{"id":85759,"date":"2000-07-07T00:00:00","date_gmt":"2000-07-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/correlacion-clinica-biologica-y-patologica-del-hiperparatiroidismo-primario\/"},"modified":"2000-07-07T00:00:00","modified_gmt":"2000-07-07T00:00:00","slug":"correlacion-clinica-biologica-y-patologica-del-hiperparatiroidismo-primario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/correlacion-clinica-biologica-y-patologica-del-hiperparatiroidismo-primario\/","title":{"rendered":"Correlacion clinica biologica y patologica del hiperparatiroidismo primario."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Souto Lopez Mosquera <\/strong><\/h2>\n<p>Se han estudiado de forma retrospectiva las historias cl\u00ednicas de los 355 pacientes intervenidos de hiperparatiroidismo primario en el servicio de cirug\u00eda general de la fundaci\u00f3n jim\u00e9nez d\u00edaz entre junio de 1962 y diciembre de 1998, ambos meses incluidos.  de cada historia cl\u00ednica se ha recogido la informaci\u00f3n referente a filiaci\u00f3n, antecedentes familiares y personales, manifestaciones cl\u00ednicas, radiol\u00f3gicas y bioqu\u00edmicas, m\u00e9todos de localizaci\u00f3n preoperatoria, resultado anatomopatol\u00f3gico y complicaciones quir\u00fargicas, realizando posteriormente un estudio estad\u00edstico de estos datos y un an\u00e1lisis cr\u00edtico de los resultados obtenidos.  de entre los resultados obtenidos, destacamos como puntos m\u00e1s novedosos los siguientes:  a) el incremento que se ha observado en el diagn\u00f3stico de la enfermedad a lo largo de los a\u00f1os es debido a las determinaciones rutinarias de calcio plasm\u00e1tico.  b) se observa en la evoluci\u00f3n temporal un cambio en la presentaci\u00f3n cl\u00ednica del hiperparatiroidismo primario: cada vez es m\u00e1s raro el s\u00edndrome \u00f3seo severo y es m\u00e1s frecuente la afectaci\u00f3n renal liti\u00e1sica y la forma asintom\u00e1tica.  c) merece un estudio aparte, por su peculiaridad, la forma de presentaci\u00f3n aguda.  d) es frecuente la asociaci\u00f3n con alteraciones tiroideas y con procesos neopl\u00e1sticos malignos de toda la econom\u00eda corporal.  e) existe un predominio de los adenomas sobre las hiperplasias, siendo \u00e9stas m\u00e1s frecuentes en j\u00f3venes y aquellas en pacientes de mayor edad.  d) no existe una correlaci\u00f3n entre los datos bioqu\u00edmicos y el hallazgo histopatol\u00f3gico.  e) a pesar del avance de los m\u00e9todos de localizaci\u00f3n preoperatoria, sigue siendo fundamentalmente la experiencia del cirujano que debe investigar las cuatro gl\u00e1ndulas y la existencia de una posible gl\u00e1ndula ect\u00f3pica.  f) las complicaciones de la cirug\u00eda son m\u00ednimas y la mortalidad est\u00e1 en relaci\u00f3n con enfermedades concomitantes del paciente.  g)<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Correlacion clinica biologica y patologica del hiperparatiroidismo primario.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Correlacion clinica biologica y patologica del hiperparatiroidismo primario. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Souto Lopez Mosquera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/07\/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  Manuel San Roman Teran<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ramigio vela navarrete  uam <\/li>\n<li> Joaquin potel lexguerens u.santiago (vocal)<\/li>\n<li> J. Luis balbrea cantero ucm (vocal)<\/li>\n<li> Manuel hidalgo pascual ucm (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Souto Lopez Mosquera Se han estudiado de forma retrospectiva las historias cl\u00ednicas de los 355 [&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":[9,141],"tags":[180394,180393,180391,23068,180395,180392],"class_list":["post-85759","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","tag-j-luis-balbrea-cantero-ucm","tag-joaquin-potel-lexguerens-u-santiago","tag-jose-luis-souto-lopez-mosquera","tag-juan-manuel-san-roman-teran","tag-manuel-hidalgo-pascual-ucm","tag-ramigio-vela-navarrete-uam"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85759","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=85759"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85759\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=85759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=85759"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=85759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}