{"id":9402,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/radioterapia-intraoperatoria-en-el-tratamiento-multidisciplinar-del-cancer-ginecologico-de-alto-riesgo-de-recidiva-loco-regional\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"radioterapia-intraoperatoria-en-el-tratamiento-multidisciplinar-del-cancer-ginecologico-de-alto-riesgo-de-recidiva-loco-regional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/radioterapia-intraoperatoria-en-el-tratamiento-multidisciplinar-del-cancer-ginecologico-de-alto-riesgo-de-recidiva-loco-regional\/","title":{"rendered":"Radioterapia intraoperatoria en el tratamiento multidisciplinar del cancer ginecologico de alto riesgo de recidiva loco-regional."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Mart\u00ednez Monge <\/strong><\/h2>\n<p>Desde febrero de 1985 hasta junio de 1993 se han tratado con radioterapia intraoperatoria 48 pacientes afectas de cancer ginecologico de alto riesgo de recidiva loco-regional. El objetivo del presente trabajo consistio en un analisis de la factibilidad institucional, tecnica y clinica acerca de este tipo de procedimiento asi como una descripcion metodologica y de resultados. Las pacientes fueron divididas para estudio en tres grupos:  grupo 1, 14 pacientes con carcinoma de cervix recurrente tras irradiacion pelvica. Grupo 2, 24 pacientes con carcinoma de cervix localmente avanzado o recurrente tras cirugia. Grupo 3, 10 pacientes con cancer ginecologico miscelaneo localmente avanzado o recurrente. No se han observado tras el analisis limitaciones de orden tecnico o estructural. La toxicidad directamente atribuible a la radioterapia intraoperatoria ha sido escasa y ha consistido en trombosis venosa profunda (1), neuropatia de extremidades inferiores (2) y dolor cronico pelvico (4). Tras la realizacion del estudio estadistico se han identificado cuatro factores predicitivos sobre patrones de fallo, toxicidad y supervivencia: enfermedad recurrente (p=0.04061), radioterapia pelvica previa (p=0.00005), residuo macroscopico postquirurgico (p=0.0006) y tumor viable en la pieza quirurgica (p=0.00302). Se concluye que la inclusion de radioterapia intraoperatoria en protocolos de tratamiento de cancer ginecologico avanzado es factible y a\u00f1ade poca toxicidad a la reseccion quirurgica radical.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Radioterapia intraoperatoria en el tratamiento multidisciplinar del cancer ginecologico de alto riesgo de recidiva loco-regional.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Radioterapia intraoperatoria en el tratamiento multidisciplinar del cancer ginecologico de alto riesgo de recidiva loco-regional. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Mart\u00ednez Monge <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Felipe Calvo Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mat\u00edas Jurado Chac\u00f3n <\/li>\n<li> Garc\u00eda Puche Jos\u00e9 Luis (vocal)<\/li>\n<li> Berian Polo Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>Alberto Biete Sola (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Mart\u00ednez Monge Desde febrero de 1985 hasta junio de 1993 se han tratado con radioterapia intraoperatoria [&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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