{"id":72703,"date":"2005-12-02T00:00:00","date_gmt":"2005-12-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-epidemiologico-del-cancer-de-colon-y-recto-en-el-area-de-salud-del-hospital-de-leon-en-el-decenio-1993-2002\/"},"modified":"2005-12-02T00:00:00","modified_gmt":"2005-12-02T00:00:00","slug":"estudio-epidemiologico-del-cancer-de-colon-y-recto-en-el-area-de-salud-del-hospital-de-leon-en-el-decenio-1993-2002","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-epidemiologico-del-cancer-de-colon-y-recto-en-el-area-de-salud-del-hospital-de-leon-en-el-decenio-1993-2002\/","title":{"rendered":"Estudio epidemiologico del cancer de colon y recto en el area de salud del hospital de leon en el decenio 1993-2002"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Oscar Sanz Guadarrama <\/strong><\/h2>\n<p>1. El adenocarcinoma colorrectal en el area de salud del hospital de le\u00f3n tiene una incidencia elevada, de las m\u00e1s altas de espa\u00f1a, y con cifras similares a las de zonas de alta incidencia de europa y estados unidos.  2. La mitad de los pacientes son diagnosticados en estadios precoces de adenocarcinoma de colon o recto, potencialmente curables s\u00f3lo con cirug\u00eda. el 20 % ya presentan invasi\u00f3n a distancia en el momento del diagn\u00f3stico.  3. En una zona de alta preValencia de adenocarcinoma colorrectal habr\u00eda que plantear estudios de screening para mejorar la cifra de pacientes diagnosticados en estadios precoces y as\u00ed aumentar la supervivencia por esta patolog\u00eda.  4. Ni la edad ni el sexo influyen de forma significativa en la localizaci\u00f3n tumoral, aunque los hombres tienen tendencia a presentar tumores distales.  5. Los tumores proximales se diagnostican en estadios menos precoces, son m\u00e1s frecuentes en mujeres, y presentan el car\u00e1cter mucosecretor con mayor frecuencia.  6. El grado de penetraci\u00f3n tumoral en la pared del colon o recto debe ser un factor bien analizado ya que es el factor en el an\u00e1lisis univariante que m\u00e1s influye en la presencia de adenopat\u00edas infiltradas y de met\u00e1stasis hep\u00e1ticas. Ning\u00fan paciente en estadio t 1 presenta met\u00e1stasis ganglionares ni hep\u00e1ticas. La mitad de los pacientes con afectaci\u00f3n de la serosa presentan adenopat\u00edas infiltradas.  7. Los factores que influyen en la presencia de infiltraci\u00f3n ganglionar son el sexo, con el varon como factor protector de las mismas; el grado de diferenciaci\u00f3n tumoral y la penetraci\u00f3n tumoral en la pared de colon o recto.  8. Los factores que influyen en la presencia de met\u00e1stasis hep\u00e1ticas son el grado de diferenciaci\u00f3n tumoral, la penetraci\u00f3n tumoral en la pared de colon o recto y la presencia de adenopat\u00edas infiltradas.  9. La supervivencia del adenocarcinoma de colon y recto est\u00e1 influenciada por la localizaci\u00f3n tumoral, siendo menor<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio epidemiologico del cancer de colon y recto en el area de salud del hospital de leon en el decenio 1993-2002<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio epidemiologico del cancer de colon y recto en el area de salud del hospital de leon en el decenio 1993-2002 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Oscar Sanz Guadarrama <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/02\/2005<\/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>Carlos Vaquero Puerta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: agustin Caro paton gomez <\/li>\n<li>Mar\u00eda  angeles Alller reyero (vocal)<\/li>\n<li>jacinto Garc\u00eda Garc\u00eda (vocal)<\/li>\n<li>Rafael Martinez sanz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Oscar Sanz Guadarrama 1. El adenocarcinoma colorrectal en el area de salud del hospital de le\u00f3n tiene [&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":[9,141,387,1086,12451],"tags":[9694,9258,59689,12620,158018,10330],"class_list":["post-72703","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-epidemiologia","category-valladolid","tag-agustin-caro-paton-gomez","tag-carlos-vaquero-puerta","tag-jacinto-garcia-garcia","tag-maria-angeles-alller-reyero","tag-oscar-sanz-guadarrama","tag-rafael-Martinez-sanz"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72703","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=72703"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72703\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=72703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=72703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=72703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}