{"id":73183,"date":"2005-11-03T00:00:00","date_gmt":"2005-11-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-resonancia-magnetica-en-la-estadificacion-del-cancer-de-prostata-cla%c2%adnicamente-localizado-valoracion-cla%c2%adnico-patologica\/"},"modified":"2005-11-03T00:00:00","modified_gmt":"2005-11-03T00:00:00","slug":"analisis-de-la-resonancia-magnetica-en-la-estadificacion-del-cancer-de-prostata-cla%c2%adnicamente-localizado-valoracion-cla%c2%adnico-patologica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-urologica\/analisis-de-la-resonancia-magnetica-en-la-estadificacion-del-cancer-de-prostata-cla%c2%adnicamente-localizado-valoracion-cla%c2%adnico-patologica\/","title":{"rendered":"An\u00e1lisis de la resonancia magn\u00e9tica en la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata cl\u00ednicamente localizado: valoraci\u00f3n cl\u00ednico-patol\u00f3gica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jorge  Miguel Lopez Ferrandis <\/strong><\/h2>\n<p>Titulo: an\u00e1lisis de la resonancia magn\u00e9tica en la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata cl\u00ednicamente localizado: valoraci\u00f3n cl\u00ednico-patol\u00f3gica  resumen: hipotesis se justifica la b\u00fasqueda de una prueba que seleccione a los pacientes, conocida su \u00f3rgano-confinaci\u00f3n, con elevada probabilidad de ser curados. Objetivos valoraci\u00f3n de la rm en la estadificaci\u00f3n del cp cl\u00ednicamente localizado- interacci\u00f3n de la rm con las variables cl\u00ednicas significativas  definici\u00f3n del perfil de paciente que se va a beneficiar materlal y m\u00e9todos se han estudiado 179 pacientes diagnosticados de cp cl\u00ednicamente localizado entre septiembre de 2000 y febrero de 2004 a los que se les ha realizado una rm y tratamiento mediante prostatectom\u00eda radical resultados el estudio de validez diagn\u00f3stica muestra una sensibilidad y especificidad del 59,2% y 87,2% para el estadio, del 51% y 90% para la afectaci\u00f3n extracapsular y del 44,4% y 93,8% para la afectaci\u00f3n de ves\u00edculas seminal es. El estadio por rm muestra una relaci\u00f3n estad\u00edsticamente significativa (p<0,0001) con el estadio patol\u00f3gico.  La rm es la variable de mayor poder predictivo para el estadio patol\u00f3gico localmente avanzado (or=4,9), para la afectaci\u00f3n de m\u00e1rgenes (or=2,3), para la afectaci\u00f3n de tejidos extracapsulares (or=2,2) y para la afectaci\u00f3n de ves\u00edculas seminales (or=10,1) se han obtenido los grupos de riesgo y calculado la probabilidad en cada uno de presentar un estadio patol\u00f3gico localmente avanzado, afectaci\u00f3n extracapsular, de ves\u00edculas seminales y de m\u00e1rgenes quir\u00fargicos. Concluslones la rm es una prueba \u00fatil en la estadificaci\u00f3n del cp cl\u00ednicamente localizado y se justifica cuando el n\u00famero de cilindros en la biopsia es &#61619; 50%, el psa&#61619; 10 ng\/ml o el tacto rectal anormal\n\n\n\n&nbsp;\n\n\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de la resonancia magn\u00e9tica en la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata cl\u00ednicamente localizado: valoraci\u00f3n cl\u00ednico-patol\u00f3gica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de la resonancia magn\u00e9tica en la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata cl\u00ednicamente localizado: valoraci\u00f3n cl\u00ednico-patol\u00f3gica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jorge  Miguel Lopez Ferrandis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/03\/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> Robles Garc\u00eda Jos\u00e9 Enrique<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Casti\u00f1eiras fernandez <\/li>\n<li>Jes\u00fas Javier Sola gallego (vocal)<\/li>\n<li>joaqu\u00edn Carballido rodr\u00edguez (vocal)<\/li>\n<li>Antonio Martinez noguera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jorge Miguel Lopez Ferrandis Titulo: an\u00e1lisis de la resonancia magn\u00e9tica en la estadificaci\u00f3n del c\u00e1ncer de pr\u00f3stata [&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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