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(ha sido aprobado por la FDA)Tj
-4.5927 -1.1724 TD
(para la prevencin y tratamiento de la)Tj
T*
(osteoporosis \(huesos frgiles\) en mujeres)Tj
T*
(posmenopusicas \(de ms de 51 aos\).)Tj
T*
(Se ha demostrado que es tan eficaz )Tj
T*
(como el tamoxifn para reducir el )Tj
T*
(riesgo de cncer mamario en mujeres)Tj
T*
(posmenopusicas, pero an no ha sido)Tj
T*
(aprobado para la prevencin del cncer)Tj
T*
0 Tw
(mamario.)Tj
0 -2 TD
0.025 Tw
(El tamoxifn y el raloxifn solamente)Tj
-1.2966 -1.1724 TD
(reducen el riesgo del cncer mamario en )Tj
T*
(un 50%. La decisin de tomar estos medica-)Tj
T*
(mentos siempre depende de sopesar los )Tj
T*
(beneficios y el riesgo de efectos secundarios,)Tj
T*
(entre los cuales se incluyen el cncer uteri-)Tj
T*
(no \(slo con tamoxifn\), derrame cerebral )Tj
T*
(y cogulos en las venas y los pulmones. )Tj
T*
(Su mdico la ayudar a determinar cul es)Tj
T*
(la mejor opcin de tratamiento para usted. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 386.4 321.8694 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(Qu debe hacer con esta)Tj
0 -1.1579 TD
-0.0002 Tc
0 Tw
[(infor)-18(macin?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 397.68 299.1296 Tm
0 0 0 1 k
/GS2 gs
-0.1157 Tc
0 Tw
(To)Tj
1.0561 0 TD
-0.0051 Tc
0.025 Tw
(da mujer debe examinarse los senos)Tj
-2.3526 -1.1724 TD
(mensualmente y hacerse examinar anual-)Tj
T*
(mente por un mdico. Si tiene 40 aos o)Tj
T*
(ms, o si es ms joven y tiene antecedentes)Tj
T*
(familiares de cncer en las mamas u ovarios,)Tj
T*
(debe hacerse una mamografa anual. Hable)Tj
T*
(con su mdico sobre su riesgo de desarrollar)Tj
T*
(cncer mamario y lo que puede hacer para)Tj
T*
0 Tw
(prevenirlo. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 386.4 196.6214 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0 Tw
(Recursos)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.53 0 0 8.7 386.4 184.3777 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.025 Tw
(Encuentre un endocrinlogo: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.53 0 0 8.7 395.4 174.1777 Tm
0 0 0 1 k
/GS2 gs
-0.0054 Tc
0 Tw
[(www)36.4(.hormone.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.53 0 0 8.7 457.3446 174.1777 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.025 Tw
(o llame al )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.53 0 0 8.7 395.4 163.9777 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0 Tw
(1-800-467-6663)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.53 0 0 8.7 386.4 153.2737 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.025 Tw
(Herramienta para evaluar el riesgo de cncer)Tj
1.0551 -1.1724 TD
-0.0054 Tc
0 Tw
(mamario: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.53 0 0 8.7 429.7936 143.0737 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0 Tw
[(www)36.5(.cancer)54.5(.gov/bcrisktool/ )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.53 0 0 8.7 386.4 132.3697 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.025 Tw
(Instituto Nacional del Cncer \(NCI\):)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.53 0 0 8.7 395.4 122.1697 Tm
0 0 0 1 k
/GS2 gs
-0.0054 Tc
0 Tw
[(www)36.4(.cancer)54.4(.gov )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 386.4 111.4657 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Fundacin Susan G. Komen para el Cncer)Tj
1.0345 -1.1724 TD
0 Tw
(Mamario: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 431.4621 101.2657 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
[(www)36.7(.komen.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 216.6 637.0176 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Estas enfermedades incluyen lesiones )Tj
0 -1.1724 TD
(\(anormalidades estructurales\) tales como)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 216.6 616.6176 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(hiperplasia ductal atpica)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 295.5791 616.6176 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(, )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 300.0597 616.6176 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(hiperplasia lobular)Tj
-9.5931 -1.1724 TD
0 Tw
(atpica)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 239.8914 606.4176 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
(y )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 246.0584 606.4176 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(carcinoma lobular in situ)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 326.522 606.4176 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.0249 Tw
(. General-)Tj
-12.6347 -1.1724 TD
(mente, estas lesiones se descubren cuando)Tj
T*
(se detecta un bulto y se examina una )Tj
T*
(muestra del tejido bajo un microscopio)Tj
T*
(\(despus de una biopsia\). )Tj
1.2966 -1.4207 TD
(Adems, tener mutaciones del gene)Tj
-1.2966 -1.1724 TD
(BRCA1 BRCA2 o antecedentes familia-)Tj
T*
(res de cncer mamario, especialmente )Tj
T*
(en los parientes inmediatos, tales como )Tj
T*
(la madre, una hermana o una hija, )Tj
T*
(aumenta el riesgo. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 216.6 481.3493 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
[(Cmo puede deter)-17.9(minar su)]TJ
0 -1.1579 TD
(riesgo de tener cncer mamario? )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 227.88 458.6096 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
[(Su mdico puede calcular)54.7(, por medio de)]TJ
-1.2966 -1.1724 TD
[(un mto)-9.9(do llamado el )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 295.4051 448.4096 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Modelo Gail)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 336.4418 448.4096 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(, su riesgo)Tj
-13.7749 -1.1724 TD
(de desarrollar cncer mamario en los prxi-)Tj
T*
[(mos cinco aos y durante to)-10(da su vida. Este)]TJ
T*
[(mo)-9.9(delo toma en cuenta los riesgos generales)]TJ
T*
(de tener cncer mamario \(enumerados arri-)Tj
T*
(ba\) y cualquier masa mamaria en la cual le)Tj
T*
(hayan hecho una biopsia anteriormente. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 216.6 366.3013 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
[(Cmo puede pr)17.7(evenir el cncer)]TJ
0 -1.1579 TD
-0.0002 Tc
0 Tw
(mamario?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 227.88 343.5616 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Puede reducir el riesgo de sufrir cncer)Tj
-1.2966 -1.1724 TD
(mamario si adopta un estilo de vida)Tj
T*
(saludable que incluya una dieta bien)Tj
T*
[(balanceada y ejercicio frecuente. T)110.4(a)0.1(mbin)]TJ
T*
(puede limitar la cantidad de estrgeno )Tj
T*
(que recibe perdiendo peso, si es que tiene)Tj
T*
(sobrepeso, y evitando fuentes externas de)Tj
T*
(estrgeno, tales como los anticonceptivos)Tj
T*
(orales \(la pldora\) o la terapia de)Tj
T*
(reemplazo hormonal combinado.)Tj
T*
(\(Aparentemente, la terapia hormonal con)Tj
T*
(slo estrgeno durante menos de cinco )Tj
T*
(aos no aumenta el riesgo de cncer)Tj
T*
(mamario, pero se requiere mayor)Tj
T*
(informacin sobre los riesgos de la terapia)Tj
T*
(con estrgeno durante ms de cinco aos\). )Tj
1.2966 -1.4207 TD
(Si tiene un riesgo elevado de desarrollar)Tj
-1.2966 -1.1724 TD
(cncer mamario, es posible que su mdico )Tj
T*
(le recomiende una clase de medicamentos)Tj
T*
(que se llaman )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 266.6477 147.6017 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(moduladores selectivos de los)Tj
-5.7526 -1.1724 TD
(receptores de estrgeno)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 290.4207 137.4017 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(. Hay dos medicamen-)Tj
-8.4851 -1.1724 TD
(tos en particular que han sido eficaces para)Tj
T*
(la prevencin del cncer mamario. )Tj
0 -1.8345 TD
0 Tc
0 Tw
()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 227.88 101.0417 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(El tamoxifn)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 271.7087 101.0417 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(ha sido aprobado por la)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 46.8 636.3194 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0295 Tw
[(Qu r)17.7(elacin existe entr)17.7(e las)]TJ
0 -1.1579 TD
[(hor)-17.9(monas y el cncer mamario?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 58.08 613.5797 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(El estrgeno \(la principal hormona)Tj
-1.2966 -1.1724 TD
[(femenina\) es pro)-9.9(ducido en su mayor parte)]TJ
T*
(por los ovarios. Es el que determina )Tj
T*
[(el desarrollo sexual de una mujer)54.6(, lo que)]TJ
T*
(incluye el crecimiento de los senos y )Tj
T*
(la regulacin del ciclo menstrual. Al llegar)Tj
T*
(la menopausia \(generalmente alrededor de)Tj
T*
[(los 51 aos\), los ovarios dejan de pro)-10(ducir)]TJ
T*
(estrgeno pero las glndulas arrenales)Tj
T*
[(siguen pro)-9.9(ducindolo, en cantidades ms)]TJ
T*
(pequeas, utilizando prehormonas \(sustan-)Tj
T*
(cias que se convierten en hormonas\). Estas)Tj
T*
(prehormonas luego son transformadas en)Tj
T*
(estrgeno por el tejido graso. )Tj
1.2966 -1.4207 TD
(El estrgeno circula por el flujo)Tj
-1.2966 -1.1724 TD
(sanguneo y se adhiere a los )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.7 0 0 8.7 145.3886 458.4198 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.0249 Tw
(receptores de)Tj
-11.332 -1.1724 TD
0 Tw
(estrgeno)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 79.1887 448.2198 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(en clulas especficas del cuerpo.)Tj
-3.7228 -1.1724 TD
(El tejido mamario tiene este tipo de clulas)Tj
T*
(y es uno de los destinos principales del)Tj
T*
(estrgeno. El estrgeno estimula el)Tj
T*
(crecimiento de las clulas mamarias. Por)Tj
T*
(ejemplo, las mujeres embarazadas tienen un)Tj
T*
(nivel ms elevado de estrgeno, lo cual)Tj
T*
(hace que las mamas aumenten de tamao)Tj
T*
(en preparacin para amamantar al beb. Por)Tj
T*
(esta misma razn, si la mujer desarrolla)Tj
T*
(clulas cancerosas en la mama, el estrgeno)Tj
T*
[(puede estimular el desarrollo del cncer)54.6(.)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9.5 0 0 9.5 46.8 315.1115 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
[(Quin corr)17.8(e)0( el riesgo de cncer)]TJ
0 -1.1579 TD
-0.0002 Tc
0 Tw
(mamario?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.7 0 0 8.7 58.08 292.3718 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(El cncer mamario es uno de los tipos)Tj
-1.2966 -1.1724 TD
(ms comunes de cncer en las mujeres)Tj
T*
(estadounidenses. Generalmente, las mujeres)Tj
T*
(corren mayor riesgo si son de edad ms)Tj
T*
(avanzada o tienen sobrepeso y si:)Tj
0 -1.8345 TD
0.6906 Tc
0 Tw
(T)Tj
1.8479 0 TD
-0.0051 Tc
0.025 Tw
(uvieron su primera menstruacin antes)Tj
-0.5513 -1.1724 TD
(de los 12 aos)Tj
-1.2966 -1.3379 TD
0 Tc
0 Tw
()Tj
1.2966 0 TD
-0.0051 Tc
0.025 Tw
(Les sobrevino la menopausia despus de)Tj
0 -1.1724 TD
(los 55 aos)Tj
-1.2966 -1.3379 TD
0 Tc
0 Tw
()Tj
1.2966 0 TD
-0.0051 Tc
0.025 Tw
(Nunca tuvieron hijos)Tj
-1.2966 -1.3379 TD
0 Tc
0 Tw
()Tj
1.2966 0 TD
-0.0051 Tc
0.025 Tw
(Aplazaron el embarazo hasta despus de)Tj
0 -1.1724 TD
(los 30 aos)Tj
-1.2966 -1.3379 TD
0.6906 Tc
0 Tw
(T)Tj
1.8479 0 TD
-0.0051 Tc
0.025 Tw
(omaron una combinacin de hormonas)Tj
-0.5513 -1.1724 TD
(\(estrgeno ms progestina\) despus de la)Tj
T*
0 Tw
(menopausia)Tj
0 -2 TD
0.025 Tw
(Las mujeres con historia mdica de )Tj
-1.2966 -1.1724 TD
(ciertos tipos benignos \(no cancerosos\) de)Tj
T*
(enfermedad mamaria tambin corren riesgo.)Tj
ET
0.89 0 0.2 0 k
3.82 635.99 m
21.54 620.42 31.5 599.3 31.5 577.29 c
31.5 205.71 l
31.5 183.7 21.54 162.58 3.82 147.01 c
-1.44 142.39 -7.26 138.37 -13.5 135 c
-13.5 648 l
-7.26 644.63 -1.44 640.61 3.82 635.99 c
f*
0 0 0 1 K
0 J 0 j 0.5 w 10 M []0 d
557.644 800.926 m
557.644 750.746 l
27.284 801.002 m
27.284 750.892 l
S
0 0.038 0.095 0 k
26.95 655.92 m
26.95 704.42 l
142.25 722.42 296.95 722.42 v
451.65 722.42 557.95 704.42 y
557.95 655.92 l
26.95 655.92 l
f*
Q
q
1 i
26.95 763.92 m
557.95 763.92 l
557.95 714.42 l
451.65 732.42 296.95 732.42 v
142.25 732.42 26.95 714.42 y
26.95 763.92 l
W* n
q 2.082 0 0 -0.2012 25.95 764.92 cm BX /Sh1 sh EX Q
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
15 0 0 15 46.5904 738.6276 Tm
0 0 0 0 k
-0.0001 Tc
0.0296 Tw
(LAS HORMONAS Y USTED)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
24 0 0 24 46.7125 667.1877 Tm
0 0.93 0.95 0 k
-0.0223 Tc
0.0277 Tw
[(Pr)17.8(evencin de cncer mamario)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
0 13 -13 0 20.1275 248.3669 Tm
0 0 0 0 k
0.1478 Tc
0.0296 Tw
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