With lumpectomy and sometimes radiation. [75] her2+ cancers should be treated with the trastuzumab (herceptin) regime. cheap viagra [76] chemotherapy is uncommon for other types of stage 1 cancers. buy pink viagra women uk Stage 2 and 3 cancers with a progressively poorer prognosis and greater risk of recurrence are generally treated with surgery (lumpectomy or mastectomy with or without lymph node removal), chemotherapy (plus trastuzumab for her2+ cancers) and sometimes radiation (particularly following large cancers, multiple positive nodes or lumpectomy). Stage 4, metastatic cancer, (i. order viagra online without script E. viagra online without prescription Spread to distant sites) has poor prognosis and is managed by various combination of all treatments from surgery, radiation, chemotherapy and targeted therapies. 10 year survival rate is 5% without treatment and 10% with optimal treatment. viagra pills for sale canada [77] [edit] surgery chest after right breast mastectomy surgery involves the physical removal of the tumor, typically along with some of the surrounding tissue and frequently sentinel node biopsy. Standard surgeries include: mastectomy: removal of the whole breast. Quadrantectomy: removal of one quarter of the breast. Lumpectomy: removal of a small part of the breast. If the patient desires, then breast reconstruction surgery, a type of cosmetic surgery, may be performed to create an aesthetic appearance. price comparison viagra and viagra In other cases, women use breast prostheses to simulate a breast under clothing, or choose a flat chest. [edit] medication drugs used after and in addition to surgery are called adjuvant therapy. viagra women herbal Chemotherapy or other types of therapy prior to surgery are called neoadjuvant therapy. generic viagra without prescription There are currently three main groups of medications used for adjuvant breast cancer treatment: hormone blocking therapy, chemotherapy, and monoclonal antibodies. Hormone blocking therapy some breast cancers require estrogen to continue growing. They can be identified by the presence of estrogen receptors (er+) and progesterone receptors (pr+) on their surface (sometimes referred to together as hormone receptors). These er+ cancers can be treated with drugs that either block the receptors, e. G. Tamoxifen (nolvadex), or alternatively block the production of estrogen with an aromatase inh. buy cheap viagra dangers of buying viagra online Asesoría Laboral, Fiscal y Contable

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