Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura

El cáncer endometrial es considerado según las estadísticas el tumor ginecológico más frecuente en los países desarrollados y se ha observado que su incidencia ha ido en aumento. Históricamente, el carcinoma endometrial se ha clasificado en dos tipos clínico-patológicos y moleculares: el tipo I (ade...

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Autores:
Pérez Manzano, Gerardo
Restrepo Pulgarín, Juan Carlos
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2016
Institución:
Universidad Libre
Repositorio:
RIU - Repositorio Institucional UniLibre
Idioma:
spa
OAI Identifier:
oai:repository.unilibre.edu.co:10901/10256
Acceso en línea:
https://hdl.handle.net/10901/10256
Palabra clave:
Cáncer
Endometrio
Medicina
Endometrial Neoplasms
CANCER
ENDOMETRIO
DIAGNOSTICO Y TRATAMIENTO
Cáncer de endometrio
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openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id RULIBRE2_4f35ad3ce8abb10e96271b293e087a5f
oai_identifier_str oai:repository.unilibre.edu.co:10901/10256
network_acronym_str RULIBRE2
network_name_str RIU - Repositorio Institucional UniLibre
repository_id_str
dc.title.spa.fl_str_mv Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
title Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
spellingShingle Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
Cáncer
Endometrio
Medicina
Endometrial Neoplasms
CANCER
ENDOMETRIO
DIAGNOSTICO Y TRATAMIENTO
Cáncer de endometrio
title_short Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
title_full Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
title_fullStr Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
title_full_unstemmed Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
title_sort Cáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literatura
dc.creator.fl_str_mv Pérez Manzano, Gerardo
Restrepo Pulgarín, Juan Carlos
dc.contributor.advisor.none.fl_str_mv Fernandez Mercado, Robinson
Iglesias Acosta, Jesús
dc.contributor.author.none.fl_str_mv Pérez Manzano, Gerardo
Restrepo Pulgarín, Juan Carlos
dc.subject.spa.fl_str_mv Cáncer
Endometrio
Medicina
topic Cáncer
Endometrio
Medicina
Endometrial Neoplasms
CANCER
ENDOMETRIO
DIAGNOSTICO Y TRATAMIENTO
Cáncer de endometrio
dc.subject.subjectenglish.eng.fl_str_mv Endometrial Neoplasms
dc.subject.lemb.spa.fl_str_mv CANCER
ENDOMETRIO
DIAGNOSTICO Y TRATAMIENTO
dc.subject.proposal.spa.fl_str_mv Cáncer de endometrio
description El cáncer endometrial es considerado según las estadísticas el tumor ginecológico más frecuente en los países desarrollados y se ha observado que su incidencia ha ido en aumento. Históricamente, el carcinoma endometrial se ha clasificado en dos tipos clínico-patológicos y moleculares: el tipo I (adenocarcinoma endometrioide), es el más común y se presenta en el 80-90% de los casos, el tipo II comprende los subtipos no endometrioides tales como el de células serosas, claras y carcinomas indiferenciados. Un dato importante es, que las pacientes en su mayoría son diagnosticadas cuando la enfermedad se encuentra en etapas tempranas, es decir cuando la lesión todavía está confinada al útero. El tratamiento convencional radica en una histerectomía primaria más salpingooforectomía bilateral, ya sea por medio de una laparotomía abdominal o utilizando métodos mínimamente invasivos como la laparoscopia o la laparoscopia asistida por robot. La resección de los ganglios linfáticos va a depender de factores histológicos, estadio de la enfermedad, características de las pacientes y directrices nacionales e internacionales para la gestión de este tipo de enfermedad. Con relación al tratamiento adyuvante este debe adaptarse a la histología y estadio del tumor. Debido a la gran cantidad de literatura disponible que se ocupa de la gestión del cáncer endometrial, el objetivo de este trabajo era realizar una breve actualización sobre esta enfermedad en relación al diagnóstico y tratamiento, basada en una serie de preguntas que se consideraron clínicamente relevantes y que han generado controversia para tal fin. Mediante una estrategia de búsqueda en la base de datos de MEDLINE, EMBASE, PubMed, ClinicalKey, Ovid y la librería de Cochrane; utilizando las palabras clave cáncer, endometrio, diagnóstico y tratamiento hasta el año 2016. Además se formularon una serie de preguntas controversiales sobre el diagnóstico y tratamiento del cáncer de endometrio, en base a las cuales se utilizaron las diferentes palabras claves para resolver dichos interrogantes.
publishDate 2016
dc.date.created.none.fl_str_mv 2016
dc.date.accessioned.none.fl_str_mv 2017-07-27T14:23:40Z
dc.date.available.none.fl_str_mv 2017-07-27T14:23:40Z
dc.type.local.spa.fl_str_mv Tesis de Especialización
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
format http://purl.org/coar/resource_type/c_7a1f
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10901/10256
dc.identifier.instname.spa.fl_str_mv instname:Universidad Libre
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Libre
url https://hdl.handle.net/10901/10256
identifier_str_mv instname:Universidad Libre
reponame:Repositorio Institucional Universidad Libre
dc.language.iso.none.fl_str_mv spa
language spa
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dc.relation.references.spa.fl_str_mv Crum ChP, Duska LR, Nucci MR. Adenocarcinoma, Carcinosarcoma, and Other Epithelial Tumors of the Endometrium. In Crum ChP, Nucci MR, Lee KR. Diagnostic Gynecologic and Obstetric Pathology. 2a ed. Philadelphia: Elsevier, Inc; 2011. p. 517-581.
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spelling Fernandez Mercado, RobinsonIglesias Acosta, JesúsPérez Manzano, GerardoRestrepo Pulgarín, Juan CarlosBarranquilla2017-07-27T14:23:40Z2017-07-27T14:23:40Z2016https://hdl.handle.net/10901/10256instname:Universidad Librereponame:Repositorio Institucional Universidad LibreEl cáncer endometrial es considerado según las estadísticas el tumor ginecológico más frecuente en los países desarrollados y se ha observado que su incidencia ha ido en aumento. Históricamente, el carcinoma endometrial se ha clasificado en dos tipos clínico-patológicos y moleculares: el tipo I (adenocarcinoma endometrioide), es el más común y se presenta en el 80-90% de los casos, el tipo II comprende los subtipos no endometrioides tales como el de células serosas, claras y carcinomas indiferenciados. Un dato importante es, que las pacientes en su mayoría son diagnosticadas cuando la enfermedad se encuentra en etapas tempranas, es decir cuando la lesión todavía está confinada al útero. El tratamiento convencional radica en una histerectomía primaria más salpingooforectomía bilateral, ya sea por medio de una laparotomía abdominal o utilizando métodos mínimamente invasivos como la laparoscopia o la laparoscopia asistida por robot. La resección de los ganglios linfáticos va a depender de factores histológicos, estadio de la enfermedad, características de las pacientes y directrices nacionales e internacionales para la gestión de este tipo de enfermedad. Con relación al tratamiento adyuvante este debe adaptarse a la histología y estadio del tumor. Debido a la gran cantidad de literatura disponible que se ocupa de la gestión del cáncer endometrial, el objetivo de este trabajo era realizar una breve actualización sobre esta enfermedad en relación al diagnóstico y tratamiento, basada en una serie de preguntas que se consideraron clínicamente relevantes y que han generado controversia para tal fin. Mediante una estrategia de búsqueda en la base de datos de MEDLINE, EMBASE, PubMed, ClinicalKey, Ovid y la librería de Cochrane; utilizando las palabras clave cáncer, endometrio, diagnóstico y tratamiento hasta el año 2016. Además se formularon una serie de preguntas controversiales sobre el diagnóstico y tratamiento del cáncer de endometrio, en base a las cuales se utilizaron las diferentes palabras claves para resolver dichos interrogantes.Endometrial cancer is considered according to statistics the most common gynecological tumor developed countries and observed that its incidence has been increasing. Historically, endometrial carcinoma is classified into two clinicopathological and molecular types: type I (endometrioid adenocarcinoma) is the most common and occurs in 80-90% of cases, type II comprises non-endometrioid subtypes such as serous, clear and undifferentiated carcinomas cells. An important fact is that most patients are diagnosed when the disease is in the early stages, ie when the lesion is still confined to the uterus. Conventional treatment lies in a bilateral salpingo-oophorectomy more primary hysterectomy, either through an abdominal laparotomy or using minimally invasive methods such as laparoscopy or robot-assisted laparoscopy. Resection of lymph nodes will depend on histological factors, stage of disease, patient characteristics and national and international guidelines for the management of this type of disease. With regard to this adjuvant treatment should be tailored to histology and tumor stage. Due to the large amount of literature available that deals with the management of endometrial cancer, the aim of this study was to perform a brief update on the disease in relation to diagnosis and treatment, based on a series of questions that were considered clinically relevant and that they have generated controversy for this purpose. By a search strategy in the database MEDLINE, EMBASE, PubMed, ClinicalKey, Ovid and Cochrane library; Using keywords, endometrial, diagnosis and treatment until 2016. In addition a number of controversial questions about diagnosis and treatment of endometrial cancer were formulated, based on which different keys to solving these questions words were used.PDFapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Atribución-NoComercial-SinDerivadas 2.5 Colombiainfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2CáncerEndometrioMedicinaEndometrial NeoplasmsCANCERENDOMETRIODIAGNOSTICO Y TRATAMIENTOCáncer de endometrioCáncer de endometrio: una actualización en el diagnóstico y tratamiento; revisión de la literaturaTesis de Especializacióninfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisInternational Agency for Research on Cancer/World Health Organization. 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Philadelphia: Elsevier, Inc; 2011. p. 517-581.ORIGINAL94326904.pdf94326904.pdfTrabajo de Gradoapplication/pdf1758501http://repository.unilibre.edu.co/bitstream/10901/10256/1/94326904.pdf4216424b08edd408ec4af7fb53a610d7MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repository.unilibre.edu.co/bitstream/10901/10256/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAIL94326904.pdf.jpg94326904.pdf.jpgIM Thumbnailimage/jpeg6368http://repository.unilibre.edu.co/bitstream/10901/10256/3/94326904.pdf.jpg328e96c3696e7b69e2ded6b1dfe64112MD5310901/10256oai:repository.unilibre.edu.co:10901/102562022-10-11 12:08:25.717Repositorio Institucional Unilibrerepositorio@unilibrebog.edu.coTk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=