{"id":28761,"date":"2018-03-09T09:21:36","date_gmt":"2018-03-09T09:21:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-en-la-recidiva-local-del-cancer-de-pulmon-tratado-quirurgicamente\/"},"modified":"2018-03-09T09:21:36","modified_gmt":"2018-03-09T09:21:36","slug":"factores-pronosticos-en-la-recidiva-local-del-cancer-de-pulmon-tratado-quirurgicamente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/factores-pronosticos-en-la-recidiva-local-del-cancer-de-pulmon-tratado-quirurgicamente\/","title":{"rendered":"Factores pron\u00f3sticos en la recidiva local del c\u00e1ncer de pulm\u00f3n tratado quir\u00fargicamente"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roberto Bernal Bernal <\/strong><\/h2>\n<p>A pesar de los avences que se han producido en el tratamiento de los diferentes rumores malignos, el c\u00e1ncer de pulm\u00f3n contin\u00faa siendo un tumor en el que los tratamientos existentes siguen proporcionando resultados poco efectivos. la mortalidad relacionada directamente con el tumor ocurre fundamentalmente por la aparici\u00f3n de recidiva local y de met\u00e1stasis a distancia. Probablemente el mejor conocimiento de los factores que determinan la aparici\u00f3n de recidiva y met\u00e1stasis puede inducir a cambios en la estrategia terap\u00e9utica y as\u00ed disminuir la mortalidad en este tipo de tumor. Los objetivos del estudio fueron conocer aquellos factores que intervienen en el desarrollo de recidiva local, de met\u00e1stasis a distancia y su influencia en la supervivencia en pacientes intervenidos de carcinoma no microc\u00edtico pulmonar. Se ha realizado un seguimiento durante al menos dos a\u00f1os de los pacientes intervenidos de c\u00e1ncer de pulm\u00f3n no microc\u00edtico, analizando la supervivencia tras la intervenci\u00f3n quir\u00fargicamente, la recidiva o la aparici\u00f3n de met\u00e1stasis. se realiz\u00f3 un estudio descriptivo y un an\u00e1lisis estad\u00edstico univariado de la variables, para ello se utiliz\u00f3 el test de la chi-cuadrado de pearson, el test exacto de fischer y la prueba de la t-student. Para el an\u00e1lisis de la supervivencia se emple\u00f3 el m\u00e9todo de kaplan-meier y para evaluar la supervivencia se realiz\u00f3 un an\u00e1lisis multivariante mediante un modelo de riesgos proporcionales de cox. Tras analizar los resultados concluimos que la afectaci\u00f3n de la pleura por el tumor eleva el riesgo de recidiva, igualmente el riesgo de recidiva aumenta con la indiferenciaci\u00f3n del tumor y la diseminaci\u00f3n linf\u00e1tica del mismo. El tama\u00f1o tumoral influye en la aparici\u00f3n de met\u00e1stasis a distancia, el tipo histol\u00f3gico adenocarciona tiende a met\u00e1statizar m\u00e1s que el epidermoide y el riesgo de met\u00e1stasis se incrementa al aumentar el grado de diseminaci\u00f3n ganglionar. En cuanto a la mortalid<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos en la recidiva local del c\u00e1ncer de pulm\u00f3n tratado quir\u00fargicamente<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos en la recidiva local del c\u00e1ncer de pulm\u00f3n tratado quir\u00fargicamente <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roberto Bernal Bernal <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/02\/2004<\/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>Antonio Leon Jimenez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Velasco Garc\u00eda Miguel \u00e1ngel <\/li>\n<li> Baena ca\u00f1ada Jos\u00e9 Manuel (vocal)<\/li>\n<li> Ortega beb\u00eda Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>jacinto Hern\u00e1ndez borge (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roberto Bernal Bernal A pesar de los avences que se han producido en el tratamiento de 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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