{"id":7246,"date":"2013-07-23T19:03:06","date_gmt":"2013-07-24T00:03:06","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7246"},"modified":"2013-07-23T19:03:06","modified_gmt":"2013-07-24T00:03:06","slug":"indice-pronostico-internacional-de-los-linfomas-no-hodgkinianos-celulas-grandes","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7246","title":{"rendered":"Indice pron\u00f3stico internacional de los linfomas no hodgkinianos (C\u00e9lulas grandes)."},"content":{"rendered":"<h3><span style=\"font-size: 14px;\">\u00a0<\/span><\/h3>\n<p>Cinco factores cl\u00ednicos de riesgo:<\/p>\n<p>Edad 60 a\u00f1os<\/p>\n<p>Niveles s\u00e9ricos altos de deshidrogenasa l\u00e1ctica<\/p>\n<p>Clase funcional 2 (ECOG) o 70 (de Karnofsky)<\/p>\n<p>Estadio III o IV de la clasificaci\u00f3n de Ann Arbor<\/p>\n<p>Afecci\u00f3n extraganglionar en m\u00e1s de un sitio<\/p>\n<p>A cada paciente se le asigna un n\u00famero por cada factor de riesgo que presenta<\/p>\n<p>Se re\u00fane a los pacientes en grupos distintos seg\u00fan el tipo de linfoma<\/p>\n<p>Para el linfoma difuso de c\u00e9lulas B grandes:<\/p>\n<p>0, 1 factores = riesgo bajo \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 35% de los casos: supervivencia a 5 a\u00f1os de 73%<\/p>\n<p>2 factores = riesgo bajo o intermedio \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 27% de los casos: supervivencia a 5 a\u00f1os de 51%<\/p>\n<p>3 factores = riesgo alto o intermedio \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 22% de los casos: supervivencia a 5 a\u00f1os de 43%<\/p>\n<p>4, 5 factores = riesgo alto \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 16% de los casos: supervivencia a 5 a\u00f1os de 26%<\/p>\n<p>Fuente: Harrison, T. Principios de Medicina Interna 1\u00aa edici\u00f3n. Mc Graw-Hill Interamericana<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Cinco factores cl\u00ednicos de riesgo: Edad 60 a\u00f1os Niveles s\u00e9ricos altos de deshidrogenasa l\u00e1ctica Clase funcional 2 (ECOG) o 70 (de Karnofsky) Estadio III o IV de la clasificaci\u00f3n de Ann Arbor Afecci\u00f3n extraganglionar en m\u00e1s de un sitio A cada paciente se le asigna un n\u00famero por cada factor de riesgo que presenta &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=7246\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Indice pron\u00f3stico internacional de los linfomas no hodgkinianos (C\u00e9lulas grandes).&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-7246","post","type-post","status-publish","format-standard","hentry","category-hematologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7246"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7246\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}