{"id":81328,"date":"2018-03-10T00:05:14","date_gmt":"2018-03-10T00:05:14","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-evolutivo-y-de-los-factores-pronosticos-en-el-carcinoma-difernciado-de-tiroides-influencia-del-tratamiento-con-131-i\/"},"modified":"2018-03-10T00:05:14","modified_gmt":"2018-03-10T00:05:14","slug":"estudio-evolutivo-y-de-los-factores-pronosticos-en-el-carcinoma-difernciado-de-tiroides-influencia-del-tratamiento-con-131-i","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-evolutivo-y-de-los-factores-pronosticos-en-el-carcinoma-difernciado-de-tiroides-influencia-del-tratamiento-con-131-i\/","title":{"rendered":"Estudio evolutivo y de los factores pronosticos en el carcinoma difernciado de tiroides: influencia del tratamiento con 131 i."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Orlanda Alonso Rodr\u00edguez <\/strong><\/h2>\n<p>Se ha hecho un estudio retrospectivo de 109 pacientes concarcinoma diferenciado de tiroides, desde enero de 1978 a diciembre de 1996. Seguimiento medio de 87 meses.  de los 109 pacientes, 89 (81,6%) presentan histolog\u00eda papeilar y 20 (18,3%) folicular, 90 sonmujeres y 19 varones con edad media de 41,1 a\u00f1os (13-78). Los pacientes fueron estadiados seg\u00fan la clasificaci\u00f3n cl\u00ednica de degroot, 69 se presentaron en estadio i,15 en el ii,17 en estadio iii y 8 en el iv.  en cuanto al tratamiento: 68,5% pacientes fueron sometidos a tiroidectom\u00eda totaly 31,7% a tiroidectom\u00eda subtotal,todos los pacientes fueron tratados con131i y t4.  las curvas de supervivencia fueron analizadas por el m\u00e9todo de kaplan meier y se us\u00f3 el test de log rank para comparalas y el an\u00e1lisis mutivariente usando  el modelo de regresi\u00f3n de cox.  la probabilidad de supervivencia global (sg) a los 5 a\u00f1os fue de 95,3%, a los 10 de 93,4% y a los 15 de 84,4%. Encuanto a la probabilidad de supervivencia libre de enfermedad (sle), \u00e9sta fue 54,2%,37% y 34,2% a 5,10 y 15 a\u00f1os. el porcentaje de recurrencia loco-regional (rlr) fue de 35,8% y de met\u00e1stasis a distancia de 6,6% y rlr+met\u00e1stasis a distancia fue, 1,8%.  los factores que mostraron significado pron\u00f3stico en el an\u00e1lisis univariante para la sg fueron edad,histolog\u00eda y met\u00e1stasis a distancia al tiempo del digan\u00f3sitco del tumor y la sle fue influida por la invaci\u00f3nlocal extratiroidea, estadio y met\u00e1stasis a distancia al tiempo del diagn\u00f3sitco del tumor. Solo la histolog\u00eda influy\u00f3 en la sg en el an\u00e1lisis mutivariante.  la rlr ha estado influida por la dosis ablativa de 131i y el tipo de cirug\u00eda y las met\u00e1stasis a distancia tard\u00edas por el estadio, edad, histolog\u00eda, invasi\u00f3n local extratiroide, histolog\u00eda mixta, cirug\u00eda y met\u00e1stasis a distancia al tiempo del diagn\u00f3stico del tumor.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio evolutivo y de los factores pronosticos en el carcinoma difernciado de tiroides: influencia del tratamiento con 131 i.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio evolutivo y de los factores pronosticos en el carcinoma difernciado de tiroides: influencia del tratamiento con 131 i. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Orlanda Alonso Rodr\u00edguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/11\/1999<\/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>Jos\u00e9 Julio Soler Ripoll<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Nogues pelayo <\/li>\n<li>Antonio Mateo navarro (vocal)<\/li>\n<li>Jos\u00e9 ramon Garcia talavera fernandez (vocal)<\/li>\n<li> Mories alvarez Mar\u00eda  teresa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Orlanda Alonso Rodr\u00edguez Se ha hecho un estudio retrospectivo de 109 pacientes concarcinoma diferenciado de tiroides, desde 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