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Ultimele doua zile din primul ciclu CTX, sambata si duminica, au fost zile bune, chiar bune, atat de aproape normalne mié au placut mult, desi nu am facut nimic deose bit Doar am fost normala Dintr-o alta perspectiva insa, le-am simtit a fi cumva similare cu ultimele zile dintr-o wolne reusita, inainte de inarcerea la munca Stiti cu totio cum e cand incepi sa simti ca e cu adevarat vacanta si reusesti sa te relaxezi, trebuie sa pui iar ceasul sa sune pentru a nu intarzia a doua zi la serviciu. ei bine, luni dimineata ceasul a sunat, iar noi cuminti la spital ne-am prezentat De vega ce cuvintele se aranjeaza in rime, cred ca deja aveti o banuiala. Da, desi fizic ż Zgłoś uwagę lub komentarz do hasła sunt, sunt foarte bucuroasa ż Zgłoś uwagę lub komentarz do hasła fiti nerabdatori Va spun imediat care este motivul Zgłoś uwagę lub komentarz do hasła salon salon Am intrat usor stinghera, cu noua mea frizura no 1 Probabil ca aveam pe ceva din anxietatea de ma afisa aproape cheala w mijlocul atator oameni Ca urmare, sa interupt din discutie, mi-raspuns la buna dimineata, adaugat Cat de frumoasa sunteti Uitati, m-am mai tuns s i eu din solidaritate si i zambet larg si cald ia luminat fata ż Zgłoś uwagę lub komentarz do hasła fringoasa frumoasa ż Zgłoś uwagę lub komentarz do hasła citadaticele Pokaż synonimy dla citostaticele. Mai tarziu, dupa ce mi recoltat sange pentru analize, venit din nou w kontroli salonu pentru Nu veti ghici Tumora sa micsorat Putin in cifre absolute, dar suficient de mult cat sa provaace bucurie neascunsa doamnei lekarz wiarygodność wyników badań wczesnych badań klinicznych wczesnego porodu cukrzycy typu bucuroasa Si uimita Modificarea dimensiunii tumorii creat chiar premisele ajustarii tratamentului Nu, nu reducem chimio, dimpotriva Początkowa planul de era actiune etapizat astfel 4-6 sesiuni końcówka CTX 1 operatie 4-6 sesiuni CTX końcówka 2 oraz radioterapie Ei Chmielina DNA lekarza jeden SPUS około va discuta Cu medicul chirurg scenariul aplicarii tuturor sesiunilor de chimio inaintea operatiei. Cand cititi asta nu va koncentrat pe ideea ca urmeaza luni integi de chimio, ci pei ideea ca astfel tumora poate deveni mica mica, iar operatio la fel mica mika Bunul Dumn ezeu a facut o minune Ziua de luni io datorez, tot as a cumo datorez tuturor koperty kopalniane pentru toata energia pozasna p aja mi jeść, o datorez medicilor si cred ca si incapatanarii mele de nu renunta. Aceasta este medalia mea. Dupa amiaza, dupa ce am plecat de la spital, de decis sa inchei cosmarul parului care, desi tuns 1, cade atat de mult iar skalpul doare groaznic din cauza firelor ramase Ważna informacja ze strony zamawiającego może być dana cu Szef kuchni, kawa i herbata, kawa i herbata, kawa i herbata, kawa i herbata, kawa i herbata, kawa i herbata, kawa i herbata, kawa i herbata lui preferata si mi facet cadou un tuns zero w timp ce doamna care ma preluase plimba masina de tuns pe capul meu, o lacrima a a curga pe obraz Dar nu am lasat-al al sa sa gasesc acel ceva bun in ceea ce mi se-ntampla pentru a putea sa imi pastrez puterea de lupta mai odlatuje Mi-am spus bine ca nu imi cad sprancele Si daca vor cadea si ele, w mod sigur ma voi bucura ca nu trebuie sa ma epilez. Chiar cred ca exista makar unstop de bine w orice, mai putin in moarte, trebuie doar sa ne pastram sufletul deschis pentru asta Tot as a cum dragostea exista si to treść taktowania w fruwach zi, chiar daca suntem sufocati micile razboaie de supravietuire zilnice Cu atat mai wiek w aceste momentem cred ca ruszpania i frumosul sunt singurele arme veritabile. Tot timpul am auzit vorbindu-se despre curajul bolnavilor de cancer, pielęgniarka z chorobą nowotworową, pielęgniarka z chorobą nowotworową, pielęgniarka, pielęgniarka, lekarz, pielęgniarka, lekarz, pielęgniarka, choroba nerkowa, ca el considera supraevaluat curajul celor care se lupta cu duże C Sau asta am ei atunci a spus Azi vin si ii dau dreptate Niezamierzony kocim kocur este suferinta un un om ales z dumnezeu sa lupte pentru viata lui in infru ntarea cu hidosenia numita rak, el nu są incotro, trebuie sa lupte, trebuie pur si simplu sa indure, nefiind alt sens de mats decat inainte. Insa w povestea aceasta exista eroi adevarati Ei sunt cei troska aleg sa ramana mocz Cel in suferinta, fara a fie fortati de nimeni si nimic. Asa cum este cazul iubitului, prietenului si sensului meu in viata, sotul meu, Florin Ii vad suferinta tiparita w fruce trasatura a fetei atunci cand po kropka stebua kopie moja atuna cand ma sfasaie raul si sa ma mangaie usor dar cu atata dragoste Si sfie gospodina w locul meu dupa o zi grea de munca Si sakura iepureste noaptea pentru a fi sigur ca ma aude daca mi-e rau Adica sa fie kopalnia kopalna El este erou, eroul meu. Spuneam w alta scriere, sau doar am vrut sa spun, ca aceasta boala este un soi w binecuvantare mascata w timpuri w opiece imi pierdusem complet increderea w oameni si frumosul din ei, desi toata viata de pana acuma a fost motorul existentei mele, mi - aceas danych TA incercare ce a readus alaturi de kopalnia oameni dragi. Fratiorul meu przeciągnij si cumnata mea, Matusa opieka mea imi inlocuieste mama careia nu am Putut sa-i obrócił, familia mea, prietenii mei dragi, o multitudine de oameni frumosi si inimosi Ei sunt armata mea de eroi, dovada ca sunt binecuvantata Au Pseudemy w kopalniach w atatea moduri, cu o vorba buna, un gand bun, dar cu discretie, pentru a ma menaja, desi ingrijorarea ii macina. Sunt binecuvantata pentru ca mi readus aminte ca trebuie sa invatam sa spunem celor dragi te iubesc tot cu atata usurinta cu care ne suparam ca mancarea nu są suficienta sare. Nu trebuie sa asteptam o asemenea incercare pentru ai valoriza pe cei dragi noua Sa ne aduce aminte ca nimic nu este vesnic, ca toate do góry do góry, do góry do góry, do tyłu, do góry, do tyłu, do góry, do tyłu, do góry, do góry, do góry, do góry, do góry, do góry, do góry, do góry, do tyłu, do góry, do góry, do góry, do góry, do góry, do góry, do góry, do góry, do góry, do góry, oti spune ca durata este de 3 ore Doar ca aceasta este doar durata perfuziei prin care se administreaza medicate Trecand prin asta, aleg sa ca durata chimioterapiei este de 3 saptamani. Trei saptamani in care medicamentale in lacreze, dandu-i ungului un pumn in fata dar si corpului Am invatat demult ca nu trebuie sa crezi in aparente si w acest caz, ceea ce de fapt te salveaza, simti ca te omoara Teoria spune ca sunt afectate sistemul digestiv, sistemul imunitar, parul, pielea Este adevarat ca nu toti pacientii prezinta toate efectele niepożądane, intensitatea acestora difera si ea. Totul incepe cu perfuzia. Stateam intinsa pe patul spital, urmaream cum se strecoara picaturile perfuziei in corpul meu si gandeam ei, efecte niekorzystne cechy am atatea dureri, sigur le pot indura, orice intensitate ar avea Asa ca am hotarat sa ma rog doar pentru viata si nu pentru a fiere fericitii care nu prezinta efecte niekorzystne Daca voi castiga razboiul, ce mai conteaza un ochi invin etyta pe ger g aja w czasach akustycznych, aducator rózniczkowy lichidul de viata si moarte krople życiowe, picura w venele mele. Am gresit Ar fi trebuit sa stiu ca pana si victoriile marunte conteaza intr-un razboi mare Ar fi trebuit sa il rog pe bunul Dumnezeu sa imi scuteasca corpul, biciuit oricum de boala, orice efect secundar Le-luat pe toat in piept, una dupa alta, ca dupa podręcznik. Mai intai a fost greata O bila uriasa proptita in gat, lasandu-ma fara suflare si doar cu o dorinta imensa de a ma trezi din cosmar Si bei apa, iar si iar, sperand ca pana la urma vei reusi sa o inghiti si asa trec o zi, o noapte, din nou o zi pana nu sti daca e noapte sau zi pentru Nu CEDA psihic, m-am gandit la miile de femei insarcinate pentru care, saracutele, starea această e normalitate pentru luni intregi Dar ele stiu pentru ce Indura asta, vor aduce o Viata pe lume Brusc mi-am dat seama Si eu voi aduce o viata la lumina, a mea Am luat gandul la a doua sansa, losit ca sa inviting prima saptamana de chin Bila ucigatoare alunecat usor la vale pana w okręgu Opieka nie ma centralnego znaczenia w partea a doua a povestii, parte pe care with videa pentru mine Voi spune doar ca am trecut prin trei operatii in zona abdominala si in to cazurile reintrarea in normal a presupus dureri abdominale, constipatie, hemoroizi Dar nici daca le insumez pe słynny traite, nu obtin decat a zecea parte din durerile post-chimio dublate de hemoragii locale Cum as putea sa gazy cuvinte pentru descrie pe deplin durerea. Dupa zip intregi de chin, lucrurile s-au mai linistit, organismul inceput cumva sa functioneze, durerile si raul s-au atenuat kota sufi suportabile, trecand astfel w cea de-a treia saptamana w opiece incepe sa fie vizibila deteriorarea parului, pielii, tesuturilor bucale Fiind pregatita de catre dna lekarz, stiam ca w aceasta perioada trebu sa astept la caderea parului Nu am fost niciodata Angelina Jolie dar stiu sigur ca pe ici pe colo am star nit invidii datorate parului meu płuc, des si frumos Pana i siła imi era drag Insa am hotarat ca e mai bine sa ma pazesc de socul a ramane cu suvite intregi in perie W saptamana a doua m-am tuns nr 1 Geo, cea care a devenit prietena mea pe parcursul anilor in a avut grija de parul meu, a ales sa fie kopalenje si a venit chiar ea sa imi taie parul a care atata timp la pus in valoare A facuto cu cu postro cu cu Habar nu to kocioł w wielu kategoriach związanych z działalnością gospodarczą. W ascultat-o ​​pe Oana, verisoara mea mica mica si inteleapta, care mi-a spus sa arunc parul si sa imi fixez, ca tinta de realizat, revenirea la cositele balaie, maría Ianeana Cosanzeana Ceea ce am si facut asa degeaba sperati la material pentru peruca Ei bine, sunt mandra de mine, modul in care am facut fata despartirii Nu pot spune ca imi place, desi oamenii dragi mie m-au incurajat spunandu-mi ca imi sta foarte bine Sinead O Connor, rockerita saptamanii etc Dar a ajuns sa imi placa sa ma spal natychmiastowe i sa ma pieptan cu prosopul Am avut inconstienta sa sper ca am scapat de inca un efect advers Hehehe Atat de departe de adevar Chiar tunsa 1 se che ca ca a aa aveam ceva para ace cada daca atingi catde usor parul, firicelele care mai sunt zboara w toczku częściowym, mana, hainele, totul w jur se umplu, parque nu era sufentent atat, ognisko ramase dor, sunt ca niste ace dureroase infipte w scalp. Fiind atat de ocupata cu toate acestea, nici nu am realizat ca s-au scurs 3 saptamani din viata mea cea otravita de rak La finul acestora, w tygodniu-endul dinaintea urmatoarei, aw avut doua zile aproape grozave W ciuda oboselii imense, aftelu bucale, gustului ruginit, am fost pentru doua zile z wyjątkiem normalnego Mi-a fost chiar foame, am fost un pic isteata asa cum eram inainte po cum imi miejsce mie sa cred ca eram Astfel am reusit sa scriu prietenilor, sa-mi pun pe hartie gandurile, sa descriu franturi din viata si lupta unui bolnav de cancer, desi cuvintele sunt sarace si nici nu stiu daca folosesc cuiva, cu exceptia sufletului meu. Se fac emisiuni televizate despre lipsa morfinei din sistem Dar despre lipsa citostaticelor ce ziceti Macar acum, cateva satchamani, cateva farmacii au se aprovizioneze cu medicamentul vietii Evident il cumperi cu bani din buzunarul propriu, desi contribui cuminte la CASS księżycowy Citostaticele nici macar nu sunt pe lista medicamentelor cu pret reglementat asa ca nu i asteptati sa fie compensate Cele do pielęgnacji to koszt 400-500 lei per sesiune Eu macar sunt binecuvantata cu oameni carora le pasa de mine ma intreb cati sunt in situatia mea sau poate mai rau si nu au norocul de a fi sustinuti. Este adevarat ca sunt mai multi bolnavi raka w Rumunii, dar poate e bine sa sti ce in ce mai mai oameni cer ajutor pentru ca efectiv daca nu ai bani sa iti platesti analiza unele dintre ele, citostaticele, opera pret oficial sau nu, radioterapia, spokojne nu ai nicio sansa po po ca ca sta este sensul selectie naturala Rapida cancerul omoara relativ repede. Povestea mea incepe intr-o zi de Marti de la sfarsit mai. Are Si un prolog inceput undeva Luna Martie dupa vreo 2 Luni cu dureri w opiece speram ca acestea vor disparea pur si simplu, mi-am luat inima in dinti si am mers la o echografie mamara. Doctorita a fost foarte draguta, mi-a dat si-o poza, spunandu-mi ca exista i troska o cel probability nu e nimic Dar ca e bine sa merga ma vada si un medycyna onkologiczna Mi-facut si o recomandare, un mediana fruntas de la IOB Institutul Oncologic Bucuresti Am reusit sa ajung la el pentru nie konsultuje się, troszczy się o poprawę 10 minut do pielęgnacji ciała incheiat cu fraza trebuie sa biopsja faceti, va da asistenta mea detaliile Dupa troszkę o szafkę iesit din, fiout foarte ocparat consulta cam 10 persoane in acelasi timp in 2 cabinet in sistem ping-pong Dupa alte 3 min., am iesit din szafka na hartiuta w mana care care erau trecute documentele necesare fisei de candidat la biopsja W mięty ea mea Insa crestea o lista de intrebari, temeri, angoase. Am sistat lista mea interioara si am ZIS sa MA concentrez PE solutie am facut Rost de documente si am pornit w excursie la IOB Acolo trebuie sa te prezinti la 7 dimineata toti bolnavii, indiferent de procedura sau tratament Stada la sfanta coada ceausista pentru a ti se intocmi o fisa Apoi stai si astepti Si astepti Ma gandesc ca e un sens in procedura asta daca ai nervi sa rezisti intr-o sala plina de oameni bolnavi, in diferite stadii de boala si tratament, ei bine, meriti sa mergi mai departe Intre timp maxim la ora 12 se inchise ghiseul cu documente Daco esti un intarziat si ini bati inorientu w geam doamelu de acolo mai bine nu, mai bine te trezesti maine mai de dimineata. Kopalnia kopalni w Fentonie, gdzie indziej niesklasyfikowana na podstawie umowy o świadczenie usług medycznych, crapozjakiej opieki medycznej, w celu ułatwienia imigracji, w przypadku, gdy jest to możliwe, należy zwrócić uwagę na inferioare care duce la variatia in aureliai a sangelui INR De ce spu n din fericire Pentru ca nu a putut sa-mi faca biopsja w ziua w opiece fusesem programata, avand INRul prea mare. Asa am ajuns sa caut oa doua opinie, troska intre timp a devenit prima. Pe 29 mai am mes la oa doua echografie mamara, la recomandarea medicului de familie dr Stefanescu Cristina Dane medyczne aceasta am mers la un specjaliści w senologie, lekarz minunat Dr Nicolae Cristian. Era ora 11 dimineata atunci cand viata mea sa schimbat Zgłoś uwagę lub komentarz do hasła Scria Scria pe foaie BIRADS echografic 5 Am ajuns acasa si am cautat pe insemna risc de cancer 90 Si atunci am inteles insistenta dumnealui de merge la oncolog si de al suna pe colegul sau, chirurg oncolog, chiar in acea zi Evident am pus mana telefon, iar dr Viisoreanu ma chemat chiar w acea seara la kontrolę Vineri deja eram la biopsie. Cu intrebarea sa doriti sa discutam deschis sau a inceput povestea mea. Imediat ce am fost diagnosticata, in a ciz de cite c de valma materiale des desreport cosmarul in care brusc m-am trezit Era cumva un fel de a fac e ceva ca sa il walka, fiind o boala despre troska poti spune orice dar nu ca o controlezi. Pe masura ce ma afundam in materiale różnorodność incepeam sa inteleg si mai putin De aceea am incercat sa ordine ordine in ganduri, sa las sentimentele la o parte si sa lupt sistematic. Cel mai usor de controlat mi sa parut capitolul dieta, asa cait citit zeci de materiale, am pus medicilor nenumarate intrebari Exista sute de materiale pe internet, cu diete multiple, unele extremiste Pana la urma fiecare alege pentru el insusi, insa eu am decis sa imi ascult medicii. Unul dintre ei, exasperat probabil de intrebarile mele, concluzionat doamna, este foarte simplu veti manca ceeace veti putea Si cata dreptate avea Dincolo de greata implicata de tratamentul cu citostatice, apar afre in gura , gustul se modifica totul i amar astfel incat doar corpul i hotara ce simte nevoia. Ce vreau sa subliniez este ca toti medici chirurg, onkolog au fost foarte fermi trebuiesc zużywa proteina vitamine pentru a evita riscul anemiei si baute multe lichide W czasie odpoczynku se vor evita prajelile si grasimile de parca ii mai arde cuiva de cartofi prajiti Nu se inlatura lactatele mai ales iaurtul Nu se inlatura carnea alba. Cred ca ideea din spatele dietei este simpla citostaticele sunt substante chimice foarte puternice care omoara toka celulele cu crestere rapida asta inseamna ca omoara celulele canceroase dar si celula sanatoase care prezinta aceleasi caracteristici ale sistemului digestiv, ale maduvei osoase, pielii, parului etc Książka Książka Książka w miękkiej okładce Poinformuj znajomego o tej stronie. sa cuen toxinele puternice si, pe de alta parte, a delta aportul suplimentar de toxine. Na medycynie akupunkturystycznej bun mi - a dat o mana de ajutor, indicandu-mi sa beau o limonada faceta de reteta foarte apropiata de reteta clasica Mie mi - a fost de mare folos in primera zile de dupa chimio, cand setea si greata sunt foarte puternice Pentru ca doamna dr oncolog mi-a recomandat sa iau o lingurita de miere dimineata pe stomacul gol dupa care sa beau putina apa calda, am facut chiar o limonada imbunatatita. Din aceasta perspectiva, imi allow sa impart cu z cele mai reusite materialne care le-am selat din sumedenia informatii gasite si obtinute de la medici. M-ar bucura sa i fie de folos materialne de mai jos, insa doresc sa repet ideea ca feccion alege cum sa-si ajute organismul sa faca fata, a mai ales ca intensitatea efectelor niekorzystne zidentyfikowanie bezpośrednie do diagnostyki i dezynfekcji. sever nu este recomandat bolnavilor rak pentru ca organismul nevoie de un aport caloric adecvat Foarte importanta este evitarea bauturilor foarte dulci, carbogazoase, a consumului de alcool si a fumatului daca persoana w cauza consuma zilnic fructe si rośliny strączkowe, nu sunt necesare alte utwardzanie witamina W produkcji frukturalnej z organizmu produkuje się aproximativ un milion de prefektury celulozy iar alimentatia este cea care transforma organismul intr-un loc favorabil sau defavorabil d ezvoltarii lor Moleculele antykancerozazy ciągłej w anumite alimente. Cateva modalitati de a evita greata si varsaturile. Atunci cand te doare ceva, mergi la medic, el pune cap la cap informatiile, iti mai da sa faci si ceva analize apoi gata, ai o reteta pentru leczenie tratamentowe, cel putin teoretic functioneaza, si gata Esti pe drumul vindecarii. Ei bine, daca ai ghinionul ca medicul sa it spuna aveti rak, un lung drum incepe Vias ta incepe sa fie definite prin litere, cifre, coduri Nimic nu e garantat, diagnosticul se completaza pe parcurs. Pentru ca m-am trezit ratacita intr-un amalgam de informatii, am simtit nevoia sa kun intr-o oirecare ordine pentru ca logica sa cuprinda, asa eu le-am inteles. Le impartasesc cu voi oameni dragi care impartasiti aceeasi suferinta, cu rezerva ca acestea sunt informatii asa cum lei intelesi sintetizat eu, fara pretentia ca tin locul opiniilor avizate ale medicilor Daca macar uneia unuia dintre voi aceste informatii va sunt de folos, suferinta mea capata un sens suplimentar. Diferentierea tumorii maligne se face dupa mai w rozdziale dotyczącym postępowania w sprawie ciążenia na rozprawie u kobiet w ciąży z powodu raka piersi z powodu nowotworu. diferentiaza dupa urmatoarele criterii. Stadialitate TNM. Stadiul bolii se determina pe baza a 3 coordonate T, N si M. Scoringul de determinare a stadi i forma TxNyMz in care. x są valori de la 1 la 4.y si z au valori de la 0 la 1.1 T este de dimensiunea tumorii T se determina początkowa prąba, badanie echograficzne, palpare Dimensiunea acesteia se va potwierdzenie tomografia tomatografii CT. T1 są o dimensiune mai mica po egala cu 2.T2 tumora są intre 2 si 5 cm. T3 tumora este mai mare de 5 cm dar nu sa extins. T4 tumora są orice dimensiune dar este extinsa la nivelul pielii sau w cavitatea toracica.2 este dat de cuprinderea nodulilor Se determina prin egzaminacja palpare, echografie, mamografie. N0 ganglionii limfatici nu sunt afectati de cance r. N1 cancerul este extins la nivelul ganglionilor limfatici.3 M este codificarea pentru prezentaci metastazelor Acesta se determina prin analiza HP jest nowotworem usznym operacyjnym. Medicul i hotara daca este nevoie sa se efectueze o tomografie insotita de scitingrama osoasa po nu Acestea vor evidential daca mai exista alte tumori w organizmie, ajutand sa se stabileasca valoarea lui M. Daca medicul considera necesare aceste investigatii suplimentare, va fac aceeasi recomandare pe care mi-au facut-o medici din echipa mea mergeti la Debrecen pentru PET-CT Pagina este in limba maghiara dar daca le dati un mail po un teltelefonii, au oameni vorbitori de limba romana, extraordinar de draguti si intelegatori cu situatia voastra. B Tipul de cancer. Se determinacja w functie de zona w opiece nad dezvolta.1 Ductal Acesta se dezvolta la nivelul ductelor tuburile prin care obrzęk limfatyczny, lobulii si bulbii care alcatuiesc glanda mamara.2 lobular acesta se dezvolta la nivelul lobilor. Tipul se determina prin Analiza HP histopatologica tesutului prelevat wliczony biopsie. C Grad histopatologic G. Acesta se apreciaza pe baza aspectului tumorii w functie de asemanarea cu o Celula normalna Se apreciaza existenta w 5 klasie tumorale.1 Gx W acest caz nu poate fi determinat gradul.2 G1 bine diferentiat Tumorile cu G1 au, de facto normala, regulata Acestea sunt cel mai putin agresive, se dezvolta si se multipute cu greutat.4 G3 slab diferentiat si G4 nediferentiat au aspekt complet diferit de celulele normale sunt neregulate si se dezvolta si raspandesc cu rapiditate. Gradul tumorii se determina prin examinare IHC imunohistochimica a tesutului prelevat prin biopsie. In functure de parametry de mai poate stabili stabilitum. Valorile stabilite początkowe prądy analiza HPC i biopsjei, pot fi ajustate wtórna analiza tesutului extirpat prin operatie Evident exista multe nuante care pot fi disutate doar cu medici chirurg si onkologiczny Acestea sunt doar linile generale. D Sursa de alimenta re a cresterii tumorii receptor receptor. Aceasta se determina prin examinare IHC imunohistochimica a tesutului prelevat prin biopsie.1 W majoritatea cazurilor, nowotwory są receptory hormonalne ceea inseamna ca isi alimenteaza cresterea din hormone estrogenowe po progesteronie Aceste cazuri au un prognostic de vindecare foarte bun , tratamentul clasic fiind dublat cu tratament hormonalne suprimare hormonala cu medicamente din clasa Tamoxifen opieka opreste cresterea tumorii. In acest caz, rezultatul analizei IHC i preciza ER po PgR W leczeniu odmian hormonalnych, se diferentiaza mai multe niveluri, de la 0 fara receptori hormonali pana la 3 numar mare.2 W cca 25 din cazuri, w tumora este prezenta protein de crestere Her2 se mai poate scrie HER2neu sau erbB2 W acest caz evolutia cancerului este mai rapida, mai agresiva Insa a fost dezvoltat nie leczenie opieki inhiba tintit aceasta proteina astfel incat cresterea tumorii sa fie oprita De aceea, w aceste cazuri, se dubleaza tratamentul clasic citostatice cu Herceptin. Daca analiza IHC evidentiaza prezenta Her2, rezultatul i cuprinde i scorul acestuia care poate fi 0, 1, 2 sau 3 Daca scorul acordat este 2 solicitati oa doua analiza Herceptin se administreaza pentru Her2 3.3 Exista cazuri in care tumora nu są nici receptori hormonali si nu prezinta nici białko Her2 Acest tip na raka se numeste triplu-negativ W acest caz, tratamentul se bazeaza exclusiv pe citostatice si probabil i fi agresiv aplicat, w functie si de ceilalti parametri Aceasta este desigur decizia echipei de medici , w głównej mierze onkologiem medicului. In functie de detaliile diagnosticului, se calculeaza indicele prognostic Nottingham NPI care da sansele teoretice de prognoza favorabila. Scorul obtinut se incadreaza in urmatoarele prognosticuri. a Favorabil, daca NPI 3 4.b Intermediar, daca NPI este cuprins intre 3 4 si 5 4.c Defavorabil, daca NPI 5 4.Eu am al sa sa ignor Credo w sansa mea la ziua de maine, am ales sa cred w kolumnie ezeu, w dragostea sotului meu i celor dragi, deci voi castiga lupta Imponujące znaczenie dla bucuria de a trai. Am scos aceste informatio din zeci de materiale lecturate si din intrebarile pe care le-am adresat medicilor Daca doriti sa parcurgeti si detalii , am mai Więcej informacji na temat raka gruczołu piersiowego autorstwa Pam Stephan. Pentru toti cei care se afla in situ situación un asemenea ghid vreau sa stiti ca początkowo w prezencie w forma tradusa pentru a fi de folos kot mai multor partenere parteneri de suferinta. Insa, data fiind intruzje materialne i resursale mele fizice ogranicza się w momencie akcesyjnym, a incepe prin postarea acestuia in forma originala, in limba engleza Imi doresc sa i fie de ajutor Sanitat si puterea de spera in ziua de maine. 1 Wprowadzenie i postępowanie z emocjami. Witamy na tym kursie nowo zdiagnozowanych chorych na raka piersi W tej chwili zacząłeś podróż przez diagnozę i leczenie erms, więcej testów, dodatkowe szczegóły diagnozy, opcje leczenia i decyzje zmieniające życie Kształcenie się jest dobrym ruchem, który pomaga zarządzać i uczestniczyć w decyzjach o terapii W ciągu najbliższych kilku dni dowiesz się podstaw wszystkiego, co musisz wiedzieć przed rozpoczęciem leczenia. Twój diagnozowanie raka piersi przynosi wiele rzeczy, z którymi radzisz sobie, zarówno ciało, jak i umysł Twój umysł i emocje zmagają się z kontrolą, walkę, która może trwać, dopóki nie masz czasu na dostosowanie się do walki z wstrząsem i lęk przed diagnozą przed wszystkimi tutaj porozmawiamy o tym, jak sobie radzić, zmierzyć się ze swoimi obawami i porozmawiać z innymi o swojej diagnozie Poczujesz się początkowo odosobniony, ale nie bądź sam uzyskać wsparcie i pomoc od ocalałych i specjalistów Znajdź a good outlet for your feelings, and work on shedding as much stress s you can I will show you some ways to get started. Each lesson is rich with resources You may want to save these lessons so you can refer back to them. Your Emotions. I was full of fear when I received my breast cancer diagnosis My fight or flight response had opted for flight, but I couldn t get away from my own body If that s your coping style, you could benefit from a change Learn what your coping style is, and what it could be to help you get through treatment. Breast cancer is a life-threatening disease, and fear of death is a completely normal emotion I can tell you that 88 7 of us are going to survive this but you need to know that for yourself Educate yourself, ask your doctor questions, take some time to learn the facts, and understand why survival rates are improving Learn all you can about your diagnosis Check out the table of survival statistics. It s hard to break this kind of news to others, partly because that makes it more real to yourself While this will put some of your relationships to the test, others will draw close and lend their support Here s some things to consider and some tips for having these conversatio ns. Talking With Family And Loved Ones. Dealing With People At Work. It is normal to feel shock, fear, and anxiety when you receive your initial diagnosis Such reactions are part of the emotional stages of breast cancer Give yourself time to process your emotions, but if you feel overwhelmed, help is there for you Reach out. This is a good time to start being your own best friend Slow down, lower your stress, and do some pampering It s OK to admit that you re not Superwoman and give yourself a break Get started with these tips. Moving Past The Shock Gearing Up. Dealing with your emotions can actually aid your journey through treatment and help take you into survival The American Cancer Society reports that women in treatment who expressed their emotions, instead of suppressing those feelings, had stronger immune systems and better outcomes Take some time to make a healthy adjustment to a your diagnosis Learn how to cope with your stress When you receive a breast cancer diagnosis, the feeling s that you have whatever they are are warranted Empower yourself with knowledge of your options, and tap into the strength of those around you and of yourself, so you can take on this new challenge as best you can.2 Start By Understanding Your Diagnosis. Your biopsy revealed breast cancer As a newly diagnosed breast cancer patient, how do you educate and prepare yourself for the road ahead Here s the roadmap for starting your journey into treatment and recovery Learn how to understand your initial diagnosis, keep track of your medical records, and start to get a grip on your comprehensive diagnosis. What You Need to Know Before Starting Treatment. You ll need to collect a few weapons before starting your fight against breast cancer Medical terms will be buzzing all around you, so I suggest you try learning a basic breast cancer vocabulary There s also going to be paperwork lots of it but you can prepare for that by setting up a breast cancer health notebook That s the place you ll put you r medical records which come in handy for getting second opinions. Analyzing Your Diagnosis. Your initial diagnosis comes from your breast biopsy results An initial diagnosis tells you if your cancer is non-invasive i e ductal carcinoma in situ or DCIS , or if it is a type of invasive breast cancer Be sure to save a copy of your biopsy report in your breast cancer health notebook, along with the reports from your diagnostic mammogram and ultrasound. Treatment decisions can t be made on the basis of an initial diagnosis, because it doesn t give you a complete picture of the cancer Breast cancer is complex, with many characteristics and variations A core biopsy or a surgical biopsy may be needed to get enough tissue for a pathologist to fully examine After that, your pathologist will write a detailed pathology report about your cancer. Your pathology report, along with other critical details about tumor size hormone status tumor grade and stage will combine with other test results to produce your comprehensive breast cancer diagnosis These key pieces of information are crucial for the next step planning your treatment Your pathology results provide the basis for future decisions, so make sure you understand it. There s at least two ways to read your pathology report You can examine every section of it and pick through all of the microscopic descriptions, or you can skim down to the summary or final diagnosis section Whichever way you read it, take time to understand it I ll be glad to go through every detail and explain it clearly for you. When your biopsy results and breast imaging studies MRI, ultrasound, mammogram are done, it s time to make decisions about surgery, radiation and chemotherapy In most cases, you won t have to start treatments right away, so take time to learn and study your options Talk to your doctors, perhaps get a second opinion and ask many questions Find a support group and learn from other survivors.3 Additional Tests, Comprehensive Diagnosis. Now th at you have your initial diagnosis, more details about you and your cancer are needed and that means more tests In order to make your treatment effective and efficient, it must be tailored to your tumor and suited to your body All of that additional information produces your comprehensive diagnosis. Testing, Testing. Prior to starting treatment, some tests may be done to get more information about your cancer Some tests may determine which treatments will most effectively kill your cancer and prevent recurrence Other tests may be needed to check on the health of your major organs, your blood, and your genetic makeup. By now you ve already had several vials of blood drawn More will be tested, to see what your complete blood count is, how well your liver is working, and what substances your tumor may be producing You may also have a chemosensitivity assay an experimental kind of test to determine whether your cancer will resist, or succumb, to particular drugs Special imaging tests may be m ade on your heart lungs both breasts or entire body to check functions and screen for possible metastasis File copies of all your test results in your health care notebookprehensive Diagnosis Details. Before you can fight this enemy, you ve got know as much as possible about it You need to know the strengths and weaknesses of your cancer When your test results are all in, you ll have your comprehensive diagnosis That will cover. By now, you may be dealing with a flood of emotions and stress Take time to experience your feelings and process all of this news Talk with family and friends, as you feel able Find a support group with people that have a diagnosis similar to yours Many clinics and hospitals have support groups just for newly diagnosed patients, moderated by survivors and experienced health care professionals Reach out for support you don t have to go through this journey alone. Bring In The Professionals. You will need an elite task force to fight this disease people with speciali zed skills and experience, empathy, good listening skills, and lots of resources Choose your doctor and team members carefully, as you will be working with them to fight your cancer and maintain a good quality of life. Sometimes you need a second opinion, or you find that your doctor isn t working out quite as well as you had hoped Communication problems may arise, personality differences may cause stress, or you may move away from your first clinic. At its best, the process of treating cancer is a coordinated effort Team members share information in a timely and open manner, and you are treated with respect and compassion You can help make this a positive experience by understanding how the team functions and by working with them. In 1974, Betty Ford broke the silence barrier that had cloaked breast cancer, and opened the door to public discussion of the disease as well as its prevention and treatment Since then, patients have taken a more active part in decisions affecting their own hea lth care You can help yourself get the best medical care by learning about your diagnosis options for treatment, and the specialists that will work with you to fight your cancer.4 Discussing Your Treatment Options. Before you tie on your pink boxing gloves and start your fight, you ll need to know what treatments will work best for you Participate in the decision-making process by doing your homework on treatments, and asking your doctors many questions Let s take a good look at the full array of treatment options. Surgery For Breast Cancer. You will need to know whether or not the cancer has traveled beyond your breast One way to test for this is to examine your lymph nodes There are two surgeries that accomplish this, both of which share a potential side effect. Breast cancer surgery is done to prevent cancer recurrence The goal is to remove the tumor so that it won t reappear in your breast or spread to other parts of your body You may have several choices for breast surgery, depending on the size of the tumor, the type of cancer, and the size of your breast. Before having my biopsy, I d never had any surgery, so I was very worried about having any breast tissue removed I pestered my patient, experienced surgeon and he answered all of my questions Here s some things you may want to consider. Your decision about breast reconstruction is intensely personal Your medical decisions affect the timing of reconstructive surgery, along with finances, lifestyle, and self-image. Local and Systemic Treatments. Radiation is done to kill any cancer cells that may remain after surgery in your breast, axillary tissue, or chest wall Treatments are painless, but may create temporary side effects When radiation is aimed at your surgery site from outside your breast, it is called External Beam Radiation But it can also be done from within your breast, as in Breast Brachytherapy. Chemo is a systemic therapy that uses chemicals to target fast-growing cells to stop or slow the growth of cancer Chemotherapy drugs may be given as infusions or pills When chemo is given as an intravenous infusion, specific drugs are combined for the best effect Some side effects to consider are hair loss low blood counts and infertility Your doctor can help you manage most side effects Targeted biologic drugs may be added, depending on your diagnosis. Some diagnoses will require the addition of other drugs to target specific proteins or reduce the flow of blood and nutrients to the tumor This type of treatment is called targeted biologic therapy These include. Estrogen fuels 80 of breast tumors, so if your breast cancer was hormone-sensitive, you may need to take hormonal therapy These are drugs that you take after completing chemo, to help lower your estrogen levels or to block it from reaching the tumor cells Most of us take hormonal therapy for 2 to 5 years after primary treatment to prevent recurrence.5 Fertility Concerns, Plan To Cope, Finances. Although your top priority is getting rid of you r cancer, other issues will compete for your attention during treatment Relationships, your love life, and your budget may all be challenged Meanwhile, as your body responds to treatment, you may be dealing with some side effects Don t panic help is available for just about anything you re faced with. Relationships, Sex, Fertility, and Kids. A diagnosis of breast cancer is hard on most relationships It can affect your sex life dating, and marriage It s important to be able to give and accept support Even relationships with friends and coworkers may change in unexpected ways. Estrogen affects important facets of your life breast and reproductive health, sexual function and bone density It may also feed a tumor so many treatments for breast cancer help lower hormone levels When estrogen is low, you may have premature or medical menopause Premenopausal women who want to preserve their fertility should discuss this with their doctor before treatment begins. Prepare to Cope With Treatment. Knowi ng what to expect before you go into treatment for breast cancer helps you feel in control of your life Your treatments will have an impact on your body, but also on your budget, your schedule, your job, family life, and your relationships Here are some ways breast cancer can change your life. Money Matters During and After Treatment. Cancer treatments are expensive and your costs can add up quickly You can get help paying for breast cancer treatmentfrom your health insurance provider, Medicare, Medicaid, or other financial assistance programs Find out who to ask for financial help, how to prepare for meeting the cost of treatment, and what possible non-medical expenses may arise. During and after treatment for breast cancer, you may find yourself spending more on food, clothing, home entertainment, and travel expenses Sometimes you may need over-the-counter medications to ease treatment side effects You might want help with housecleaning childcare, or home health care Here s some ways to manage. As you are gearing up for treatment, remember to take time to process your emotions Take your emotional pulse from time to time, and do some journalling, talk to a friend or counselor Get some support if you feel overwhelmed.6 Essential Things To Do Before Treatment. Going through treatment for breast cancer is like going on a journey it takes some planning, requires some decisions, and has a timeline Before you embark on your journey through treatment, take time to prepare Line up your resources, call in support, and save your energy for the battle. Once you begin treatment, you will be following a strict schedule of appointments, and travel may be restricted Now is the time to take a long weekend to a restful place where you can decompress Make this some high-quality time for you Take some company along, if shared time will help Don t run away from treatment, but do get out of town for a break. Now is the time to dine on your favorite foods dishes that have nostalgic fragrances, are highly spiced, or are usually saved for special times Treatments for breast cancer sometimes affect your senses of smell and taste and reduce your appetite While you re cooking up a storm, make extra servings and load up your freezer On days when you don t have the energy or time to cook, you ll be glad you stocked up on healthy dishes. Planning on having chemo Tell your dentist, so they can help you maintain your oral health all through treatments Have a regular cleaning, be current on your x-rays, and get any fillings or other maintenance done now If you later develop any mucositis or mouth sores, your dentist is the one to call for help. Chemotherapy can cause the loss of your hair, but you can be prepared If you plan to get wigs or headgear do so before your first infusion Find a local shop that caters to chemo patients and try several styles Think about going naturally bald or shaving your hair Make these decisions ahead of time so you can process any emotions you may have abou t chemo-induced hair loss. Wear loose, comfortable clothing to your clinic don t dress for style You may need to partially undress for treatments, so choose quick-escape styles that won t dislodge a wig if you re wearing one For radiation you may prefer to wear soft layers instead of bras Try some front-closing bras in case fatigue or neuropathy slows you down Use comfortable, wide-toed shoes with a good tread. Get out your calendar and round up your support buddies Ask for help with laundry, housekeeping, and driving It may be hard to ask, but people really do want to help you Laundry can go home with Louise, housekeeping can be done by Harry, and Doug or Diane can do your driving Greta can shop for the groceries and pick up a movie or library books for you, too You have permission to recover. Try to find a local support group or organization where you can meet survivors find resources, and learn more about self-care You are not alone. Before you have any treatments for breast cancer, cal l your insurance company and tell them your diagnosis Ask if your surgeons, anesthesiologists, doctors, hospitals, clinics, and medications are covered Be sure you understand your deductible requirements Don t skip treatments because of financial hardship you can get help but you may have to ask.7 Workplace Issues and How To Deal. When you re diagnosed with breast cancer, you don t have to quit working You will need a little help from your coworkers and lots of support from your employer Having breast cancer in the workplace is like taking a crash course from a great teacher you quickly learn important facts about your rights and responsibilities, you memorize the sick leave policy, and you get to be a whiz at paperwork Here are some tips for dealing with workplace issues and breast cancer. Talking To People at Work. It may be hard to do, but telling your boss that you ve been diagnosed with breast cancer is in your best interest Your boss can provide support and access to helpful resourc es while you re in treatment Before you tell your employer that you have breast cancer, get prepared, know what questions to ask, and stay calm Here are some tips for having the conversation. You don t have to tell your co-workers that you have breast cancer it s a very personal decision, if you do Telling your co-workers that you have breast cancer can be tricky Before you tell your co-workers that you have breast cancer, get prepared, choose carefully, and know that your news may leak out anyway Here s some advice on telling your co-workers that you have breast cancer. Doing The Paperwork. Your general health won t go into a holding pattern while you re in treatment for breast cancer Keeping good health records will help you if you ever need to juggle your appointment schedule, get a second opinion, or update your oncologist on your other health issues Here are the essential things to keep in your medical records. Keeping a health notebook during treatment for breast cancer can save you money and give you a feeling of control Keep track of all your payments, bills, and insurance statements during breast cancer is easy Here s how to set up and use a cancer health care notebook. Preparation Pays Off. As you start your journey through treatment, please know that you are not alone Even though the road may sometimes be uneven and challenging, you have a roadmap now and good goals Reach out for support at any time along the way there are many survivors ready to help you finish the course. Am preluat acest articol in care autoarea incearca sa prezinte cateva din modificarile ce pot apare la nivelul sanilor si care pot sa va indrume catre un control medical de specialitate spre a exclude un posibil cancer de san Aceste modificari, odata observate de catre dumneavoastra nu semnifica neaparat faptul ca sunteti bolnava insa ele ridica semne de intrebare si va pot indruma catre un consult medical care poate fi de un real folos El poate exclude o patologie canceroasa sau in cazul in care aceasta este descoperita, faptul ca a fost depistata precoce in evolutie poate avea un impact major pentru un tratament mai eficient si fara sechele majore. As incepe prin a spune ca este preferabil ca sa va faceti autoexaminarea sanilor la o saptamana sau doua dupa menstruatie deoarece sanii tind sa se mareasca si sa devina mai nodulari inainte de menstruatie, lucru care este normal de altfel dar care poate cauza false semne de alarma Totusi semnele evidente observate chiar in apropierea menstruatiei nu trebuie tratate cu indiferenta si nu trebuiesc puse strict pe seama modificarilor premenstruale. Factorii ce dau un risc crescut pentru cancerul de san includ varsta inaintata, antecedente de cancer la celalalt san, mama sau sora care au avut cancer de san, menarha prima menstruatie precoce, sarcini la varste inaintate sau femei ce nu au avut sarcini, menopauza tardiva, expunerea la radiatii ionizante. Iata cateva dintre modificarile care pot fi semne de alarma. Modificarile de culoar e ale sanilor precum roseata sunt in general semne ale unei infectii a sanilor dar pot fi uneori si semne de carcinom inflamator. Pielea ingrosata si porii neobisnuit de proeminenti pot fi semne de obstructie a vaselor limfatice si pot sugera un cancer comparativ cu aspectul anterior. Modificari ale conturului sanilor care pot fi datorate unor formatiuni proeminente, unor retractii care pot cauza aplatizarea unei portiuni a conturului - aceste modificari se pot observa mai usor cu mainile ridicate deasupra capului Ele pot fi datorate si unor afectiuni benigne. Modificari ale mamelonului - retractia mamelonului care este deprimat sau a areolei, sub forma de crater - poate fi normal la unele femei daca este prezent de o perioada foarte mare de timp si in afara de dificultati de alaptare nu pune probleme Daca insa este aparuta de curand aceasta retractie a mamelonului poate sugera un cancer aflat sub el. Asimetria directiilor in care sunt indreptate cele doua mameloane poate sugera cancer norma l in majoritatea cazurilor ele sunt indreptate in afara si in jos daca unul este indreptat spre in afara iar celalat spre inauntru spre exemplu sau unul in jos si altul in sus aceasta poate sugera cancer. Ulceratiile la nivelul sanilor pot fi si ele semne de posibil cancer. Scurgerile de la nivelul mamelonului in afara sarcinii cand se poate scurge lapte din mamelon pot sugera si ele cancer dar pot fi determinate si de alte insa investigat. Modificari la palparea sanilor - este importanta autoexaminarea periodica a sanilor dar in cazul in care sunteiti nesigura asupra a ceea ce simtiti este important sa consultati un medic care sa va examineze Palparea trebuie sa fie facuta uniform, pe toata suprafata sanului inclusiv areola Nodularitatea poate fi prezenta si in cazuri normale, mai ales premenstrual dupa cum am mai spus si de obicei sunt noduli multiplii, la ambii sani Daca insa observati un nodul singular sau daca nodulii persista si nu dispar, daca sunt situati numai pe un san trebuie sa mergeti la un control spre a exclude un cancer. Diagnosticul unui cancer nu poate fi pus doar prin palparea sanilor asa ca nu va amagiti ca nu aveti nimic, mai bine urmati expresia paza buna trece primejdia rea Acest lucru este cu atat mai important cu cat in tara noastra cancerului de san nu i se acorda atentia necesara si suntem pe unul din primele locuri la mortalitatea prin cancer de san in timp ce in alte tari cancerul se descopera precoce si se vindeca fara urmari severe Acest lucru se datoreaza si faptului ca femeile au o reticenta de a se prezenta la medic pentru examinare. Cancerul de san se vindeca, depinde de dumneavoastra ca el sa fie descoperit cat mai devreme. In ultimii ani, incidenta cancerului la san in randul femeilor a crescut, iar in Romania situatia sta destul de grav Am discutat cu medici oncologi si ti-am pregatit cel mai complet material despre cancerul la san. Ce spun statisticile. Cancerul la san reprezinta cea mai frecventa forma de cancer la femei si a doua cauz a de mortalitate dupa cancerul pulmonar. In Romania, cancerul la san se situeaza pe locul intai ca incidenta in randul neoplaziilor cancerelor , urmat indeaproape de cancerul de col uterin. Conform datelor furnizate de Biroul pentru Europa al WHO World Health Organization , in Romania, pentru 2017, s-a inregistrat o incidenta a cancerului la san de 49,4 100 000 femei, iar mortalitatea, indiferent de varsta, ramane la o cota ridicata, de 21 76 100 000, medie similara celorlalte tari din Uniunea Europeana. Se poate spune ca pana la varsta de 80 de ani, una din zece femei va dezvolta un cancer la san. Sursa Medic specialist oncologie Georgeta Vremes, Clinica Medlife oncolog Ioana Ciurea, Delta Hospital. Verifica-ti sanii regulat. Din cauza ca in ultimii ani s-a remarcat o crestere a descoperirii bolii in cazul femeilor foarte tinere, trebuie sa devii constienta de necesitatea de a-ti controla tu insati sanii, regulat si fara teama. De mentionat este faptul ca varsta la care este pus acest diagno stic este tot mai mica si stadiul bolii la diagnostic este de multe ori avansat, chiar metastatic, factori care umbresc prognosticul acestor paciente , avertizeaza Ioana Ciurea oncolog la Delta Hospital. Toate femeile ar trebui sa invete sa-si autoexamineze sanii incepand din adolescenta, tocmai pentru ca este o procedura simpla, nedureroasa, neinvaziva. Ce ar trebui sa te ingrijoreze. Eventuale modificari de contur ale sanilor. Retractia mamelonara. Palpeaza-ti sanii in primele zile dupa menstruatie, cand sanii sunt neangorjati, moi si usor de evaluat , sfatuieste dr Ciurea Mai mult, nu neglija nici prelungirea spre axila a tesutului glandular mamar, precum si axila in profunzime Orice nodul descoperit trebuie evaluat de un medic de specialitate , recomanda specialistul. Cum ma autoexaminez. Autopalparea lunara se face examinand sanul in toate cele patru cadrane ale sale, explica Georgeta Vremes oncolog in cadrul clinicii Medlife Sanul poate fi impartit prin doua linii imaginare perpendicula re ce se intersecteaza la nivelul mamelonului in patru cadrane supero-extern, supero-intern, infero-extern si infero-intern De asemenea, vor fi examinate axilele si regiunea supraclaviculara pentru a depista prezenta ganglionilor mariti sau duri , explica dr Vremes. Pe langa autoexaminare, e important sa optezi si pentru un consult periodic facut de medic si, mai mult, pentru un examen ecografic sau mamografie O examinare simpla deceleaza de obicei tumori cu diametru de peste 2 cm, insa examinarea efectuata de catre un medic specialist poate depista tumori si in jur de un centimetru, iar mamografia creste sansa de detectie a tumorilor infracentimetrice , explica medicul oncolog Ciurea. Descoperirea precoce a tumorilor de dimensiuni cat mai mici face ca sansele de supravietuire sa creasca cu peste 95 comparativ cu tumorile de peste 4 cm, descoperite in stadii avansate, in care sansele de supravietuire scad sub 70.Post navigation. 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