{"id":34372,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neoplasias-en-pacientes-con-trasplante-renal\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"neoplasias-en-pacientes-con-trasplante-renal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neoplasias-en-pacientes-con-trasplante-renal\/","title":{"rendered":"Neoplasias en pacientes con trasplante renal."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Hermida Gutierrez Juan  Francisco <\/strong><\/h2>\n<p>Se presentan y analizan las neoplasias aparecidas en la serie de 477 trasplantes renales realizados en el hospital cl\u00ednico san carlos desde agosto de 1980 hasta diciembre de 1996 mediante un estudio observacional de cohortes ambispectivo. La edad media es de 45.6 a\u00f1os, siendo 307 receptores varones y 170 mujeres. Se ha realizado 7 protocolos de inmunosupresi\u00f3n.  hemos encontrado 41 pacientes (8.6%) portadores de al menos una neoplasia, habiendo aparecido 57 tumores (11.9%). La edad media de los mismos en el momento de la realizaci\u00f3n del trasplante es de 49.5 a\u00f1os y en el momento de aparici\u00f3n de la neoplasia de 59.4 a\u00f1os. 33 (80.5%) son varones y 8 (19.5%) son mujeres. El tiempo medio de hemodi\u00e1lisis es de 58.7 meses. La neoplasia se diagnostic\u00f3 por la cl\u00ednica o exploraci\u00f3n f\u00edsica en 27 pacientes (65.9%) y fue un hallazgo casual en 14 (34.1%).  el tiempo medio transcurrido desde la realizaci\u00f3n del trasplante hasta la aparici\u00f3n de la neoplasia es de 47.2 meses. Los tipos de tumores aparecidos son: cut\u00e1neos y labio 27(47.3%); pulm\u00f3n 5(8.8%); linfoma intestinal 1(1.7%); ri\u00f1\u00f3n 6(10.5%); kaposi 2 (3.5%); hueso 1(1.7%); am\u00edgdala 1(1.7%); mama 1(1.7%); vejiga 3(5.2%); pr\u00f3stata 3(5.2%); h\u00edgado 1 (1.7%); linfoma renal 1(1.7%); p\u00e1ncreas 1(1.7%); es\u00f3fago 1(1.7%); c\u00e9rvix 2(3.5%); desconocido 1(1.7%). El tratamiento m\u00e1s utilizado para la 1 neoplasia fue la cirug\u00eda en 26 casos. Tras la aparici\u00f3n de la neoplasia se encuentran vivos 28 pacientes (67.3%), habiendo fallecido 12(29.3%) y 1(2.4%) se ha perdido en el seguimiento. La causa de la muerte ha sido la neoplasia en 9(75%). El injerto se encuentra funcionante en 35 pacientes (85.4%) y no funcionante en 6(14.6%).  hemos visto que la inmunosupresi\u00f3n s\u00ed influye de manera significativa en la aparici\u00f3n de neoplasias (p=0.012). Se ha visto que aunque la presencia de crisis de rechazo no ha resultado ser estad\u00edsticamente significativa, existe mayor riesgo de presentar<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neoplasias en pacientes con trasplante renal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neoplasias en pacientes con trasplante renal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Hermida Gutierrez Juan  Francisco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Jes\u00fas Moreno Sierra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  Cantero <\/li>\n<li>Manuel S\u00e1nchez Chapado (vocal)<\/li>\n<li>Angel Silmi Moyano (vocal)<\/li>\n<li>Francisco Lovaco Castellano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Hermida Gutierrez Juan Francisco Se presentan y analizan las neoplasias aparecidas en la serie de 477 trasplantes [&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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