{"id":62256,"date":"2018-03-09T22:50:10","date_gmt":"2018-03-09T22:50:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neoplasias-en-pacientes-con-trasplante-renal-hospital-universitario-virgen-de-la-arrixaca-murcia\/"},"modified":"2018-03-09T22:50:10","modified_gmt":"2018-03-09T22:50:10","slug":"neoplasias-en-pacientes-con-trasplante-renal-hospital-universitario-virgen-de-la-arrixaca-murcia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-urologica\/neoplasias-en-pacientes-con-trasplante-renal-hospital-universitario-virgen-de-la-arrixaca-murcia\/","title":{"rendered":"Neoplasias en pacientes con trasplante renal (hospital universitario virgen de la arrixaca. murcia)"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Cao Avellaneda <\/strong><\/h2>\n<p>Hemos revisado los pacientes de la unidad de trasplante renal del hospital universitario \u00abvirgen de la arrixaca\u00bb de murcia durante los 25 a\u00f1os de funcionamiento (1980-2004), la presentaci\u00f3n de neoplasias y los posibles factores de riesgo, que creemos relevante por la escasez de estudios sobre el tema en espa\u00f1a y \u00fanico en la regi\u00f3n de murcia.  nuestro estudio comprende 553 pacientes trasplantados de ri\u00f1\u00f3n: 328 hombres (59,31%) y 225 mujeres (40,69%). La media de edad en el momento del implante era de alrededor de 41 a\u00f1os en ambos sexos. El tiempo medio sometidos a di\u00e1lisis antes del trasplante era similar en hombres y mujeres, 41 meses. La triple terapia fue la pauta mayoritariamente utilizada y m\u00e1s del 65% recibieron ciclosporina a. El protocolo de inmunosupresi\u00f3n se modific\u00f3 en el 25,9% de los pacientes. En el 44,1% se evidenciaron criterios cl\u00ednicos de rechazo agudo, con s\u00f3lo el 5% de resistencia a la pauta convencional con corticoides. El tiempo medio de inmunosupresi\u00f3n fue de 90,49 meses en los hombres y 93,60 meses en las mujeres. En el 79% se evidenci\u00f3 seroconversi\u00f3n para el citomegalovirus, y el 15,4% mostraban criterios cl\u00ednicos de enfermedad por este virus. El 32,5% de los pacientes registraron seroconversi\u00f3n para el virus de epstein-barr.   en nuestro estudio, 77 pacientes fueron diagnosticados de neoplasia durante el per\u00edodo post-trasplante (el 13,92%). De \u00e9stas, 39 eran de naturaleza cut\u00e1nea con predominio de los carcinomas espinocelulares sobre los basocelulares. La incidencia de presentaci\u00f3n de las neoplasias aumentaba con el incremento del tiempo sometidos a inmunosupresi\u00f3n, observ\u00e1ndose en el 7,60% de los pacientes seguidos durante 5 a\u00f1os, y en el 10,93% a los 10 a\u00f1os de seguimiento.  el riesgo de presentaci\u00f3n de neoplasias fue el doble que el de la poblaci\u00f3n general de la comunidad aut\u00f3noma de murcia y 6 veces mayor en el caso de los tumores cut\u00e1neos.  Los posibles factores de riesgo relevantes para la presentaci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neoplasias en pacientes con trasplante renal (hospital universitario virgen de la arrixaca. murcia)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neoplasias en pacientes con trasplante renal (hospital universitario virgen de la arrixaca. murcia) <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Cao Avellaneda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/2007<\/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>Vicente Vicente Ortega<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pablo Ram\u00edrez Romero <\/li>\n<li>Antonio  Santiago Salinas Sanchez (vocal)<\/li>\n<li>Mar\u00eda  Teresa Miranda Leon (vocal)<\/li>\n<li>Luisa Gimeno Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Cao Avellaneda Hemos revisado los pacientes de la unidad de trasplante renal del hospital universitario \u00abvirgen [&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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