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Granite is all over. Even with its nickname, Vermont isn't the only real granite talk about! You will find it in India, in Finland, in Brazil, in Norway. Great, deeply blood vessels of granite operate with the over-all planet, specifically in mountains and valleys. Other supplies of aggregate are discovered in minor deposites here and there, causing them to be more expensive, but granite can be obtained worldwide, and vein usually can be normally be mined for a few years. That devices low charges, which makes an economical alternative.
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The tumor node metastasis (TNM) staging system for breast cancer is an internationally accepted system used to determine the disease stage. This disease stage is a measure of the extent of disease, which is used to guide management and determine prognosis. The 7th edition of the TNM staging system and the evidence supporting it are described here (table 1). The 6th edition of the TNM staging system is included for comparison (table 2). The initial evaluation, clinical manifestations, diagnosis, treatment, and prognosis of breast cancer are reviewed elsewhere. (See "An overview of breast cancer and treatment for early stage disease" and "Initial staging work-up for women with a diagnosis of breast cancer" and "Clinical decisions in systemic adjuvant therapy for early breast cancer".) TNM STAGING SYSTEM — The tumor node metastasis (TNM) staging system for breast cancer is based upon a retrospective analysis of survival in diverse samples of patients representing all stages of disease. It reflects the clinical evaluation methods and treatments that are applied to the particular study population. Periodic revisions are necessary because advanced imaging techniques and treatments evolve and impact survival. The 7th edition of the TNM staging system is the most recent version (table 1) . It replaces the 6th edition of the TNM staging system (table 2) . REVISIONS IN BREAST CANCER STAGING — Observed survival rates for 211,645 breast cancer cases diagnosed in years 2001-2002 and entered into the National Cancer Data Base (Commission on Cancer of the American College of Surgeons and the American Cancer Society) were used to reevaluate the prognostic value of the TNM descriptors.
The End of Nihilism Until now, >50% present with Stage IV Everything is getting smaller Screening IS beneficial: smaller tumors Minimally Invasive Surgery: smaller incisions Stereotactic Radiotherapy: smaller radiation field Molecular Diagnostics ©2006 RUSH University Medical Center 2009 Estimated US Cancer Deaths* Men 290,890 Lung and bronchus Prostate Colon and rectum Pancreas Leukemia Non-Hodgkin’s lymphoma 32% 10% 10% 5% 4% 4% Women 272,810 25% Lung and bronchus 15% 10% 6% 6% 4% Breast Colon and rectum Ovary Pancreas Leukemia • ~160,440 patients will die of NSCLC in 2010 American Cancer Society. At: http://www.cancer.org/docroot/STT/stt_0.asp. Accessed October 27, 2009. ©2006 RUSH University Medical Center Lung Cancer Linked to Smoking JAMA May 27, 1950 Tobacco Smoking as a possible etiologic factor in bronchiogenic carcinoma. A study of six hundred and eighty-four proved cases Ernest L. Wynder and Evarts A. Graham ©2006 RUSH University Medical Center Cum. Risk of Lung CA in UK Men Data from Sirs Doll & Peto unequivocally demonstrates that the risk of lung CA after smoking never returns to normal Vineis, P. et al. JNCI 2004;96:99-106 Copyright restrictions may apply. ©2006 RUSH University Medical Center