{"id":76965,"date":"2005-02-11T00:00:00","date_gmt":"2005-02-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-aplicacion-del-ganglio-centinela-en-el-diagnostico-y-tratamiento-del-cancer-de-mama\/"},"modified":"2005-02-11T00:00:00","modified_gmt":"2005-02-11T00:00:00","slug":"estudio-de-la-aplicacion-del-ganglio-centinela-en-el-diagnostico-y-tratamiento-del-cancer-de-mama","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-aplicacion-del-ganglio-centinela-en-el-diagnostico-y-tratamiento-del-cancer-de-mama\/","title":{"rendered":"Estudio de la aplicaci\u00f3n del ganglio centinela en el diagn\u00f3stico y tratamiento del c\u00e1ncer de mama."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Teresa Torres Sanchez <\/strong><\/h2>\n<p>Introducci\u00f3n:el manejo del c\u00e1ncer de mama ha sufrido modificaciones en los \u00faltimos a\u00f1os, tendiendo cada vez a realizar actitudes quir\u00fargicas m\u00e1s conservadoras. Gracias a los m\u00e9todos de screening diagnosticamos esta enfermedad cada vez en estadios m\u00e1s precoces, para su estadiaje el estado de los ganglios de la axila homolateral sigue siendo hoy en d\u00eda un importante factor pron\u00f3stico. aproximadamente un 70% de las linfadenectom\u00edas axilares son negativas, aumentando en estas enfermas la morbilidad innecesariamente.El estudio del ganglio centinela se propone como un m\u00e9todo m\u00ednimamente invasivo para conocer el estado axilar sin necesidad de realizar linfadenectom\u00eda de forma sistem\u00e1tica. Si logramos validar esta t\u00e9cnica un ganglio centinela negativo implicar\u00eda no realizar linfadenectom\u00eda axilar.  objetivos:  1-validar la t\u00e9cnica del ganglio centinela en nuestro grupo de trabajo.  2-conseguir un \u00edndice de eficacia t\u00e9cnica superior al 90%, y un \u00edndice de falsos negativos inferior al 5%.  3-realizar un estudio estad\u00edstico, utilizando un modelo de regresi\u00f3n log\u00edstica simple, para detectar qu\u00e9 variables a nivel individual, pueden alterar los \u00edndices diagn\u00f3sticos globales.  4-realizar un an\u00e1lisis estad\u00edstico, utilizando un modelo de regresi\u00f3n log\u00edstica m\u00faltiple, para detectar qu\u00e9 posibles combinaciones de variables pueden alterar los \u00edndices diagn\u00f3sticos globales.  5-valorar, bas\u00e1ndonos en nuestros datos de sensibilidad y especificidad, as\u00ed como en el umbral de preValencia de la enfermedad, a qu\u00e9 tipo de enfermas debemos aplicar la t\u00e9cnica.  material y m\u00e9todo:de las pacientes con diagn\u00f3stico de c\u00e1ncer de mama que han sido enviadas al servicio de cirug\u00eda del hospital dr.Peset entre marzo de 1999 y junio de 2002, hemos seleccionado nuestro grupo de pacientes, seg\u00fan nuestros criterios de inclusi\u00f3n y exclusi\u00f3n.2-18 horas antes de la intervenci\u00f3n se realiza la inyecci\u00f3n peritumoral del trazador, se t<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la aplicaci\u00f3n del ganglio centinela en el diagn\u00f3stico y tratamiento del c\u00e1ncer de mama.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la aplicaci\u00f3n del ganglio centinela en el diagn\u00f3stico y tratamiento del c\u00e1ncer de mama. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Teresa Torres Sanchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/11\/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> Delgado Gomis\/ Sopena Monforte  Fernando \/ Ramon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Mateo navarro <\/li>\n<li> Lacuerva gomez  f. Javier (vocal)<\/li>\n<li>Ana Lluch hernandez (vocal)<\/li>\n<li>Javier Deus fombellida (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Teresa Torres Sanchez Introducci\u00f3n:el manejo del c\u00e1ncer de mama ha sufrido modificaciones en los \u00faltimos a\u00f1os, [&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":[9,141,1279],"tags":[9292,1814,165915,55806,165916,165914],"class_list":["post-76965","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-experimental","tag-ana-lluch-hernandez","tag-antonio-mateo-navarro","tag-delgado-gomis-sopena-monforte-fernando-ramon","tag-javier-deus-fombellida","tag-lacuerva-gomez-f-javier","tag-ma-teresa-torres-sanchez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76965","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=76965"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76965\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76965"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}