breast-cancer-grading-ossama-tawfik-md

breast-cancer-grading-ossama-tawfik-md - A New,...

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Unformatted text preview: A New, Semi-Automated Method of rading Invasive and Non-Invasive Breast Carcinoma Using Image Analysis Ossama Tawfik, MD, PhD Professor-Vice Chairman Director of Anatomic and Surgical Pathology Kansas University Medical Center Alexandria, Egypt July 1- 3, 2008 Breast Cancer grading Breast Cancer grading Objectives Objectives 1. 1. Why Grading is Important? History Why Grading is Important? History of grading breast cancer. of grading breast cancer. 2. 2. The current grading system. What is The current grading system. What is Wrong with the Current Grading Wrong with the Current Grading Systems? Systems? 3. 3. Can we Do Better? A new grading Can we Do Better? A new grading system system HISTORY OF BREAST HISTORY OF BREAST CANCER CANCER Medical history teaches us where Medical history teaches us where we come from, where we stand in we come from, where we stand in medicine at the present time and in medicine at the present time and in what direction we are marching. It is what direction we are marching. It is the campus that guides us into the the campus that guides us into the future future Henry Sigerist Henry Sigerist HISTORY OF BREAST HISTORY OF BREAST CANCER CANCER Ancient Civilizations Middle Ages The Renaissance Eighteenth Century Nineteenth Century Twentieth Century HISTORY OF BREAST CANCER HISTORY OF BREAST CANCER ANCIENT CIVILIZATIONS: Chinese: 2698 BCE Huang Di- The yellow emperor Wrote the first description of tumors Described 5 forms of therapy: spiritual, diet, pharmacology, acupuncture and treatment of specific diseases. Egyptians: 2650 BCE Imhotep- physician, architect, astrologer Designed the step pyramid Described first documented case of breast cancer HISTORY OF BREAST CANCER HISTORY OF BREAST CANCER ANCIENT CIVILIZATIONS: Babylonian: 1750 BCE first regulation of medical practice Description of physicians responsibilities and fees. It was stated that if the patient died or lost an eye during surgery, the physicians hands were cut off!!! Classic Greek Period 460 BCE 136 BC Hippocrates 3 types of diseases Those curable by medicine Those curable by knife Those curable by fire HISTORY OF BREAST CANCER HISTORY OF BREAST CANCER ANCIENT CIVILIZATIONS: Greco-Roman Period 1st century Leonides : First operative treatment of breast cancer incision in healthy part of breast with multiple cauterization (stabbing) to kill the diseased part HISTORY OF BREAST CANCER HISTORY OF BREAST CANCER MIDDLE AGES and THE RENAISSANCE Mastectomy procedures: Use of sutures rather than cautary Discovery of swollen glds (lymph nodes) Invention of a device for amputation of breasts - Wilhelm Febry (Father of German Surgery) HISTORY OF THE THERAPY OF HISTORY OF THE THERAPY OF BREAST CANCER BREAST CANCER EIGHTEENTH CENTURY Guillotine machine for mastectomy....
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