Key concepts in management of vulvar cancer.

Susan Zweizig; Sharmilee Korets; Joanna M Cain

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Key concepts in management of vulvar cancer.

机译：外阴癌治疗中的关键概念。

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Vulvar carcinoma is an uncommon tumor that is seen most often in older women. Subtle symptoms such as pruritus should prompt examination and targeted biopsy in all women as this disease can be successfully treated even in elderly, frail individuals. Vulvar cancer has a bimodal age distribution and is seen in both young and older women with risk factors including human papillomavirus (HPV) infection, smoking, and vulvar skin diseases (i.e., lichen sclerosus). This cancer is staged surgically, with an update in 2009 incorporating prognostic factors. The treatment of vulvar carcinoma has evolved to include more conservative surgical techniques that provide improved cure rates with emphasis on minimizing morbidity. Advanced and metastatic lesions are now treated with chemoradiation which produces substantial cure rates with decreased morbidity. Promising areas of research in vulvar cancer include refinement of sentinel lymph node biopsy, prevention of lymphedema, and preservation of sexual function following treatment.

机译：外阴癌是一种罕见的肿瘤，最常见于老年妇女。诸如瘙痒之类的细微症状应及时对所有妇女进行检查并进行活检，因为即使在年老体弱的人中也可以成功治疗该病。外阴癌具有双峰年龄分布，在年轻妇女和老年妇女中均可见，其危险因素包括人乳头瘤病毒（HPV）感染，吸烟和外阴皮肤病（即地衣性硬化症）。该癌症是外科手术分期，2009年进行了更新，纳入了预后因素。外阴癌的治疗已发展为包括更为保守的外科手术技术，这些技术可提高治愈率，并着重于降低发病率。现在，对晚期和转移性病变进行化学放射治疗，可显着提高治愈率并降低发病率。外阴癌的有前途的研究领域包括完善前哨淋巴结活检，预防淋巴水肿和治疗后保持性功能。

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《Best practice & research:Clinical obstetrics & gynaecology》 |2014年第7期|共8页
作者
Susan Zweizig; Sharmilee Korets; Joanna M Cain;
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中图分类妇产科学;
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1. Key concepts in management of vulvar cancer. [J] . Susan Zweizig, Sharmilee Korets, Joanna M Cain Best practice & research:Clinical obstetrics & gynaecology . 2014,第7期

机译：外阴癌治疗中的关键概念。
2. Current controversies in the management of patients with early-stage vulvar cancer. [J] . Oonk MH, de Hullu JA, van der Zee AG Current Opinion in Oncology . 2010,第5期

机译：当前在治疗早期外阴癌方面存在争议。
3. Sentinel lymph node biopsy in the management of vulvar carcinoma, cervical cancer, and endometrial cancer. [J] . Zivanovic O, Khoury Collado F, Abu Rustum NR The oncologist . 2009,第7期

机译：前哨淋巴结活检可治疗外阴癌，宫颈癌和子宫内膜癌。
4. Operations Management for Recent and Future Large Astronomical Facilities: Thoughts on Best Practices and Key Concepts [C] . Bernhard Lopez, tuartt Corder, Nicholas Whyborn, Conference on Observatory Operations: Strategies, Processes, and Systems . 2020

机译：近期和未来大型天文设施的运营管理：关于最佳实践和关键概念的思考
5. Conceptual frames, values of nature, and key symbols of ecosystem management: Landscape -scale assessment in the Bridger -Teton National Forest. [D] . Rutherford, Murray Bruce. 2003

机译：概念框架，自然价值和生态系统管理的关键符号：布里奇-提顿国家森林地区的景观规模评估。
6. Changing concepts in the management of cancer. [O] . G Crile Jr 1973

机译：改变癌症管理观念。
7. ABSTRACT Various body parts or organs can be analysed to identify the different diseases in the human body. Fingernail analysis is one of the ways to identify disease in the human body. Nails are the body part which are farthest from the heart and therefore receive oxygen at last. As a result the nails are the first who show the symptoms of a disease in the human body. Fingernails can be easily captured for diagnosis and there are no heavy equipment or no specific conditions required to use nail image for disease diagnosis, like in other tests and scanning processes. Human nails deliver beneficial information about complaints or any nutritive imbalances in the human body depending upon their shape, texture and colour. In human beings, numerous systemic and skin diseases can be easily analyzed through careful examination of nails of both the limbs. A lot of nail illnesses have been found to be primary signs of numerous underlying systemic illnesses. The colour, texture or shape changes in nails are signs of many diseases mainly affecting nails. Considering all these properties of nails a system is proposed that uses digital image processing (DIP) methods for identifying such changes in the human nail to get more precise results and predict numerous diseases effortlessly. With the emerging Internet of Things (IOT) concept the generated report is made available remotely, this will help users to reduce transportation efforts. As the system has to deal with large and private data, the security of data must be ensured. To keep the data confidential, the Blockchain concept which is one of the most emerging concepts in the field of data management is used. The paper contains the implementation of the digital image processing for feature extraction of nail images, usage of IOT (ThingSpeak cloud) for data storage and implementation of Blockchain to keep the system secured and theft free. KEY WORDS: Int ernet of thin gs (IOT), Image proc essin g, Thin gSpeak, RG B vavalues, Mean pi xel vavalues, Bloc kchain , Hash key. Disease Diagnostic System: Abnormalities in Human Nail [O] . Pranav S. Wazarkar 2020

机译：摘要的各个身体部位或器官可被分析以识别在人体内的不同的疾病。指甲分析来识别人体疾病的方法之一。指甲是身体一部分是离心脏最远，因此在最后接受氧气。作为结果，指甲是第一谁表现出人体疾病的症状。指甲可以容易地捕获用于诊断和没有重装或需要使用指甲图像用于疾病诊断，比如在其他测试和扫描过程没有特定的条件。人的指甲提供有关投诉或取决于它们的形状，纹理和色彩在人体内的任何营养失衡有益的信息。在人类中，许多全身性皮肤疾病是可以很容易地通过两个四肢指甲的仔细检查分析。很多指甲病已发现众多潜在系统性疾病的主要症状。在指甲的颜色，质地和形状的变化是许多疾病主要影响指甲的迹象。考虑到所有的指甲的这些性能的系统被提出，用于识别人指甲这样的变化以获得更精确的结果，并毫不费力预测许多疾病用途的数字图像处理（DIP）方法。随着物联网（IOT）的概念，新兴的互联网将生成的报告提供远程，这将帮助用户降低运输工作。由于系统必须处理大量的私人数据，数据的安全性必须得到保证。为了保持数据的机密性，使用Blockchain的概念，它是在数据管理领域的大多数新兴的概念之一。本文包含了数字图像处理的指甲图像，IOT（ThingSpeak云）的使用为数据存储和执行Blockchain的特征提取的执行，以保持固定的系统和盗窃免费。关键词：诠释薄GS（IOT），图像的ERNET PROC essin克，薄型gSpeak，RG乙vavalues，平均数PI XEL vavalues，阵营kchain，哈希密钥。疾病诊断系统：在人类指甲异常

Key concepts in management of vulvar cancer.

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