{"id":76094,"date":"2005-06-09T00:00:00","date_gmt":"2005-06-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-pubertad-y-la-funcion-gonadal-en-pacientes-pediatricos-supervivientes-de-un-cancer-infantil\/"},"modified":"2005-06-09T00:00:00","modified_gmt":"2005-06-09T00:00:00","slug":"evaluacion-de-la-pubertad-y-la-funcion-gonadal-en-pacientes-pediatricos-supervivientes-de-un-cancer-infantil","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-de-la-pubertad-y-la-funcion-gonadal-en-pacientes-pediatricos-supervivientes-de-un-cancer-infantil\/","title":{"rendered":"Evaluaci\u00f3n de la pubertad y la funci\u00f3n gonadal en pacientes pedi\u00e1tricos supervivientes de un c\u00e1ncer infantil"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Itziar Martin Iba\u00f1\u00e9z <\/strong><\/h2>\n<p>Antecedentes y objetivos  la mayor supervivencia en el c\u00e1ncer infantil condiciona una mayor preocupaci\u00f3n por los efectos tard\u00edos de su tratamiento.  los objetivos son:  1,- ampliar el conocimiento de los efectos tard\u00edos del tratamiento oncol\u00f3gico sobre la pubertad y la funci\u00f3n gonadal de los supervivientes del c\u00e1ncer infantil.  2,- definir marcadores gonadales e ni\u00f1os pre, intra y postpuberales.  pacientes y m\u00e9todos  se definieron un grupo de estudio y un grupo control.  el primero inclu\u00eda pacientes con antecedentes de c\u00e1ncer infantil, que llevaran menos de 2 a\u00f1os en remisi\u00f3n completa y sin tratamiento, con edad entre 7-18 a\u00f1os al iniciar el estudio. Se seleccionaron 126 pacientes (72 ni\u00f1os y 54 ni\u00f1as). El segundo incluy\u00f3 ni\u00f1os sanos de 7 a 18 a\u00f1os (58 ni\u00f1os y 56 ni\u00f1as). Se realiz\u00f3 una evaluaci\u00f3n cl\u00ednica, valorando curva de crecimiento, desarrollo puberal seg\u00fan tanner, volumen testicular y ciclo menstrual. los ni\u00f1os se clasificaron seg\u00fan su desarrollo puberal en: estadio i, ii, iii y iv-v. Se realiz\u00f3 una determinaci\u00f3n de la concentraci\u00f3n s\u00e9rica basal de fsh, lh, testosterona, estradiol e inhibina b. A los varones del grupo de estudio mayores de 15 a\u00f1os se les propon\u00eda un seminograma, y a la ni\u00f1as puberales con ecograf\u00eda p\u00e9lvica.  resultados  grupo control  en varones la inhibina b aumentaba precozmente al inicio de la pubertad, destacando una correlaci\u00f3n negativa entre fsh e inhibina b a partir de la mitad de la pubertad. En las ni\u00f1as las hormonas aumentaban durante el desarrollo con una correlaci\u00f3n posibilita entre ellas.  grupo de estudio  un 6% de varones presentaba retraso puberal y un 15% de ni\u00f1as pubertad adelantada o precoz. El seminograma se efectu\u00f3 en 10 varones (2 con azoosperina, 2 con astenozoosperina y uno con aspermia). La ecograf\u00eda p\u00e9lvica fue normal en 35 de 38 ni\u00f1as. Entre los varones, 19 (26,4%) presentaban insuficiencia tubular, asociada significativamente con<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n de la pubertad y la funci\u00f3n gonadal en pacientes pedi\u00e1tricos supervivientes de un c\u00e1ncer infantil<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de la pubertad y la funci\u00f3n gonadal en pacientes pedi\u00e1tricos supervivientes de un c\u00e1ncer infantil <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Itziar Martin Iba\u00f1\u00e9z <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/09\/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>Ofelia Orut Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Jimenez gonzalez <\/li>\n<li>josep Sanchez de toledo codina (vocal)<\/li>\n<li>francisca Rivera filvat (vocal)<\/li>\n<li>Mar\u00eda  gloria Bueno lozano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Itziar Martin Iba\u00f1\u00e9z Antecedentes y objetivos la mayor supervivencia en el c\u00e1ncer infantil condiciona una mayor preocupaci\u00f3n [&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":[951,155,9,851,139,347,161],"tags":[164269,164267,72272,124599,164268,1201],"class_list":["post-76094","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-clinicas","category-ciencias-medicas","category-endocrinologia","category-medicina-interna","category-oncologia-clinica","category-pediatria","tag-francisca-rivera-filvat","tag-itziar-martin-ibanez","tag-josep-sanchez-de-toledo-codina","tag-maria-gloria-bueno-lozano","tag-ofelia-orut-Martinez","tag-rafael-jimenez-gonzalez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76094","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=76094"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76094\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}