{"id":89401,"date":"2018-03-10T00:14:33","date_gmt":"2018-03-10T00:14:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/biopsia-del-ganglio-centinela-en-pacientes-con-cancer-de-mama-en-estadios-iniciales\/"},"modified":"2018-03-10T00:14:33","modified_gmt":"2018-03-10T00:14:33","slug":"biopsia-del-ganglio-centinela-en-pacientes-con-cancer-de-mama-en-estadios-iniciales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/biopsia-del-ganglio-centinela-en-pacientes-con-cancer-de-mama-en-estadios-iniciales\/","title":{"rendered":"Biopsia del ganglio centinela en pacientes con cancer de mama en estadios iniciales"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Fraile Lopez-amor <\/strong><\/h2>\n<p>La hipotesis del ganglio centinela formula que la diseminacion de los tumores solidos a traves del sistema linfatico no se produce al azar, sino que sigue un orden o patron, especifico para cada individuo. Si podemos detectar cual es el primer ganglio receptor, podre mos biopsiarlo selectivamente sin llegar a cabo la linfadenectomia regional completa, ya que este es el ganglio con las maximas probabilidades de albergar una metastasis. El concepto fue propuesto formalmente por r.Caba\u00f1as(cancer 1977) en relacion al cancer de pene. En 1992, d. Morton aplico el mismo concepto a la diseminacion linfatica del melanoma cutaneo y utiliz\u00f3 colorantes quirurgicos (arch surg 1992). En 1993 alex y krag introdujeron el uso e coloides de tecnecio y de una sonda detectora (surg oncol 1993). Giuliano, publico una primera serie en pacientes con cancer de mama (ann surg 1994). El propio giuliano describio la posibilidad de re-estadificar gracias a la deteccion de micrometatasis en el ganglio centinela (ann surg 1995).  hipotesis: el ganglio centinela predice con eficacia el estado de diseminacion linfatica regional en pacientes con cancer de mama y por tanto, su biopsia selectiva puede usarse para ahorrar el vaciado axilar. Adem\u00e1s, la tecnica permite mejorar la estadificacion por reconversion no a n1. Objetivos. 1. Comprobar la aplicabilidad de la biopsia del ganglio centinela en nuestro medio. 2. Plantear la biopsia del ganglio centinela como alternativa a la linfadenetomia axilar convencional. 3. Constatar la mejora de la estadificacion.  poblacion y metodos: se estudiaron 132 pacientes, con edades entre 32 y 86 (media 60,3). El 26,5% era lesiones no palpables y en el 58% se hizo cirugia conservadora. En estas pacientes se llevo a cabo la biopsia del ganglio centinela mediante la inyeccion peritumoral de coloides de tecnecio-gelatina, de 2 a 18 horas antes de la intervencion. Se realiz\u00f3 linfommagrafia prequirurgica, en la que se identifico el ganglio<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Biopsia del ganglio centinela en pacientes con cancer de mama en estadios iniciales<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Biopsia del ganglio centinela en pacientes con cancer de mama en estadios iniciales <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Fraile Lopez-amor <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/03\/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>Jaume Fern\u00e1ndez Llamazares Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: xavier Rius cornado <\/li>\n<li>francesca Pons pons (vocal)<\/li>\n<li>ignasi Carri\u00f3 gasset (vocal)<\/li>\n<li>miquel Rull lluch (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Fraile Lopez-amor La hipotesis del ganglio centinela formula que la diseminacion de los tumores solidos a [&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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