nipple discharge, ulceration of nipple or skin, fixation to skin, fixation to muscle, breast pain and axillary adenopathy. Low incidence, early metastasizing changes, due to particular anatomic structure of the male gland and a high invasiveness rate to surrounding tissues are factors responsible for a late diagnosis. A histopathological response in case of malignant suspicion should be mandatory. However, poor prognostic expectations in case of lymph nodes, positively (5-year-survival in 17-60% patients after radical mastectomy) account for diagnosis in 50% of the patients. Breast cancer in men is more frequently hormone receptor positive than in women and may be more sensitive to hormonal therapy. Optimal management of breast cancer in men is unknown because the rarity of the disease precludes large randomized trials.A 58-year-old man came to the Mastology Program at Hospital das Clínicas, Federal University of Goiá s, in November 2007, with a complaint of a palpable painless nodule located in the left breast for 4 years. On physical examination with palpation of the left breast, a hard mobile nodule with well-defined limits and a regular surface was found, with slight skin thickening around the site. There was no nipple discharge and no palpable lymph nodes. The right breast did not present any abnormalities. Imaging examination was performed using ultrasound and mammography showed a suspicious lesion (Figs. 1 (a) (b) Figure 2. (a and b) Histopathological examination of the skin biopsy reveals dermal infiltration by malignant pleomorphic epithelial cells. The latter are positive with cytokeratin, estrogen, and progesterone receptors, indicating their breast origin. (a) massive dermal infiltration by malignant cells. (b) prominent nuclear pleomorphism with mitosis.
CAMÊLO, C. P. R.; LIMA, L. A.; SARDINHA, M. C.; RABAHI, M. F. Dramatização como instrumento de informação a respeito do tabagismo entre escolares. Arq. Cienc. Saúde UNIPAR, Umuarama, v. 18, n. 2, p, 69-73, maio/ago. 2014. RESUMO:O tabaco é a segunda droga mais utilizada entre adolescentes e seu uso contínuo causa cerca de 200.000 mortes por ano no Brasil, dessa forma, é relevante investigar com frequência a extensão do tabagismo e o conhecimento dessa população sobre o tema, para assim orientar estratégias preventivas e de combate ao fumo dentro do próprio ambiente escolar. Avaliar a extensão do tabagismo nas escolas públicas de Goiânia -GO e o conhecimento do jovem a respeito do tabagismo. Trata-se de um estudo experimental, analítico com 343 alunos da sexta série do ensino fundamental de 10 escolas públicas de Goiânia que foram submetidos à aplicação de um questionário antes e após assistirem a uma dramatização sobre tabagismo criada por alunos da Liga do Pulmão da Faculdade de Medicina -UFG. Média de idade de 12,5±1,0 anos, 42,1% do sexo masculino e 57,9% feminino; 1,5% fumantes, 11,6% ex-fumantes e 21,2% experimentaram cigarro por pelo menos uma vez. A média de idade de experimentação do cigarro foi de 11,1±1,6 anos. A maior parte dos alunos tem parentes (79%) ou amigos (51,9%) que fumam; 28,9% relataram que alguém em casa fuma perto deles. Os alunos apresentaram elevado grau de conhecimento prévio a respeito dos malefícios do tabaco. Após assistirem a dramatização houve aumento do conhecimento frente às questões referentes aos benefícios de se parar de fumar e síndrome de abstinência (p<0,05). As escolas avaliadas em Goiânia apresentaram baixas taxas de experimentação e de tabagismo entre os escolares de 6ª série do ensino fundamental. Os escolares apresentaram bom nível de esclarecimento sobre os malefícios do cigarro, no entanto, informações como benefícios de se interromper o hábito devem ser reforçadas nessa população. Dramatização pode ser uma ferramenta útil para esclarecimento de escolares e combate ao tabagismo. PALAVRAS-CHAVE: Tabagismo; Estudantes; Prevalência; Conhecimento. DRAMATIZATION AS AN INSTRUMENT FOR SMOKING INFORMATION AMONG SCHOOLCHILDRENABSTRACT: Tobacco is the second most used drug among adolescents and its continued use causes about 200.000 deaths per year in Brazil. Thus, it is relevant to investigate the extent of smoking and the knowledge of this population on the topic, and to provide preventive and anti-smoking strategies within the school environment. Therefore, the objective of this paper is to evaluate the extension of smoking throughout public schools in Goiania as well as the youngsters' awareness on this issue. This is an experimental analytic study, with 343 sixth-graders from 10 public schools in Goiania, who have been submitted to a questionnaire before and after watching a dramatization about smoking created by the Lung League from the Medicine Faculty at UFG. The average age was of 12.5±1.0 year old, with 42.1% male and 57.9% female; 1.5% smokers, 11.6% former smokers...
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