TRAITEMENT CONSERVATEUR DES CANCERS DU SEIN DE PLUS DE 3 CM APRES CHIMIOTHERAPIE PREMIERE PDF Download
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Author: DIDIER.. BOUMENDIL
Publisher:
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Category :
Languages : fr
Pages :
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Author: DIDIER.. BOUMENDIL
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Author: Julie Colin-Berna
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Author: Michael Margulies
Publisher:
ISBN:
Category :
Languages : fr
Pages : 52
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Cette étude a pour but d'évaluer l'impact sur la qualité de vie du traitement adjuvant du cancer du sein, et de définir quelle pourrait être la place du médecin généraliste dans le suivi des patientes. Nous avons adressé à deux cent quatorze patientes, issues d'un essai randomisé multicentrique, en rémission de leur maladie, des auto questionnaires standardisés portant sur l'évaluation de la qualité de vie (QLQ 30 - BR23), et la dépression (M.I.N.I). Elles ont toutes reçu, après chirurgie conservatrice du sein, soit une chimiothérapie et une radiothérapie concomitante (durée totale de trois mois), soit le même traitement administré de façon séquentielle (durée totale de six mois). Nous analysons également de façon comparative l'impact de la durée du traitement sur la survenue d'un épisode de dépression. Le suivi moyen après traitement était de sept ans et demi (4,3 à 9,7 ans). Sur les 138 patientes ayant répondu aux questionnaires (64,5%), plus de la moitié (53%) dit avoir traversé un épisode de dépression, toute modalité de traitement confondue. La durée du traitement était déterminante dans la survenue d'un épisode de dépression, puisque 63% des patientes ayant eu un traitement long, contre 43% un traitement court, en ont mentionné un. (p=0,043). La qualité de vie des patientes est globalement conservée, bien que certaines de ses dimensions comme la sexualité, la fatigue, la douleur et la peur d'une récidive nous interpellent. Nous discutons ces résultats qui montrent que la maîtrise des soins très techniques du cancer du sein devrait pouvoir être rapprochée du besoin d'humanité, d'accompagnement et d'écoute des patientes. Les efforts conjugués des différents acteurs de santé sont indispensables pour améliorer la qualité de vie des patientes et tenter de diminuer la dépression post-thérapeutique. Le médecin traitant a certainement un rôle fondamental dans la prise en charge du cancer et son suivi.
Author: John Libbey Eurotext Limited
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 164
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Author: Monica Castiglione
Publisher: Springer Science & Business Media
ISBN: 0387751157
Category : Medical
Languages : en
Pages : 483
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Adjuvant treatment is administered prior to or as follow up to surgical procedures for breast cancer. Proven success in using medical therapies allowing for breast conserving procedures or reducing risk of occurrence. Although there has been much progress towards a cure, including the introduction of new targeted therapies, metastasizing cancer remains highly incurable.
Author: Mahul B. Amin
Publisher: Lippincott Williams & Wilkins
ISBN: 1469857960
Category : Medical
Languages : en
Pages : 2443
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Knowledge in the field of urologic pathology is growing at an explosive pace. Today’s pathologists, specialists, and residents require a comprehensive and authoritative text that examines the full range of urological diseases and their diagnosis. Written by recognized leaders and educators in the field, the text provides readers with a detailed understanding of all diagnostic aspects of urological disease. Inside this unique resource, readers will explore a broad spectrum of practical information—including etiology, diagnostic criteria, molecular markers, differential diagnosis, ancillary tests, and clinical management. This is sure to be the new definitive text for urological pathology!
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: M.W. Büchler
Publisher: Springer Science & Business Media
ISBN: 3540274499
Category : Medical
Languages : en
Pages : 284
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Book Description
Rectal cancer is one of the most prevalent cancers world-wide. It is also a paradigm for multimodal management, as the combination of surgery, chemotherapy and radiotherapy is often necessary to achieve the optimal outcome. Recently, international experts met in Heidelberg, Germany to discuss the latest developments in the management of rectal cancer, including the anatomic and pathologic basis, staging tools, surgical concepts including fast-track surgery and laparoscopic resection, functional outcome after surgery and the role of radio- and chemotherapy. This monograph summarizes this meeting and gives an extensive overview of the current concepts in management of rectal cancer.
Author: J. Zander
Publisher: Springer Science & Business Media
ISBN: 3642701922
Category : Medical
Languages : en
Pages : 384
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March 23 and 24, 1983 saw the fIrst international symposium held under the auspices of the Wilhelm Vaillant Foundation for the Advancement of Pro phylactic Medicine in the I. Frauenklinik der Ludwig Maximilians Univer sitiit Miinchen. This symposium was concerned with Advances in Early Detection and Treatment of Breast Cancer and brought together patholo gists, gynecologists, and radiologists from Denmark, England, France, Italy, Sweden, Switzerland, the German Democratic Republic, and the Federal Republic of Germany. The fIrst session dealt with problems concerned with the biology, patho genesis, and histopathology of early carcinoma of the breast, with special reference to the clinical aspects. The second session was taken up with topi cal developments in the early diagnosis of breast carcinoma and indicated the present limitations of early diagnosis. In the third session the latest results of the experiences by groups working on the treatment of early carci noma of the breast in France, the United Kingdom, Italy, the United States of America, and the Federal Republic of Germany were discussed. The main emphasis lay on conservative treatment methods with complete or partial preservation of the breast. These vary quite widely. Some of the conclusions presented on the basis of long-term clinical studies must be regarded as signifIcant breakthroughs, and at the stage these have reached they must no longer be overlooked. The symposium has highlighted numerous unsolved problems and made it clear that conflicting opinions abound.
Author: Michael A. Blake
Publisher: Springer Science & Business Media
ISBN: 1597455601
Category : Medical
Languages : en
Pages : 229
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Book Description
Imaging of the adrenal gland has made tremendous progress in the last decade as new technologies continue to evolve. Adrenal Imaging highlights the pertinent clinical and pathological information that underpins the accurate interpretation and use of adrenal imaging. Written by a prestigious group of international contributors, individual chapters in Adrenal Imaging serve as a relevant and up-to-date reference of adrenal imaging findings, algorithms and techniques in CT, MR nuclear medicine, intervention and trauma. Summary sections at the end of each chapter illuminate key teaching points to enhance retention.
