Less Severe Breast Surgery Shows High Accuracy
Less extensive lymph node removal of one to three nodes proves 97 percent accurate in detecting cancer spread compared with the standard operation. The federally funded study, presented in Texas, suggests many women could avoid lifelong arm problems while guiding need for chemotherapy or radiation. Doctors call it a landmark finding.
MENTIONED IN THIS ARTICLE
San Antonio
Thomas Julian
Drexel University College of Medicine
Allegheny General Hospital
Pittsburgh
Texas
Stephen Edge
Roswell Park Cancer Institute
Buffalo
N.Y
Sentinel node biopsy explained in breast cancer surgery
The passage notes risks from removing lymph nodes during breast cancer surgery such as numbness swelling and infection, with up to 20 percent developing lymphedema. It describes sentinel node biopsy as an alternative, using dye to identify the most involved nodes to check for cancer spread. Dr. Mark Kissin of Royal Surrey County Hospital comments on the procedure and its unintended harms.
MENTIONED IN THIS ARTICLE
Mark Kissin
The
Royal
Surrey County Hospital
Gilford
England
Becker's Bridge Double for Partscore Considered
South opens with a pass sequence in a four hand bridge puzzle. Four hands are analyzed for action, with emphasis on whether to double or bid to contest partscores. The discussion argues that aggressive defense against partscore contracts can yield long term gain by preventing opponents from reaching game.
Bidding choices reveal high card risks in a bridge quiz
The article outlines four bidding options in a bridge problem with takeout doubles, overcalls, and passes. It argues the rationale for doubling with partner’s likely five card support and singleton heart, avoiding costly underbids, and choosing pass when defense is strong against a two heart contract.
Video games ease kids before surgery
Dr Anu Patel of University Hospital Newark reports a study showing children who play a Game Boy in the operating room before anesthesia feel calmer than with tranquilizers or parental distraction. The 7 year old inspiration case and planned conference presentation highlight potential parental demand for nonpharmacologic comfort.
MENTIONED IN THIS ARTICLE
Trenton
N.J
Patel
University Hospital
Newark
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