{"id":80004,"date":"2018-03-09T23:25:54","date_gmt":"2018-03-09T23:25:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/significacion-clinica-de-la-apariencia-mamografica-del-cancer-de-mama\/"},"modified":"2018-03-09T23:25:54","modified_gmt":"2018-03-09T23:25:54","slug":"significacion-clinica-de-la-apariencia-mamografica-del-cancer-de-mama","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/significacion-clinica-de-la-apariencia-mamografica-del-cancer-de-mama\/","title":{"rendered":"Significacion clinica de la apariencia mamografica del cancer de mama"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ildefonso Cienfuegos Mar\u00eda  Concepcion <\/strong><\/h2>\n<p>Justificaci\u00f3n y objetivos: los carcinomas mamarios muestran una apariencia mamogr\u00e1fica diversa. En el presente estudio analizamos en una amplia serie de pacientes con c\u00e1ncer de mama,  la relaci\u00f3n entre los hallazgos mamogr\u00e1ficos y las caracter\u00edsticas de las pacientes y los tumores, as\u00ed como su significaci\u00f3n pron\u00f3stica.M\u00e9todos: se realiz\u00f3 un estudio retrospectivo en 411 pacientes diagnosticadas de carcinoma ductal infiltrante de mama. En 401 pacientes sin evidencia de met\u00e1stasis en el momento del diagn\u00f3stico inicial, se realiz\u00f3 un seguimiento medio de 30,12 meses, evaluando el tiempo libre de enfermedad y la supervivencia total. Los tumores fueron clasificados seg\u00fan su apariencia mamogr\u00e1fica en 5 subgrupos radiol\u00f3gicos: masa con esp\u00edculas con o sin microcalficaciones asociadas (tipo a), alteraciones de la densidad con o sin microcacificaciones asociadas (tipo b), agrupaci\u00f3n de microcacificaciones sin una masa evidente (tipo c), lesi\u00f3n circunscrita con o sin microcalcificaciones (tipo d), y lesi\u00f3n no visible en la mamograf\u00eda (tipo e). Adem\u00e1s, de forma independiente se ha evaluado la significaci\u00f3n cl\u00ednica de las microcalcificaciones en el tumor. En un grupo de 401 pacientes sin evidencia de met\u00e1stasis en el momento del diagn\u00f3stico inicial, se realiz\u00f3 la evaluaci\u00f3n del tiempo libre de enfermedad y de la supervivencia total. La media del periodo de seguimiento fue de 27 meses.  resultados: el tipo radiol\u00f3gico a fue detectado en 234 pacientes (57%), el tipo b en 46 (11%), el tipo c en 46 (11%) y el tipo e en 17 pacientes (4%). Adem\u00e1s, un total de 155 tumores (37,8%) mostraron microcalcificaciones. el an\u00e1lisis estad\u00edstico demostr\u00f3  diferencias significativas en la distribuci\u00f3n de los tipos de lesi\u00f3n radiol\u00f3gica de los carcinomas mamarios en funci\u00f3n de la edad, estado menop\u00e1usico, tama\u00f1o tumoral, estado ganglionar, grado histol\u00f3gico, fracci\u00f3n de fase s, niveles tumorales de re, ps2 y tpa. La lesi\u00f3n radio<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Significacion clinica de la apariencia mamografica del cancer de mama<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Significacion clinica de la apariencia mamografica del cancer de mama <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ildefonso Cienfuegos Mar\u00eda  Concepcion <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/05\/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>Manuel Garcia Moran Lopez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: enrique Martinez rodriguez <\/li>\n<li>Jos\u00e9 Schneider fontan (vocal)<\/li>\n<li>jaume Fern\u00e1ndez llamazares rodriguez (vocal)<\/li>\n<li> Buesa perez Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ildefonso Cienfuegos Mar\u00eda Concepcion Justificaci\u00f3n y objetivos: los carcinomas mamarios muestran una apariencia mamogr\u00e1fica diversa. En el [&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":[155,9,135,1027,8846,156],"tags":[27850,8848,171547,14217,13001,122734],"class_list":["post-80004","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-ginecologia","category-oncologia","category-oviedo","category-patologia","tag-buesa-perez-jose-maria","tag-enrique-Martinez-rodriguez","tag-ildefonso-cienfuegos-maria-concepcion","tag-jaume-fernandez-llamazares-rodriguez","tag-jose-schneider-fontan","tag-manuel-garcia-moran-lopez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80004","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=80004"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80004\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=80004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=80004"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=80004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}