{"id":35494,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-de-la-ultrasonografia-endorrectal-en-el-estudio-de-la-prostata\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"valor-de-la-ultrasonografia-endorrectal-en-el-estudio-de-la-prostata","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-de-la-ultrasonografia-endorrectal-en-el-estudio-de-la-prostata\/","title":{"rendered":"Valor de la ultrasonografia endorrectal en el estudio de la prostata."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Sanchez Gardu\u00f1o Jos\u00e9 Joaquin <\/strong><\/h2>\n<p>La gl\u00e1ndula prost\u00e1tica es responsable del asentamiento de una importante patolog\u00eda con elevadas implicaciones socioeconomicas. Desde que lowsley en 1.912 hiciera la primera descripci\u00f3n anat\u00f3mica de la pr\u00f3stata, han sido otros autores los que tambi\u00e9n han desarrollado modelos anat\u00f3micos; nosotros hemos seguido el modelo de mcneal.  hemos realizado un an\u00e1lisis retrospectivo de los hallazgos ecogr\u00e1ficos obtenidos mediante ecograf\u00eda transrectal (et) en 271 pacientes (1.992-1.995).  consideramos la et como la t\u00e9cnica diagn\u00f3stica con mejor relaci\u00f3n coste-eficacia para el estudio de la pr\u00f3stata, permitiendo una correcta evaluaci\u00f3n de la anatom\u00eda y ecotextura prost\u00e1ticas. Mediante sonda transrectal biplana, multifrecuencia y pistola autom\u00e1tica con aguja de corte de 18  , realizamos (previa anestesia local de la zona elegida para punci\u00f3n) biopsias transperineales ecodirigidas en 137 pacientes con confirmaci\u00f3n anatomopatol\u00f3gica final en 143 casos (en 6 se obtuvo tras an\u00e1lisis histopatol\u00f3gico de la peiza quir\u00fargica). Tomamos 3 cilindros por cada l\u00f3bulo prost\u00e1tico, del \u00e1pex, tercio medio y base prost\u00e1tica, modificando estos puntos en funci\u00f3n de la existencia o no de im\u00e1genes sospechosas de c\u00e1ncer prost\u00e1tico. Del total de casos con confirmaci\u00f3n anatomopatol\u00f3gica (143), en 71 sujetos hab\u00edan n\u00f3dulos de distinta ecogenicidad al resto glandular, localizados tanto en la zona de transici\u00f3n (zt) como en la zona perif\u00e9rica (zp); 10 presentaban disrupci\u00f3n en la c\u00e1psula prost\u00e1tica; en 76 la ecotextura era dishomog\u00e9nea y en 16 se evidenciaban \u00e1reas irregulares, mal delimitadas y de patr\u00f3n ecog\u00e9nico distinto al resto glandular (habiendo coexistido algunos de estos hallazgos). Estudiando individualmente las distintas patolog\u00edas, obtuvimos confirmaci\u00f3n histopatol\u00f3gica de c\u00e1ncer prost\u00e1tico en 20 pacientes, de hiperplasia benigna de pr\u00f3stata en 107, patolog\u00eda inflamatoria en 27 y 3 casos de quistes de mulle<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor de la ultrasonografia endorrectal en el estudio de la prostata.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor de la ultrasonografia endorrectal en el estudio de la prostata. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Sanchez Gardu\u00f1o Jos\u00e9 Joaquin <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/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>Juan Sabate Diaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Zaragoza Rubira Juan  R. <\/li>\n<li>Javier Ayarra Jarne (vocal)<\/li>\n<li>Francisco Javier Fern\u00e1ndez Mena (vocal)<\/li>\n<li>Alfonso Lazo Ramos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sanchez Gardu\u00f1o Jos\u00e9 Joaquin La gl\u00e1ndula prost\u00e1tica es responsable del asentamiento de una importante patolog\u00eda con elevadas [&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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