{"id":36324,"date":"2026-03-11T09:25:49","date_gmt":"2026-03-11T09:25:49","guid":{"rendered":"https:\/\/be-accepted.com\/centrul-de-sanatate-a-sanului\/"},"modified":"2026-05-22T07:36:00","modified_gmt":"2026-05-22T07:36:00","slug":"centrul-de-sanatate-a-sanului","status":"publish","type":"post","link":"https:\/\/be-accepted.com\/ro\/centrul-de-sanatate-a-sanului\/","title":{"rendered":"Centrul de oncologie mamar\u0103"},"content":{"rendered":"\t\t
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Interviu cu profesorul universitar Dr. Christian Singer <\/span><\/p>

managementul clinicilor \u0219i laboratorului ambulatoriu; \u0218eful Centrului pentru Cancerul Familial de S\u00e2n \u0219i Ovarian <\/span><\/p>

AKH, Viena <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Ce este un centru de oncologie mamar\u0103?<\/span><\/p>

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Un centru de oncologie mamar\u0103 este o organiza\u021bie interdisciplinar\u0103 format\u0103 din diferite departamente medicale dedicate trat\u0103rii cancerului mamar. Centrele de oncologie mamar\u0103 sunt foarte bine organizate, cu interfe\u021be \u0219i responsabilit\u0103\u021bi clare.\u00a0<\/span><\/p>

Termenul de centru de oncologie mamar\u0103 nu este \u00eens\u0103 un termen protejat. Exist\u0103 totu\u0219i o certificare care asigur\u0103 disponibilitatea gamei cuprinz\u0103toare de servicii \u0219i calit\u0103\u021bii \u00eengrijirilor. Centrele de oncologie mamar\u0103 certificate le ofer\u0103 \u00eentotdeauna pacientelor cele mai bune \u00eengrijiri posibile, totul este mereu la zi, pacientele au acces la studii clinice, exist\u0103 asisten\u021bi medicali specializa\u021bi \u00een patologia mamar\u0103 \u0219i multe altele.\u00a0<\/span><\/p>

\u00cen Austria exist\u0103 28 de astfel de centre de oncologie mamar\u0103 certificate.<\/span><\/p>

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C\u00e2t timp sunt tratate acolo pacientele?<\/span><\/p>

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Tratamentul \u00eencepe cu diagnosticul, respectiv momentul \u00een care pacienta este identificat\u0103 la un institut radiologic recunoscut \u0219i se \u00eencheie cu pacienta vindecat\u0103 \u00een \u00eengrijire ulterioar\u0103. Dac\u0103 pacienta a fost diagnosticat\u0103 cu metastaze, aceasta va fi urm\u0103rit\u0103 din punct de vedere medical pe \u00eentreaga durat\u0103 a stadiului metastatic \u00een cadrul centrului de oncologie mamar\u0103.<\/span><\/p>

A\u0219adar, este de fapt un proces pe tot parcursul vie\u021bii \u00een care pacientele au o persoan\u0103 de contact oric\u00e2nd este necesar \u0219i \u00een m\u0103sura \u00een care este necesar.<\/span><\/p>

\u00cen cadrul \u00eengrijirii ulterioare, dorim s\u0103 vedem pacientele o dat\u0103 pe an. Examin\u0103rile trimestriale sau semestriale sunt efectuate de medici din cabinete private.\u00a0<\/span><\/p>

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Pacientele revin la medicii care le-au dat trimiterea pe parcursul tratamentului sau doar dup\u0103 ce tratamentul este finalizat?<\/span><\/p>

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Depinde \u00eentotdeauna de c\u00e2t de bun\u0103 este rela\u021bia cu medicul, trebuie s\u0103 existe o compatibilitate bun\u0103. \u00cen principiu, la centrul de oncologie mamar\u0103, o \u00eentreag\u0103 echip\u0103 cunoa\u0219te cazul.\u00a0<\/span><\/p>

Aceasta cunoa\u0219te \u00eentregul istoric al pacientei, de exemplu, c\u00e2t de mult timp au fost administrate tratamentele, c\u00e2t de bine au fost tolerate, dac\u0103 au fost sau sunt necesare ajust\u0103ri, natura tumorii la \u00eenceputul bolii, evolu\u021biile \u0219i multe altele. Acestea sunt toate motive pentru care decizia de a r\u0103m\u00e2ne \u00eentr-un singur centru este una \u00een\u021beleapt\u0103.<\/span><\/p>

Unele paciente merg la mul\u021bi medici diferi\u021bi, ceea ce duce la numeroase opinii diferite, deoarece medicii noi nu cunosc \u00eentreaga situa\u021bie. \u00cen plus, pacientele sunt de obicei nemul\u021bumite, deoarece trebuie s\u0103 relateze repetat acelea\u0219i lucruri. \u00cen opinia mea, acest lucru le face doar s\u0103 se simt\u0103 nesigure. Dar, bine\u00een\u021beles, exist\u0103 situa\u021bii \u00een care compatibilitatea nu este bun\u0103 \u0219i atunci trebuie schimbat medicul.\u00a0<\/span><\/p>

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Cum ajung pacientele la centrul de oncologie mamar\u0103?<\/span><\/p>

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Fie radiologul trimite pacienta la cel mai apropiat centru de oncologie mamar\u0103, fie pacienta alege un centru \u0219i prime\u0219te trimitere. Institutele radiologice au adesea liste cu centrele de oncologie mamar\u0103.\u00a0<\/span><\/p>

Uneori ginecologul trimite pacienta.<\/span><\/p>

Noi, pe partea centrelor de oncologie mamar\u0103, men\u021binem comunicarea cu medicii trimi\u021b\u0103tori prin evenimente regulate privind trimiterile, \u00een timpul c\u0103rora evalu\u0103m, de asemenea, ce \u00eembun\u0103t\u0103\u021biri sau modific\u0103ri sunt dorite \u0219i au sens. Centrele de oncologie mamar\u0103 organizeaz\u0103, de asemenea, evenimente pentru paciente. \u00cenainte de Covid, obi\u0219nuiam s\u0103 facem acest lucru o dat\u0103 pe an.\u00a0<\/span><\/p>

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A\u021bi putea explica diferitele tipuri de terapii pentru cancerul mamar?<\/span><\/p>

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\u00cen esen\u021b\u0103, exist\u0103 terapii locale \u0219i sistemice.<\/span><\/p>

Terapiile locale includ interven\u021biile chirurgicale \u0219i radia\u021biile.<\/span><\/p>

Terapiile sistemice trateaz\u0103 \u00eentregul corp, deci toate zonele \u00een care ajung celulele sanguine. Exist\u0103 trei grupuri majore de terapii sistemice:<\/span><\/p>

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CHIMIOTERAPIA:<\/span><\/p>

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Are un efect similar cu cel al unei pu\u0219ti \u0219i distruge toate celulele care se divizeaz\u0103 rapid, a\u0219a cum fac celulele canceroase. Acesta este \u0219i motivul unora dintre reac\u021biile adverse, deoarece \u0219i celulele p\u0103rului, celulele unghiilor \u0219i celulele intestinale se divizeaz\u0103 rapid.\u00a0<\/span><\/p>

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TERAPIA ANTIHORMONAL\u0102:<\/span><\/p>

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Receptorii sunt locuri de care hormonii se leag\u0103 \u0219i, c\u00e2nd se produce acest lucru, transmit un semnal c\u0103tre nucleul celulei. Acest lucru duce atunci la activarea sau dezactivarea anumitor func\u021bii ale celulelor.<\/span><\/p>

Pute\u021bi considera receptorul hormonal ca un fel de lac\u0103t, iar cheia este hormonul. Dac\u0103 este introdus\u0103 cheia corect\u0103 \u00een lac\u0103t, se deschide o u\u0219\u0103.\u00a0<\/span><\/p>

\u00cen absen\u021ba unei chei, u\u0219a r\u0103m\u00e2ne \u00eenchis\u0103, semnalele nu pot fi transmise c\u0103tre nucleul celulei.<\/span><\/p>

Dac\u0103 sunt \u00eencercate mai multe chei, \u0219ansa ca u\u0219a s\u0103 fie deschis\u0103 este foarte mare. Aceasta \u00eenseamn\u0103 c\u0103, \u00een cazul \u00een care mul\u021bi hormoni se leag\u0103 de receptorii lor, iar semnalele sunt transmise, u\u0219a se va deschide.<\/span><\/p>

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Unele dintre terapiile hormonale pe care le utiliz\u0103m ac\u021bioneaz\u0103 ca o gum\u0103 de mestecat care blocheaz\u0103 gaura cheii acelui lac\u0103t. \u00cen consecin\u021b\u0103, hormonii nu se mai pot ata\u0219a la receptorii lor \u0219i \u2013 prin analogie cu exemplul u\u0219ii \u2013 u\u0219a r\u0103m\u00e2ne \u00eenchis\u0103. Acest lucru inhib\u0103 \u0219i blocheaz\u0103 dezvoltarea celulelor.\u00a0<\/span><\/p>

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Cel de-al treilea mare grup este reprezentat de terapiile cu anticorpi.<\/span><\/p>

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Deoarece clasificarea a tumorilor se \u00eembun\u0103t\u0103\u021be\u0219te \u00een permanen\u021b\u0103, putem distinge \u0219i stabili pentru ce tumori putem utiliza terapia antihormonal\u0103 \u0219i c\u00e2nd putem administra terapie cu anticorpi. De asemenea, putem afla dac\u0103 o tumor\u0103 poate fi tratat\u0103 cu imunoterapie. De aceea, terapiile bazate pe biologia tumoral\u0103 sunt deja foarte individuale.<\/span><\/p>

Scopul tuturor terapiilor este \u00eentotdeauna de a elimina vinovatul, respectiv cauza cancerului.<\/span><\/p>

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Ce \u00eenseamn\u0103 terapia adjuvant\u0103 \u0219i neoadjuvant\u0103?<\/span><\/p>

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Adjuvant \u00eenseamn\u0103 \u201ede sus\u021binere\u201d \u0219i neoadjuvant \u00eenseamn\u0103 \u201eini\u021bierea timpurie a terapiei adjuvante\u201d. Dac\u0103 o pacient\u0103 are cancer mamar \u00een stadiu incipient, adic\u0103 nu exist\u0103 \u00eenc\u0103 metastaze, atunci, pe de-o parte, este important s\u0103 fie extirpat\u0103 tumora. Totu\u0219i, este, de asemenea, important s\u0103 se asigure faptul c\u0103 toate celulele tumorale care s-au extins deja, de exemplu, la ficat, pl\u0103m\u00e2ni sau creier \u0219i care a\u0219teapt\u0103 s\u0103 fie activate, sunt distruse.\u00a0<\/span><\/p>

Acesta este scopul terapiei adjuvante.\u00a0<\/span><\/p>

A\u0219adar pacienta este operat\u0103 \u0219i, deoarece este vorba de cancer \u00een stadiu incipient, este s\u0103n\u0103toas\u0103, respectiv nu mai are celule tumorale \u00een corp. Dar \u0219tim din studii de amploare c\u0103 la un anumit procent de femei pe care le consider\u0103m s\u0103n\u0103toase, mai exist\u0103 de fapt \u00eenc\u0103 celule tumorale inactive. Pentru a distruge aceste celule, aplic\u0103m terapie adjuvant\u0103, f\u0103r\u0103 a \u0219ti dac\u0103 aceasta este sau nu benefic\u0103 pentru femeia \u00een cauz\u0103.<\/span><\/p>

Deoarece celulele inactive nu pot fi detectate \u00een acest stadiu, iar terapia le distruge \u00eenainte chiar de a se realiza c\u0103 acestea existau \u00een corp.\u00a0<\/span><\/p>

Acest lucru poate salva vie\u021bi.<\/span><\/p>

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Cum func\u021bioneaz\u0103 \u00eendep\u0103rtarea ovarelor \u0219i c\u00e2nd \u0219i de ce ar putea fi necesar\u0103?<\/span><\/p>

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Ovarele sunt organele produc\u0103toare de hormoni sexuali feminini, estrogenii.<\/span><\/p>

V\u0103 pute\u021bi g\u00e2ndi la aceasta astfel: Estrogenii sunt cheile care pot fi introduse \u00een lac\u0103t \u0219i deschide u\u0219a. Cu c\u00e2t avem mai multe chei, cu at\u00e2t este mai mare \u0219ansa ca u\u0219a s\u0103 se deschid\u0103 sau ca un semnal celular s\u0103 fie transmis. Una dintre strategii \u00een cazul cancerului cu receptori hormonali pozitivi, pentru care se aplic\u0103 \u0219i compara\u021bia cu lac\u0103tul, const\u0103 \u00een prevenirea cre\u0219terii tumorii. Metoda const\u0103 \u00een oprirea produc\u021biei de hormoni la organul produc\u0103tor. Iar \u00eenainte de menopauz\u0103 organele produc\u0103toare sunt ovarele.\u00a0<\/span><\/p>

De aceea, \u00een trecut, ovarele, respectiv principalele organe produc\u0103toare de hormoni sexuali, erau extirpate. \u00cen prezent, avem posibilitatea de a opri func\u021bionarea ovarelor prin medica\u021bie. Aceasta \u00eenseamn\u0103 c\u0103 administr\u0103m la intervale regulate injec\u021bii care determin\u0103 oprirea temporar\u0103 a func\u021bion\u0103rii ovarelor. C\u00e2nd aceste injec\u021bii nu mai sunt administrate, ovarele \u00eencep s\u0103 produc\u0103 din nou estrogeni.<\/span><\/p>

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Ce rol joac\u0103 ganglionii limfatici \u00een cancer?<\/span><\/p>

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Celulele tumorale se dezvolt\u0103 de obicei \u00een canalele glandulare, care sunt structuri asem\u0103n\u0103toare unor tuburi. Dac\u0103 reu\u0219esc s\u0103 migreze \u00een afara acestora, deseori g\u0103sesc calea c\u0103tre capilarele limfatice. Acestea sunt puncte de colectare pentru produsele rezultate din degradarea celulelor, seam\u0103n\u0103 pu\u021bin cu sistemul de canalizare al unui ora\u0219 \u0219i pompeaz\u0103 \u201ereziduurile celulare\u201d c\u0103tre sta\u021biile de filtrare. Aceste sta\u021bii de filtrare sunt ganglionii limfatici, care, mai mult sau mai pu\u021bin, colecteaz\u0103 \u0219i filtreaz\u0103 \u201emurd\u0103ria\u201d. \u0218i celulele tumorale sunt colectate \u00een ganglionii limfatici, \u00een esen\u021b\u0103, precum cafeaua \u00eentr-un filtru de h\u00e2rtie. De aici, acestea nu pot merge mai departe. Aceste celule tumorale acumulate pot fi detectate extirp\u00e2nd un ganglion limfatic (\u201efiltrul de h\u00e2rtie\u201d). Dac\u0103 se observ\u0103 c\u0103 un ganglion limfatic este afectat, este clar c\u0103 tumora a reu\u0219it s\u0103 ias\u0103 din sistemul de tuburi glandulare.\u00a0<\/span><\/p>

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Celulele tumorale sunt apoi captate aici, dar unele filtre se rup. \u00cen acest caz, urm\u0103torul ganglion limfatic este cel care prinde celulele tumorale. Terapia se modific\u0103 \u00een func\u021bie de c\u00e2\u021bi ganglioni limfatici sunt afecta\u021bi. A\u0219adar, poten\u021bialul unui cancer de a forma metastaze este un criteriu important.<\/span><\/p>

Dac\u0103 primul filtru, respectiv ganglionul limfatic din axil\u0103, nu con\u021bine celule tumorale, se poate presupune c\u0103 nici urm\u0103toarele nu sunt afectate.<\/span><\/p>

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Cu ce pot contribui pacientele la succesul tratamentului, din punctul dumneavoastr\u0103 de vedere?<\/span><\/p>

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Este foarte important s\u0103 \u00eenfrunte boala \u0219i s\u0103 colaboreze cu medicul curant. Aceasta \u00eenseamn\u0103 s\u0103 nu fie pasive, s\u0103 nu lase lucrurile s\u0103 se \u00eent\u00e2mple pur \u0219i simplu, s\u0103 comunice. Dac\u0103 pacientele sunt nesigure sau au o opinie diferit\u0103, ar trebui s\u0103 vorbeasc\u0103 deschis despre acest lucru, deoarece o comunicare bun\u0103 cu medicul este foarte important\u0103!<\/span><\/p>

Din alte puncte de vedere, un stil de via\u021b\u0103 s\u0103n\u0103tos, un regim alimentar s\u0103n\u0103tos \u0219i exerci\u021biile fizice sunt moduri de a contribui la succesul tratamentului. Cred c\u0103 pacientele ar trebui s\u0103 accepte \u0219i ajutor psihooncologic.<\/span><\/p>

\u0218i o bun\u0103 calitate a vie\u021bii este foarte important\u0103, motiv pentru care cu siguran\u021b\u0103 pacientele ar trebui s\u0103 spun\u0103 atunci c\u00e2nd simt nevoia s\u0103 ia o pauz\u0103 de la terapie.\u00a0<\/span><\/p>

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\u00cen ce m\u0103sur\u0103 este util\u0103 \u00eent\u0103rirea sistemului imunitar?<\/span><\/p>

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Cred c\u0103 se poate presupune f\u0103r\u0103 probleme c\u0103 un sistem imunitar bun este capabil s\u0103 elimine celulele maligne care apar. Din p\u0103cate, tumora are proprietatea de a putea bloca ea \u00eens\u0103\u0219i sistemul imunitar.<\/span><\/p>

A\u0219adar, \u00een general, este foarte bine s\u0103 ave\u021bi un sistem imunitar puternic.<\/span><\/p>

\u0218i este cu siguran\u021b\u0103 util s\u0103 crea\u021bi un mediu \u00een care cancerul s\u0103 nu se simt\u0103 confortabil.<\/span><\/p>

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Ce este asisten\u021ba post-tratament pentru cancerul mamar?<\/span><\/p>

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\u00cen principiu, asisten\u021ba post-tratament const\u0103 \u00eentr-o serie de examin\u0103ri care au loc conform unui program stabilit. Acestea ar trebui efectuate o dat\u0103 pe an la centrul de oncologie mamar\u0103, iar restul examin\u0103rilor, adesea la intervale trimestriale, sunt efectuate la cabinetul medicului.\u00a0<\/span><\/p>

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Ce efecte poate avea cancerul mamar asupra unei dorin\u021be existente de a avea copii?<\/span><\/p>

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Nu recomand niciodat\u0103 femeilor s\u0103 nu aib\u0103 copiii, dac\u0103 aceasta este dorin\u021ba lor. \u00cen special c\u00e2nd este vorba de cancer \u00een stadiul incipient, o sarcin\u0103 este \u00een mod sigur oportun\u0103 dac\u0103 dori\u021bi acest lucru. Prognosticul nu este \u00een niciun fel \u00eenr\u0103ut\u0103\u021bit de aceasta.<\/span><\/p>

Iar boala nu afecteaz\u0103 f\u0103tul; \u00een anumite condi\u021bii chiar administr\u0103m chimioterapie \u00een timpul sarcinii.<\/span><\/p>

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Sunte\u021bi specialist \u00een cancerul ovarian \u0219i mamar ereditar. Predispozi\u021bia genetic\u0103 poate fi testat\u0103. Pentru ce femei este recomandat acest test?<\/span><\/p>

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Exist\u0103 un set \u00eentreg de criterii pe baza c\u0103rora se decide dac\u0103 femeile ar trebui testate gratuit pentru o predispozi\u021bie genetic\u0103. Acestea includ, de exemplu, dac\u0103 exist\u0103 deja 3 femei dintr-o linie familial\u0103 care au dezvoltat cancer mamar sau dac\u0103 exist\u0103 \u00een familie o femeie cu v\u00e2rsta sub 35 de ani care a dezvoltat cancer mamar.<\/span><\/p>

De asemenea, test\u0103m femeile care au deja cancer mamar \u0219i ovarian. \u0218tim c\u0103 \u00een cazul femeilor care au o muta\u021bie, exist\u0103 o posibilitate de 36 % s\u0103 dezvolte din nou cancer.\u00a0<\/span><\/p>

Dar acest lucru poate fi contracarat. Fie printr-o interven\u021bie chirurgical\u0103 profilactic\u0103, respectiv extirparea preventiv\u0103 complet\u0103 a s\u00e2nului. Sau, alternativ, avem medicamente incredibil de eficiente (a\u0219a-numitele medicamente PARP) pe care le utiliz\u0103m atunci c\u00e2nd este prezent\u0103 o muta\u021bie. Aceste medicamente sunt, de asemenea, utilizate la femeile cu cancer mamar avansat \u0219i la toate femeile cu cancer ovarian sau cancer mamar \u00een stadiu foarte incipient cu risc crescut.<\/span><\/p>



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Pe scurt, domnule doctor, ce \u00eenseamn\u0103…<\/span><\/p>

STADIALIZARE:<\/span><\/p>

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Stadializarea clinic\u0103 este efectuat\u0103 \u00eenainte de interven\u021bia chirurgical\u0103 pentru a evalua extinderea cancerului. Aceasta include, printre altele, implicarea altor organe, de exemplu, ficatul, pl\u0103m\u00e2nii sau oasele.<\/span><\/p>

Stadializarea patologic\u0103 analizeaz\u0103 diametrul tumorii, dac\u0103 ganglionii limfatici sunt afecta\u021bi de celule tumorale \u0219i dac\u0103 sunt prezente metastaze. Stadializarea patologic\u0103 este, prin urmare, o diagnosticare a tumorii.<\/span><\/p>

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CLASIFICAREA TNM (Tumora Noduli limfatici Metastaze)<\/span><\/p>

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Aceasta este o evaluare clinic\u0103 a extinderii implic\u0103rii tumorale. Este relevant\u0103 pentru prognostic, deoarece acesta depinde de stadiul tumorii. Clasificarea TNM determin\u0103, de asemenea, terapia.<\/span><\/p>

\u00cen general, este realizat\u0103 o distinc\u021bie \u00eentre 4 stadii, de la stadiul incipient la stadiul avansat.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Nachgefragt bei Univ. Prof. Dr. Christian Singer: Was ist ein Brustgesundheitszentrum? Ein Brustgesundheitszentrum ist eine interdisziplin\u00e4re Organisation von unterschiedlichen medizinischen Abteilungen, die sich der Behandlung des Mamma Karzinoms verschrieben haben. <\/p>\n","protected":false},"author":14,"featured_media":36326,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[417],"tags":[],"class_list":["post-36324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-medicina-conventionala"],"acf":[],"yoast_head":"\nCentrul de oncologie mamar\u0103 - Be accepted<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/be-accepted.com\/ro\/centrul-de-sanatate-a-sanului\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Centrul de oncologie mamar\u0103 - Be accepted\" \/>\n<meta property=\"og:description\" content=\"Nachgefragt bei Univ. Prof. Dr. Christian Singer: Was ist ein Brustgesundheitszentrum? 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