{"id":74013,"date":"2018-03-09T23:18:57","date_gmt":"2018-03-09T23:18:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/quimiorreduccion-en-retinoblastomas-correlaciones-cla%c2%adnicas-y-terapeuticas-con-el-control-local-y-conservacion-de-la-vision\/"},"modified":"2018-03-09T23:18:57","modified_gmt":"2018-03-09T23:18:57","slug":"quimiorreduccion-en-retinoblastomas-correlaciones-cla%c2%adnicas-y-terapeuticas-con-el-control-local-y-conservacion-de-la-vision","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/quimiorreduccion-en-retinoblastomas-correlaciones-cla%c2%adnicas-y-terapeuticas-con-el-control-local-y-conservacion-de-la-vision\/","title":{"rendered":"Quimiorreducci\u00f3n en retinoblastomas. correlaciones cl\u00ednicas y terap\u00e9uticas con el control local y conservaci\u00f3n de la visi\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel De Las Heras Mart\u00edn <\/strong><\/h2>\n<p>Hasta la pesada d\u00e9cada la enucleaci\u00f3n y radioterapia externa eran los tratamientos m\u00e1s utilizados en el retinoblastoma intraocular. La quimioterapia se reservaba para los casos con invasi\u00f3n de nervio \u00f3ptico, coroides u \u00f3rbita o met\u00e1stasis. en los \u00faltimos a\u00f1os se ha desarrollado un nuevo enfoque terap\u00e9utico que utiliza la quimioterapia como tratamiento primario del retinoblastoma para reducir su tama\u00f1o y conseguir su control final con m\u00e9todos locales conservadores.  su objetivo es conservar el globo ocular y una visi\u00f3n \u00fatil, evitando los efectos secundarios de la radioterapia. Los trabajos publicados muestran que la quimioterapia aislada suele ser insuficiente para lograr el control tumoral, siendo preciso asociar distintas terapias focales, pero a\u00fan no existe consenso sobre los f\u00e1rmacos, dosis y n\u00famero de ciclos a uitlizar o estratificaci\u00f3n de pautas y los distintos par\u00e1metros evaluados hacen d\u00edficil comparar los resultados entre los distintos grupos.  este trabajo parte de la hip\u00f3tesis de que la quimiorreducci\u00f3n unida a terapias de consolidaci\u00f3n en el tratamiento del retinoblastoma intraocular permite la supervivencia del paciente y la conservaci\u00f3n del globo ocular manteniendo una visi\u00f3n \u00fatil, evitando los efectos adversos asociados a la radioterapia externa. Por otro lado, la clasificaic\u00f3n de reese-ellsworth, ideada para predecir la superviviencia ocular y pron\u00f3stico visual tras aplicar radioterapia externa, ha sido el indicador pron\u00f3stico m\u00e1s utilizado en la planficaci\u00f3n del tratamiento conservador del retinoblastoma intraocular. Una hip\u00f3tesis secundaria considera que el desarrollo de la quimiorreducci\u00f3n puede hacer que los indicadores pron\u00f3sticos sean diferentes, obligando a buscar cu\u00e1les de ellos pueden servir para mejorar nuestras pautas de tratamiento. La posibilidad de disponer en el servicio de oftalmolog\u00eda infantil del hospital la paz de un grupo de pacientes uniformemente evaluados y tratados<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Quimiorreducci\u00f3n en retinoblastomas. correlaciones cl\u00ednicas y terap\u00e9uticas con el control local y conservaci\u00f3n de la visi\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Quimiorreducci\u00f3n en retinoblastomas. correlaciones cl\u00ednicas y terap\u00e9uticas con el control local y conservaci\u00f3n de la visi\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel De Las Heras Mart\u00edn <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/05\/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>Jos\u00e9 Manuel Abelairas G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: \u00e1ngel Villar del fresno <\/li>\n<li>Jes\u00fas Peralta calvo (vocal)<\/li>\n<li> Encinas martin Jos\u00e9 lulis (vocal)<\/li>\n<li>teresa Berrocal frutos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel De Las Heras Mart\u00edn Hasta la pesada d\u00e9cada la enucleaci\u00f3n y radioterapia externa eran los tratamientos [&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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