{"id":66744,"date":"2008-03-09T00:00:00","date_gmt":"2008-03-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/braquiterapia-epiescleral-en-el-melanoma-de-coroides\/"},"modified":"2008-03-09T00:00:00","modified_gmt":"2008-03-09T00:00:00","slug":"braquiterapia-epiescleral-en-el-melanoma-de-coroides","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia\/braquiterapia-epiescleral-en-el-melanoma-de-coroides\/","title":{"rendered":"Braquiterapia epiescleral en el melanoma de coroides"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Raquel Correa Generoso <\/strong><\/h2>\n<p>La braquiterapia oft\u00e1lmica supone una alternativa de tratamiento conservador a la enucleaci\u00f3n en el melanoma de coroides que, en muchos casos permite mantener tanto el \u00f3rgano como la visi\u00f3n. El objetivo de esta tesis es analizar la experiencia de nuestro centro de forma retrospectiva en cuanto a toxicidad, control local y supervivencia , as\u00ed como la factibilidad de la t\u00e9cnica en nuestro medio. Desde 1996 hasta 2004 se han tratado 120 pacientes afectos de melanoma de coroides mediante placa epiescleral con i-125. Con una mediana de seguimiento de 50.48 meses, de ellos 50 eran hombres y 70 mujeres, ojo dcho en 61 casos y ojo izdo en 59, la distribuci\u00f3n por estadios fue: coms-i: 4,17%; coms.Ii: 72,5%; coms-iii: 20%; y coms indeterminado: 3.33%. La supervivencia global a 5 a\u00f1os ha sido de 84.16%. La supervivencia espec\u00edfica a 5 a\u00f1os ha sido del 85.95%; el control local a 5 a\u00f1os ha sido del 88.45%. La supervivencia libres de met\u00e1stasis a 5 a\u00f1os ha sido del 79.78%. En cuanto a toxicidad encontramos que el principal efecto secundario encontrado fue la catarata en un 31.67% de pacientes, seguido de retinopatia por radiaci\u00f3n (7.5%), hemorragia vitea (3.3%), desprendimiento de retina (4.17%), (maculopat\u00eda (4.17%), neuropat\u00eda \u00f3ptica (0.83%), glaucoma (7.5%) y estrabismo (0.83). Como conclusi\u00f3n podemos decir que el tratamiento del melanoma de coroides con placa epiescleral con semillas de i-125 representa un tratamiento efectivo y una alternativa a la enucleaci\u00f3n, pudiendo as\u00ed conservar el ojo y la funci\u00f3n con un perfil de toxicidad relativamente bien tolerado, aunque el melanoma de coroides es un tumor poco frecuente el contexto del instituto catal\u00e1n de oncolog\u00eda y del hospital universitario de bellvitge, la infraestructura, la proximidad f\u00edsica, la disposici\u00f3n de medios t\u00e9cnicos y humanos hace que sea posible un centro de referencia de esta patolog\u00eda, la afluencia importante de pacientes procedentes de diferentes lugares de origen conlleva a un ac\u00famulo de experiencia y de mejor\u00eda en la t\u00e9cnica que hacen que la braquiterapia oft\u00e1lmica sea un procedimiento terap\u00e9utico factible.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Braquiterapia epiescleral en el melanoma de coroides<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Braquiterapia epiescleral en el melanoma de coroides <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Raquel Correa Generoso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/09\/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>Joan Pera Fabregas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Garc\u00eda campos <\/li>\n<li>alfredo Polo rubio (vocal)<\/li>\n<li>Emilio Alba conejo (vocal)<\/li>\n<li>ferran Guedea edo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Raquel Correa Generoso La braquiterapia oft\u00e1lmica supone una alternativa de tratamiento conservador a la enucleaci\u00f3n en el [&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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