{"id":79039,"date":"2006-11-03T00:00:00","date_gmt":"2006-11-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-epidemiologicos-clinicopatologicos-y-terapeuticos-del-carcinoma-oral-estudio-de-recidiva\/"},"modified":"2006-11-03T00:00:00","modified_gmt":"2006-11-03T00:00:00","slug":"factores-pronosticos-epidemiologicos-clinicopatologicos-y-terapeuticos-del-carcinoma-oral-estudio-de-recidiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-epidemiologicos-clinicopatologicos-y-terapeuticos-del-carcinoma-oral-estudio-de-recidiva\/","title":{"rendered":"Factores pron\u00f3sticos epidemiol\u00f3gicos, clinicopatol\u00f3gicos y terap\u00e9uticos del carcinoma oral. estudio de recidiva"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ines Vazquez Mahia <\/strong><\/h2>\n<p>El carcinoma de c\u00e9lulas escamosas es el tumor maligno m\u00e1s frecuente, constituyendo el 95 % de los tumores malignos de la cavidad oral. Existen m\u00faltiples factores pron\u00f3sticos estudiados de los cuales el estadio es el de mayor inter\u00e9s cl\u00ednico. La supervivencia global a los 5 a\u00f1os del c\u00e1ncer oral oscila entre 40 % y 50 %, adem\u00e1s de conllevar una morbimortalidad importante. el objetivo de este trabajo es determinar la probabilidad de recidiva y sus determinantes. analizamos nuestra experiencia cl\u00ednica en el del carcinoma epidermoide de la cavidad oral y orofaringe, en el servicio de cirug\u00eda maxilofacila del hospital juan canalejo de la coru\u00f1a, entre enero de 1998 y diciembre de 2003. Los datos registrados incluyeron los antecedentes m\u00e9dicos e historia cl\u00ednica, caracter\u00edsticas cl\u00ednicas del tumor a nivel local y regional, el estadio tnm, el tratamiento y la evoluci\u00f3n, incluyendo la recidiva y supervivencia de los pacientes. Los datos se recogieron mediante el paquete estad\u00edstico spss.12. Se llev\u00f3 a cabo un estudio de seguimiento con componente prospectivo y retrospectivo, realizando un an\u00e1lisis descriptivo. La comparaci\u00f3n de medias se realiz\u00f3 con t de student o test de mann-whitney seg\u00fan procediese tras la comparaci\u00f3n de normalidad con el test de kolgomorow-smirnof. Se estim\u00f3 la supervivencia y la probabilidad de recidiva con la metodolog\u00eda kaplan-meier. Para ajustar por diferentes covariables y determinar la probabilidad de recidiva se realiz\u00f3 un an\u00e1lisis multivariante de regresi\u00f3n por cox. se estudi\u00f3 una muestra de 118 pacientes que cumpl\u00edan los criterios de inclusi\u00f3n. Durante un periodo de seguimiento de 60 meses, un 52,36 % presentaron recidiva tumoral y la tasa de supervivencia global fue del 60 % con el an\u00e1lisis de regresi\u00f3n de cox, las variables que influyen de forma independiente en la recidiva, son la comorbilidad, el estadio tumoral agrupado, el patr\u00f3n macrosc\u00f3pcio y el grado de diferenciaci\u00f3n tumoral. con estos datos se<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos epidemiol\u00f3gicos, clinicopatol\u00f3gicos y terap\u00e9uticos del carcinoma oral. estudio de recidiva<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos epidemiol\u00f3gicos, clinicopatol\u00f3gicos y terap\u00e9uticos del carcinoma oral. estudio de recidiva <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ines Vazquez Mahia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/03\/2006<\/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>cedr\u00fan Cembranos Jos\u00e9 Luis Lopez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joseba Santamaria zuazua <\/li>\n<li>fernanda Lorenzo franco (vocal)<\/li>\n<li>Luis Barbier herrero (vocal)<\/li>\n<li>Santiago Llorente pend\u00e1s (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ines Vazquez Mahia El carcinoma de c\u00e9lulas escamosas es el tumor maligno m\u00e1s frecuente, constituyendo el 95 [&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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