Linfoma no Hodgkin de cabeza y cuello, esquemas diagnósticos y terapéuticos oncoespecíficos. Hospital Teodoro Maldonado Carbo. años 2013-2016
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Los Linfomas no Hodgkin ubicados en cabeza y cuello, son neoplasias poco frecuentes, con manifestaciones clínicas variadas y esquemas terapéuticos que mejoran la supervivencia. Actualmente su incidencia se ha incrementado, pese a ello existen pocas series de investigación en nuestro medio. Por lo que es importante conocer las opciones diagnósticas y terapéuticas que se brindan para tratar esta neoplasia.
Objetivo: Evaluar los esquemas diagnósticos y terapéuticos oncoespecíficos aplicados a los pacientes con Linfomas No Hodgkin de cabeza y cuello, atendidos en el Hospital Teodoro Maldonado Carbo, durante los años 2013 – 2016.
Metodología: La presente investigación tiene un enfoque cuantitativo, de tipo descriptivo, correlacional, de corte transversal, de diseño no experimental. Se revisaron las historias clínicas de pacientes con diagnóstico de Linfomas no Hodgkin de cabeza y cuello. La información se organizó en una base de datos en Microsoft Excel 2010, y se procesó en el programa estadístico Statistical Package for Social Sciences.
Resultados: Se analizó una población de 106 pacientes, y se determinó que la principal manifestación clínica fue la presencia de tumor (90,6%), el hallazgo imagenológico más importante fue la presencia de múltiples adenopatías (34,9%). El 88,6% recibió tratamiento oncoespecífico, que en la mayoría consistió en quimioterapia (62,3%).
Conclusiones: Se estableció que todos los casos fueron sometidos a estudios de imágenes, laboratorio, biopsias y estudios anatomopatológicos; en pocos casos se realizó endoscopias y resonancia magnética. El esquema terapéutico que más se utilizó fue la quimioterapia.
Non-Hodgkin Lymphomas located in the head and neck are rare neoplasms, with varied clinical manifestations and therapeutic schemes that improve survival. Currently its incidence has increased, despite this there are few research series in our environment. Therefore, it is important to know the diagnostic and therapeutic options that are offered to treat this neoplasia. Objective: To evaluate the oncoespecific diagnostic and therapeutic schemes applied to patients with head and neck non-Hodgkin lymphomas, treated at Teodoro Maldonado Carbo Hospital, during the years 2013-2016. Methodology: The present investigation has a quantitative approach, descriptive, correlational, cross-sectional, non-experimental design. The clinical histories of patients diagnosed with non-Hodgkin lymphomas of the head and neck were reviewed. The information was organized in a database in Microsoft Excel 2010, and processed in the statistical program Statistical Package for Social Sciences. Results: A population of 106 patients was analyzed, and it was determined that the main clinical manifestation was the presence of tumor (90.6%), the most important imaging finding was the presence of multiple adenopathies (34.9%). The 88.6% received oncospecific treatment, which in the majority consisted of chemotherapy (62.3%). Conclusions: It was established that all the cases were submitted to imaging, laboratory, biopsy and anatomopathological studies; in few cases, endoscopies and magnetic resonance were performed. The most used therapeutic scheme was chemotherapy.
Non-Hodgkin Lymphomas located in the head and neck are rare neoplasms, with varied clinical manifestations and therapeutic schemes that improve survival. Currently its incidence has increased, despite this there are few research series in our environment. Therefore, it is important to know the diagnostic and therapeutic options that are offered to treat this neoplasia. Objective: To evaluate the oncoespecific diagnostic and therapeutic schemes applied to patients with head and neck non-Hodgkin lymphomas, treated at Teodoro Maldonado Carbo Hospital, during the years 2013-2016. Methodology: The present investigation has a quantitative approach, descriptive, correlational, cross-sectional, non-experimental design. The clinical histories of patients diagnosed with non-Hodgkin lymphomas of the head and neck were reviewed. The information was organized in a database in Microsoft Excel 2010, and processed in the statistical program Statistical Package for Social Sciences. Results: A population of 106 patients was analyzed, and it was determined that the main clinical manifestation was the presence of tumor (90.6%), the most important imaging finding was the presence of multiple adenopathies (34.9%). The 88.6% received oncospecific treatment, which in the majority consisted of chemotherapy (62.3%). Conclusions: It was established that all the cases were submitted to imaging, laboratory, biopsy and anatomopathological studies; in few cases, endoscopies and magnetic resonance were performed. The most used therapeutic scheme was chemotherapy.
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Linfoma no Hodgkin, Biopsia, Estudio descriptivo, Quimioterapia, Nodales, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Cabeza, Cuello