figo, pero si con el grado de diferenciacion histologica.  en conclusion, la medicion del grosor endometrial, junto a los indices de flujo de arterias uterinas e intraendometriales, son utiles para el estudio inicial de la patolog\u00eda endometrial y, si ulteriores estudios certifican su eficacia, probablemente resulten tambien utiles en el screening de la patolog\u00eda endometrial de postmenopausicas asintomaticas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abestudio de flujos vasculares en adenocarcinoma de endometrio con doppler duplex color\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abestudio de flujos vasculares en adenocarcinoma de endometrio con doppler duplex color\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roberto Girones Soriano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/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>Fernando Bonilla Musoles<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Tortajada Martinez <\/li>\n<li>Rafael Martinez Sampedro (vocal)<\/li>\n<li>Javier Ferrer Barriendos (vocal)<\/li>\n<li>Vicente Font Sastre (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roberto Girones Soriano Se estudian 62 mujeres diagnosticadas de adenocarcinoma de endometrio y otras 68 climatericas con [&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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