Supervivencia en la cirugia del cancer de pulmon. Analisis de factores pronosticos
Analysis of prognostic factors in survival after surgical treatment of lung cancer
M. Gallén Castillo*, J.L. Minguella***, J. Planas Domingo*, J. Broquetas**, J.M. Sastre***, N. Malats Riera*
* Secció d’Oncologia. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona
** Servei de Pneumologia. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona
*** Secció de Cirugia Toràcica. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona
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Analisis de factores pronosticos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "161" "paginaFinal" => "164" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Gallén Castillo, J.L. Minguella, J. Planas Domingo, J. Broquetas, J.M. Sastre, N. Malats Riera" "autores" => array:6 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Gallén Castillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J.L." "apellidos" => "Minguella" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Planas Domingo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Broquetas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "J.M." "apellidos" => "Sastre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "N." "apellidos" => "Malats Riera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Secció d’Oncologia. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servei de Pneumologia. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Secció de Cirugia Toràcica. Hospital del Mar. Unitat Docent Municipal. Universitat Autònoma de Barcelona. Barcelona" "etiqueta" => "***" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of prognostic factors in survival after surgical treatment of lung cancer" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1988-01-20" "fechaAceptado" => "1988-02-24" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan los resultados del tratamiento quirúrgico en 66 casos de cáncer de pulmón intervenidos entre 1978 y 1986. La supervivencia actuarial a los 4 años es del 30%. Se ha analizado el valor pronóstico de 11 factores encontrándo que la invasión ganglionar, la afectación de márgenes o estructuras vecinas, la presencia de linfangitis neoplásica, el tamaño tumoral, el grado de diferenciación y la edad empeoran significativamente la supervivencia. Cuando se aplica un análisis multivariante, con el modelo del azar proporcional de Cox, sólo alcanzan significación pronostica la invasión ganglionar, el grado de diferenciación y el tamaño tumoral. La recurrencia de la enfermedad ocurre, sobre todo en el primer año después de la cirugia, más frecuentemente por metástasis a distancia y especialmente por metástasis cerebrales u óseas.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present the results of surgical treatment in 66 cases of lung cancer who were operated between 1978 and 1986. The actuarial survival after four years is of 30%. We analyze the prognostic value of 11 factors, and we found that lymph node spread, involvement of margins or adjacent structures, presence of neoplastic lymphangitis, tumoral size, degree of differentiation and age impaired the survival in a significant way. When multivariant analysis is applied, with the model proportional random of Cox, only lymph node spread, degree of differentiation and tumoral size do achieve prognostic value. Recurrence of the disease occurs mainly within the first year after surgical intervention and it is more often due to distant metastases, and particulary, bone or brain metastases.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 2 | 4 |
| 2024 October | 34 | 26 | 60 |
| 2024 September | 32 | 41 | 73 |
| 2024 August | 33 | 36 | 69 |
| 2024 July | 31 | 30 | 61 |
| 2024 June | 29 | 40 | 69 |
| 2024 May | 27 | 34 | 61 |
| 2024 April | 19 | 25 | 44 |
| 2024 March | 27 | 29 | 56 |
| 2024 February | 24 | 59 | 83 |
| 2024 January | 0 | 17 | 17 |
| 2023 December | 0 | 8 | 8 |
| 2023 November | 0 | 10 | 10 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 6 | 6 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 3 | 3 |
| 2023 March | 3 | 5 | 8 |
| 2023 February | 20 | 22 | 42 |
| 2023 January | 18 | 22 | 40 |
| 2022 December | 19 | 17 | 36 |
| 2022 November | 27 | 18 | 45 |
| 2022 October | 18 | 25 | 43 |
| 2022 September | 17 | 16 | 33 |
| 2022 August | 30 | 32 | 62 |
| 2022 July | 23 | 33 | 56 |
| 2022 June | 20 | 33 | 53 |
| 2022 May | 27 | 25 | 52 |
| 2022 April | 23 | 29 | 52 |
| 2022 March | 36 | 29 | 65 |
| 2022 February | 21 | 12 | 33 |
| 2022 January | 27 | 24 | 51 |
| 2021 December | 21 | 31 | 52 |
| 2021 November | 15 | 27 | 42 |
| 2021 October | 23 | 26 | 49 |
| 2021 September | 10 | 32 | 42 |
| 2021 August | 3 | 15 | 18 |
| 2021 July | 14 | 21 | 35 |
| 2021 June | 14 | 19 | 33 |
| 2021 May | 11 | 12 | 23 |
| 2021 April | 31 | 48 | 79 |
| 2021 March | 27 | 12 | 39 |
| 2021 February | 28 | 4 | 32 |
| 2021 January | 13 | 12 | 25 |
| 2020 December | 19 | 4 | 23 |
| 2020 November | 15 | 7 | 22 |
| 2020 October | 19 | 8 | 27 |
| 2020 September | 12 | 3 | 15 |
| 2020 August | 21 | 11 | 32 |
| 2020 July | 18 | 11 | 29 |
| 2020 June | 17 | 7 | 24 |
| 2020 May | 11 | 5 | 16 |
| 2020 April | 23 | 3 | 26 |
| 2020 March | 26 | 19 | 45 |
| 2020 February | 14 | 14 | 28 |
| 2020 January | 31 | 13 | 44 |
| 2019 December | 44 | 21 | 65 |
| 2019 November | 21 | 13 | 34 |
| 2019 October | 9 | 4 | 13 |
| 2019 September | 16 | 9 | 25 |
| 2019 August | 10 | 7 | 17 |
| 2019 July | 13 | 28 | 41 |
| 2019 June | 11 | 11 | 22 |
| 2019 May | 18 | 14 | 32 |
| 2019 April | 35 | 12 | 47 |
| 2019 March | 11 | 12 | 23 |
| 2019 February | 6 | 6 | 12 |
| 2019 January | 5 | 1 | 6 |
| 2018 December | 8 | 9 | 17 |
| 2018 November | 19 | 12 | 31 |
| 2018 October | 16 | 9 | 25 |
| 2018 September | 18 | 4 | 22 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 7 | 5 | 12 |
| 2018 March | 8 | 4 | 12 |
| 2018 February | 9 | 8 | 17 |
| 2018 January | 5 | 5 | 10 |
| 2017 December | 7 | 14 | 21 |
| 2017 November | 8 | 10 | 18 |
| 2017 October | 10 | 8 | 18 |
| 2017 September | 2 | 9 | 11 |
| 2017 August | 12 | 14 | 26 |
| 2017 July | 6 | 7 | 13 |
| 2017 June | 13 | 26 | 39 |
| 2017 May | 14 | 13 | 27 |
| 2017 April | 6 | 10 | 16 |
| 2017 March | 6 | 7 | 13 |
| 2017 February | 7 | 12 | 19 |
| 2017 January | 6 | 7 | 13 |
| 2016 December | 16 | 14 | 30 |
| 2016 November | 35 | 21 | 56 |
| 2016 October | 44 | 29 | 73 |
| 2016 September | 26 | 9 | 35 |
| 2016 August | 31 | 6 | 37 |
| 2016 July | 33 | 6 | 39 |
| 2016 June | 32 | 7 | 39 |
| 2016 May | 23 | 5 | 28 |
| 2016 April | 20 | 0 | 20 |
| 2016 March | 9 | 0 | 9 |
| 2016 February | 11 | 3 | 14 |
| 2016 January | 10 | 3 | 13 |
| 2015 December | 18 | 11 | 29 |
| 2015 November | 25 | 5 | 30 |
| 2015 October | 7 | 2 | 9 |
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