{"id":74441,"date":"2005-09-06T00:00:00","date_gmt":"2005-09-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-del-cancer-de-prostata-con-radioterapia-externa-factores-pronostico\/"},"modified":"2005-09-06T00:00:00","modified_gmt":"2005-09-06T00:00:00","slug":"tratamiento-del-cancer-de-prostata-con-radioterapia-externa-factores-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-del-cancer-de-prostata-con-radioterapia-externa-factores-pronostico\/","title":{"rendered":"Tratamiento del c\u00e1ncer de pr\u00f3stata con radioterapia externa: factores pron\u00f3stico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gemma Ramona Sancho Pardo <\/strong><\/h2>\n<p>El c\u00e1ncer de pr\u00f3stata es el c\u00e1ncer m\u00e1s frecuente en el var\u00f3n y la tercera causa de muerte por c\u00e1ncer en espa\u00f1a. La historia natural de este tumor es incierta y la prostatectom\u00eda radical sigue siendo el tratamiento de elecci\u00f3n en los estadios localizados. Menor la radioterapia es un tratamiento curativo alternativo a la prostatectom\u00eda y el tratamiento de elecci\u00f3n en los tumores localmente avanzados. El mejor conocimiento de los factores pron\u00f3stico permite individualizar y optimizar los tratamientos con radioterapia.  pacientes y m\u00e9todo  se han visto 981 pacientes con c\u00e1ncer de pr\u00f3stata localizado tratados con radioterapia externa con intenci\u00f3n radical en el hospital de la santa creu i sant pau en el per\u00edodo comprendido entre 1979-1999. S\u00f3lo un 16% de los casos se consider\u00f3 la radioterapia como tratamiento de primera elecci\u00f3n. edad media: 68.5 a\u00f1os. Estadio: 24% t1; 45% t2, 29% t3, 1% t4 y 1%n+. En 12% se desconoce el gleason: 13% gleason menor 4,60% menor 7 y 15% menor 7. Un 17% de pacientes sin psa inicial; 4% menor 4 ng\/ml, 32% 4-10ng\/ml; 24% mayor 10-20 ng\/ml y 23% mayor 20 ng\/ml. Grupo de riesgo: 20% bajo, 28% intermedio, 27% alto y un 25% no clasificables.  un 58% realiz\u00f3 hormonoterapia asociada y un 3% hab\u00eda realizado previamente prostatectom\u00eda radical. 30% de los pacientes se trataron con cobaltoterpia y 70% con fotones de 18 mv. En 907 pacientes se realiz\u00f3 irradiaci\u00f3n p\u00e9lvica electiva. Dolsis media administrada en pr\u00f3stata: 70 gy. En 673 pacientes se ha podido valorar el control bioqu\u00edmico de acuerdo con la definici\u00f3n propuesta por la astro. Para la valoraci\u00f3n de la toxicidad se han utilizado las escalas de la rtog.  resultados  * respuesta a la radioterapia: un 18% no respondieron a la radioterapia. existe una diferencia estad\u00edsticamente significativa entre el valor medio del psa nadir del grupo de pacientes que presentaron fallo bioqu\u00edmico y del grupo de pacientes libres de fallo bioqu\u00edmico<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento del c\u00e1ncer de pr\u00f3stata con radioterapia externa: factores pron\u00f3stico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento del c\u00e1ncer de pr\u00f3stata con radioterapia externa: factores pron\u00f3stico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gemma Ramona Sancho Pardo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/06\/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>bartle Lamote De Grignon Jordi Craven<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Lanz\u00f3s gonz\u00e1lez <\/li>\n<li>montserrat Ribas morales (vocal)<\/li>\n<li>antoni Gelabert mas (vocal)<\/li>\n<li>xavier Bonfill cosp (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gemma Ramona Sancho Pardo El c\u00e1ncer de pr\u00f3stata es el c\u00e1ncer m\u00e1s frecuente en el var\u00f3n y [&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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