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Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-71578920583645812482014-03-16T16:54:00.001+01:002014-03-16T17:01:13.071+01:00Onkozpravodaj - Randomizovaná otevřená klinická studie fáze III srovnávající irinotekan s paklitaxelem u pacientů s pokročilým karcinomem žaludku bez peritoneálních metastáz po selhání 1. linie chemoterapie kombinací fluoropyrimidinu s platinou – studie WJOG 4007<a href="http://www.onkozpravodaj.cz/bulletin/leden-2014/randomizovana-otevrena-klinicka-studie-faze-iii-srovnavajici-irinotekan-snbsppaklitaxelem-unbsppacie/">Onkozpravodaj - Randomizovaná otevřená klinická studie fáze III srovnávající irinotekan s paklitaxelem u pacientů s pokročilým karcinomem žaludku bez peritoneálních metastáz po selhání 1. linie chemoterapie kombinací fluoropyrimidinu s platinou – studie WJOG 4007</a><br />
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Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-30468841276064892142013-02-24T21:32:00.001+01:002013-02-24T21:35:04.445+01:00Znatelné změny ve složení stavby těla po neoadjuvantní chemoterapii pro nádory jícnu a žaludku » Linkos.cz<a href="http://www.linkos.cz/nutricni-pece-ve-studiich/znatelne-zmeny-ve-slozeni-stavby-tela-po-neoadjuvantni-chemoterapii-pro-nadory-jicnu-a-zaludku/">Znatelné změny ve složení stavby těla po neoadjuvantní chemoterapii pro nádory jícnu a žaludku » Linkos.cz</a>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-77244729646103544372013-02-16T14:31:00.001+01:002013-02-16T14:31:53.650+01:00Survival in Stage IV Gastric Cancer With Surgery and Radiation<a href="http://www.medscape.com/viewarticle/779052?nlid=28287_330&src=wnl_edit_medn_honc&uac=100602SX&spon=7"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-small;">Survival in Stage IV Gastric Cancer With Surgery and Radiation</span></a><br />
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</span> <span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-small;">..<span style="line-height: 1.8em;">Patients who present with metastatic gastric cancer survive longer if they receive surgery, radiation or both, according to a review of the Surveillance, Epidemiology, and End Results (SEER) database.</span></span><br />
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<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;">Pacienti s pokročilým nebo metastazujícím karcinomem žaludku s současném infekcí HP měl lepší odpověď na chemoterapii a měla lepší celkový prognózu ve srovnání s pacienty bez infekce HP. </span><br />
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<span class="" style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;"> </span><span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;">VÝSLEDKY:340 pacientů podstoupilo radikální gastrektomii</span><span style="background-color: white;"><span style="font-family: Arial, Helvetica; font-size: 13px;">.</span><span class="goog-text-highlight" style="-webkit-box-shadow: rgb(153, 153, 170) 2px 2px 4px; box-shadow: rgb(153, 153, 170) 2px 2px 4px; box-sizing: border-box; font-family: Arial, Helvetica; font-size: 13px; position: relative;">Z nich 62 pacientů dostávalo peroperační antitrombotickou léčbu, přičemž tato skupina tromoprofylaxe měli významně vyšší pooperační krvácení sazbu (8,1 vs 0,7%, p = 0,003). </span><span style="font-family: Arial, Helvetica; font-size: 13px;">Nicméně, další komplikace, včetně tro</span></span><span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;">mboembolických příhod, byly podobné u obou skupin. </span><span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;">Vícerozměrná analýza ukázala, že perioperační Antitrombotická léčba byla pouze nezávislý rizikový faktor pooperačních krvácivých komplikací po radikální gastrektomii (odds ratio, 8,53, 95% interval spolehlivosti, 1.47 až 49.39, P = 0,017). </span><br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;"><br />
</span> <span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px;">Závěr: Perioperační antitrombotická léčba je nezávislý rizikový faktor pooperačních krvácivých komplikací u pacientů s karcinomem žaludku podstupující radikální gastrektomii, i když taková léčba byla účinnou v prevenci pooperační tromboembolické příhody.</span> <br />
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<li class="zemanta-article-ul-li-image zemanta-article-ul-li" style="background: none; display: block; float: left; font-size: 11px; list-style: none; margin: 2px 10px 10px 2px; padding: 0; text-align: left; vertical-align: top; width: 84px;"><a href="http://www.cancercenter.com/stomach-cancer.cfm" style="border-radius: 2px; box-shadow: 0px 0px 4px #999; display: block; padding: 2px; text-decoration: none;" target="_blank"><img src="http://i.zemanta.com/noimg_38_80_80.jpg" style="border: 0; display: block; margin: 0; max-width: 100%; padding: 0; width: 80px;" /></a><a href="http://www.cancercenter.com/stomach-cancer.cfm" style="display: block; height: 80px; line-height: 12pt; overflow: hidden; padding: 5px 2px 0 2px; text-decoration: none;" target="_blank">Stomach / Gastric Cancer Integrative Treatment Program</a></li>
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Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-74882584578968563342012-07-22T23:11:00.001+02:002012-07-22T23:13:17.309+02:00Optimal Screening Interval for Gastric Cancer: 3 Years<a href="http://www.medscape.com/viewarticle/767558?src=mpnews&spon=7">Optimal Screening Interval for Gastric Cancer: 3 Years</a><br />
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<br />
Schéma<br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px; text-align: left;">docetaxel 75 mg / m (2)</span><br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px; text-align: left;">cisplatina 60 mg / m (2) (1 den</span><br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px; text-align: left;">kapecitabin 1875 mg / m (2) rozdělit do dvou dávek (1-14 dní) každé 3 týdny</span><br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px; text-align: left;"><br /></span><br />
<span style="background-color: white; font-family: Arial, Helvetica; font-size: 13px; text-align: left;"><br /></span><br />
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<span style="background-color: white;"><a href="http://goo.gl/uVUxJ" target="_blank">B.práci I.Langáškové:Nuriční stav nemocných po gastrektomii</a></span><br />
<span style="background-color: white;"><br /></span><br />
<span style="background-color: white;">Nedostatek lze částečně nahradit ACIDY. </span><br />
<span style="background-color: white;"><br /></span><br />
<span style="background-color: white;"><span style="color: #274e13;"><b>Použít se může:</b></span></span><br />
<span style="background-color: white;"><br /></span><br />
<span style="background-color: white;"><span style="color: orange;"><b>Kyselina chlorovodíková (acidum hydrochloricum dilutum) +pepsin</b></span></span><br />
<span style="background-color: white;">(zdroj magistralliter <a href="http://goo.gl/XXrVI" target="_blank">dr. K.Běrský</a>)</span><br />
<span style="background-color: white;"><br /></span><br />
<span style="background-color: white;"><span style="font-size: x-small;">Rp.</span></span><br />
<br />
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px; text-align: justify;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><span class="goog_qs-tidbit goog_qs-tidbit-0" style="color: inherit; display: inline !important; text-decoration: inherit;">Acidi hydrochlorici diluti</span> <span class="goog_qs-tidbit goog_qs-tidbit-0" style="color: inherit; display: inline !important; text-decoration: inherit;">20,0</span></span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px; text-align: justify;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><span class="goog_qs-tidbit goog_qs-tidbit-0" style="color: inherit; display: inline !important; text-decoration: inherit;">D.s. 10-15 kapek ( ev. 20-30) do sklenice</span> vody, při jídle po malých doušcích brčkem zapíjet </span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px; text-align: justify;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><br /></span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px; text-align: justify;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 5px; text-align: justify;">
</div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Pepsini</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Acidi hydrochlorici dil aa 1,0-2,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Sacharini tbl. III (tres )</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aq. purif. ad 100,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 1 lžíci při jídle (pro děti)</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><br /></span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Pepsini 4,0-5,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Ac. hydrochlorici dil 4,0-8,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Sir. aurantii 20,0-50,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aq. purif. ad 200,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 1 lžíci při jídle</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Acidi hydrochlorici diluti 40,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Sirupi citri artificialis 20,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Tinct. aurant. 5,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aquae destillatae ad 200,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 1 kávovou lžičku do sklenice vody zapíjet po doušcích během jídla.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><br /></span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Pepsini 2,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Acidi hydrochlorici diluti 5,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Glycerini 10,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aquae destillatae ad 30,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 20-40 kapek do půl sklenky vody, pít po malých doušcích při jídle.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Acidi hydrochlorici diluti 2,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Pepsini 3,0-5,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Sirupi aurantii 20,0-50,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aquae purificatae ad 200,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 3xdenně 1 polévkovou lžíci při jídle.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Acidi hydrochlorici diluti 1,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Pepsini 2,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Tincturae aurantii 1,0-5,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Sacchari natrici 0,1</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">Aquae purificatae ad 100,0</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">M.f. sol.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;">D.s. 3xdenně 1 čajovou lžičku při jídle.</span></div>
<div class="MsoNormal" style="color: #333333; font-family: Tahoma, Arial, sans-serif; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<span style="background-color: white; font-family: Arial; font-size: 9pt;"><br /></span></div>
<h2 style="line-height: 15px;">
<span style="background-color: white;"><span style="color: #274e13; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;">Alternativy </span></span></h2>
<div style="color: #333333; line-height: 15px;">
<span style="background-color: white;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;">Kyselina citrónová (acidum citricum)</span></span></div>
<div style="color: #333333; line-height: 15px;">
<span style="background-color: white;"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span></span></div>
<div style="line-height: 15px;">
<span style="background-color: white;"><span style="color: orange; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;"><b>Hydrochlorid betainu</b></span></span></div>
<div>
<ul>
<li><span style="line-height: 15px;"><a href="http://goo.gl/uoHWj" target="_blank"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;">Trávicí enzymy fi.Solgar</span></a></span></li>
<li><a href="http://goo.gl/UtDTK" target="_blank"><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;">Lepicol plus trávicí enzymy</span></a></li>
<li><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: x-small;"><a href="http://goo.gl/FV184" target="_blank">Enzyme star</a></span></li>
<li><a href="http://goo.gl/Pztgr" target="_blank">BetainHCl</a></li>
<li><a href="http://goo.gl/5UOIx" target="_blank">Zažívací enzymy</a></li>
</ul>
</div>
<div style="line-height: 15px;">
<span style="background-color: white;"><span style="color: orange; font-family: Verdana, sans-serif; font-size: small;"><b><br /></b></span></span></div>
<div class="MsoNormal" style="color: #333333; font-size: 12px; line-height: 15px; margin-bottom: 5px;">
<br /></div>
<br />Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-79740589714576336982012-05-27T19:05:00.002+02:002012-05-27T19:05:40.393+02:00Histologie<span style="background-color: white; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="color: red;">Adenokarcinom</span><span style="color: #333333;"> 95%</span></span></span><br />
<br />
<ul>
<li><span style="color: #333333; font-family: Verdana, sans-serif; font-size: x-small;"><span style="line-height: 18px;">papilární</span></span></li>
<li><span style="color: #333333; font-family: Verdana, sans-serif; font-size: x-small;"><span style="line-height: 18px;">tubulární</span></span></li>
<li><span style="color: #333333; font-family: Verdana, sans-serif; font-size: x-small;"><span style="line-height: 18px;">mucinosní</span></span></li>
</ul>
<br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;"><br /></span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;">Laurenova klasifikace rozlišuje </span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;"><br /></span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;">1) intestinální typ adenokarcinomu (přibližně 53 % všech karcinomů žaludku) s okolní těžkou chronickou gastritidou</span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;"><br /></span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;">2) difuzní adenokarcinom (33 % všech nádorů), je vždy málo diferencovaný. Difuzní růst je provázen zmnožením vaziva, jež se označuje jako desmoplastická reakce. Podmiňuje ztluštění a rigiditu stěny žaludku. Dříve se označoval jako skirhus. V okolí karcinomu se nachází mírná chronická povrchová gastritida</span></span><br />
<span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;"><br /></span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span class="goog_qs-tidbit goog_qs-tidbit-0" style="background-color: white; display: inline !important; line-height: 18px; margin: 0px; padding: 0px; text-align: justify; text-indent: 30px;">3) mucinozní karcinom (méně obvyklý) s hojným extracelulárním hlenem, který ovlivňuje</span><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;">makroskopický vzhled nádorové tkáně (gelatinózní karcinom)</span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><br /></span></span><br />
<span style="color: red; font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; line-height: 18px; text-align: justify; text-indent: 30px;">Lymfomy</span></span><br />
<span style="color: red; font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; line-height: 18px; text-align: justify; text-indent: 30px;">Karcinoidy 1%</span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="color: red;">Dlaždicové karcinomy</span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small; line-height: 18px; text-align: justify; text-indent: 30px;"><span style="color: red;">Leyomyosarkom 2%</span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><br /></span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><br /></span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><br /></span></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;"><span style="background-color: white; color: #333333; line-height: 18px; text-align: justify; text-indent: 30px;"><br /></span></span>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-569993761037599112012-05-27T18:51:00.000+02:002012-09-09T16:18:20.261+02:00Etiologie<span style="font-family: Georgia, 'Times New Roman', serif;"><span style="color: #0b5394;"><b>Genetika</b></span> cca 10% karcinomů</span><br />
<br />
<br />
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">vyšší výskyt u vrozených mutací genů MMR systému (Lynchův syndrom) a genu BRCA2</span></li>
<li><span style="background-color: white; text-align: left; white-space: pre-wrap;"><span style="font-family: Georgia, 'Times New Roman', serif;">mutace genu E-cadherin (<a href="http://goo.gl/SbIeH" target="_blank">CDH1</a>) jsou zjištěny v 50 % difúzního typu karcinomu žaludku, a rodiny, které tyto mutace mají autosomálně dominantní model dědičnosti s velmi vysokou penetrancí</span></span></li>
</ul>
<div style="text-align: left;">
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;"><b>Dieta</b></span></span></div>
<div style="text-align: left;">
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;">vyšší výskyt u lídí s nízkým přísunem zeleniny a ovoce a vitamínu C</span></span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;">vysoká konzumace nakládané zeleniny , slaných ryb, uzeného masa - vyšší výskyt nádoru</span></span></li>
</ul>
<div>
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;"><b>Kouření</b></span></span></div>
<div>
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;">zvyšuje riziko cca 1,5x</span></span></li>
</ul>
<div>
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;"><b>Helicobakter pylori</b></span></span></div>
</div>
<div>
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;"><span style="white-space: pre-wrap;"><a href="http://goo.gl/a36Uw" target="_blank">chronická infekce 6-8x vyšší riziko vzniku ca </a></span></span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">MALT lymfom</span></li>
</ul>
<div>
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><b>Operace žaludku</b></span></div>
</div>
<div>
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">6x vyšší výskyt za 15-20 let po resekci Billroth II</span></li>
</ul>
<div>
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><b>Perniciosní anémie</b></span></div>
</div>
<div>
<span style="font-family: Georgia, 'Times New Roman', serif;"><br /></span></div>
<div>
<span style="color: #0b5394; font-family: Georgia, 'Times New Roman', serif;"><b>Obezita</b></span></div>
<div>
<ul>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">zvyšuje riziko ca kardie</span></li>
</ul>
</div>
</div>
<br />Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-40369157782874722752012-04-29T12:25:00.000+02:002012-04-29T12:33:27.349+02:00Stavba stěny žaludku<div class="separator" style="clear: both; text-align: center;">
<a href="http://project2group20.pbworks.com/f/stomach.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://project2group20.pbworks.com/f/stomach.jpg" width="400" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
Více <a href="http://goo.gl/wPvom" target="_blank">zde</a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-15168800589265745372012-04-15T20:19:00.000+02:002012-06-03T20:35:45.163+02:00Pooperační stavv přípravě<br />
<br />
Řešení stavů po GE (gastrektomii)<br />
<div>
<br /></div>
<ol>
<li>pokles hmotnosti o 10-20% předoperačního stavu</li>
<li><a href="http://goo.gl/vSFej" target="_blank">nedostatek kyseliny chlorovodíkové</a></li>
<li>deficit železa</li>
<li>deficit vitamínu B12</li>
<li>deficit vápníku</li>
<li>deficit vitamínu D</li>
<li>pankreatická insuficience</li>
<li>průjmy</li>
<li>nedostatek vitamínů rozpustných ve vodě</li>
</ol>
<div>
<ul>
</ul>
</div>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-44569736767941902332012-04-15T19:15:00.000+02:002012-04-15T19:27:50.158+02:00TNM klasifikace<table cellpadding="0" cellspacing="0" class="tr-caption-container zemanta-img" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><div class="zemanta-img">
<div class="zemanta-img">
<a href="http://commons.wikipedia.org/wiki/File:Illu_stomach_layers.jpg" imageanchor="1" style="margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: clear:right;"><img alt="Layers of stomach wall." border="0" class="zemanta-img-inserted" height="253" src="http://upload.wikimedia.org/wikipedia/commons/thumb/7/73/Illu_stomach_layers.jpg/300px-Illu_stomach_layers.jpg" style="border-bottom-style: none; border-color: initial; border-image: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; font-size: 0.8em;" width="300" /></a></div>
</div>
</td></tr>
<tr><td class="tr-caption zemanta-img-attribution" style="text-align: center; width: 300px;">Layers of stomach wall. (Photo credit: <a href="http://commons.wikipedia.org/wiki/File:Illu_stomach_layers.jpg" target="_blank">Wikipedia</a>)</td></tr>
</tbody></table>
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<span style="color: #0b5394;"><b>7. vydání TNM klasifikace 2009</b></span><br />
<span style="color: #274e13;"><b><br /></b></span><br />
<span style="color: #274e13;"><b>Tis </b></span><br />
karcinom in situ: intraepiteliální nádor bez invaze do lamina propria, dysplazie těžkého stupně<br />
<br />
<b><span style="color: #274e13;">T1</span></b><br />
nádor postihuje <a class="zem_slink" href="http://en.wikipedia.org/wiki/Lamina_propria" rel="wikipedia" target="_blank" title="Lamina propria">lamina propria mucosae</a> , <a class="zem_slink" href="http://en.wikipedia.org/wiki/Muscularis_mucosae" rel="wikipedia" target="_blank" title="Muscularis mucosae">muscularis mucosae</a> nebo submukózu<br />
<span style="color: #274e13;"><b>T1a </b></span> lamina propria mucosae nebo muscularis mucosae<br />
<span style="color: #274e13;"><b>T1b</b></span> postihuje submukozu<br />
<br />
<span style="color: #274e13;"><b>T2</b></span><br />
nádor postihuje <a class="zem_slink" href="http://en.wikipedia.org/wiki/Muscular_layer" rel="wikipedia" target="_blank" title="Muscular layer">muscularis propria</a><br />
<br />
<span style="color: #274e13;"><b>T3</b></span><br />
nádor postihuje subserózu<br />
<br />
<span style="color: #274e13;"><b>T4</b></span><br />
nádor proniká na serózu nebo se šíří do okolních struktur<br />
<span style="color: #274e13;"><b>T4a </b></span>seróza<br />
<span style="color: #274e13;"><b>T4b</b></span> okolní struktury<br />
<br />
<ul>
<li>Okolními strukturami žaludku jsou slezina, příčný tračník, játra, bránice, pankreas, stěna břišní, nadledvina, ledvina, tenké střevo a retroperitoneum. </li>
<li>Intramurální šíření do duodena a jícnu je klasifikováno největší hloubkou invaze v těchto orgánech nebo v žaludku</li>
<li></li>
<li>Nádor, který se šíří do vazů gastrokolických nebo gastrohepatických nebo do velkého nebo malého omenta bez penetrace viscerálního peritonea se klasifikuje jako T3</li>
</ul>
<span style="color: orange;"><b>Regionální lymfatické uzliny</b></span><br />
- perigastrické podél malé a velké křiviny<br />
- podél aa.gastrica sinistra, hepatica communis, lienalis a coeliaca<br />
<br />
<br />
<span style="color: orange;"><b>N1</b></span><br />
metastázy v 1 až 2 regionálních mízních uzlinách<br />
<span style="color: orange;"><b>N2</b></span><br />
metastázy v 3 až 6 regionálních mízních uzlinách<br />
<span style="color: orange;"><b>N3</b></span><br />
metastázy v 7 a více regionálních mízních uzlinách<br />
<br />
<ul>
<li><span style="color: orange;"><b>N3a</b></span> 7-15 uzlin +</li>
<li><span style="color: orange;"><b>N3b</b></span> více jak 16 uzlin +</li>
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<a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img alt="Enhanced by Zemanta" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_e.png?x-id=606abf1e-9238-4c78-a33b-32fc7d74f63d" style="border: none; float: right;" /></a></div>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-69081505215458011102012-04-15T18:30:00.001+02:002012-04-15T18:34:58.721+02:00Nádory žaludku - Onkologie - ZDN<table cellpadding="0" cellspacing="0" class="tr-caption-container zemanta-img" style="float: right; margin-right: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="http://commons.wikipedia.org/wiki/File:Linitis_plastica.jpg" imageanchor="1" style="margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: clear:right;"><img alt="Endoscopic image of linitis plastica, where th..." border="0" class="zemanta-img-inserted" height="150" src="http://upload.wikimedia.org/wikipedia/commons/thumb/1/18/Linitis_plastica.jpg/300px-Linitis_plastica.jpg" style="border-bottom-style: none; border-color: initial; border-image: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; font-size: 0.8em;" width="200" /></a></td></tr>
<tr><td class="tr-caption zemanta-img-attribution" style="text-align: center; width: 300px;">Endoscopic image of linitis plastica, where the entire stomach is invaded with gastric cancer, leading to a leather bottle like appearance. Released into public domain on permission of patient.Category:Stomachs (Photo credit: <a href="http://commons.wikipedia.org/wiki/File:Linitis_plastica.jpg" target="_blank">Wikipedia</a>)</td></tr>
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<a href="http://www.zdn.cz/clanek/priloha-lekarske-listy/nadory-zaludku-463621">Nádory žaludku - Onkologie - ZDN</a><br />
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<em style="background-color: white; font-family: arial, helvetica, verdana, sans-serif; font-size: 17px; line-height: 26px;">Autor</em><br />
<em style="background-color: white; font-family: arial, helvetica, verdana, sans-serif; font-size: 17px; line-height: 26px;">MUDr. Jiří Tomášek, Masarykův onkologický ústav a LF MU Brno</em><br />
<div class="zemanta-pixie" style="height: 15px; margin-top: 10px;">
<a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img alt="Enhanced by Zemanta" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_e.png?x-id=21e250df-56de-457d-ad77-620c5f5ee4e6" style="border: none; float: right;" /></a></div>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-33480481774425977832012-04-15T17:13:00.002+02:002012-04-15T17:58:00.820+02:00Statistika svět<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=zahranici_2008&diag=C16&pohl=a&kraj=w&vek_od=0&vek_do=18&zobrazeni=graph&incmor=inc&vypocet=w&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&ref=1977" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="206" src="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=zahranici_2008&diag=C16&pohl=a&kraj=w&vek_od=0&vek_do=18&zobrazeni=graph&incmor=inc&vypocet=w&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&ref=1977" width="400" /></a></div>
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Evropské země<br />
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<a href="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=zahranici_2008&diag=C16&pohl=a&kraj=e&vek_od=0&vek_do=18&zobrazeni=graph&incmor=inc&vypocet=w&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&ref=1977" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="206" src="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=zahranici_2008&diag=C16&pohl=a&kraj=e&vek_od=0&vek_do=18&zobrazeni=graph&incmor=inc&vypocet=w&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&ref=1977" width="400" /></a></div>
<br />Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-67016674724671635822012-04-15T17:08:00.000+02:002013-11-24T15:23:38.254+01:00Statistika ČR<div class="separator" style="clear: both; text-align: center;">
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<a href="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=incmor&diag=C16&pohl=&kraj=&vek_od=1&vek_do=18&zobrazeni=graph&incidence=1&mortalita=1&mi=0&vypocet=c&obdobi_od=1977&obdobi_do=2010&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="206" src="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=incmor&diag=C16&pohl=&kraj=&vek_od=1&vek_do=18&zobrazeni=graph&incidence=1&mortalita=1&mi=0&vypocet=c&obdobi_od=1977&obdobi_do=2010&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=" width="400" /></a></div>
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<h3>
<span style="color: #0b5394;"><b>Počet případů na 100 000 osob </b>(viz graf)</span></h3>
<b><span style="color: red;">Rok 1977 </span></b><br />
Incidence: 30,3 <br />
Mortalita: 15,79<br />
<b><span style="color: red;">Rok 2010</span></b><br />
Incidence: 15,1<br />
Mortalita:11,58<br />
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<h3>
<span style="color: #0b5394;">Počet nově diagnostikovaných pacientů</span></h3>
<b style="color: red;">2010 </b>1590 pacientů<span style="color: red;"> </span><br />
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<span style="color: #0b5394;">Počet zemřelých pacientů</span> </h3>
<span style="color: red;"><b>2010</b></span> 1220 pacientů<br />
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<b><span style="color: #0b5394;">Věková struktura pacientů v %</span></b></h3>
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<a href="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=vek&diag=C16&zobrazeni=graph&pohl=&kraj=&incmor=inc&vypocet=p&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="206" src="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=vek&diag=C16&zobrazeni=graph&pohl=&kraj=&incmor=inc&vypocet=p&obdobi_od=1977&obdobi_do=2009&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=" width="400" /></a></div>
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<b><span style="color: #0b5394;">Regiony ČR</span></b></h3>
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<a href="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=regionprehled&diag=C16&pohl=&kraj=&vek_od=1&vek_do=18&zobrazeni=map&incmor=inc&vypocet=c&obdobi_od=1977&obdobi_do=2010&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&radit=false#%23%23" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="206" src="http://www.svod.cz/graph/?sessid=r8r0coikmpqn9u93nbre3lili1&typ=regionprehled&diag=C16&pohl=&kraj=&vek_od=1&vek_do=18&zobrazeni=map&incmor=inc&vypocet=c&obdobi_od=1977&obdobi_do=2010&stadium=&t=&n=&m=&pt=&pn=&pm=&t=&n=&zije=&umrti=&lecba=&radit=false#%23%23" width="400" /></a></div>
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<span style="color: #274e13;">Články</span></h4>
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; border-bottom-width: 0px; border-color: initial; border-image: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: #d77f00; font-family: Verdana, sans-serif; font-size: xx-small; line-height: 1.3; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; outline-color: initial; outline-style: initial; outline-width: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-decoration: none; vertical-align: baseline;"><a href="http://www.mojemedicina.cz/epidemiologie/epidemiologie-zhoubnych-nadoru-jicnu-a-zaludku-v-cr-prednaska/" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; border-bottom-width: 0px; border-color: initial; border-image: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: #d77f00; line-height: 1.3; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; outline-color: initial; outline-style: initial; outline-width: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-decoration: none; vertical-align: baseline;">Epidemiologie zhoubných nádorů jícnu a žaludku v ČR - přednáška</a></span><br />
<span style="background-color: white; color: #525252; font-family: Arial, Helvetica, sans-serif; font-size: 16px; line-height: 24px;">Přednáška RNDr. Tomáše Pavlíka Ph.D. zazněla na XIII. Motolských onkologických dnech dne 10. března 2011 v sekci Epidemiologie, skrínink, patologie, genetika.</span>
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<br />Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-16788743311092142162012-04-15T16:01:00.002+02:002012-04-15T16:01:28.082+02:00Zhoubný nádor žaludku kalkulátor<a href="http://www.mskcc.org/applications/nomograms/Gastric/ROResection.aspx"><span style="color: orange;"><b><span style="font-family: Verdana, sans-serif;">Kalkulátor přežití po operaci karcinomu žaludku</span></b></span> </a><br />
<a href="http://www.mskcc.org/applications/nomograms/Gastric/ROResection.aspx"></a>(provedené nejdéle v posledních 6-ti měsících)Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0tag:blogger.com,1999:blog-6076676455953558751.post-48642608522882686932012-04-15T15:47:00.002+02:002012-04-15T15:55:15.063+02:00Prognóza: přežití 5 let<table cellpadding="0" cellspacing="0" class="tr-caption-container zemanta-img" style="float: right; margin-right: 1em; text-align: right;"><tbody>
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<a href="http://commons.wikipedia.org/wiki/File:Gastric_adenocarcinoma.jpg" imageanchor="1" style="margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: clear:right;"><img alt="Adenocarcinoma of the stomach and intestinal m..." border="0" class="zemanta-img-inserted" height="150" src="http://upload.wikimedia.org/wikipedia/commons/thumb/5/56/Gastric_adenocarcinoma.jpg/300px-Gastric_adenocarcinoma.jpg" style="border-bottom-style: none; border-color: initial; border-image: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; font-size: 0.8em;" width="200" /></a></div>
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<tr><td class="tr-caption zemanta-img-attribution" style="text-align: center; width: 300px;">Adenocarcinoma of the stomach and intestinal metaplasia. H&E stain. (Photo credit: <a href="http://commons.wikipedia.org/wiki/File:Gastric_adenocarcinoma.jpg" target="_blank">Wikipedia</a>)</td></tr>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">St.I 70%<br />St.II 32%<br />St.III 10%<br />St.IV 3%<br /><br /><br />N0 60-70%<br />N1 20-30%</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><br /></span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">Dispenzární schéma:</span><br />
<ul>
<li><span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">v 1. roce: á 4 měsíce klinická kontrola, laboratoř, TM CEA, CA 19-9, <a class="zem_slink" href="http://en.wikipedia.org/wiki/Tumor-associated_glycoprotein_72" rel="wikipedia" target="_blank" title="Tumor-associated glycoprotein 72">CA 72-4</a>, á 6 měsíců GFS a CT, rtg S+P 1x ročně</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">v 2.a 3. roce klinická kontrola, laboratoř,TM 2x ročně, GFS, CT a rtg S+P 1x ročně</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">v dalších letech 1x ročně při symptomech individuálně</span></li>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">Nezbytná je dlouhodobá substituce vitaminu B12 u pacientů po proximální nebo totální gastrektomii.. dávka 1000 µg 1x za tři měsíce</span><br />
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<a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img alt="Enhanced by Zemanta" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_e.png?x-id=2d44edcf-09e1-4054-98f8-01dfc9a8874b" style="border: none; float: right;" /></a></div>Havliivahttp://www.blogger.com/profile/09965023158326025477noreply@blogger.com0