{"id":30903,"date":"2018-03-09T09:24:43","date_gmt":"2018-03-09T09:24:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/significado-del-derrame-pleural-en-el-carinoma-bronquial\/"},"modified":"2018-03-09T09:24:43","modified_gmt":"2018-03-09T09:24:43","slug":"significado-del-derrame-pleural-en-el-carinoma-bronquial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/miguel-hernandez-de-elche\/significado-del-derrame-pleural-en-el-carinoma-bronquial\/","title":{"rendered":"Significado del derrame pleural en el carinoma bronquial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> David Orts Gimenez <\/strong><\/h2>\n<p>Dado que la presencia de un derrame pleural (dp) confiere a los pacientes con carcinoma bronquial (cbp) un probre pron\u00f3stico, hemos considerado necesaria la recogida completa y ordenada, de nuestra experiencia en los \u00faltimos 10 a\u00f1os. Para ello, se han incluido a todos los pacientes (casos consecutivos no seleccionados), con diagn\u00f3stico cito o histol\u00f3gico de cbp con dp presente en el momento del diagn\u00f3stico, evidente este por t\u00e9cnicas de imagen (rx de t\u00f3rax, tac o ecograf\u00eda) o durante la toracotom\u00eda, y que han sido estudiados por los servicios de neumonolog\u00eda y cirug\u00eda tor\u00e1cica del hgu alicante. por su mayor agresividad y sensibilidad a la quimioterapia, se ha considerado al cbp microc\u00edtico como un grupo aparte. La poblaci\u00f3n, objeto de estudio est\u00e1 formada por 211 pacientes con cb no microc\u00edtico y 66 pacientes con cb microc\u00edtico.  para el caso de los no microc\u00edticos, hemos comprobado que el dp complica su evoluci\u00f3n en m\u00e1s de un 20% de los casos, y que se trata de dp de peque\u00f1o volumen, ipsilaterales y con car\u00e1cter de exudado. Proporcionan informaci\u00f3n pron\u00f3stica la edad del paciente, el aspecto macr\u00f3sc\u00f3pico del l\u00edquido pleural, el resultado del estudio citohistol\u00f3gico plural, el tama\u00f1o radiol\u00f3gico del dp, la extensi\u00f3n del primario, los niveles s\u00e9ricos de cea y ldh, as\u00ed como los del cea en l\u00edquido pleural. Finalmente, que la mediana de supervivencia es de s\u00f3lo 5 meses, y que la curaci\u00f3n (siempre tras cirug\u00eda), se produce en menos del 31% de los casos.  en la poblaci\u00f3n de pacientes con cb microc\u00edtico, la presencia de un dp es m\u00e1s frecuente, con caracter\u00edsticas similares (de peque\u00f1o volumen, ipsilaterales y exudados). Act\u00faan como factores pron\u00f3sticos el tama\u00f1os del derrame y la concentraci\u00f3n s\u00e9rica de ldh, y para concluir, una peque\u00f1a proporci\u00f3n de pacientes (3%), puede sobrevivir m\u00e1s de  5 a\u00f1os con criterios de remisi\u00f3n completa.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Significado del derrame pleural en el carinoma bronquial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Significado del derrame pleural en el carinoma bronquial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 David Orts Gimenez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/06\/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>Santiago Romero Candeira<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>angel Lopez encuentra (vocal)<\/li>\n<li>julio Ancochea bermudez (vocal)<\/li>\n<li>m. concepcion Martin serrano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de David Orts Gimenez Dado que la presencia de un derrame pleural (dp) confiere a los pacientes 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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