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We live in an era of personalized medicine and the knowledge about pathophysiology of diffuse gastric cancer has had many advances. Thus, the role of this work is to clarify what is new from diagnosis to treatment of this disease in order to treat patients in the most tailored manner as possible. Almost all phase III trials in gastric cancer have been performed without taking in consideration histologic subtypes, i.e. they have disregarded the differences between diffuse gastric cancer and general gastric cancer. However, the clinical practice reveals that diffuse gastric cancer is a completely distinct disease, with an aggressive course and generally worse prognosis. The loss of cohesion between tumor cells due to the loss of E-cadherin synthesis is the critical point on the oncogenesis of diffuse gastric cancer and is at the root of its marked heredity. This book intends to give special attention to Diffuse Gastric Cancer as a particular oncological entity, differentiating it from general gastric cancer, exploring and discussing all its peculiarities, and addressing the basic aspects (pathology and genetics) along with the most recent therapeutic alternatives for this condition.
Designed in a small-format for practical reading and point-of-care setting use, this work presents the most up-to-date concepts on breast diseases. The main objective of this book is to propagate current knowledge of the most frequent breast diseases, being a quick reference, evidence-based manual covering the major clinical scenarios in mastology. The essence of the work can be summarized in the following sentence: "access to maximum content in the least amount of time.” The book contains data that will allow readers to understand and treat patients with different complaints and diseases. Each chapter presents a flow chart and a summary of the five major publications on the subject. This ...
A segunda edição de Oncoplastia e Reconstrução Mamária, além de contribuir para a divulgação do conhecimento de técnicas para os profissionais da Medicina, também representa a importância dessa complexa engrenagem que é o tratamento do câncer de mama e das diversas outras necessidades cirúrgicas de pacientes, independentemente da especialidade médica.
The interest in the topic of spirituality as a more or less independent dimension of quality of life is continuously growing, and research questions are beginning to change as the field of religiosity changes, becoming more diverse and pluralistic. Addressing new topics in health research also relies on standardized questionnaires. The number of instruments intended to measure specific aspects of spirituality is growing, and it is particularly difficult to evaluate the new instruments. This Special Issue will focus on some of the established instruments (updating them to different languages and cultures), but will also describe the features and intentions of newly-developed instruments, which may potentially be used in larger studies to develop knowledge relevant to spiritual care and practice. This Special Issue will serve as a resource on the instruments used to study the wide range of organized religiosity, the individual experience of the divine, and an open approach in the search for meaning and purpose in life.
As mulheres da família de Cayenne têm um longo histórico de morrerem jovens. Cayenne mal se lembra da mãe, que morreu de câncer de mama quando tinha quatro anos. Certa de que terá o mesmo destino, Cayenne acredita que deve aproveitar a vida enquanto pode, e isso vai desde pular de penhascos com o namorado até simplesmente fazer piadas para irritar a irmã mais nova. Quando as duas irmãs recebem uma série de mensagens de vídeo e presentes que a mãe deixou para elas antes de morrer, Cayenne não tem certeza se quer recebê-los. Por que desenterrar o passado? Ela superou a morte da mãe, e sua tia Tee foi quem de fato a criou. Mas um dia, Tee testa positivo para uma mutação do gene BRCA — o mesmo que condenou a mãe de Cayenne — e decide fazer uma mastectomia eletiva para reduzir o risco de câncer. Enquanto ajuda a tia a se preparar para a cirurgia, Cayenne se vê atraída pelas mensagens reflexivas de sua mãe sobre amor, perda e perseverança. Pela primeira vez, a garota se questiona sobre feminilidade, família e o que significa viver a vida ao máximo, mesmo quando a morte está escrita em seu DNA.
Stress is one of the most commonly reported precipitants of drug use and is considered the number one cause of relapse to drug abuse. For the past several decades, there have been a number of significant advances in research focusing on the neurobiological and psychosocial aspects of stress and addiction; along with this growth came the recognition of the importance of understanding the interaction of biological and psychosocial factors that influence risk for initiation and maintenance of addictive behaviors. Recent research has started to specifically focus on understanding the nature of how stress contributes to addiction - this research has influenced the way we think about addiction and...
Summarizing molecular aspects, diagnostic as well as therapeutic issues, this book is the very first and most comprehensive on hereditary aspects of tumor diseases. All the contributors have been made fellows of the Ingrid zu Solms Foundation due to their outstanding achievements in scientific research, and they discuss here the latest aspects in the diagnosis, disease management, and treatment of hereditary tumor diseases and syndromes. A must-have ready reference for medical and biology students, MDs, PhDs, physicians, and researchers.
The ultimate guide to caring for and communicating with patients suffering with hereditary cancer syndromes Providing the essential tools needed to understand clinical cancer genetics, Cancer Genetics: A Clinical Approach builds your mastery of differential diagnosis formulation, all the available genetic testing options at your disposal, interpreting results logically and accurately, and educating patients and their families about effective cancer prevention methods. This unparalleled resource walks you through the process of effectively and thoughtfully counseling patients—from pre-test counseling and relaying test results to navigating the legal implications of hereditary conditions and coping with the resulting psychological challenges. Cancer Genetics: A Clinical Approach is ideal for both specialized cancer genetics clinics or any healthcare professional seeking to improve their skills in identifying patients with possible hereditary cancer syndromes and recognizing which ones should be referred to a high-risk/clinical genetics specialty program.
Since the first edition of Contrast-Enhanced MRI of the Breast was published in 1990, further progress has been made in the field and interest in magnetic resonance imaging (MRI) as an additional tool in the diagnosis of breast disease has increased. However, further questions have arisen concerning the best choice of technique, the most appropriate way to interpret MR images, and the role which MRI might play in the work-up of breast disease. In this edition we give an overview of the latest technical possibilities and present knowledge, which today is based on a much greater range of experience gained by various excellent research groups. It is our aim to help the interested reader in choo...
Cancer is a leading cause of death and disability in low- and middle-income countries. A cancer transition is increasing preventable risk, illness, impoverishment from illness, and death in poor populations. This book presents innovative strategies for strengthening health systems in response to the challenge of cancer and other chronic illnesses.