{"id":97429,"date":"2018-03-11T10:17:59","date_gmt":"2018-03-11T10:17:59","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-oncoplastica-del-cancer-de-mama\/"},"modified":"2018-03-11T10:17:59","modified_gmt":"2018-03-11T10:17:59","slug":"ciruga%c2%ada-oncoplastica-del-cancer-de-mama","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/ciruga%c2%ada-oncoplastica-del-cancer-de-mama\/","title":{"rendered":"Cirugia oncopl\u00e1stica del c\u00e1ncer de mama"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sara Rega\u00f1o Diez <\/strong><\/h2>\n<p>El conocimiento de la situaci\u00f3n del tratamiento quir\u00fargico del c\u00e1ncer de mama en nuestro centro, y las observaciones que se desprenden del estudio sobre nuestra serie de pacientes nos mostraron la oportunidad de introducir las t\u00e9cnicas de cirug\u00eda oncopl\u00e1stica en nuestro hospital, consider\u00e1ndolas un buen m\u00e9todo para la mejora del porcentaje de cirug\u00eda conservadora y de los resultados cosm\u00e9ticos. as\u00ed, en el a\u00f1o 2003 introdujimos las t\u00e9cnicas oncopl\u00e1sticas conservadoras en el tratamiento del c\u00e1ncer de mama, comenzando por las t\u00e9cnicas de reposici\u00f3n de volumen con colgajo miocut\u00e1neo de m\u00fasculo dorsal ancho. Paralelamente, aplicamos un m\u00e9todo para guiar la resecci\u00f3n tumoral: la colocaci\u00f3n de arpones y la radiograf\u00eda de la pieza quir\u00fargica tras la resecci\u00f3n, consiguiendo que no hubiese m\u00e1rgenes afectados en ning\u00fan caso. la incorporaci\u00f3n de las t\u00e9cnicas oncopl\u00e1sticas conservadoras y la disminuci\u00f3n del tama\u00f1o de los tumores en el momento del diagn\u00f3stico, gracias a la campa\u00f1a de cribado, consiguieron el aumento del porcentaje de cirug\u00eda conservadora. En el a\u00f1o 2004 se observ\u00f3, por primera vez, que el n\u00famero de intervenciones de cirug\u00eda conservadora superaba al n\u00famero de mastectom\u00edas realizadas por c\u00e1ncer de mama. analizamos los resultados de una t\u00e9cnica oncopl\u00e1stica conservadora, cuadrantectom\u00eda con reconstrucci\u00f3n mediante colgajo de m\u00fasculo dorsal ancho, obteniendo buenos resultados precoces (m\u00e1rgenes libres, morbilidad escasa y una buena cosm\u00e9tica) e identificando los factores que determinan un buen resultado cosm\u00e9tico: simetr\u00eda mamaria y cicatriz mamaria poco visible. A\u00f1adimos un trabajo a la literatura para aumentar la evidencia cient\u00edfica de la cirug\u00eda oncopl\u00e1stica. finalmente, despu\u00e9s de comenzar a aplicar las t\u00e9cnicas de remodelaci\u00f3n (mamoplastia onco-terap\u00e9utica), valoramos el efecto de la cirug\u00eda oncopl\u00e1stica a\u00f1adido a la quimioterapia neoadyuvante en el incremento de las indicaciones de cirug\u00eda conservadora sin perjuicio de la obtenci\u00f3n de buenos resultados oncol\u00f3gicos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia oncopl\u00e1stica del c\u00e1ncer de mama<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia oncopl\u00e1stica del c\u00e1ncer de mama <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sara Rega\u00f1o Diez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/11\/2009<\/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>Fernando Luis Hernanz De La Fuente<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda  teresa Delgado macias <\/li>\n<li>Antonio G\u00ed\u00bcemes sanchez (vocal)<\/li>\n<li>Juan  ram\u00f3n Hern\u00e1ndez hern\u00e1ndez (vocal)<\/li>\n<li>Antonio Alarco hernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sara Rega\u00f1o Diez El conocimiento de la situaci\u00f3n del tratamiento quir\u00fargico del c\u00e1ncer de mama en nuestro [&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":[10518,141,1456,1027,2046],"tags":[10223,84448,149456,16700,8164,199649],"class_list":["post-97429","post","type-post","status-publish","format-standard","hentry","category-cantabria","category-cirugia","category-cirugia-plastica","category-oncologia","category-radiologia","tag-antonio-alarco-hernandez","tag-antonio-giemes-sanchez","tag-fernando-luis-hernanz-de-la-fuente","tag-juan-ramon-hernandez-hernandez","tag-maria-teresa-delgado-macias","tag-sara-regano-diez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97429","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=97429"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97429\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=97429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=97429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=97429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}