{"id":33159,"date":"2018-03-09T09:30:09","date_gmt":"2018-03-09T09:30:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cirugia-conservadora-en-el-tratamiento-del-cancer-de-mama\/"},"modified":"2018-03-09T09:30:09","modified_gmt":"2018-03-09T09:30:09","slug":"cirugia-conservadora-en-el-tratamiento-del-cancer-de-mama","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cirugia-conservadora-en-el-tratamiento-del-cancer-de-mama\/","title":{"rendered":"Cirugia conservadora en el tratamiento del cancer de mama."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Antonia Vaquero Perez <\/strong><\/h2>\n<p>En un intento de determinar el valor del tratamiento conservador del c\u00e1ncer de mama estudiamos el historial cl\u00ednico de 275 pacientes diagnosticadas de c\u00e1ncer de mama y que fueron intervenidas de forma conservadora, entre los a\u00f1os 1986 y 1995, en el hospital universitario \u00abla paz\u00bb.  se realiz]o una tumorectom\u00eda en el 51% de las pacientes y una cuadrantectom\u00eda en el 49%. A todas ellas se les realiz]o una linfadenectom\u00eda axilar. Tambi\u00e9n todas las pacientes recibieron tratamiento radioter\u00e1pico sobre la mama operada, con sobreimpresi]on del lecho tumoral en el 98,5%. El tratamiento quimioter\u00e1pico coadyuvante se administr]o en el 47% de las pacientes y la hormonoterapia coadyuvante en el 50%.  durante un seguimiento medio de 4 a\u00f1os, catorce pacientes (5,1%) presentaron una recidiva local, 42(15,1%) tuvieron una recidiva sist\u00e9mica y 32 pacientes fallecieron (11,5%).  el tama\u00f1o tumoral fue el \u00fanico factor pron]ostico significativo en el estudio de la recidiva local, de tal forma que las pacientes con un tumor mayor de 2 cm presentaron una mayor incidencia de recidiva local. Los factores asociados con una disminuci]on de la supervivencia libre de enfermedad y de la supervivencia global fueron la infiltraci]on tumoral de los ganglios linf\u00e1ticos axilares, el estadio tnmp ii-b y la infiltraci]on tumoral de los m\u00e1rgenes quir\u00fargicos microsc]opicos. Tamb\u00eden la presentaci]on de una recidiva local y\/o sist\u00e9mica se asoci]o con una disminuci]on de la supervivencia global. En el estudio multivariante para la supervivencia libre de enfermedad el \u00fanico factor significativo fue la infiltraci]on tumoral de los ganglios linf\u00e1ticos axilares; y para la supervivencia global lo fueron la infiltraci]on microsc]opica de los m\u00e1rgenes quir\u00fargicos y la infiltraci]on tumoral de los galglios linf\u00e1ticos axilares.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia conservadora en el tratamiento del cancer de mama.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia conservadora en el tratamiento del cancer de mama. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Antonia Vaquero Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/10\/1997<\/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>Jos\u00e9 Antonio Rodr\u00edguez Montes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  sancho martin <\/li>\n<li>Jes\u00fas Culebras fern\u00e1ndez (vocal)<\/li>\n<li>agustin Granado de la fuente (vocal)<\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Antonia Vaquero Perez En un intento de determinar el valor del tratamiento conservador del c\u00e1ncer de [&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":[155,9,141,1456],"tags":[90709,14400,3775,3776,90708,5922],"class_list":["post-33159","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-plastica","tag-agustin-granado-de-la-fuente","tag-jesus-culebras-fernandez","tag-jose-antonio-rodriguez-montes","tag-luis-garcia-sancho-martin","tag-m-antonia-vaquero-perez","tag-miguel-angel-dapena-crespo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33159","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=33159"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33159\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=33159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=33159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=33159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}