{"id":77579,"date":"2005-02-12T00:00:00","date_gmt":"2005-02-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estadificacion-local-del-cancer-de-recto-subdivision-pronostica-del-t3-segun-la-ecografa%c2%ada-rectal\/"},"modified":"2005-02-12T00:00:00","modified_gmt":"2005-02-12T00:00:00","slug":"estadificacion-local-del-cancer-de-recto-subdivision-pronostica-del-t3-segun-la-ecografa%c2%ada-rectal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estadificacion-local-del-cancer-de-recto-subdivision-pronostica-del-t3-segun-la-ecografa%c2%ada-rectal\/","title":{"rendered":"Estadificaci\u00f3n local del c\u00e1ncer de recto. subdivisi\u00f3n pron\u00f3stica del t3 seg\u00fan la ecograf\u00edarectal."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Pedro Esclapez Valero <\/strong><\/h2>\n<p>Introducci\u00f3n:  en las dos \u00faltimas d\u00e9cadas uno de los progresos m\u00e1s importantes en el manejo de los pacientes con c\u00e1ncer de recto ha sido conseguir una buena estadificaci\u00f3n tumoral preoperatoria, quir\u00fargica y anatomopatol\u00f3gica, en el estadio t3 existe una heterogeneidad tanto cl\u00ednica como anatomopatol\u00f3gica, puesta en evidencia por muchos autores. En la estadificaci\u00f3n preoperatoria por m\u00e9todos de imagen (ecoagraf\u00eda endoanal, tac, rnm..) No se contempla la subclasificaci\u00f3n del t3 a pesar de que \u00e9sta tendr\u00eda un impacto pron\u00f3stico.  justificaci\u00f3n:  las bases de \u00e9ste trabajo surgen de la experiencia de la unidad de coloproctolog\u00eda del hcuv en el tratamiento del c\u00e1ncer de recto y especialmente en el uso de la ecograf\u00eda rectal en la estadificaci\u00f3n del mismo. Hemos detectado las limitaciones del sistema utn con respecto a la heterogeneidad del t3. de \u00e9stas premisas nos han surgido cuestiones poco contestadas por la bibliograf\u00eda actual como \u00c2\u00bfcu\u00e1l es la fiabilidad de la estadificaci\u00f3n preoparatoria del c\u00e1ncer de recto por er y que implicaciones  terap\u00e9uticas tiene en relaci\u00f3n con las recidivas locales y sistemicas? \u00c2\u00bfconstituye la estadificaci\u00f3n preoperatorio por er un par\u00e1metro suficiente para indicar la qrt neoadyuvante?.  hip\u00f3tesis  y  objetivos:  hip\u00f3tesis:  los c\u00e1nceres de recto catalogados como estadio ut3 pueden subdividirse preoperatoriamente con car\u00e1cter pron\u00f3stico mediante la ecograf\u00eda rectal en relaci\u00f3n al espesor  y al per\u00edmetro tumoral.  objetivos:  1- determinar si el espesor m\u00e1ximo o el per\u00edmetro m\u00e1ximo ecogr\u00e1fico de los tumores ut3 se relaciona con la presencia de recidiva tumoral local o sist\u00e9mica.  2- en caso afirmativo, establecer un posible  valor de corte  con car\u00e1cter pron\u00f3stico respecto al espesor  o al per\u00edmetro tumoral determinado por ecograf\u00eda rectal.  3- analizar la correlaci\u00f3n de estos par\u00e1metros ecogr\u00e1ficos con otros factores pron\u00f3sticos patol\u00f3gicos de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estadificaci\u00f3n local del c\u00e1ncer de recto. subdivisi\u00f3n pron\u00f3stica del t3 seg\u00fan la ecograf\u00edarectal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estadificaci\u00f3n local del c\u00e1ncer de recto. subdivisi\u00f3n pron\u00f3stica del t3 seg\u00fan la ecograf\u00edarectal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Pedro Esclapez Valero <\/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\/12\/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>granero Xim\u00e9nez  Salvador \/ Eduardo Lled\u00f3 Matoses \/Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Calpena rico <\/li>\n<li>samuel Navarro fos (vocal)<\/li>\n<li>pedro Gago romon (vocal)<\/li>\n<li>h\u00e9ctor Ort\u00edz hurtado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Pedro Esclapez Valero Introducci\u00f3n: en las dos \u00faltimas d\u00e9cadas uno de los progresos m\u00e1s importantes en [&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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