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2.
J Synchrotron Radiat ; 28(Pt 3): 688-706, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33949979

RESUMEN

The high-precision X-ray diffraction setup for work with diamond anvil cells (DACs) in interaction chamber 2 (IC2) of the High Energy Density instrument of the European X-ray Free-Electron Laser is described. This includes beamline optics, sample positioning and detector systems located in the multipurpose vacuum chamber. Concepts for pump-probe X-ray diffraction experiments in the DAC are described and their implementation demonstrated during the First User Community Assisted Commissioning experiment. X-ray heating and diffraction of Bi under pressure, obtained using 20 fs X-ray pulses at 17.8 keV and 2.2 MHz repetition, is illustrated through splitting of diffraction peaks, and interpreted employing finite element modeling of the sample chamber in the DAC.

3.
Phys Rev Lett ; 126(1): 015703, 2021 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-33480771

RESUMEN

We present results from the SPring-8 Angstrom Compact free electron LAser facility, where we used a high intensity (∼10^{20} W/cm^{2}) x-ray pump x-ray probe scheme to observe changes in the ionic structure of silicon induced by x-ray heating of the electrons. By avoiding Laue spots in the scattering signal from a single crystalline sample, we observe a rapid rise in diffuse scattering and a transition to a disordered, liquidlike state with a structure significantly different from liquid silicon. The disordering occurs within 100 fs of irradiation, a timescale that agrees well with first principles simulations, and is faster than that predicted by purely inertial behavior, suggesting that both the phase change and disordered state reached are dominated by Coulomb forces. This method is capable of observing liquid scattering without masking signal from the ambient solid, allowing the liquid structure to be measured throughout and beyond the phase change.

4.
Phys Rev Lett ; 105(26): 265701, 2010 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-21231678

RESUMEN

Laser-produced proton beams have been used to achieve ultrafast volumetric heating of carbon samples at solid density. The isochoric melting of carbon was probed by a scattering of x rays from a secondary laser-produced plasma. From the scattering signal, we have deduced the fraction of the material that was melted by the inhomogeneous heating. The results are compared to different theoretical approaches for the equation of state which suggests modifications from standard models.

5.
Rev Sci Instrum ; 91(12): 123501, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33379989

RESUMEN

Small angle x-ray scattering (SAXS) is a well established technique to detect nanometer scale structures in matter. In a typical setup, this diagnostic uses a detector with a direct line of sight to the scattering target. However, in the harsh environment of high intensity laser interaction, intense secondary radiation and high-energy particles are generated. Such a setup would therefore suffer a significant increase of noise due to this background, which could eventually prevent such measurements. In this paper, we present a novel tool consisting of a mosaic graphite crystal that works as a mirror for the SAXS signal and allows us to position the detector behind appropriate shielding. This paper studies the performance of this mirror both by experiment at the European XFEL (X-Ray Free-Electron Laser Facility) laboratory and by simulations.

6.
Opt Lett ; 34(17): 2560-2, 2009 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-19724489

RESUMEN

We present a method for producing laser beams of nonuniform polarization where the polarization direction rotates on a trajectory about the beam propagation direction. Our method uses a Sagnac interferometer that incorporates a spatial light modulator to combine beams that possess oppositely charged phase vortices in order to achieve the desired polarization vortex. We demonstrate the utility of our method by producing polarization vortices characterized by a fractional index, and we compare the results with calculations of the expected fields.

7.
Sci Rep ; 9(1): 602, 2019 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-30679456

RESUMEN

The evolution of bismuth crystal structure upon excitation of its A1g phonon has been intensely studied with short pulse optical lasers. Here we present the first-time observation of a hard x-ray induced ultrafast phase transition in a bismuth single crystal at high intensities (~1014 W/cm2). The lattice evolution was followed using a recently demonstrated x-ray single-shot probing setup. The time evolution of the (111) Bragg peak intensity showed strong dependence on the excitation fluence. After exposure to a sufficiently intense x-ray pulse, the peak intensity dropped to zero within 300 fs, i.e. faster than one oscillation period of the A1g mode at room temperature. Our analysis indicates a nonthermal origin of a lattice disordering process, and excludes interpretations based on electron-ion equilibration process, or on thermodynamic heating process leading to plasma formation.

8.
Food Res Int ; 111: 306-313, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-30007690

RESUMEN

The objectives of this study were: to evaluate the use of dry distillery grain soluble extract - DDGse to produce yeast biomass and to obtain cell wall (CW), to use the CW as an aflatoxin B1 (AFB1) adsorbent, to study the variation in the composition and thickness of the CW under the influence of DDGse to evaluate their implication on the adsorption process using transmission electron microscopy (TEM) and fourier-transform infrared spectroscopy (FITR). The production of biomass and CW were variable. The CW thickness values showed that S. boulardii strain grown in yeast extract peptone dextrose (YPD) or DDGse medium, with no significant differences observed. The thickness of the CW for S. cerevisiae (RC012 and VM014) were increased when the cells were grown in DDGse medium, the thickness was almost double compared to the values obtained in YPD medium. The spectra IR of each CW in the two culture media shown regions corresponding to polysaccharides, proteins and lipids. Cells grown in DDGse medium adsorbed more AFB1 than those grown in YPD. The CW adsorbed more AFB1 than the same amount of whole cell. Future studies should be done to determine the type of carbohydrates and the relationship between chitin - beta glucans responsible for mycotoxin adsorption.


Asunto(s)
Aflatoxina B1/análisis , Agricultura , Pared Celular/química , Residuos Industriales , Saccharomyces boulardii/metabolismo , Saccharomyces cerevisiae/metabolismo , Adsorción , Biomasa , Pared Celular/metabolismo , Microscopía Electrónica de Transmisión , Espectroscopía Infrarroja por Transformada de Fourier
9.
Eur J Surg Oncol ; 32(7): 738-42, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16806793

RESUMEN

AIMS: Methods of administering (99m)Tc-phytate during sentinel node biopsy of early breast cancer patients were compared to improve the sensitivity of the technique. METHODS: Two injection methods, intradermal vs. intradermal-plus-deep injection, were compared in 648 early breast cancer patients. Intradermal injection was done in 323 consecutive patients (325 breasts), and intradermal-plus-deep injection was done in 325 consecutive patients (329 breasts). The following items were compared: (1) The number of axillary nodes detected scintigraphically and removed surgically, and the breast number of micrometastasis to axillary nodes; (2) The number of internal mammary nodes detected scintigraphically and removed surgically; and (3) The sensitivity of axillary SNB. RESULTS: The number of axillary nodes scintigraphically detected was 1.63+/-0.80 (mean+/-SD) in patients given intradermal injection, and was 1.82+/-0.94 in patients given intradermal-plus-deep injection. The number of axillary nodes surgically removed was 1.78+/-0.93 in patients given intradermal injection, and was 1.95+/-0.99 in patients given intradermal-plus-deep injection. The visualization of internal mammary nodes was superior with intradermal-plus-deep injection (5/325 for intradermal, and 51/329 for intradermal-plus-deep). The putative sensitivity was 71/72 (98.6%) for the intradermal-plus-deep method and 56/62 (90.3%) for the intradermal method. The frequency of detection of micrometastasis was 24 in 71 true positive (38.8%) for the intradermal-plus-deep method and 13 in 56 true positive (23.2%) for the intradermal method. CONCLUSIONS: The SNB procedure with the intradermal-plus-deep injection method detected more axillary and internal mammary nodes, more (not statistically significant) micrometastasis and improved the putative sensitivity more than the SNB procedure with the intradermal injection method.


Asunto(s)
Neoplasias de la Mama/patología , Compuestos de Organotecnecio/administración & dosificación , Ácido Fítico/administración & dosificación , Radiofármacos/administración & dosificación , Biopsia del Ganglio Linfático Centinela , Axila , Mama , Femenino , Humanos , Inyecciones Intradérmicas , Ganglios Linfáticos/patología , Metástasis Linfática , Persona de Mediana Edad , Sensibilidad y Especificidad , Biopsia del Ganglio Linfático Centinela/métodos
10.
Eur J Surg Oncol ; 32(10): 1101-4, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16626922

RESUMEN

AIMS: The aim of the present study is to clarify the level of radioactive lymph node should be biopsied after the most radioactive SN is removed. METHODS: SNB using radionuclide was performed in our hospital for 1179 primary breast cancers between April 2000 and October 2005; most (1177/1179) were performed successfully. Our criterion for harvesting SNs is to remove tissue until no radioactive site is present. The level of radioactivity and the order of removal of each lymph node were compared with pathologic results. RESULTS: More than 2 (overall average 1.9) radioactive SNs were biopsied in 686 of 1177 breasts. Cancer positive results were recorded for 142 breasts with multiple SNs. In 142 breasts, 64 showed metastasis to the most radioactive node only, 39 showed metastasis other than the most radioactive node only, and 39 showed the most radioactive node and other radioactive nodes. Moreover, if several other criteria were applied, false-positive cases were increased significantly. CONCLUSIONS: It is necessary to harvest radioactive lymph nodes other than the most radioactive. Moreover, efforts to remove every radioactive lymph node will minimize false-negative results.


Asunto(s)
Neoplasias de la Mama/patología , Ganglios Linfáticos/efectos de la radiación , Compuestos de Organotecnecio , Ácido Fítico , Radiofármacos , Renio , Biopsia del Ganglio Linfático Centinela , Compuestos de Tecnecio , Axila , Reacciones Falso Negativas , Reacciones Falso Positivas , Femenino , Humanos , Dosis de Radiación
11.
Eur J Surg Oncol ; 31(8): 840-4, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16009528

RESUMEN

AIMS: To study the significance of lymphatic drainage disruption due to a surgical scar in sentinel node mapping (SNM) in breast cancer patients. METHODS: We reviewed patients with stage I breast cancer who had undergone SNM and had an old surgical scar in the ipsilateral breast. RESULTS: Of 534 breast cancer patients who had undergone SNM, five patients had an old scar in the ipsilateral breast. Inter-pectoral nodes, internal nodes, intramammary nodes, and contralateral axillary nodes were identified as sentinel nodes in three cases. In the remaining two cases, no sentinel lymph nodes were identified. CONCLUSIONS: An old surgical scar in the breast may cause lymphatic drainage disruption, resulting in abnormal radioactive colloid uptake during SNM.


Asunto(s)
Neoplasias de la Mama/patología , Cicatriz/patología , Biopsia del Ganglio Linfático Centinela/métodos , Anciano , Axila , Mama , Carcinoma in Situ/patología , Carcinoma in Situ/cirugía , Carcinoma Ductal de Mama/patología , Carcinoma Ductal de Mama/cirugía , Colorantes , Femenino , Humanos , Escisión del Ganglio Linfático , Ganglios Linfáticos/diagnóstico por imagen , Ganglios Linfáticos/patología , Mastectomía , Mastectomía Segmentaria , Persona de Mediana Edad , Recurrencia Local de Neoplasia/patología , Músculos Pectorales , Cintigrafía , Radiofármacos
12.
Leukemia ; 16(12): 2400-7, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12454745

RESUMEN

Although CD4(+) helper T lymphocytes have been demonstrated to play an important role in antitumor immune response, only a few epitopes of tumor-associated antigens recognized by HLA class II-restricted CD4(+) T lymphocytes have been identified. In the present study, we addressed the question of whether leukemia-associated fusion proteins are recognized by CD4(+) T lymphocytes. Immature dendritic cells (DCs) were loaded with necrotic or apoptotic leukemia cells with t(6;9) or t(9;22) and then cocultured with the dek-can fusion peptide-specific or the bcr-abl fusion peptide-specific CD4(+) T lymphocyte clone. The dek-can peptide-specific and bcr-abl peptide-specific CD4(+) T lymphocyte clones produced interferon-gamma (IFN-gamma) when they were cocultured with HLA-DR-matched but not with mismatched DCs which had been loaded with apoptotic as well as necrotic leukemia cells with t(6;9) and t(9;22), respectively. IFN-gamma production by CD4(+)T lymphocyte clones in response to stimulation with DCs loaded with leukemia cells was inhibited by the anti-HLA-DR monoclonal antibody. These data indicate that the acute myelogenous leukemia-associated fusion protein, dek-can, and chronic myelogenous leukemia-associated fusion protein, bcr-abl, are both processed and presented by DCs to the fusion peptide-specific CD4(+) T lymphocytes.


Asunto(s)
Linfocitos T CD4-Positivos/inmunología , Proteínas de Fusión bcr-abl/inmunología , Antígenos HLA-DR/inmunología , Leucemia/inmunología , Proteínas Oncogénicas/inmunología , Proteínas Recombinantes de Fusión/inmunología , Presentación de Antígeno , Antígenos de Neoplasias/inmunología , Apoptosis , Células Dendríticas/inmunología , Humanos , Interferón gamma/metabolismo , Leucemia/patología , Necrosis , Proteínas de Fusión Oncogénica , Células Tumorales Cultivadas
13.
Artículo en Inglés | MEDLINE | ID: mdl-25871224

RESUMEN

Fast-electron generation and dynamics, including electron refluxing, is at the core of understanding high-intensity laser-plasma interactions. This field is itself of strong relevance to fast ignition fusion and the development of new short-pulse, intense, x-ray, γ-ray, and particle sources. In this paper, we describe experiments that explicitly link fast-electron refluxing and anisotropy in hard-x-ray emission. We find the anisotropy in x-ray emission to be strongly correlated to the suppression of refluxing. In contrast to some previous work, the peak of emission is directly along the rear normal to the target rather than along either the incident laser direction or the specular reflection direction.

14.
Nat Commun ; 6: 8742, 2015 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-26541650

RESUMEN

Since the observation of the first brown dwarf in 1995, numerous studies have led to a better understanding of the structures of these objects. Here we present a method for studying material resistivity in warm dense plasmas in the laboratory, which we relate to the microphysics of brown dwarfs through viscosity and electron collisions. Here we use X-ray polarimetry to determine the resistivity of a sulphur-doped plastic target heated to Brown Dwarf conditions by an ultra-intense laser. The resistivity is determined by matching the plasma physics model to the atomic physics calculations of the measured large, positive, polarization. The inferred resistivity is larger than predicted using standard resistivity models, suggesting that these commonly used models will not adequately describe the resistivity of warm dense plasma related to the viscosity of brown dwarfs.

15.
Placenta ; 21(7): 693-702, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10985973

RESUMEN

Implantation sites from three strains of immunodeficient mice [tgepsilon26, IL-2Rbeta nullxp56(lck)null and IL-2Rgamma null, now known as common cytokine chain gamma (gamma(c)) null], which lack uterine natural killer (uNK) cells, are histologically abnormal. The related anomalies (found from day 10 of gestation) include the absence of aggregation of lymphocytes in the mesometrial triangle, acellularity of the mesometrial decidua, decidual arteries with relatively thick walls and reduced lumen diameters, unusual prominence of the endothelium in the major decidual vessels, and an overall reduction in placental size. In this study we have characterized implantation sites in a new mouse strain (gammac(-)/RAG2(-)) that is deficient in all lymphoid lineages. We have compared implantation sites in tgepsilon26 to gammac(-)/RAG2(-)at the ultrastructural level in order to determine the earliest-time point at which implantation sites differed from those in immunocompetent mice, and the cell types affected. Implantation sites from both the uNK cell-deficient mice resemble those from random-bred, immunocompetent mice on days 6 and 7 of gestation. On day 8 of gestation, decidual cells on the mesometrial sides of implantation sites in both tgepsilon26 and gammac(-)/RAG2(-)revealed pleotrophic morphology and degeneration. In some vessels, endothelial cells were distorted or displaced from their supporting cells. Progressive changes, suggestive of loss of function of both the mesometrial decidua and endothelial cells, were seen to day 14 of gestation, the latest time-point analysed. In contrast to tgepsilon26 mice, homozygously-mated gammac(-)/RAG2(-)had normal litter sizes, with birthweights and weaning weights similar to congenic C57Bl/6J controls, and no significant perinatal loss. In both strains, the newly-documented endothelial cell lesions predict detrimental alterations to vasomotor function of the uterine vasculature. These studies add strength to the hypothesis that uNK cells may have specialized physiological, rather than classically immune, functions in the pregnant mammalian uterus.


Asunto(s)
Implantación del Embrión , Síndromes de Inmunodeficiencia/patología , Células Asesinas Naturales/fisiología , Útero/ultraestructura , Animales , Decidua/ultraestructura , Femenino , Muerte Fetal/inmunología , Edad Gestacional , Síndromes de Inmunodeficiencia/genética , Ratones , Ratones Endogámicos C57BL , Ratones Endogámicos CBA , Microscopía Electrónica , Embarazo
16.
J Biochem ; 109(4): 577-80, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1714442

RESUMEN

This study was carried out to investigate the distribution and contents of O-phosphoserine (P-Ser), O-phosphothreonine (P-Thr), and O-phosphotyrosine (P-Tyr) as their free forms in animal tissues. After extraction of a tissue sample with trichloroacetic acid, these O-phosphoamino acids were converted into their N-isobutoxycarbonyl trimethyl ester derivatives and then quantitated by GLC, with flame photometric detection, on a DB-1701 capillary column. Using this method, nanogram levels of O-phosphoamino acids in tissue samples could be accurately and precisely determined without any interference by coexisting substances. Free P-Ser and P-Thr were widely found in animal tissues, pancreas, spleen, stomach, kidney, liver, and lung containing considerable amounts of these O-phosphoamino acids. On the other hand, free P-Tyr was not detected in any of the tissues investigated in this study.


Asunto(s)
Fosfoserina/análisis , Fosfotreonina/análisis , Tirosina/análogos & derivados , Animales , Química Encefálica , Pollos , Cromatografía de Gases , Peces , Riñón/química , Hígado/química , Masculino , Ratones , Ratones Endogámicos , Miocardio/química , Especificidad de Órganos , Fosfotirosina , Especificidad de la Especie , Porcinos , Tirosina/análisis
17.
Leuk Lymphoma ; 42(6): 1297-303, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11911411

RESUMEN

CD56+ natural killer (NK) cell lymphomas occur frequently in the nasal and nasopharyngeal regions and carry a poor prognosis. We have studied seven cases with NK-cell lymphomas. These lymphomas showed the following immunophenotype: CD56+, CD2+, sCD3- and Epstein-Barr virus-encoded small RNAs (EBERs)+. Six patients had localized (stage I or II) disease involving the nasopharyngeal region, while one had stage III disease. One patient with stage I disease achieved a complete remission (CR) after treatment with involved-field irradiation, but subsequently relapsed and died. The remaining six patients received combination chemotherapy as primary treatment: five patients with localized stage I or II disease and one patient with advanced stage III disease. Responses to initial chemotherapy were generally poor. These six patients received a variety of salvage chemotherapy regimens, but never achieved a CR. Subsequently, four of six patients showed a highly aggressive clinical course and died of disseminated disease within 1 year from the diagnosis. Three of six patients received high-dose chemotherapy supported by syngeneic, autologous or allogeneic peripheral blood stem cell transplantation. Two of the three transplant patients achieved a CR and are now surviving in continuous CR. Our clinical experience suggests that myeloablative high-dose chemotherapy and bone marrow rescue by hematopoietic stem cell transplantation may be an effective salvage treatment modality for refractory NK-cell lymphomas and could be considered as a part of the initial therapy for these patients.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Antígeno CD56/análisis , Trasplante de Células Madre Hematopoyéticas , Linfoma de Células T/terapia , Neoplasias Nasales/terapia , Adolescente , Adulto , Anciano , Terapia Combinada , Femenino , Humanos , Células Asesinas Naturales , Linfoma de Células T/mortalidad , Masculino , Persona de Mediana Edad , Neoplasias Nasales/mortalidad , Terapia Recuperativa
18.
Clin Chim Acta ; 88(2): 305-10, 1978 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-699324

RESUMEN

A simple and specific method for the determination of hydroxyproline in urine hydrolysates has been described. Hydroxyproline was converted into its N-isobutyloxycarbonyl methyl ester derivative without elaborate cleanup, which was analyzed by gas chromatography. Hydroxyproline was clearly separated from other urinary constituents on a 0.60% FFAP on dimethyldichlorosilane-treated Gas-Chrom P column. Kainic acid was used as the most convenient internal standard available. The relative standard deviations of peak height ratios were 1.15--2.51% at the 10--150 microgram levels. Percent recoveries of hydroxyproline added to urine hydrolysates ranged from 98.8 to 107.3%.


Asunto(s)
Hidroxiprolina/orina , Adulto , Niño , Preescolar , Cromatografía de Gases , Femenino , Humanos , Masculino , Métodos , Persona de Mediana Edad , Valores de Referencia
19.
Clin Chim Acta ; 214(1): 13-20, 1993 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-8453774

RESUMEN

A selective and sensitive method for the determination of total urinary proline (Pro) and hydroxyproline (Hyp) by gas chromatography (GC) was developed. After acid hydrolysis of urine, primary amino compounds were eliminated by reaction with o-phthaldialdehyde. Subsequently, Pro and Hyp were converted into their N-dimethylthiophosphoryl methyl ester derivatives and then determined by GC with flame photometric detection using a DB-5 capillary column. The derivatives were volatile and stable, giving single and symmetrical peaks. The detection limits for Pro and Hyp were 0.1 and 0.2 pmol injected, respectively. 3,4-Dehydroproline was used as an internal standard. The calibration curves for Pro and Hyp in the range 0.4-10 nmol were linear and sufficiently reproducible for quantitative determination. Overall recoveries of Pro and Hyp added to urine samples ranged from 93% to 103%. By using this method, Pro and Hyp in a small urine sample could be accurately and precisely determined without any influence from other constituent substances.


Asunto(s)
Prolina/orina , Cromatografía de Gases , Humanos , Hidroxiprolina/orina , Fotometría , Sensibilidad y Especificidad
20.
Eur J Surg Oncol ; 30(10): 1077-83, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15522554

RESUMEN

AIM: Large multicenter, randomized trials have revealed the advantages of using tamoxifen for 5 years vs 2 years in breast cancer patients. The aim of this report is to confirm the optimal duration of tamoxifen administration in a study of Japanese breast cancer patients. METHODS: Japanese post-menopausal estrogen receptor-positive breast cancer patients treated with mastectomy were randomly assigned to either a 5-year or 2-year course of tamoxifen. The primary endpoint was disease-free survival, with secondary endpoints of overall survival and a reduction in the development of metachronous contra-lateral breast cancer. RESULTS: A total of 256 breast cancer patients were randomized to a 5-year or 2-year tamoxifen administration group. After a median follow-up time of 81 months, there were no significant differences seen in terms of disease-free or overall survival (p=0.65 and 0.56, respectively). Furthermore, the impact of the 5-year use of tamoxifen on the development of contra-lateral breast cancer did not reach statistical significance (p=0.0511). However, 5-year tamoxifen use was closely associated with gynaecological complications (p=0.0081). CONCLUSION: We could not show a beneficial effect of using tamoxifen for 5 years over 2 years in Japanese estrogen receptor-positive patients. This is likely due to the small number of patients enrolled in our study; however, racial disparity may influence this result. A reevaluation is necessary to study the advantages of the 5-year use of tamoxifen in the Japanese racial subgroup.


Asunto(s)
Antineoplásicos Hormonales/uso terapéutico , Neoplasias de la Mama/tratamiento farmacológico , Antagonistas de Estrógenos/uso terapéutico , Posmenopausia , Tamoxifeno/uso terapéutico , Adulto , Anciano , Antineoplásicos Hormonales/efectos adversos , Pueblo Asiatico/etnología , Quimioterapia Adyuvante , Supervivencia sin Enfermedad , Antagonistas de Estrógenos/efectos adversos , Femenino , Estudios de Seguimiento , Enfermedades de los Genitales Femeninos/inducido químicamente , Humanos , Japón/etnología , Metástasis Linfática/patología , Mastectomía , Persona de Mediana Edad , Neoplasias Primarias Secundarias/prevención & control , Receptores de Estrógenos/análisis , Tasa de Supervivencia , Tamoxifeno/efectos adversos
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