{"id":83191,"date":"2000-01-02T00:00:00","date_gmt":"2000-01-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/contribucion-al-marcaje-prequirurgico-con-arpon-metalico-de-las-lesiones-de-mama-clinicamente-ocultas\/"},"modified":"2000-01-02T00:00:00","modified_gmt":"2000-01-02T00:00:00","slug":"contribucion-al-marcaje-prequirurgico-con-arpon-metalico-de-las-lesiones-de-mama-clinicamente-ocultas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/contribucion-al-marcaje-prequirurgico-con-arpon-metalico-de-las-lesiones-de-mama-clinicamente-ocultas\/","title":{"rendered":"Contribucion al marcaje prequirurgico con arpon metalico de las lesiones de mama clinicamente ocultas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Mar\u00eda Perez Aznar <\/strong><\/h2>\n<p>La hip\u00f3tesis del trabajo ha sido valorar los resultados obtenidos en una serie de mas de mil biopsias realizadas, previo marcaje conarp\u00f3n met\u00e1lico, cuando aplicamos al diagn\u00f3stico mamogr\u00e1fico los criterios de selecci\u00f3n del l\u00e9xico bi-rads del colegiode radi\u00f3logos de norte am\u00e9rica (acr) y compararlos con otras series anteriores qu no los usaban.  se han clasificado m\u00e1s de mil mamograf\u00edas a las que despu\u00e9s e ha realizado biopsia, abierta guiada por estereotaxia. Se descibenlas indicaciones y los m\u00e9todos de realizaci\u00f3n del marcaje ecoguiado, radioguiado y galactoguiado, como evitar algunas complicaciones y un m\u00e9todo para reposicionar el arp\u00f3n ya abierto si ha quedado corto.  utilizando los criterios de selecci\u00f3n bi-rads del acr, hemos encontrado 432 c\u00e1nceres entre los 1035 procedimeintos, lo que supone conseguir un valor predictivo positivo del 41,73% superior al de otras series de ellas el 87,7% ten\u00edan la axila libre y s\u00f3lo el 12,2% ten\u00edan axila afectada.  aplicando la categorizaci\u00f3n ri-rads del acr se ha conseguido en las catergor\u00edas 4 y 5 una sensibilidada del 96,7% especificidad del 58,3% fiabilidad del 74,3% vpp del 62,4% y vpn del 96,1% el valor predictivo positivo conseguido frente a masas solas lleg\u00f3 al 50,2% y frente a microcalfificaciones al 37,2%.  la cuarta parte de los c\u00e1nceres encontrados ten\u00edan entre 40 y 50 a\u00f1os . Por ello no creemos que este grupo de poblaci\u00f3n deba ser exclu\u00eddo de los programasde cribado mamogr\u00e1fico.  encontramos que en el 19,2% de las pacientes con c\u00e1ncer exist\u00eda patolog\u00eda adicional, o extensiones de la primera, que modificaban el planteamiento quir\u00fargico inicial y que pdor\u00edan haberse beneficiado de un estudio de extensi\u00f3n preoperatorio con exploraciones complementarias como el pet y la rm.  la aplicaci\u00f3n de los criterios de selecci\u00f3nbi-rads al diagn\u00f3stico mamogr\u00e1fico prepoeratorio, permite reducir el n\u00famero de cirug\u00edas de resultado bengno mejorando el porcenta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Contribucion al marcaje prequirurgico con arpon metalico de las lesiones de mama clinicamente ocultas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Contribucion al marcaje prequirurgico con arpon metalico de las lesiones de mama clinicamente ocultas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Mar\u00eda Perez Aznar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/02\/2000<\/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>Fernando Camu\u00f1ez Alonso<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Escudero fernandez <\/li>\n<li> Alvares de los heros Juan  ignacio (vocal)<\/li>\n<li>benjam\u00edn P\u00e9rez villacast\u00edn (vocal)<\/li>\n<li>Juan  Manuel Bell\u00f3n caneiro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Mar\u00eda Perez Aznar La hip\u00f3tesis del trabajo ha sido valorar los resultados obtenidos en una serie [&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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