Download or read book Quelle est la place de la palpation mammaire chez les patientes de plus de 74 ans written by Marine Chaneac and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le cancer du sein constitue de nos jours un problème de santé publique. Chez la femme, il est l'affection tumorale la plus fréquente et la première cause de décès par cancer. Selon l'Institut National du Cancer 24 % des cancers du sein touche les femmes âgées de plus de 74 ans. Le dépistage organisé du cancer du sein concerne les femmes de 50 à 74 ans. Après cet âge, le dépistage repose en parti sur le médecin traitant premier recours pour tous les âges et qui est chargé de déterminer la modalité de surveillance la plus adaptée. La palpation mammaire est recommandée par la Haute Autorité de Santé annuellement en France à partir de 25 ans. L'objectif était de recueillir l'avis des médecins généralistes sur la palpation mammaire chez les femmes de plus de 74 ans et sur les facteurs prédictifs au dépistage du cancer du sein dans cette population. Il s'agit d'une enquête d'opinion, descriptive, transversale, anonyme. Un questionnaire a été réalisé et envoyé par voie électronique le 27 février 2020 à 4680 médecins généralistes de la région Auvergne Rhône-Alpes par l'URPS AuRa. 246 des 4680 médecins sollicités ont répondu (taux de réponse 5,2%) du 27 février au 15 mars 2020. Notre échantillon était composé de 70% de femmes avec une moyenne d'âge de 45 ans. Ces dernières semblaient réaliser une palpation mammaire plus fréquemment que les hommes (46% vs 27% p

Download or read book Le d pistage du cancer du sein chez des femmes de plus de 74 ans written by Elise Wolff and published by . This book was released on 2018 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le cancer du sein est le plus fréquent et le plus meurtrier des cancers, notamment chez la femme âgée. Le dépistage par mammographie au-delà de 74 ans est discuté en raison d'une balance incertaine entre bénéfices et risques. La décision de la poursuite du dépistage de la part des médecins doit prendre en compte l'âge, les comorbidités et l'espérance de vie. Le point de vue des patientes sur cette démarche a été peu étudié. Notre étude a pour objectif d'étudier les facteurs associés à la poursuite du dépistage du cancer du sein par mammographie auprès des femmes de plus de 74 ans. Nous avons réalisé une étude observationnelle descriptive multicentrique avec l'aide d'un questionnaire de 19 items distribué à des femmes de plus de 74 ans en milieu médical ainsi qu'en dehors. Nous avons pu analyser 144 réponses. Les facteurs associés significativement à la poursuite du dépistage du cancer du sein étaient : l'état de santé perçu, l'autonomie vis-à-vis des actes de la vie quotidienne, l'antécédent de cancer du sein chez un proche, la réalisation de la palpation mammaire par un professionnel de santé, la participation au dépistage organisé et enfin l'absence de difficultés à se rendre au centre de radiologie. Les connaissances sur le cancer du sein ou la mammographie n'étaient pas associées à une conduite de dépistage. La majorité des femmes interrogées étaient favorables à la poursuite du dépistage du cancer du sein. Cette étude met en lumière les motivations des femmes à vouloir poursuivre le dépistage au-delà de 74 ans. Souvent placé au cœur de la décision concernant le dépistage, c'est au médecin généraliste d'informer et d'accompagner les femmes dans le choix de poursuivre ou non le dépistage.

Download or read book L imagerie mammaire chez les femmes g es de 25 a 49 ans en le de France written by Anaïs Ubelmann and published by . This book was released on 2020 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le cancer du sein est une maladie très fréquente, en effet en France, une femme sur huit y sera confrontée au cours de sa vie. Même si la HAS recommande un examen clinique des seins par un professionnel pour toutes les femmes dès l'âge de 25 ans, le dépistage organisé concerne seulement les femmes âgées de 50 à 74 ans. Pourtant beaucoup de femmes de moins de 50 ans ont déjà eu une imagerie mammaire. L'objectif de notre étude a donc été d'identifier ces femmes, leur profil, pourquoi elles avaient réalisé cette imagerie et les conséquences de celle-ci. Matériel et méthode : Il s'agit d'une étude quantitative, observationnelle, descriptive, rétrospective et multicentrique. Des questionnaires ont été récoltés anonymement auprès de 167 femmes âgées de 25 à 49 ayant passé une imagerie mammaire. RÉSULTATS : la grande majorité des patientes (60.4%) sont âgées de plus de 40 ans, ont eu à la fois une mammographie et une échographie mammaire (51.5%) et sont suivies par un(e) gynécologue (77.6%), ce qui est un peu moins vrai chez les patientes plus jeunes, de moins de 40 ans qui sont un peu plus suivies par un(e) médecin généraliste. La raison la plus évoquée est la présence d'antécédents familiaux de cancer du sein. Ces imageries ne sont pas anodines et engendrent du stress (pour 68.6% des patientes) et sont douloureuses (pour la mammographie (54.1%), et pourtant elles sont souvent sans suite pour presque la moitié des patientes (47%). Conclusion : parmi ces imageries, beaucoup sont réalisées après 40 ans et souvent dans le cadre d'un dépistage systématique. Les recommandations actuelles de dépistage organisé sont certainement amenées à être modifiées prochainement. D'autre part, plus de la moitié des patientes n'ont pas d'examen clinique annuel des seins comme recommandé par la HAS. Est-ce également amené à changer ?

Download or read book Breast Elastography written by Richard G. Barr and published by Thieme. This book was released on 2015-01-28 with total page 601 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference covers the principles and techniques used in performing breast elastography, an innovative imaging technology that can dramatically reduce the need for biopsies. The book begins with an introduction of the techniques, followed by sections on how to perform each technique and methods of interpretation, and concludes with more than 60 detailed case studies. Key Features: Includes case studies covering a wide range of breast pathologies and illustrating the use of all available elastography techniques to help radiologists obtain the best images for each pathology Covers all methods of breast elastography, including sheer wave and strain wave Contains more than 200 high-quality color images that demonstrate how to perform each technique Breast Elastography is an essential reference for all radiologists, residents and fellows, and sonographers involved in breast imaging and evaluation.

Download or read book Dromadaires et chameaux animaux laitiers written by Pascal Bonnet and published by Editions Quae. This book was released on 1998 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Pediatric and Adolescent Gynecology written by Charles Sultan and published by Karger Medical and Scientific Publishers. This book was released on 2012 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2nd, revised and extended edition building on the success of the first edition The extended contents of this second edition reflect the growing spectrum of topics in pediatric and adolescent gynecology. Like its predecessor, this book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. New chapters place particular emphasis on an update of technological aspects such as ultrasound, molecular genetics, surgery in sex disorders and new problems encountered in reproductive medicine. The book opens with a comprehensive description of the background of infant and adolescent gynecology and diagnostic tools. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls. Contemporary social issues such as sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy are also discussed in detail. Presenting a clear plan for clinical management and treatment of frequently encountered problems in prepubertal and adolescent girls, this book should be read by pediatricians, endocrinologists, gynecologists and family practitioners.

Download or read book Sonomammography written by P. B. Guyer and published by . This book was released on 1987-10-14 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: This atlas demonstrates the interplay between x-ray mammography and sonomammography through examples of the same lesion imaged by different ultrasound techniques. This permits radiologists who may have only one of these techniques available to use it for accurate evaluation of breast problems. Presentation is based on analysis of 2000 ultrasound examinations, primarily by direct-contact static scanning rather than water-path techniques. Illustrations in each chapter are preceded by in-depth supporting descriptions as well as analysis of the ultrasound appearances. Extensively illustrated.

Download or read book Impacts of Medications on Male Fertility written by Erma Z. Drobnis and published by Springer. This book was released on 2017-12-18 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: The over-arching goal of this volume is to help infertility practitioners evaluate and manage their patients with poor semen quality. The authors review the existing literature on the effects of medications on male fertility, and provide detailed information about what is known, giving the number of individuals and population characteristics for studies of medication effects on male fertility. Medications are designed to treat illness and reduce symptoms, but all have undesirable adverse effects such as headache or stomach upset. Some adverse reactions can even be life-threatening, so it is no surprise that some drugs have negative effects on male reproduction. Medical practitioners rarely consider a man’s reproductive plans when prescribing medications. Men are routinely treated with drugs that can impair or abolish fertility. Although practitioners in the field of reproductive medicine generally realize that certain drugs impact negatively on reproductive health, there are limited resources providing evidence-based knowledge useful in counseling patients. Tables throughout this volume summarize the information for each drug, providing a handy reference for clinical use.

Download or read book The Breast Cancer Wars written by Barron H. Lerner and published by Oxford University Press. This book was released on 2001-05-31 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this riveting narrative, Barron H. Lerner offers a superb medical and cultural history of our century-long battle with breast cancer. Revisiting the past, Lerner argues, can illuminate and clarify the dilemmas confronted by women with--and at risk for--the disease. Writing with insight and compassion, Lerner tells a compelling story of influential surgeons, anxious patients and committed activists. There are colorful portraits of the leading figures, ranging from the acerbic Dr. William Halsted, who pioneered the disfiguring radical mastectomy at the turn of the century to George Crile, Jr., the Cleveland surgeon who shocked the medical establishment by "going public" with his doubts about mastectomy, to Rose Kushner, a brash journalist who relentlessly educated American women about breast cancer. Lerner offers a fascinating account of the breast cancer wars: the insistent efforts of physicians to vanquish the "enemy"; the fights waged by feminists and maverick doctors to combat a paternalistic legacy that discouraged decision-making by patients; and the struggles of statisticians and researchers to generate definitive data in the face of the great risks and uncertainties raised by the disease. As easy as it is to demonize male physicians, the persistence of the radical mastectomy and other invasive treatments has had as much to do with the complicated scientific understandings of breast cancer as with sexism. In Lerner's hands, the fight against breast cancer opens a window on American medical practice over the last century: the pursuit of dramatic cures with sophisticated technologies, the emergence of patients' rights, the ethical and legal challenges raised by informed consent, and the limited ability of scientific knowledge to provide quick solutions for serious illnesses. A searching and profound work on an emotionally charged issue, The Breast Cancer Wars tells a story that remains of vital importance to modern breast cancer patients, their families and the clinicians who strive to treat and prevent this dreaded disease.

Download or read book To Dance with the Devil written by Karen Stabiner and published by Delta. This book was released on 1998 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the medical community's struggle with breast cancer, relating the experiences of Dr. Susan Love and some of her patients at the UCLA Breast Center and discussing such topics as detection and prevention of the disease, methods of treatment, research, and funding.

Download or read book Breast Cancer written by Anne S. Kasper and published by Palgrave Macmillan. This book was released on 2000 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores how health advocacy movements, the media, research science, and other trends are changing society's perceptions of breast cancer and strengthening political and economic support of the disease.

Download or read book Testosterone Deficiency in Men written by Hugh Jones and published by Oxford University Press, USA. This book was released on 2008-09-25 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a background of essential knowledge on testosterone deficiency in men, including diagnosis and treatment. It also explores the associations of testosterone deficiency with organ systems and their diseases e.g diabetes, osteoporosis.

Download or read book A Darker Ribbon written by Ellen Leopold and published by Beacon Press. This book was released on 2000-10-17 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first cultural history of breast cancer, this book examines the social attitudes and medical treatments that together defined the modern relationship between women with the disease and their doctors. At the heart of the book are two unpublished correspondences-one between Barbara Mueller, a woman diagnosed with breast cancer eighty years ago, and her surgeon, William Steward Halsted, father of the radical mastectomy, and the other between Rachel Carson, who was writing Silent Spring as she was battling breast cancer, and her personal physician George Crile, Jr.

Download or read book Placenta Accreta Syndrome written by Robert Silver and published by CRC Press. This book was released on 2017-06-12 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

Download or read book Pragmatic Women and Body Politics written by Margaret Lock and published by Cambridge University Press. This book was released on 1998-01-29 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thought-provoking volume compares the responses of women in a variety of countries and cultural settings to modern medical technologies. The contributors describe how women in East Africa deal with infertility, how American women respond to pre-natal diagnostic screening, how women in China and Japan choose to make use of reproductive technologies. The essays also explore wider themes, such as the emergence of the breast cancer movement, and how women confront environmental hazards which threaten them and their families. It is often assumed that women are passive in the face of biomedical technology, but this book shows that they make pragmatic choices, with responses ranging from acceptance to rejection or indifference. The reception of biomedical technology is situated in its local cultural contexts, and vital issues of women's health are related to political and ethnic concerns.

Download or read book Venus Envy written by Elizabeth Haiken and published by Johns Hopkins University Press. This book was released on 2000-02-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The surprising history of cosmetic surgery—and America's quest for physical perfection—from the turn of the century to the present. Face lifts, nose jobs, breast implants, liposuction, collagen injections—the body at the end of the twentieth century has become endlessly mutable, and surgical alteration has become an accepted part of American culture. In Venus Envy, Elizabeth Haiken traces the quest for physical perfection through surgery from the turn of the century to the present. Drawing on a wide array of sources—personal accounts, medical records, popular magazines, medical journals, and beauty guides—Haiken reveals how our culture came to see cosmetic surgery as a panacea for both individual and social problems.

Download or read book Issues in Risk Assessment written by National Research Council and published by National Academies Press. This book was released on 1993-02-01 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: The scientific basis, inference assumptions, regulatory uses, and research needs in risk assessment are considered in this two-part volume. The first part, Use of Maximum Tolerated Dose in Animal Bioassays for Carcinogenicity, focuses on whether the maximum tolerated dose should continue to be used in carcinogenesis bioassays. The committee considers several options for modifying current bioassay procedures. The second part, Two-Stage Models of Carcinogenesis, stems from efforts to identify improved means of cancer risk assessment that have resulted in the development of a mathematical dose-response model based on a paradigm for the biologic phenomena thought to be associated with carcinogenesis.