{"id":81616,"date":"2018-03-10T00:05:30","date_gmt":"2018-03-10T00:05:30","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-en-cancer-de-mama-tratado-con-quimioterapia-primaria\/"},"modified":"2018-03-10T00:05:30","modified_gmt":"2018-03-10T00:05:30","slug":"ciruga%c2%ada-en-cancer-de-mama-tratado-con-quimioterapia-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ciruga%c2%ada-en-cancer-de-mama-tratado-con-quimioterapia-primaria\/","title":{"rendered":"Cirugia en c\u00e1ncer de mama tratado con quimioterapia primaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Jim\u00e9nez Medina M. Concepci\u00f3n <\/strong><\/h2>\n<p>La cirug\u00eda est\u00e1 considerada como el tratamiento de primera instancia del c\u00e1ncer de mama. Hasta hace una d\u00e9cada la cirug\u00eda era fundamentalmente mutilante bas\u00e1ndose en las hip\u00f3tesis del presunto papel de los ganglios regionales como barrera anat\u00f3mica. En ello se fundaban la pr\u00e1ctica de los tratamientos radicales como la mastectom\u00eda radical.En la actualidad esta visi\u00f3n se considera obsoleta y el tratamiento quir\u00fargico se ha ido haciendo cada vez menos mutilante, pudiendose preservar la mama sin representar un perjuicio para la paciente. El tratamiento quir\u00fargico conservador ha sido uno de los logros del tratamiento oncol\u00f3gico que m\u00e1s ha costado imponerse dentro de los ambientes quir\u00fargicos, con el desarrollo de este tipo de tratamiento, la radioterapia ha adquirido importancia al garantizar control local de la enfermedad a largo plazo. El c\u00e1ncer de mama no debe considerarse una enfermedad localizada, los numerosos estudios realizados han demostrado que es una enfermedad sist\u00e9mica, con met\u00e1stasis ocultas, presentando micromet\u00e1stasis en un momento muy temprano de la enfermedad. Las c\u00e9lulas de las micromet\u00e1stasis son m\u00e1s agresivas que las del tumor primario y dado su alto indice de replicaci\u00f3n tienen mayor riesgo de mutar en c\u00e9lulas quimioresistentes. Estudios en animales de experimentaci\u00f3n han demostrado que es de suma importancia el iniciar el tratamiento sist\u00e9mico lo antes posible (quimioterapia y\/u hormonoterapia) para evitar la aparaici\u00f3n de c\u00e9lulas quimioressitentes y con ello mejorar la supervivencia. As\u00ed, se han iniciado estudios que anteceden el tratamiento quimioter\u00e1pico al quir\u00fargico con la finalidad  de valorar la sensibilidad a la quimioterapia de los tumores primitivos y tratar de paracticar tratamiento quir\u00fargicos menos mutilantes. Hemos realizado nuestro estudio con el objetivo de comprobar la respuesta a la quimioterpia comporta un tratamiento quir\u00fargico menos mutilante. Documetnar el n\u00famero d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia en c\u00e1ncer de mama tratado con quimioterapia primaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia en c\u00e1ncer de mama tratado con quimioterapia primaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Jim\u00e9nez Medina M. Concepci\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/12\/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> Garc\u00eda Hern\u00e1ndez Jos\u00e9 Angel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: abelardo Moreno carazo <\/li>\n<li> Hern\u00e1ndez romero Juan  Mar\u00eda (vocal)<\/li>\n<li>Jos\u00e9 Aguiar morales (vocal)<\/li>\n<li> Saavedra Martinez-barona Jos\u00e9 Antonio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jim\u00e9nez Medina M. Concepci\u00f3n La cirug\u00eda est\u00e1 considerada como el tratamiento de primera instancia del c\u00e1ncer de [&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":[155,9,189,135,484,16629],"tags":[19706,9932,123316,174064,16679,174065],"class_list":["post-81616","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-farmacodinamia","category-ginecologia","category-mecanismos-de-accion-de-la-quimioterapia","category-palmas-de-gran-canaria","tag-abelardo-moreno-carazo","tag-garcia-hernandez-jose-angel","tag-hernandez-romero-juan-maria","tag-jimenez-medina-m-concepcion","tag-jose-aguiar-morales","tag-saavedra-Martinez-barona-jose-antonio"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81616","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=81616"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81616\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=81616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=81616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=81616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}