{"id":65078,"date":"2008-09-06T00:00:00","date_gmt":"2008-09-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-cla%c2%adnica-de-los-factores-pronosticos-del-cancer-de-mama-en-nuestro-medio\/"},"modified":"2008-09-06T00:00:00","modified_gmt":"2008-09-06T00:00:00","slug":"utilidad-cla%c2%adnica-de-los-factores-pronosticos-del-cancer-de-mama-en-nuestro-medio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ginecologia\/utilidad-cla%c2%adnica-de-los-factores-pronosticos-del-cancer-de-mama-en-nuestro-medio\/","title":{"rendered":"Utilidad cl\u00ednica de los factores pron\u00f3sticos del c\u00e1ncer de mama en nuestro medio"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Santiago Mart\u00edn Ca\u00f1adas <\/strong><\/h2>\n<p>Se ha realizado un estudio retrospectivo en 130 pacientes diagnosticadas histol\u00f3gicamente de carcinoma de mama, durante los a\u00f1os 1980-2000 en el servicio de obstetricia y ginecolog\u00eda del hospital reina sof\u00eda de c\u00f3rdoba, el per\u00edodo de seguimiento ha finalizado en 2002. Se estudian un total de 22 factores pron\u00f3stico: cl\u00ednicos, histopatol\u00f3gicos y moleculares. De cada factor estudiado se ha calculado el riesgo relativo as\u00ed como el porcentaje de riesgo atribuible y exceso de riesgo tanto para la supervivencia como para la recidiva. Adem\u00e1s, se analiza, en nuestro estudio, el \u00edndice pron\u00f3stico de nottingham en un grupo de 439 pacientes con carcinoma de mama operable, valorando la importancia de agrupar determinados factores pron\u00f3stico en los resultados de supervivencia. Se cloncluye que dentro de los factores cl\u00ednicos, es la edad joven la que presenta un peor pron\u00f3stico, la pertenencia a n\u00facleos rurales del norte de la provincia, y el retraso en el diagn\u00f3stico ha resultado en este estudio un factor pron\u00f3stico adverso. Que el estado menopa\u00fasico y la presencia de antecedentes familiares de c\u00e1ncer de mama presentan un pron\u00f3stico favorable, mientras que una obesidad m\u00f3rbida ensombrece el mismo. Entre los factores histopatol\u00f3gicos el tama\u00f1o tumoral y la afectaci\u00f3n ganglionar son las dos variables pron\u00f3sticas independientes m\u00e1s importantes. Los tumores de localizaci\u00f3n central, los menos diferenciados, aquellos que presentan invasi\u00f3n v\u00e1sculo-linf\u00e1tica o afectan a la piel presentan un peor pron\u00f3stico. Dentro de los factores moleculares, la presencia de receptores tumorales predice la evoluci\u00f3n favorable de la enfermedad, la presencia del oncog\u00e9n c-erb-52, prote\u00edna p53 o catepsina d, no pueden considerarse factores pron\u00f3sticos en este estudio. Una elevaci\u00f3n de ki-67 si ha podido considerarse como factor pron\u00f3stico independiente y la elevaci\u00f3n del ant\u00edgeno ca 15.3 es un factor pron\u00f3stico adverso.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad cl\u00ednica de los factores pron\u00f3sticos del c\u00e1ncer de mama en nuestro medio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad cl\u00ednica de los factores pron\u00f3sticos del c\u00e1ncer de mama en nuestro medio <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Santiago Mart\u00edn Ca\u00f1adas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/06\/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 Morillo Conejo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda adela S\u00e1nchez Garc\u00eda <\/li>\n<li>rogelio Garrido teruel (vocal)<\/li>\n<li>Antonio Gonz\u00e1lez gonz\u00e1lez (vocal)<\/li>\n<li>Jos\u00e9 Manuel Bajo arenas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Santiago Mart\u00edn Ca\u00f1adas Se ha realizado un estudio retrospectivo en 130 pacientes diagnosticadas histol\u00f3gicamente de carcinoma [&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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