Can I Give Myself A Brazilian With Nair

The rectal cancer: diagnosis, staging and therapy

tumors of the colon and rectum, are a major cause of morbidity and cancer mortality in all western countries with high development technology. In Italy, an estimated incidence of 35 to 40,000 new cases a year die from the disease every year about 18,000 people, with a higher mortality rate in central and northern Europe, the lowest in the south and islands. Over the past decades in Italy, as in much of Europe, the mortality trends were more favorable for women and the ratio of mortality between sexes (M / F) for bowel cancer is increased systematically from 1.2 in the 50s until reaching 1.5 in the 90s. Surgical treatment of colon - rectum remains a challenge, despite the undeniable progress occurred over the years and the important acquisitions that have had a forte incremento nel corso dell’ultimo ventennio, grazie a diversi fattori:

Il progredire delle conoscenze sulle modalità di diffusione del cancro del retto.
L’asportazione totale del mesoretto ( T.M.E. ) che ha ridotto drasticamente il tasso di recidive locali, aumentando quindi, la sopravvivenza.
Purtroppo però, la sensibilizzazione del cittadino,in Italia, verso il problema della "Prevenzione" è davvero poco stimolata. Vuoi perchè i sintomi iniziali della malattia neoplastica del colon-retto, sono spesso sovrapponibili alla più diffusa malattia emorroidaria (sanguinamento) con conseguente sottostima degli eventi, vuoi perchè in Italia non si è mai sviluppata una cultura Colonproctologica,per which often fails to identify the national professional, in charge of anorectal diseases and medical treatment are left to "counter" and therefore easy to find and to think you can solve his illness. To all this we must also add the inner fear of the citizen to undergo endoscopy, experienced as a deeply traumatic moment, and for the method of bowel preparation (use of strong laxatives) but also, for fear of having to suffer excruciating pain during the execution of the method, but unfortunately we must also emphasize to the clogging of the waiting lists of centers of Digestive Endoscopy often with infinite time before the exam.
However, is now difficult to understand at a / a patient who has completed the 50th year of age, the occult blood stool test, visit the Colon-proctology and endoscopy or Vitual traditional tools are useful and effective for:

1) Lowering the incidence rates of cancer in advanced stage
2) Increasing consensus through Section 1, the survival rates in patients with colorectal cancer, thanks to their early identification and treatment.

If the theme is cultural, then the disclosure of this baggage must be institutions, how much more widespread in the area, investing professionals at various levels:
general practitioner -> Specialist in colo-proctology -> specialist in digestive endoscopy. The chain has, however, the weak point:


1) The failure to inform the public on prevention campaigns in the area.

2) The user's underestimation of symptoms such as bleeding that you always back in the automatic haemorrhoids.

3) failure to notify the general practitioner of symptoms

4) the lack of knowledge of professionals (colorectal proctologist? "This unknown")

5) the long waiting lists to perform endoscopic examinations.

Needless to add, that this list could, or rather, it is incomplete, but whatever the cause Unfortunately, the effect is the same: The ratirdo diagnostic and increasing rates of neoplastic disease in an advanced stage.

If I really aim, I'd be the first to congratulate me, so I hope to be able once and for all delivered to clarify that the blood from the anus NOT 'PHYSIOLOGICAL EVER! It 'a symptom of a disorder, such as haemorrhoids, which is the red herring of the kind of thinking that, = Blood Hemorrhoids -> NO PROBLEM!

NO! it is not.

in Anglo culture is colon-proctology well established, thanks to the fact that talking about hemorrhoids is not as outrageous as in Italy. The first British patients to sign whatever it is, the challenge facing the specialist and correction of hemorrhoidal disease if present.
correction of hemorrhoidal disease, has a dual effect:

1) correct the disease

2) cut considerably the causes of bleeding, thus prompting the patient to an early focus on the symptom and then to the cause!


such as the following example, a cancer of the colon, which stenotizza (not occluded), the light organ, which was manifested by bleeding and reduction of serum iron (iron) and that the patient back to the old 20-year haemorrhoids.
that nobody believes that this is only a coincidence, in the case histories of patients to have these random archives full. It 'obvious that the aim of prevention is to resolve these cases.


Needless to say, the detection of polypoid lesions, as in this image of a virtual colonoscopy, are the overwhelming majority, but it is unclear that this lesion and its degenerate two are the result of the previous .
policy identification and remediation of the colon by means of endoscopic polypectomy is the very instrument through which to break down the growth rates of Cancer of the colon and rectum. Wanting


then draw conclusions that we have to say: The
occult blood stool is:
The first step toward identifying asymptomatic patients at risk of developing cancer
That alone does not however represent a good nothing if not followed by the Colon-proctology Visit which aims to identify anorectal diseases in the patient and that alone is able to identify 50% of cancers of the rectum.
It must be said that 50% Mother House colon rectal cancer develops within the first 5 cm of the rectum from the anal margin, or the terminal portion of the rectum which then connects to the anus.
So it is understandable that, EDAR or anorectal exploration performed by experienced operators allow the detection or exclusion of a considerable portion of those tumors with a higher incidence of development and which are those of the terminal rectum or rectum low!
This also means that, early detection of cancer at an early stage in this anatomical region defined, then preventing the implementation of interventions such as demolition amputation abdomino-perineal "Miles Intervention" which includes the packaging of ' preternatural anus or permanent colostomy, said in a nutshell " the bag in the belly .
Why is it okay to say that the anterior resection of the rectum, showed the same effect dell'amputaione abdomino-perineal resection in the treatment of rectal cancer or low subperitoneal, but only if the disease is locally advanced.
To then return to the topic of the post in question, occult blood, and visit proctological pancolonscopia are the means by which we prevent and / or diagnosis.

But the positivity of occult blood cancer mean?

NO! means that there is a leak blood, which could be caused by various diseases including cancer, colorectal cancer, but not exclusively.

But if you suffer from hemorrhoids and I have tested the blood in the stool, the visit and the colonoscopy and is not nothing I can avoid surgery for hemorrhoids?

The choice is personal, it can cope with his hemorrhoidal disease course, but remember that the occult blood test would become increasingly DISTORTION both good thanks to hemorrhoidal bleeding that is not only eye-catching of the blood in the cup! but also the "hidden" from gavocciolo of micro-cracks.

E 'useful to the cancer markers in asymptomatic patients as a test of prevention?

NO! Oncology markers have no role in the prevention of disease! Are indicators that should be used and interpreted in the follow-up of patients with a history of cancer alone and have no role.

Which intervention for rectal cancer?

Surgical options for rectal cancer defined as "low" may be different:
Therefore, it is essential to perform a proper pre-operative Staging (Eco trans-rectal, endoanal MRI) and a proper evaluation of the clinical and general the patient, and only then, implement the most effective therapeutic option in respect of oncological radicality and quality of life of patients. Today, the indication for abdomino-perineal amputation have changed in the past, it reserves this treatment in cases of sphincter infiltration structures, documented by surveys of staging or in the case of incontinence, where the packaging of a permanent colostomy is certainly more appropriate view dysfunction of the base. The introduction of mechanical
suturatici in colorectal surgery Fain et al. in the mid 70's, has allowed conservation work in a larger number of patients. E 'in the early nineteenth century, the first documented attempt to pack with a mechanical device, the intestinal continuity. The succession of efforts in creating an instrument mechanic, act for that purpose, culminating in the availability of all the operating rooms of the globe principals reliable. Spurred on by these technologies, in compliance with the radical cancer, many surgeons have made resection of the rectum with preservation of sphincter function and packaging of low and ultra low anastomosis, especially in patients with cancer of the lower third of the rectum.
a result, the number of abdominal-perineal amputation has been gradually reduced.
studies last thirty years have definitely made it clear that at the same level, grading and biological characteristics, the RA and the App are equivalent in terms of results, because the recurrence is closely related to an inadequate removal of tissue periviscerale the rectum or mesorectum. The
suturatici have certainly set the pace, because they have made possible the packaging of colo-rectal anastomosis significantly lower and safer than they were, where possible and would result in the hands of a few surgeons, the manual anastomosis.
But all this technical and cultural effort which is essential for the treatment of neoplastic disease alone would be little without a culture of cancer prevention.
I must say that the efforts being made in surgery and medicine and will have many.
But it must be stressed that the citizen is too often ill-informed.
E 'to praise the work done by national associations for the fight against cancer prevention campaigns that disseminate the area through the work of volunteers, but tuuto is not enough.
should be realized that the only way to stop a disease that unfortunately affects INEVITABLY a slice of the population, is the use of the tool of prevention.

But the treatment of rectal cancer is surgery alone?

Yes, the surgery is in place which ensure the 50% median survival in patients with this tumor and is not essential that the surgical can be a variable. Colon-Rectal Surgery was established by a process of training is essential and indispensable. In countries like the USA, there have long been the unit of JRC (colorectal surgery) that address both the benign neoplastic disease. In Italy, this training and technical and cultural knowledge should be provided within the course of specialist training. From 8 years about national reference centers and clinical scientific research institutes (IRCS) have, with great effort, inaugurated the training through the Masters, where many surgeons " at their expense" were able to increase their cultural and technical confronting reality even abroad. The approach surgery is the son of a correct staging of the disease. In cases of locally advanced disease, surgery is delegated after the use of chemo-radiotherapy. Who have shown good efficacy in reducing not Neoadjuvant local recurrence, but able to implement the Down-SIZE namely the reduction of the disease locally, and then can not be reserved for patients demolition operations.

There has been innovation in surgical technique?

Surgical Innovation indeed coincides with the best biological knowledge of the disease cancer. The biggest step forward The concept was mesorectum was brought to the fore in 1982 when Heald, Husband and Ryall have a job where it was first described the technique of excision of the mesorectum performed on five patients with distal rectal cancer (TEM). Heald, in the light of his experience, he proposed to carry out the removal of the block structure in the surgical treatment of middle and distal rectal cancer, due to the fact that after such treatment, the rate of local recurrence detected amounted to only 5 %. Rectum and mesorectum are therefore an 'linfovascolare precise amount that must be excised en bloc without creating discontinuity in the mesorectal fascia in order to perform a radical excision oncologically. Irisultati obtained from Heald through the total mesorectum excision (TME) with survival rates in 5 years (87% versus 60% reported in world literature) and very low rates of locoregional recurrence of 3.7% at 4 years versus 30 % of the scientific community. (Hida)

bag in the belly (vehicle or ileostomy) is still necessary or not?

Firstly I should clarify two major aspects:

UNFORTUNATELY, not all patients can undergo a sphincter-conserving surgery and then have a candidatiad radical surgery and amputation abdomino perineal colostomy permanent. The reason is that even today! Some patients come to the observation of the surgeon too late in the disease.

For patients candidates for surgery conservative "anterior resection of rectum" packaging "Temporary " of Ileostomy or colostomy (depends on the school) turns out to be a duty.

So in conclusion how to defeat the cancer of the rectum:

few years ago discussing with a colleague, looking for a way to create an acronym to describe briefly the three golden rules to be disclosed.

After so much I married rimurginare " APC" that bed so it seems say nothing!

A = Attention

careful what we eat the diet that must always be balanced attention to obesity, attention to the high protein intake of alcohol and tobacco to the low consumption of fruits and vegetables.

P = Prevention

prevention starts at age 50 even though Personally I do not agree with the application of statistics in this age group, since their thirties and forties were my patients. But strictly speaking, we use the Prevention of course first! Of course, such as pattern change (sudden constipation and diarrhea), bleeding, rectal pain, family history of cancer! is worth emphasizing that if the family the father or the mother developed a colonic neoplasm children must turn on the light bulb! and attention to themselves the problem. The fecal occult blood test is quick! and useful! Contact your proctologist is not an option! Ask a colonoscopy at age 50 is not going to the gallows!

C = Caring for the Care

prorpio aspect is a priority! heal the body but is not? Care identifies a number of behaviors that should be well considered. Unfortunately, when you get sick, the logic is displaced by fear! And 'that's when everyone is susceptible.

Cure is now possible. The surgery has become by demolitiva a conservativa, la medicina oncologica ha nuove terapie meno invalidanti che agiscono a livelli sempre più selettivi e senza i reliquati di un tempo, senza cioè quel disconfort tipico dei sintomi legati ai trattamenti antiblastici. La radioterapia ha affinato sempre più le metodiche risparmiando sempre di più il tessuto sano a scapito di quello malato.

Gli anni che verranno saranno sicuramente ricolmi di grandi novità e speranze per la cura dei tumori. Noi oggi però dobbiamo sforzarci nel far comprendere ai sani che il tumore si può prevenire ed ai malati che di tumore si può guarire.

Liquor License Ontario Party

The faecal occult blood ... a small gesture can save a life. The Italian Health

Qualche lettore dei precedenti post, mi ha inviato una e-mail with a bitter taste. "It is 10 minutes and I would not be so small!" The theme is prevention! Only 10 minutes to defeat the cancer can! The occult blood in the stool is still a most effective means in preventing colon cancer and rectum. In Italy, thanks to the work of many volunteers, centers such as the Italian League Against Cancer, the Italian Association for Cancer Research allows you to test quickly and in some agencies will be subject to examination.
I do not know how many times that the rectal bleeding, is not physiological and that the occult blood test and a visit proctological could save a life.
Hei! I say to you who read these pages! Yes egoista solo 1 minuto! Rifletti sulla vera grande ricchezza che hai "la tua salute"! getta via i falsi pudori! Fai il test! e se risulta positivo non tremare! Esegui la visita e la pancolonscopia! Prova anche tu, come fanno già altri, a battere sul tempo quel nemico silente e qualche volta implacabile che si chiama TUMORE!

Submission Match Sister

: between excellence and shame.

Non si può non ascoltare, non si può non vedere, non si può essere indiffreneti alle notizie che giungono dai mezzi di comunicazione e che riguardano gli ultimi scandali che ancora di più mortificano la nostra professione. E' ovvio che mi riferisco alla nota vicenda della clinica Milanese, al centro delle indagini della Magistratura e che rappresenta per tutti i medici una vergogna. Innanzitutto, desidero da medico sottolineare come, mi risulti impossibile pensare, che qualcuno che fa la nostra professione, possa davvero aver compiuto ciò che dalla prime indagini, sembra essere emerso. Se è così che Dio li perdoni (lui può) perchè non credo che tutti gli altri lo faranno mai. Milano rappresenta per la mia vita professionale qualcosa d' importante. Grazie al mio maestro,al quale devo davvero molto dal punto di vista professionale che umano, dicevo, grazie a lui, durante un congresso proprio a Milano, mi fu proposto di frequentare l'Istituto Nazionale dei Tumori, luogo nel quale sono cresciuto e dove ho tanti altri maestri ed amici. Partire da Palermo, da un città where you have everything, family, feelings and move to a new reality, new working environment is not very easy, but I assure you that after the initial difficulties and adjustment times, then everything changes.

I left I found serious professionals and serious professionals, and already I was lucky!

The years are perhaps not many, but I do not think they can breathe the same air more than 12 years ago.

Milan, the heart of the medical culture, professional companies began to model and to be referred to as ARKE ', perfect prototype.

And now? someone writes 16, some 12 clinics Milanesi under investigation and for the same types of crime! What happens?! A virus lethal hit is the medical profession and the epicenter of this epidemic is Milan? No, I do not think. I fear that this is a small jar lid off! and I fear for our profession is about to take off the mud as a Tzunami! If the true primum movens healthcare organizations (ie public and private) will be the reduction of expenditure and the budget in a large swath of positive patients could be left out! But the WHO in Italy is not always taken as a model of excellence for the fact that all citizens are guaranteed access to treatment in accordance with the greater good! or health? We want to copy the American model? That no bill no care? Well Say it loud and clear! Citizens, ITALIAN, get bills or pay your pocket! But if this is the future, then a cohort of doctors must take to the streets! and ask to be allowed equality in the world!

Scholars, researchers, Doctors precarious because it ghettoized, but no role! Get in while others allow you to shovel in defiance of the law, to go for the parallel activities prorpio! The intramural

is like the battleship Fantozziana memory. Give the professionals of the public the tools, spaces and resources and a salary commensurate with the activity and who want instead of his own free will and it does matter for the private professionals who work in private are only professionals and provide the same level of care and service to the public. It is unfair that waiting times are Biblical! but if I order the same performance in intramural in the same hospital more than 48 hours after 24 the benefit is paid!

It makes public a private matter? Fool!

So if health insurance will become the sovvenzioanta, demolished some structures fatiscienti indebbitamente Hospitals calls or worse yet university hospitals between rats and stray dogs, then I do not know what yet! Build

NEW HOSPITALS easily accessible and usable by all!

Then grab yourself to finish this for a ride with Competitions! After years of Degree & Specialty and 6 have passed the age and innocence of fairy tales! Thanks!

Oragnize Euro Pillows

Stress, swollen belly, stomach cramps, constipation and / or diarrhea irritable bowel syndrome ...

The irritable bowel syndromes is really a social disease? Some estimate affects about 20% of the population but the most pessimistic talk as much as 30%.

Cramps, borborygmi, Flatulence , real abdominal colic, diarrhea or constipation Is a series of symptoms that can be traced back to known IBS or Irritable Bowel Syndrome.

What are the mechanisms that trigger the symptoms and what will never be the cause of much suffering?

say that the sticker says that I have chosen good cause. I know that saying, stress, some might say "already, as usual," but just in IBS with stress is a key factor.

the life they lead is certainly not that of our ancestors bucolic, clean air, no traffic, no telephone and mobile phones, plenty of exercise and a regulated diet.

No

today eat hurriedly, at the Bar in the office and even while you bite the usual sandwich, the phone rings or you meet the fellow who reminds you that when you finish there is a practice to attend to urgent! Aw, Snap! We say! the intestine but is not limited to UFFA!

here it is, the hearty meal of modern work! Certainly when you are hungry and you are at work who does not bite into a sandwich like this? We do it all and almost every day!

Some prefer to find even in the cafeteria under the office of the flavors of home, that big plate of steaming pasta!

satisfied! Here are our pre-cooked spaghetti! that after adequate riscaldatina are ready to console our need for housing.

Most smalizziati, thanks to the greed or conscience momemtaneamente unreachable as the cell and the absence of the Holy Inquisition Domestica ( Wife telling you that your cholesterol rears daily like oil in your bag and you can also sell a barrel! ) between fried and sauteed drown the pain of a hectic day.

What is the outcome then?

Here! and paradigmatic is the sentence that begins by saying the patient.

"Doctor help are swollen / a like a balloon!"
or "Doctor, I do not understand I finish eating and everything seems to hang here in the stomach" short, the fish ball here next to a good representation of the symptoms of IBS.

But why?

Our brain activity, manages many things including the organs and systems. And 'well-known that fear stimuli bladder (pee). How anger instead, increase pressure, dilates vascular structures (red with anger!) Well, the colon receives many stimuli and encodes them by increasing its contraction, causing cramps or colic, and interfering with the normal contraction of the intestine, known as peristalsis. In short, the goodies views once taken are discarded as waste. Well, the colon contracts so that these wastes pass to the exit. Stress interferes with peristalsis in some places by stopping the progression of nuclear, constipation or favoring instead it may increase the speed of transit and diarrhea appear. Increasing or slowing of transit translates into higher gasification of the colon and then increased bloating etc etc.

the Eventually, many patients find themselves having to also live with other fastdi.

What?

is a tool that I thought lost between the therapeutic arsenal of many, but I was wrong! Sure to work with the newspaper under his arm, not offend anyone, but seeing the legendary tick Donut! However or her or his surrogates, pillow bearings are shown in many offices. Of course they are more discreet! But they say the same thing anyway! Inflammation of the anus or prolapsed hemorrhoids or anal fissure! Well worth the relatives of the disease and IBS direct causes of this.

Yes, but the therapy? what should it be?

Medical therapy can reduce symptoms but can not remove the cause! In addition, chronic therapy with prokinetics and antispasmodics or muscle relaxants are not there in the various solution nor the gold-standard!

Beating stress, finding ways and space to gratify his ego and his own body would do good to all. Unfortunately this is not always possible, therefore, in cases where symptoms worsen quality of life, specific therapies designed to reduce the nuisance and taken for short periods soluzione.Il may be the only patient with IBS often know the causes of his being sick, which is accompanied by other extra-intestinal symptoms such as disrupted sleep, insomnia, fatigue, nervousness etc etc.

A good diet, proper hydration, exercise and a lot of love for themselves so they can help. Ricordandocci that stress is still there and we can strike even when there is less aware of it!