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Breast cancer is a highly heterogeneous disease. Despite advances in early detection and treatment, breast cancer (BC) is the leading cause of cancer death in women worldwide. Heterogeneity negatively affects a patient’s prognosis, treatment sensitivity, and clinical outcome. In particular, the development of drug resistance mechanisms and the failure of anticancer drugs (initially or subsequently) could lie in the heterogeneity among BC patients and tumors. The major international guidelines have adopted an immunophenotypic sub-classification of BC to maximize patient eligibility for personalized therapy but do not take into account the extreme diversity existing between breast tumors (intratumor heterogeneity).
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Os pacientes oncológicos geralmente procuram os serviços de emergência por causa de intercorrências associadas ao tratamento, quer por complicações decorrentes do tratamento ou por progressão da doença, em busca de melhoria e controle de sintomas e adequação medicamentosa. O diagnóstico precoce destas eventualidades e o tratamento apropriado são fundamentais para diminuir as taxas de óbito emelhorar a qualidade de vida, o que estámuito bem retratado neste livro. Os capítulos foram escritos por profissionais de diversas especialidades, todos com vasta experiência emOncologia. Os temas são abordados de forma bastante clara e objetiva, tornando a obra de grande interesse não somente para o emergencista em hospitais oncológicos, comotambémpara emergencistas gerais, clínicos, cirurgiões e oncologistas. Emergências no Paciente Oncológico é umguia,ummanual, que preenche, de forma concisa e precisa, uma lacuna importante no conhecimento da Oncologia, apresentando condutas embasadas emníveis de evidência científica de fácil consulta e aplicação.
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This volume is a practical and thoroughly illustrated guide to minimally invasive endocrine surgery, the next frontier for laparoscopic surgery. Written by international experts, most of whom are the developers of these procedures, this text is organized according to anatomic region. Sections on the pituitary, thyroid, parathyroid, thymus, adrenal, and pancreas follow an introduction. Designed to familiarize practitioners with laparoscopic anatomy, this exciting new volume contains full-color illustrations of the anatomy of each region as well as the surgical procedures. General as well as head and neck surgeons will find this a valuable addition to their practice.
Laws, decrees, and administrative acts of government.