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Receptor para el factor de crecimiento epidérmico en el cáncer de pulmón no microcítico
Epidermic growth factor receptor in non-small cell carcinoma of the lung
M. Díeza,*, M.L. Maestrob, A. Torresc, F. Hernandoc, M.D. Ortegad, J.A. García-Asenjoe, A. Picardoc, J.M. Mugüerzaa, A. Sánchez-Pernautec, J.L. Balibreac
a Servicio de Cirugía General. Hospital Universitario. Alcalá de Henares. Madrid
b Servicios de Medicina Nuclear, Hospital Universitario San Carlos. Madrid
c Servicios de Cirugía General II, Hospital Universitario San Carlos. Madrid
d Servicios de Bioquímica Clínica, Hospital Universitario San Carlos. Madrid
e Servicios de Anatomía Patológica.Hospital Universitario San Carlos. Madrid
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En este trabajo se estudia la concentraci&#243;n de receptor para el factor epid&#233;rmico de crecimiento &#40;EGFr&#41; en el c&#225;ncer de pulm&#243;n no microc&#237;tico &#40;CPNM&#41; y se analiza la relaci&#243;n con factores anatomopatol&#243;gicos y cl&#237;nicos de estas neoplasias&#46; La concentraci&#243;n de EGFr en 62 muestras de tejido tumoral fue 9&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14 fmol&#47;mg&#44; superior a la encontrada en 14 muestras de tejido procedente de neumot&#243;rax espont&#225;neo &#40;3&#44;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#44;6 fmol&#47; mg&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41;&#46; La concentraci&#243;n de EGFr en el tejido pulmonar no afectado por la neoplasia fue 6&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10 fmol&#47;mg&#46; En 21 &#40;33&#37;&#41; casos de CPNM la concentraci&#243;n fue superior al nivel adoptado como umbral de normalidad &#40;10 fmol&#47;mg&#41;&#46; El valor de EGFr fue superior en los carcinomas epidermoides que en los otros tipos histol&#243;gicos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;042&#41;&#46; No se detect&#243; relaci&#243;n significativa entre nivel de EGFr y estadio TNM&#44; grado de diferenciaci&#243;n e &#237;ndice mit&#243;tico&#46; La probabilidad de permanecer libre de recidiva tumoral y la supervivencia global a los 24 meses entre los sujetos que presentaron una concentraci&#243;n de EGFr en el tumor inferior a 10 fmol&#47;mg fueron 34 y 40&#37;&#44; respectivamente&#46; Dichas tasas para los pacientes con valores superiores al dintel fueron 20&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;32&#41; y 25&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;26&#41;&#44; respectivamente&#46; Los resultados parecen indicar que el estudio de la concentraci&#243;n de EGFr&#44; de forma aislada&#44; no implica consecuencias pr&#225;cticas importantes para el manejo cl&#237;nico de los pacientes con CPNM intervenidos quir&#250;rgicamente&#46; La expresi&#243;n de EGFr en CPNM se comporta como un marcador del grado de diferenciaci&#243;n&#44; con implicaciones pron&#243;sticas derivadas de su relaci&#243;n con otros factores asociados&#46;</p></span>"
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ISSN: 03002896
Original language: Spanish
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