{"id":70267,"date":"2018-03-09T23:14:48","date_gmt":"2018-03-09T23:14:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/melanoma-cutaneo-estudios-de-sus-caractera%c2%adsticas-cla%c2%adnico-patologicas-y-sus-factores-pronosticos\/"},"modified":"2018-03-09T23:14:48","modified_gmt":"2018-03-09T23:14:48","slug":"melanoma-cutaneo-estudios-de-sus-caractera%c2%adsticas-cla%c2%adnico-patologicas-y-sus-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/melanoma-cutaneo-estudios-de-sus-caractera%c2%adsticas-cla%c2%adnico-patologicas-y-sus-factores-pronosticos\/","title":{"rendered":"Melanoma cut\u00e1neo: estudios de sus caracter\u00edsticas cl\u00ednico-patol\u00f3gicas y sus factores pron\u00f3sticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gast\u00f3n Roustan Gull\u00f3n <\/strong><\/h2>\n<p>Introducci\u00f3n  el melanoma cut\u00e1neo es una de las neoplasias malignas en la que se est\u00e1 observando un aumento alarmente de su incidencia.  objetivos  profundizar y mejorar nuestros conocimientos en esta patolog\u00eda para prevenir su aparici\u00f3n, conseguir un diagn\u00f3stico precoz y mejorar su supervivencia.  pacientes y m\u00e9todo  se estudiaron las caracter\u00edsticas cl\u00ednico-patol\u00f3gicas de 245 pacientes vistos en el servicio de dermatolog\u00eda entre los a\u00f1os 1993-2003. Adem\u00e1s se estudi\u00f3 su probabilidad de supervivencia y supervivencia libre de enfermedad, el desarrollo de met\u00e1stais y diferentes factores que pudieran influir en el pron\u00f3stico de la enfermedad.  los datos obtenidos se analizaron mediante la prueba de la x2 de pearson, el test de supervivencia de kaplan-meir y cox.  resultados  se observ\u00f3 una ligera mayor incidencia en el sexo femenino, con una distribuci\u00f3n etaria trimodal (25-35; 45-60 y 75-85), con una edad media de 52,1 a\u00f1os.  los pacientes presentaban un fototipo ii o iii y refer\u00edan con frecuencia quemaduras solares en la infancia, en muchos casos con ampollas. Muchos pacientes presentaban lentigos solares numerosos en espalda. Pocos pacientes presentaban nuevos melanocitos m\u00faltiples.  la mayor\u00eda de los casos presentaban un espesor tumoral menor de 2mm, no estaban ulcerados y excepcionalmente se observaba satelitosis microsc\u00f3pica y un alto \u00edndice de mitosis. La identificaci\u00f3n de un nevo o restos se observ\u00f3 en un 22% de los casos.  la probabilidad de supervivencia a 5 a\u00f1os fue del 79,8%.  el factor pron\u00f3stico m\u00e1s significativo e independiente fue el espesor tumoral mayor de 4mm o entre 2-4mm; as\u00ed como la ulceraci\u00f3n histopatol\u00f3gica, la presencia de sate litosis microsc\u00f3pica y la edad mayor de 65 a\u00f1os.  conclusi\u00f3n  la incidencia del melanoma cut\u00e1neo sigue aumentando a pesar de las campa\u00f1as de prevenci\u00f3n.  la mortalidad sigue siendo baja, fundamentalmente por un diagn\u00f3stico precoz.  la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Melanoma cut\u00e1neo: estudios de sus caracter\u00edsticas cl\u00ednico-patol\u00f3gicas y sus factores pron\u00f3sticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Melanoma cut\u00e1neo: estudios de sus caracter\u00edsticas cl\u00ednico-patol\u00f3gicas y sus factores pron\u00f3sticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gast\u00f3n Roustan Gull\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/09\/2004<\/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>Angel Sim\u00f3n Merch\u00e1n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: amaro Garcia diez <\/li>\n<li>susana Urrutia hernando (vocal)<\/li>\n<li>concepci\u00f3n Minguez (vocal)<\/li>\n<li>Mar\u00eda no Casado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gast\u00f3n Roustan Gull\u00f3n Introducci\u00f3n el melanoma cut\u00e1neo es una de las neoplasias malignas en la que se [&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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