{"id":63802,"date":"2008-04-04T00:00:00","date_gmt":"2008-04-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/linfadenectoma%c2%ada-axilar-selectiva-en-el-cancer-de-mama-mediante-biopsia-del-ganglio-centinela-validacion-y-aplicacion-cla%c2%adnica-de-la-tecnica\/"},"modified":"2008-04-04T00:00:00","modified_gmt":"2008-04-04T00:00:00","slug":"linfadenectoma%c2%ada-axilar-selectiva-en-el-cancer-de-mama-mediante-biopsia-del-ganglio-centinela-validacion-y-aplicacion-cla%c2%adnica-de-la-tecnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/linfadenectoma%c2%ada-axilar-selectiva-en-el-cancer-de-mama-mediante-biopsia-del-ganglio-centinela-validacion-y-aplicacion-cla%c2%adnica-de-la-tecnica\/","title":{"rendered":"Linfadenectom\u00edaaxilar selectiva en el cancer de mama mediante biopsia del ganglio centinela: validaci\u00f3n y aplicaci\u00f3n cl\u00ednica de la t\u00e9cnica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Omar Abdel-lah Fern\u00e1ndez <\/strong><\/h2>\n<p>Objetivos principales: corroborar la hip\u00f3tesis del gc, validando la t\u00e9cnica. Analizar los resultados en la pr\u00e1ctica terap\u00e9utica. Comparar  la afectaci\u00f3n de los ganglios no centinelas en relaci\u00f3n con la infiltraci\u00f3n del gc. Identificar factores predictores de afectaci\u00f3n axilar, en gc positivo. Material y metodos: el estudio constituido por 278 pacientes en dos grupos; el primero, 98 enfermas, para la validaci\u00f3n, (bgc m\u00e1s la posterior), el segundo de 180, (la si el gc era positivo). La t\u00e9cnica de localizaci\u00f3n combinada, radiotrazador peritumoral, m\u00e1s colorante subareolar. Se localiza el ganglio linf\u00e1tico con la sonda port\u00e1til detectora de rayos gamma y\/o te\u00f1ido de azul. Realizamos estad\u00edstica  descriptiva, la prueba de \u00c2\u00bf2, la prueba no param\u00e9trica de spearman y una regresi\u00f3n log\u00edstica binaria resultados. Fase de validaci\u00f3n el \u00e9xito de localizaci\u00f3n del 93,8%, 3 fn 3,2%. Exactitud de estadificaci\u00f3n del 96,7%. Fase de validaci\u00f3n se localiz\u00f3 el gc en un 99,4%, media de 1,67 gc por paciente, gc negativo 58,6% y gc positivo 41,3%, micromet\u00e1stasis 33,7%. Gc el \u00fanico afecto 68,9%. No hay diferencia significativa entre el tipo de met\u00e1stasis y en n\u00famero de gc, ni entre la afectaci\u00f3n tumoral o no del gc con el n\u00famero de gc. La probabilidad de afectaci\u00f3n de los gnc era m\u00e1s elevada cuando la infiltraci\u00f3n del gc era de mayor tama\u00f1o. La mediana de seguimiento fue de 36 meses. Recidivas locales 1,7 %. Un falso negativo fn 1\/105 (0,95%). Conclusiones. Los resultados validaron nuestro grupo evitanos una linfadenectom\u00eda axilar (58,6 %). Se incrementaron los diagn\u00f3sticos de invasi\u00f3n metast\u00e1sica axilar (33,7%). La recurrencia axilar con gc negativo, es comparable a una linfadenectom\u00eda axilar est\u00e1ndar, no afectando el control local ni la supervivencia. La presencia de micromet\u00e1stasis en el gc supone una baja probabilidad de infiltraci\u00f3n tumoral de los ganglios no centinelas axilares.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Linfadenectom\u00edaaxilar selectiva en el cancer de mama mediante biopsia del ganglio centinela: validaci\u00f3n y aplicaci\u00f3n cl\u00ednica de la t\u00e9cnica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Linfadenectom\u00edaaxilar selectiva en el cancer de mama mediante biopsia del ganglio centinela: validaci\u00f3n y aplicaci\u00f3n cl\u00ednica de la t\u00e9cnica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Omar Abdel-lah Fern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/04\/2008<\/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>Manuel Ramos Boyero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 ramon Garcia talavera fernandez <\/li>\n<li>Francisco Lozano sanchez (vocal)<\/li>\n<li>benigno Acea nebril (vocal)<\/li>\n<li>Francisco Martinez garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Omar Abdel-lah Fern\u00e1ndez Objetivos principales: corroborar la hip\u00f3tesis del gc, validando la t\u00e9cnica. Analizar los resultados en [&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":[7861,141,1279,347,9386],"tags":[52960,9873,22155,9833,112651,140859],"class_list":["post-63802","post","type-post","status-publish","format-standard","hentry","category-angiologia","category-cirugia","category-cirugia-experimental","category-oncologia-clinica","category-salamanca","tag-benigno-acea-nebril","tag-francisco-lozano-sanchez","tag-francisco-Martinez-garcia","tag-jose-ramon-garcia-talavera-fernandez","tag-manuel-ramos-boyero","tag-omar-abdel-lah-fernandez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63802","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=63802"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63802\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=63802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=63802"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=63802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}