{"id":88717,"date":"2001-02-02T00:00:00","date_gmt":"2001-02-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/rentabilidad-de-la-puncion-transbronquial-en-la-estadificacion-ganglionar-del-carcinoma-pulmonar-no-microcitico\/"},"modified":"2001-02-02T00:00:00","modified_gmt":"2001-02-02T00:00:00","slug":"rentabilidad-de-la-puncion-transbronquial-en-la-estadificacion-ganglionar-del-carcinoma-pulmonar-no-microcitico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/rentabilidad-de-la-puncion-transbronquial-en-la-estadificacion-ganglionar-del-carcinoma-pulmonar-no-microcitico\/","title":{"rendered":"Rentabilidad de la punci\u00f3n transbronquial en la estadificaci\u00f3n ganglionar del carcinoma pulmonar no microcitico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Disdier Vicente <\/strong><\/h2>\n<p>Objetivo  conocer la sensibilidad (s) y especificidad (e) de la punci\u00f3n transbronquial (ptb) en comparaci\u00f3n con la mediastinoscopia (med) y\/o toracotom\u00eda (t) en la estadificaci\u00f3n ganglionar mediast\u00ednica del carcinoma no microc\u00edtico operable (cpnm).  metodolog\u00eda  se evaluaron por ptb 93 pacientes con cpnm presuntamente operable en los que se continu\u00f3 el protocolo clasificaci\u00f3n tnm cl\u00ednica habitual (med selectiva si tac mediastinico patol\u00f3gico y\/o toracotomia con linfadenectom\u00eda si med negativa o ausencia de adenopat\u00edas en la tac). La estadificaci\u00f3n por ptb se realiz\u00f3 en las regiones ganglionares consideradas patol\u00f3gicas en la tac y en la regi\u00f3n subcarinal si no se observan ganglios patol\u00f3gicos.  resultados  la preValencia de enfermedad ganglionar metast\u00e1sica fue del 43%. La tac detect\u00f3 ganglios aumentados de tama\u00f1o en 53 pacientes y menores de 1 cm. En 40. La s y e de la tac fue del 885 y 66%, con un vpp de 66% y vpn del 88%. Para la med, en los 50 pacientes  en los que se indic\u00f3, la s fue del 83% y la e del 100%, con un vpn del 80%. La s y e de la ptb en los 93 pacientes fue de 40% y 94% respectivamente, con un vpp de 84% y un vpn de 68: la ptb analizada solo en presencia de adenopat\u00edas en la tac tuvo una s del 52%, e del 88%, vpp de 88% y vpn del 52%. En ning\u00fan caso con tac negativa, la ptb aport\u00f3 un resultado veradero positivo. La med registr\u00f3 3 complicaciones (6%) y con ptb 1 paraciente desarroll\u00f3 un granuloma de cuerpo extra\u00f1o que simul\u00f3 diseminaci\u00f3n tumoral.  conclusiones  1,- la sensibilidad de la ptb en la serie estudiada es del 40 y 94% respectivamente.  2,- la mediastinoscop\u00eda selectiva consigue resultados superiores en la estadificaci\u00f3n ganglionar mediast\u00ednica de los pacientes presuntamente operables de un carcinoma no microc\u00edtico que la ptb.  3,- los pacientes con resultado positivo en la ptb no deben ser sometidos a mediastinoscopia para estadificaci\u00f3n del cpnm.  4,- la ptb puede<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Rentabilidad de la punci\u00f3n transbronquial en la estadificaci\u00f3n ganglionar del carcinoma pulmonar no microcitico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Rentabilidad de la punci\u00f3n transbronquial en la estadificaci\u00f3n ganglionar del carcinoma pulmonar no microcitico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Disdier Vicente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/02\/2001<\/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>Gonzalo Varela Simo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alberto Gomez alonso <\/li>\n<li>Jorge Freixinet guilart (vocal)<\/li>\n<li>Francisco G\u00f3mez g\u00f3mez (vocal)<\/li>\n<li>guillermo Ramos seisdedos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Disdier Vicente Objetivo conocer la sensibilidad (s) y especificidad (e) de la punci\u00f3n transbronquial (ptb) en [&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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