{"id":72216,"date":"2018-03-09T23:16:58","date_gmt":"2018-03-09T23:16:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-factores-pronostico-y-predictivos-de-la-presencia-de-fibronecrosis-en-las-masas-residuales-postquimioterapia-en-tumores-de-extirpe-germinal\/"},"modified":"2018-03-09T23:16:58","modified_gmt":"2018-03-09T23:16:58","slug":"estudio-de-factores-pronostico-y-predictivos-de-la-presencia-de-fibronecrosis-en-las-masas-residuales-postquimioterapia-en-tumores-de-extirpe-germinal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-factores-pronostico-y-predictivos-de-la-presencia-de-fibronecrosis-en-las-masas-residuales-postquimioterapia-en-tumores-de-extirpe-germinal\/","title":{"rendered":"Estudio de factores pron\u00f3stico y predictivos de la presencia de fibronecrosis en las masas residuales postquimioterapia en tumores de extirpe germinal."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Trilla Herrera <\/strong><\/h2>\n<p>La presencia de masas residuales postquimioterapia es una circunstancia relativamente frecuente (30-60%) en pacientes afectos de tumores germinales testiculares (tgt) metast\u00e1sicos tras la finalizaci\u00f3n de la quimioterapia de  inducci\u00f3n y en ausencia de elevaci\u00f3n de marcadores tumorales. La resecci\u00f3n quir\u00fargica constituye el tratamiento com\u00fanmente aceptado en estos casos y en especial en los tgt no seminomatosos. La histolog\u00eda de dichas masas  revelar\u00e1 hasta en un 40% la presencia de fibronecrosis, teratoma maduro en un 40% y tumor germinal viable en el 20% restante. La detecci\u00f3n de tumor germinal viable en las masas resecadas es sumamente \u00fatil pues su presencia  determinar\u00e1 la aplicaci\u00f3n de nuevos ciclos de quimioterapia adyuvante. as\u00ed mismo la ex\u00e9resis del teratoma, dado su car\u00e1cter quimio-radio resistente y su potencial capacidad de crecimiento determina que la cirug\u00eda sea la \u00fanica  alternativa en \u00e9stos casos. Por tanto y, a diferencia de las dos situaciones anteriores, la ex\u00e9resis de masas residuales que contengan \u00fanicamente el componente histol\u00f3gico de fibronecrosis no va a tener valor terap\u00e9utico alguno y obliga a someter al paciente a una cirugla compleja con potenciales complicaciones y secuelas (disfunci\u00f3n eyaculatoria).  por tanto nuestro estudio se propone identificar predictores objetivos de la histolog\u00eda de fibronecrosis en las masas residuales postquimioterapia que nos permitan omitir, en casos seleccionados, la pr\u00e1ctica de la cirug\u00eda retroperitoneal. Se analizan la asociaci\u00f3n y el valor predictivo global de las variables histol\u00f3gicas del tumor primario, variables cl\u00ednicobiol\u00f3gicas  y variables radiol\u00f3gicas respecto a la presencia de fibrosis-necrosis en las masas residuales postquimioterapia. Asi mismo se analiza la morbilidad global de la serie estudiada. Se realiza un estudio descriptivo y retrospectivo de una cohorte de 49 pacientes afectos de tumores germinales con masa residual retrope<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de factores pron\u00f3stico y predictivos de la presencia de fibronecrosis en las masas residuales postquimioterapia en tumores de extirpe germinal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de factores pron\u00f3stico y predictivos de la presencia de fibronecrosis en las masas residuales postquimioterapia en tumores de extirpe germinal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Trilla Herrera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/12\/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>Eladio Franco Miranda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: antoni Gelabert mas <\/li>\n<li>josep ramon Germ?  lluch (vocal)<\/li>\n<li>in\u00e9s M\u00aa De torres ramirez (vocal)<\/li>\n<li>eduard Jaurrieta mas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Trilla Herrera La presencia de masas residuales postquimioterapia es una circunstancia relativamente frecuente (30-60%) en pacientes [&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":[951,9,141,1533],"tags":[1326,1460,78520,142922,84106,71082],"class_list":["post-72216","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-cirugia","category-cirugia-urologica","tag-antoni-gelabert-mas","tag-eduard-jaurrieta-mas","tag-eladio-franco-miranda","tag-enrique-trilla-herrera","tag-ines-ma-de-torres-ramirez","tag-josep-ramon-germ-lluch"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72216","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=72216"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72216\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=72216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=72216"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=72216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}