1
tesis de maestría
Publicado 2020
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La administración de radioterapia con escalamiento de dosis viene siendo uno de los objetivos primordiales en el tratamiento del cáncer de próstata, ya que existe evidencia suficiente donde las tasas de curación se encuentran íntimamente relacionadas a la dosis de radiación dirigida al volumen blanco. Sin embargo, este incremento de la dosis de radiación a la próstata implica a su vez un posible aumento de dosis a órganos vecinos como el recto que podría resultar en toxicidades dosis limitantes; es por lo ello que la aplicación de espaciadores (1,5) para aumentar la distancia entre la próstata y la pared rectal anterior resulta en una técnica innovadora que podría ayudar a proteger este órgano de manera efectiva. La experiencia con espaciadores está aumentando; El ácido hialurónico, el colágeno, un globo inflable, el hidrogel (4), grasa o el parche de sangre(3) son mat...
2
artículo
Publicado 2022
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Objective: To describe the results of transperineal prostate biopsy by fusion of cognitive magnetic resonance imaging and ultrasound in the detection of cancer. Materials and methods: A retrospective case series study conducted at the Delgado Clinic between July 2019 and October 2021. Patients with digital prostate examination and/or abnormal Prostatic Specific Antigen and prostate MRI images with category lesions were included. PI-RADS 4 or 5. Excluding patients with coagulation disorders, rectal injuries, impossibility for abduction, comorbidities for anesthesia. We recorded clinical and demographic characteristics, prostate-specific antigen data, prostate volume, PI-RADS lesions, cancer rates, and complications. Results: 18 patients were evaluated, with a mean age of 69.33 ± 7.67 years. The mean prostate specific antigen was 14.94 ± 12.42 ng/mL. The mean prostate volume was 57.72 ±...
3
artículo
Publicado 2022
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Objective: To describe the results of transperineal prostate biopsy by fusion of cognitive magnetic resonance imaging and ultrasound in the detection of cancer. Materials and methods: A retrospective case series study conducted at the Delgado Clinic between July 2019 and October 2021. Patients with digital prostate examination and/or abnormal Prostatic Specific Antigen and prostate MRI images with category lesions were included. PI-RADS 4 or 5. Excluding patients with coagulation disorders, rectal injuries, impossibility for abduction, comorbidities for anesthesia. We recorded clinical and demographic characteristics, prostate-specific antigen data, prostate volume, PI-RADS lesions, cancer rates, and complications. Results: 18 patients were evaluated, with a mean age of 69.33 ± 7.67 years. The mean prostate specific antigen was 14.94 ± 12.42 ng/mL. The mean prostate volume was 57.72 ±...
4
artículo
Publicado 2022
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Introduction: This article provides recommendations for the Multidisciplinary Management of Pancreatic Adenocarcinoma in the RED AUNA. Methods: A systematic search of clinical practice guidelines (CPG) similar to topics of interest was developed, it was assessed with the AGREE II instrument, a list of questions was elaborated under the PICO structure, a de novo search was carried out prioritizing reviews systematic with or without meta-analysis, followed by primary studies, the elaboration of the evidence tables and the evaluation of the global quality for the outcomes of the clinical questions was carried out following the GRADE methodology. Results: 5 PICO questions corresponding to initial management and systemic management were formulated with 18 recommendations regarding the most effective method for pathological diagnosis, biliary drainage and the most effective and safe systemic t...
