{"id":31028,"date":"2018-03-09T09:24:54","date_gmt":"2018-03-09T09:24:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-de-los-factores-pronosticos-en-el-resultado-del-tratamiento-del-hepatocarcinoma-mediante-trasplante-o-reseccion\/"},"modified":"2018-03-09T09:24:54","modified_gmt":"2018-03-09T09:24:54","slug":"valoracion-de-los-factores-pronosticos-en-el-resultado-del-tratamiento-del-hepatocarcinoma-mediante-trasplante-o-reseccion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-de-los-factores-pronosticos-en-el-resultado-del-tratamiento-del-hepatocarcinoma-mediante-trasplante-o-reseccion\/","title":{"rendered":"Valoraci\u00f3n de los factores pron\u00f3sticos en el resultado del tratamiento del hepatocarcinoma mediante trasplante o resecci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Baltasar Perez Saborido <\/strong><\/h2>\n<p>El carcinoma hepatocelular representa el 5\u00c2\u00ba tumor maligno m\u00e1s frecuente en el hombre y el 8\u00c2\u00ba en la mujer. Espa\u00f1a es un pa\u00eds de incidencia intermedia (6-8 casos\/100000 hab y a\u00f1o). Analizamos una serie de 165 pacientes distribuidos en dos grupos: grupo a (93) de pacientes con resecci\u00f3n parcial: grupo b (71) de pacientes trasplantados. Analizamos factores pron\u00f3sticos de recidiva, supervivencia y supervivencia libre de enfermedad.  resultados  en el grupo a la incidencia de recidiva es del 62,1% con una supervivencia actuarial a 1,3 y 5 a\u00f1os del 83,4%, 48,8% y 34,6% respectivamente, con supervivencia libre de enfermedad de 66,8%, 28,8% y 18,3%. Son factores pron\u00f3stico en este grupo: edad menor de 55 a\u00f1os, afp mayor de 200 ng\/ml, transfusi\u00f3n de hemat\u00edes, tama\u00f1o mayor de 5 cm, invasi\u00f3n vascular, satelitosis, grado de diferenciaci\u00f3n moderado o pobre, estadio iv y margen menor de 1 cm.  en el grupo b la incidencia de recidiva tumoral es del 19% con supervivencia a 1,3 y 5 a\u00f1os del 79,4%, 61% y 50,3%. Son factores pron\u00f3stico una afp mayor de 200 ng\/ml, m\u00e1s de 3 n\u00f3dulos, tama\u00f1o mayor de 5 cm, invasi\u00f3n vascular, satelitosis, afectaci\u00f3n bilateral, grado de diferenciaci\u00f3n moderado o pobre y estadio iv. Comparando los dos grupos el trasplante hep\u00e1tico ofrece mayor supervivencia y menor recidiva que la resecci\u00f3n parcial excepto en pacientes con etiolog\u00eda por el vhb, con tumores mayores de 5 cm, bilaterales, grado de diferenciaci\u00f3n moderado  o pobre con invasi\u00f3n vascular, satelitosis o estadio avanzado.  conclusiones  el trasplante hep\u00e1tico ofrece mayores posibilidades de curaci\u00f3n que la resecci\u00f3n parcial a un paciente con carcinoma hepatocelular, con menor incidencia de recidiva tumoral. No se beneficiar\u00edan los pacientes con un tumor mayor de 5 cm, bilateral, con satelitosis con invasi\u00f3n vascular, con un grado de diferenciaci\u00f3n moderado o pobre o con un estad\u00edo avanzado. en pacientes con un tumor solitario menor<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n de los factores pron\u00f3sticos en el resultado del tratamiento del hepatocarcinoma mediante trasplante o resecci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n de los factores pron\u00f3sticos en el resultado del tratamiento del hepatocarcinoma mediante trasplante o resecci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Baltasar Perez Saborido <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/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>Enrique Moreno Gonz\u00e1lez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Arias p\u00e9rez <\/li>\n<li>valentin Cuervas mons (vocal)<\/li>\n<li> Garc\u00eda sabrido Jos\u00e9 Luis (vocal)<\/li>\n<li>Jos\u00e9 Antonio Bondia navarro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Baltasar Perez Saborido El carcinoma hepatocelular representa el 5\u00c2\u00ba tumor maligno m\u00e1s frecuente en el hombre y [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[86832,5077,26137,22643,41926,51260],"class_list":["post-31028","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-baltasar-perez-saborido","tag-enrique-moreno-gonzalez","tag-garcia-sabrido-jose-luis","tag-jaime-arias-perez","tag-jose-antonio-bondia-navarro","tag-valentin-cuervas-mons"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/31028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=31028"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/31028\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=31028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=31028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=31028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}