{"id":83213,"date":"2000-03-02T00:00:00","date_gmt":"2000-03-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-ultrasonografica-del-endometrio-en-pacientes-tratadas-con-tamoxifeno\/"},"modified":"2000-03-02T00:00:00","modified_gmt":"2000-03-02T00:00:00","slug":"valoracion-ultrasonografica-del-endometrio-en-pacientes-tratadas-con-tamoxifeno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-ultrasonografica-del-endometrio-en-pacientes-tratadas-con-tamoxifeno\/","title":{"rendered":"Valoraci\u00f3n ultrasonogr\u00e1fica del endometrio en pacientes tratadas con tamoxifeno."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Maximo Villalba Varona <\/strong><\/h2>\n<p>Objetivos:  establecer un patr\u00f3n ecogr\u00e1fico endometrial en postmenopa\u00fasicas con c\u00e1ncer de mama tratadas contamoxifero. Demostrar la utilidad de la ecografia ginecol\u00f3gica suprap\u00fablica en el diagn\u00f3sitco de patolog\u00eda enometrial en estas pacientes. Determinar la influencia del tiempo de tratamiento con tamoxifero y de la dosis administradas en estos hallazgos.  material y metodo:  para 96 postmenopa\u00fasticas con c\u00e1ncer de mama hemos considerado si toman o no tamoxifeno y, en caso afirmativo, el tiempo en meses y la dosis en miligramos con las que han sido tratadas, diferenciando un \u00abgrupo control\u00bb (33 pacientes que no toman tamoxifeno) y un \u00abgrupo tamoxifeno\u00bb (63 pacientes que s\u00ed lo toman). Se practic\u00f3 a todas ellas una ecografia ginecol\u00f3gica suprap\u00fablica para valorar el endometrio (espesor y ecosestructura), emiti\u00e9ndose un diagn\u00f3stico ecogr\u00e1fico. Todas las pacientes fueron control, no mostraron signos ecogr\u00e1ficos de patolog\u00eda endometrial, la valoraci\u00f3n estad\u00edstica se hizo mediante la prueba \u00abchi-cuadrado\u00bb.  resultados:  el patr\u00f3n ecogr\u00e1fico observado por orden de frecuencia entre las pacientes tratadas con tamoxifeno ha sido el de un aumento del espesor endometrial asociado con un endometrio hiperecoico homog\u00e9neo sin \u00e1reas hipoecoicas (39,7% de casos), un \u00e1rea hipoecoica que distiende la cavidad endometrial (38,1%) un endomtrio hiperecoico heterog\u00e9neo con \u00e1reas hipoecoicas de m\u00e1rgenes mal definidos (14,3%), existiendo casos que comparten las caracter\u00edsticas de varios patrones. La sensibilidad de la prueba en nuestro estudio ha sido de un 89,8% la especificidad de un 90,9% la exactitud de la prueba ha sido de un 90,1% el valor predictivo positivo ha sido de un 95,6% y el negativo de un 80%, la razon de falsos positivos ha sido de un 9,1 y la de falsos negativos de un 10,2%.  para tratamientos con tamoxifeno durante 12 meses o menos se ha registrado un 40% de casos cuyo diagn\u00f3stico histol\u00f3gico era de atrofi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n ultrasonogr\u00e1fica del endometrio en pacientes tratadas con tamoxifeno.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n ultrasonogr\u00e1fica del endometrio en pacientes tratadas con tamoxifeno. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Maximo Villalba Varona <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/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>Juan Sabate Diaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Zaragoza rubira Juan  ram\u00f3n <\/li>\n<li>Francisco Sendra protero (vocal)<\/li>\n<li>pablo Roman rodriguez (vocal)<\/li>\n<li>alfonso Lazo ramos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Maximo Villalba Varona Objetivos: establecer un patr\u00f3n ecogr\u00e1fico endometrial en postmenopa\u00fasicas con c\u00e1ncer de mama tratadas contamoxifero. [&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":[155,9,346,2046,10715],"tags":[94561,52392,3717,176486,10996,10778],"class_list":["post-83213","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-diagnostico-por-imagen","category-radiologia","category-sevilla","tag-alfonso-lazo-ramos","tag-francisco-sendra-protero","tag-juan-sabate-diaz","tag-maximo-villalba-varona","tag-pablo-roman-rodriguez","tag-zaragoza-rubira-juan-ramon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83213","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=83213"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83213\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=83213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=83213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=83213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}