Un resultado cosmético es más favorable en una paciente con un aumento mamario que en una reconstrucción con prótesis. How effective is preventive mastectomy in preventing or reducing the risk of breast cancer? El equipo de CuidatePlus evaluará su pregunta en el caso de que pueda ser contestada por nuestros especialistas, le ofreceremos una respuesta en un plazo máximo de 10 días. Si la paciente tendrá una reconstrucción con prótesis, la reconstrucción inicial será más rápida, pero a largo plazo tiene más inconvenientes. Symptoms and signs include redness, scaling, and flaking of the nipple skin. We and our partners will store and/or access information on your device through the use of cookies and similar technologies, to display personalised ads and content, for ad and content measurement, audience insights and product development. A double mastectomy involves removing as much "at-risk" tissue as possible to reduce the risk of cancer. By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. A biopsy and imaging studies are needed to diagnose the disease. home/ women's health center/ women's health a-z list/ angelina jolie has preventative double mastectomy article. El equipo de CuidatePlus evaluará su a; en el caso de que pueda ser contestada por nuestros especialistas, le ofreceremos una respuesta en un plazo máximo de 10 días. © 2020 Unidad Editorial Revistas, S.L.U. ¿Qué riesgos tiene la mastectomía preventiva? home/cancer health center/cancer a-z list/preventive mastectomy center /preventive mastectomy article, *Preventive mastectomy facts medical author: Charles Patrick Davis MD. Preventive mastectomy involves one of two basic procedures: total mastectomy and subcutaneous mastectomy. This is commonly known as a flap procedure. Learn about breast cancer causes, symptoms, tests, recovery, and prevention. Lifestyle changes, a healthy antioxidant-rich diet, exercise, and weight reduction can help reduce a woman's risk of developing breast cancer. MedicineNet does not provide medical advice, diagnosis or treatment. But it is one I am very happy that I made. Breast cancer is detected via mammograms, breast self-examination (BSE), biopsy, and specialized testing on breast cancer tissue. Also, Norwegian, Dutch, and Icelandic peoples have higher rates of BRCA1 and BRCA2 mutations, according to the cancer institute. In one type of reconstructive procedure, the surgeon inserts an implant (a balloon-like device filled with saline or silicone) under the skin and the chest muscles. The first baseline mammogram for a woman should be between the ages of 35 to 40. Drawbacks to preventive mastectomy may include infection, bleeding, loss of normal breast function, and psychological effects. Treatment of breast cancer may involve surgery, radiation, hormone therapy, chemotherapy, and targeted therapy. Learn about breast cancer causes, symptoms, tests, recovery, and prevention. Existing data suggest that preventive mastectomy may significantly reduce (by about 90 percent) the chance of developing breast cancer in moderate- and high-risk women. Por otro lado, Casado incide en que esta cirugía también es importante porque tiene que cuidar mucho los aspectos de la apariencia estética para también ser reparadora. Some women obtain a second medical opinion to help with the decision. I made a decision to have a preventive double mastectomy.". Mastectomía preventiva,¿sí o no? La Dra. Office of Device Evaluation Certain behavioral, lifestyle, and environmental factors contribute to cancer. (Breast Implants Home Page). "Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much as I could. After a mastectomy, breast reconstruction is performed to replace the skin, breast tissue, and the nipple. "The risk of cancer is extremely high and we know that you can watch them, but there is no guarantee that you will catch the cancer at an early stage," she said. Casado señala que si la mastectomía preventiva está bien hecha, prácticamente disminuimos la totalidad del riesgo de desarrollar cáncer de mama. Si su consulta es urgente, le recomendamos que acuda a su médico.El equipo de CuidatePlus se reserva el derecho de descartar aquellas as que no considere ajustadas estos objetivos. "There have been many advances in this [reconstruction] procedure in the last few years, and the results can be beautiful," she wrote. I can tell my children that they don't need to fear they will lose me to breast cancer. You can change your choices at any time by visiting Your Privacy Controls. Sin embargo, pese a que una persona cumpla todos los criterios, Casado destaca que la paciente debe informarse bien y tener en cuenta la reconstrucción mamaria. Esta acción eliminará su usuario definitivamente de CUIDATEPLUS, con lo que no podrá volver a acceder.¿Está seguro de querer continuar? Mammography and breast self-examinations are crucial steps in breast cancer prevention. “Tiene un peaje, no es una técnica que se haga sin morbilidad y también tiene sus inconvenientes. 301-827-3990 Vaccines, genetic testing, and cancer screening also play a role in cancer prevention. Mutation of these genes has been linked to the development of hereditary breast and ovarian cancer. Por qué mi dieta no sirve para que un niño obeso pierda peso. Information about your device and internet connection, including your IP address, Browsing and search activity while using Verizon Media websites and apps. Although these lifestyle recommendations make sense and are part of an overall healthy way of living, we do not yet have clear and convincing proof that they specifically reduce the risk of developing breast cancer. Before performing breast reconstruction, the plastic surgeon carefully examines the breasts and discusses the reconstruction options. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells. Wir und unsere Partner nutzen Cookies und ähnliche Technik, um Daten auf Ihrem Gerät zu speichern und/oder darauf zuzugreifen, für folgende Zwecke: um personalisierte Werbung und Inhalte zu zeigen, zur Messung von Anzeigen und Inhalten, um mehr über die Zielgruppe zu erfahren sowie für die Entwicklung von Produkten. Por el contrario, si la reconstrucción se hace con el propio tejido, inicialmente la cirugía es más dura y el tiempo de baja es más largo (aproximadamente dos meses dependiendo de la paciente), pero a largo plazo los beneficios son inmensos. “Los beneficios a largo plazo son que el tejido de uno mismo engorda y adelgaza a la vez que el resto del cuerpo, la paciente no llevará implantado un objeto extraño y no hay posibilidad de que se produzca una intolerancia o enfermedades asociadas a ese implante. Sie können Ihre Einstellungen jederzeit ändern. Doctors do not always agree on the most effective way to manage the care of women who have a strong family history of breast cancer and/or have other risk factors for the disease. Mammogram is a test that produces an image of the breast tissue on film. Sign Up for MedicineNet Newsletters. Cancer prevention involves modifying these factors to decrease cancer risk. Sin embargo, optar por esta medida no es un tema baladí. Für nähere Informationen zur Nutzung Ihrer Daten lesen Sie bitte unsere Datenschutzerklärung und Cookie-Richtlinie. Cosmetic surgery and procedures include interventions to improve one's appearance and fight the effects of aging on the outside. A double mastectomy involves removing as much "at-risk" tissue as possible to reduce the risk of cancer. Tobacco use, alcohol consumption, physical inactivity, inadequate fruit and vegetable intake, and obesity increase the risk of certain cancers. In a total mastectomy, the doctor removes the entire breast and nipple. All rights reserved. La principal diferencia es que cuando estamos ante una mastectomía preventiva no es necesario extirpar la aureola y el pezón, al contrario que en una mastectomía convencional por un motivo oncológico en la que al paciente casi siempre se le quita la aureola y el pezón. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time. Breast cancer elicits fears related to loss of body image and sexuality, surgery, and death. Where can a person find more information about breast implants? Learn how to overcome common health conditions affecting those over 50 such as heart disease, diabetes, and arthritis in order to have a healthy sex life. Mastectomía preventiva: ¿en qué pacientes está indicada? “Si estamos ante un gen BRCA positivo, estamos ante una situación casi mandatoria de que puede desarrollar el cáncer y, por tanto, tendrá que elegir si quiere aumentar las revisiones o realizar una mastectomía preventiva”. The U.S. Food and Drug Administration (FDA) regulates the use of breast implants and can supply detailed information about these devices. Por favor, evite incluir marcas comerciales de medicamentos o referencias personales; de lo contrario, su respuesta no será publicada. 10903 New Hampshire Avenue WO66-1676 This video is unavailable. Dental clinics dental Clinic in El Prat Your dentists, Dental clinics dental Clinic in Sitges Your dentists, Dental clinics Dentists in El Prat Your dentists, Dental clinics Dentists in Sitges Your dentists, Dental clinics Endodontics in El Prat Your dentists, Dental clinics Endodontics in Sitges Your dentists, Dental clinics Dental Implants in El Prat Your dentists, Dental clinics Dental Implants in Sitges Your dentists. A partir de ahí el especialista valorará los factores de riesgo (que pueden variar dependiendo del centro y de la guía clínica que éste consulte) para determinar si la paciente es apta para pasar por esta intervención. No todo el mundo tiene que someterse a una amputación del pecho”, advierte. “Es verdad que siempre queda un poco de tejido, pero el riesgo se disminuye prácticamente a cero”, añade. Medically reviewed by Mikio A Nihira, MD; American Board of Obstetrics & Gynecology. Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital in New York City, called a double mastectomy "the best option for someone who is BRCA-positive.". Estos son principalmente la aparición de infección y hematoma. MedicineNet does not provide medical advice, diagnosis or treatment. Both males and females have breasts. Because it is impossible for a surgeon to remove all breast tissue, breast cancer can still develop in the small amount of remaining tissue. ¿Cuánto tarda la paciente en recuperarse. The exact cause of Paget's disease is unknown. Sin embargo, para que se realice una mastectomía preventiva, primero lo tiene que solicitar expresamente la paciente. Cada mujer que se enfrenta al cáncer de seno tiene que decidir qué tratamiento es adecuado para ella. Las mujeres sanas que portan una mutación que causa cáncer de mama en el gen BRCA1 no solo reducen el riesgo de desarrollar la enfermedad sino también sus posibilidades de morir si se les extirpan ambos pechos, según una investigación que se presenta hoy miércoles en la 11ª Conferencia Europea de Cáncer de Mama, que se celebra en Barcelona. “Hay veces que se habla de que si se deja la aureola y el pezón estas pacientes tienen un riesgo residual de un 5 por ciento de desarrollar cáncer de mama. between 8:00 a.m. and 4:30 p.m., Eastern Standard Time, for either number. This Web uses own cookies and of third, technical, analytical, personalised, advertising and/or of affiliated for purposes showed in our politics of cookies. The breast, or mammary gland is made up of lobules, milk producing glands, and a system of ducts to transport milk. Want More News? Some doctors may recommend preventive mastectomy, while others may prescribe tamoxifen or raloxifene, medications that have been shown to decrease the chances of getting breast cancer in women at high risk of the disease. La mastectomía es una intervención quirúrgica que implica la extirpación del pecho en pacientes con cáncer de mama.Aunque es una opción terapéutica para tratar un tipo determinado de cáncer, también es una medida preventiva que pueden realizarse las mujeres que cumplen una serie de criterios.. - La doble mastectomía preventiva que se ha realizado Angelina Jolie, actriz y mujer de Brat Pitt, por su alto porcentaje de posibilidad. En aproximadamente tres semanas la mujer podrá volver al trabajo, aunque dependerá de las funciones que realice en éste el tiempo de recuperación puede ser mayor. I want to encourage every woman, especially if you have a family history of breast or ovarian cancer, to seek out the information and medical experts who can help you through this aspect of your life, and to make your own informed choices.". ; Women may choose preventive mastectomy if they are high risk for breast cancer.Previous breast cancer; strong family history; BRAC1 or BRAC2 genes; lobar … El tiempo de recuperación es similar a la de una mastectomía normal. A lump in the breast is almost always cancer. Women who have reconstructive surgery are monitored carefully to detect and treat complications, such as infection, movement of the implant, or contracture (the formation of a firm, fibrous shell or scar tissue around the implant caused by the body's reaction to the implant). Su respuesta puede ser de ayuda para otro paciente. The surgeon will discuss with the patient any limitations on exercise or arm motion that might result from these operations. Daten über Ihr Gerät und Ihre Internetverbindung, darunter Ihre IP-Adresse, Such- und Browsingaktivität bei Ihrer Nutzung der Websites und Apps von Verizon Media. (More information about tamoxifen and raloxifene is available in the National Cancer Institute's (NCI) fact sheets, Tamoxifen: Questions and Answers, which can be found at http://www.cancer.gov/cancertopics/factsheet/Therapy/tamoxifen on the Internet, and The Study of Tamoxifen and Raloxifene (STAR): Questions and Answers, which can be found at http://www.cancer.gov/newscenter/pressreleases/STARresultsQandA on the Internet.). La extirpación de ambos senos se conoce como mastectomía bilateral o doble. "The reconstructive options have improved dramatically over the past 15 years. “Los riesgos aumentan si estamos ante pacientes con sobrepeso, fumadoras o que tengan otras enfermedades, como que sean diabéticas o hipertensas, por ejemplo”, advierte el especialista. Es decir, tener dos familiares de primer grado (madre, hija o hermana) con cáncer de mama o haber tenido este tipo de cáncer a una edad muy temprana. Side effects include pain, itching, numbness or tingling, and fluid collection under the wound. La actriz estadounidense Angelina Jolie reveló este martes haberse sometido a una doble mastectomía preventiva para reducir su riesgo muy elevado de padecer cáncer de mama. So women can at least feel confident knowing that if they remove their breasts they will be left with a very good to excellent cosmetic result," she said. Todo depende del grado de exactitud de la técnica; si se quita toda la glándula, no existe un riesgo mayor de desarrollar el cáncer”, aclara el secretario general de Secpre, quien indica que al mantener la aureola y el pezón el beneficio estético es mayor, ya que es su propio tejido y la reconstrucción de la mama queda mejor. Yahoo ist Teil von Verizon Media. ¿Cuánto se reduce el riesgo cuando se han sometido a esta intervención? Why would a woman consider undergoing preventive mastectomy? Preventive mastectomy (also called prophylactic or risk-reducing mastectomy ) is the surgical removal of one or both breasts in an effort to prevent or reduce the risk of breast cancer. mas - tec - to - mí - a. Copyright © 2013 HealthDay. An estimated 12 percent of women -- or 120 out of 1,000 -- in the general population will develop breast cancer during their lives. Jolie said the process of having her breasts removed was finished by late April, and included the reconstruction of both breasts with implants. ©1996-2020 MedicineNet, Inc. All rights reserved. “Si un paciente se hace una técnica reconstructiva con su propio tejido, es decir, con su propia grasa, posiblemente no tenga que pasar por el quirófano o como mucho una vez más. According to the NCI, genetic testing can reveal whether a woman carries a BRCA1 or BRCA2 mutation. When women with breast implants have mammograms, they should tell the radiology technician about the implant. My chances of developing breast cancer have dropped from 87 percent to under 5 percent. aus oder wählen Sie 'Einstellungen verwalten', um weitere Informationen zu erhalten und eine Auswahl zu treffen. Breast cancer is an invasive tumor that develops in the mammary gland. Pero usted no necesita tomar una decisión de inmediato. Treatment may include surgery, radiation, and adjuvant therapy. Dies geschieht in Ihren Datenschutzeinstellungen. Translations in context of "mastectomía" in Spanish-English from Reverso Context: Pero primero debemos realizarte una mastectomía. Al igual que el resto de intervenciones quirúrgicas, la mastectomía preventiva tiene una serie de riesgos, un tiempo de recuperación y de rehabilitación, ya que, como especifica César Casado, secretario general de la Sociedad Española de Cirugía Plástica, Reparadora y Estética (Secpre), no deja de ser una intervención en la que hay que pasar por quirófano. Potential side effects of radiation therapy include: It's never too late to improve your sex life. Evalúe sus síntomas y comparta el resultado con un especialista. Aquí tienes las razones. Writing about her mother's nearly 10-year-long battle with breast cancer, Jolie said: "She held out long enough to meet the first of her grandchildren and to hold them in her arms. Furthermore, there is currently no cure for advanced disease, and there is no definitive way of preventing it. A total mastectomy provides the greatest protection against cancer developing in any remaining breast tissue. According to the U.S. National Cancer Institute, in normal cells, the BRCA1 and BRCA2 genes help to maintain the stability of a cell's genetic material -- called DNA -- and help prevent uncontrolled cell growth. See additional information. Preventive Mastectomy: Questions and Answers Center, http://www.cancer.gov/cancertopics/factsheet/Therapy/tamoxifen, http://www.cancer.gov/newscenter/pressreleases/STARresultsQandA, More Prostate Cancers Are Being Diagnosed Later, Colonoscopy: Insured Patients Get Surprise Bills, Cancer Takes Toll on Women's Work and Finances. It is a group of 100 different diseases, and is not contagious. Esta intervención quirúrgica tiene los mismos riesgos que una mastectomía simple. A patient's goals, medical conditions, cancer treatment, and previous surgery affect the type and timing of the reconstructive surgery. Sin embargo, si se pone prótesis mamarias en sustitución del propio tejido, una prótesis dura un tiempo determinado, pero no se le puede asegurar a la paciente que dure para toda la vida”, -especifica y continúa-. (More information about mammograms can be found in the NCI fact sheet, Screening Mammograms: Questions and Answers, at http://www.cancer.gov/cancertopics/factsheet/Detection/screening-mammograms on the Internet.). Cuando una paciente tiene alto riesgo de desarrollar cáncer de mama puede elegir dos opciones: someterse a revisiones periódicas muy estrechas o realizarse una intervención quirúrgica. Routine screening for breast cancer is also part of the postoperative follow-up, because the risk of cancer cannot be completely eliminated. Radiation therapy is a cancer-fighting technique. Said another way, a woman who has inherited a harmful BRCA1 or BRCA2 mutation is about five times more likely to develop breast cancer than a woman who doesn't have such a mutation, according to the U.S. National Cancer Institute (NCI). She said she began the process to have both of her breasts removed in early February because she lost her mother, actress Marcheline Bertrand, to ovarian cancer when her mother was just 56. "The potential benefits of a negative result include a sense of relief and the possibility that special preventive checkups, tests, or surgeries may not be needed. "For any woman reading this, I hope it helps you to know you have options. To enable Verizon Media and our partners to process your personal data select 'I agree', or select 'Manage settings' for more information and to manage your choices. Discover the types of treatments such as surgery and drug therapies as well as the survival rate for breast cancer. ¿En qué se diferencia una mastectomía simple de una preventiva? Read more: Breast Cancer Diagnosis and Treatment. En mi experiencia el más importante es la presencia de unos genes determinados, en concreto, el gen más significativo es el gen BRCA”, especifica Casado. A lump in the breast is almost always cancer. What alternatives to surgery exist for preventing or reducing the risk of breast cancer? There are several types of breast biopsies, which are diagnostic procedures to examine part or all of suspicious breast growth(s). Another procedure, called tissue flap reconstruction, uses skin, fat, and muscle from the woman's abdomen, back, or buttocks to create the breast shape. To listen to recorded information or request free printed material on breast implants, consumers can contact the FDA Center for Devices and Radiological Health (CDRH) at: Consumer Staff La palabra mastectomía lleva tilde en la 4ª sílaba "mí" La palabra mastectomía, con vocal tónica en la "i", LLeva acento. Sin embargo, optar por esta medida no es un tema baladí. La actriz dijo que se sometió a una doble mastectomía preventiva después de saber que portaba un gen que hace que sea muy probable que ella desarrolle cáncer de mama. El primer paso para realizar una mastectomía preventiva es que la mujer haga una petición expresa. Jolie, 37, revealed details of her surgery in an op-ed article in Tuesday's The New York Times. Watch Queue Queue. Approximately 60 percent of women -- 600 out of 1,000 with these genetic mutations -- will be diagnosed with breast cancer. What are the possible drawbacks of preventive mastectomy? Jolie, who has six children with her companion and fellow film star Brad Pitt, said she often finds herself trying to explain to her children about the disease that killed her mother. A positive test result can bring relief from uncertainty and allow people to make informed decisions about their future, including taking steps to reduce their cancer risk," the agency said. See additional information. “Existen varios criterios para determinar el riesgo alto. "Not everyone wants a prophylactic mastectomy and they don't all do that," Bernik said. “Las prótesis que utilizamos son las mismas que usamos con motivos estéticos, es decir, para hacer un aumento mamario, pero la cirugía y el contexto no es el mismo, con lo cual los resultados no son iguales. Want More News? The BRCA1 and related BRCA2 genes belong to a class of human genes known as tumor suppressors. Eso es mentira. Breast reconstruction is a plastic surgery procedure in which the shape of the breast is rebuilt. In women, during pregnancy the breasts grow larger and produce milk. However, no one can be certain that this procedure will protect an individual woman from breast cancer. En esas pacientes es recomendable ofrecerles la mastectomía porque tienen más riesgo de desarrollar cáncer. There are two methods of flap procedures: tunneling and free-flap. Watch Queue Queue http://www.fda.gov/cdrh/breastimplants Women who have tissue flap reconstruction may want to ask their surgeon about physical therapy, which can help them adjust to limitations in activity and exercise after surgery. Preventive mastectomy is the surgical removal of breast tissue or the entire breast to reduce or prevent breast cancer; both breasts may undergo surgery. Por lo que es importante que la paciente no elija someterse a una mastectomía preventiva si piensa que no tendrá que pasar más por el quirófano ya que dependerá de la técnica reconstructiva que se haga. Breast Cancer Awareness: Symptoms, Diagnosis, and Treatment. Además, la simetría y el tacto son muy buenos”, apostilla Casado. In a subcutaneous mastectomy, the doctor removes the breast tissue but leaves the nipple intact. Paget's disease is a rare form of cancer that forms in or around the nipple and frequently coexists with breast cancer. Many women who choose to have preventive mastectomy also decide to have breast reconstruction, either at the time of the mastectomy or at some later time. Discover the types of treatments such as surgery and drug therapies as well as the survival rate for breast cancer. Aunque es una opción terapéutica para tratar un tipo determinado de cáncer, también es una medida preventiva que pueden realizarse las mujeres que cumplen una serie de criterios. "But women should certainly be informed," she added. (Call For her part, Jolie said: "I wanted to write this to tell other women that the decision to have a mastectomy was not easy. Nada de dietas para niños obesos, sino hábitos saludables para toda la vida. Doctors may also encourage women at high risk to limit their consumption of alcohol, eat a low-fat diet, engage in regular exercise, and avoid menopausal hormone use. ¿Lleva acento mastectomía?. Silver Spring, MD 20993-0002, Telephone: 1-888-INFO-FDA (1-888-463-6332), toll-free Abnormal enlargement of breasts in men is referred to as gynecomastia. I have always told them not to worry, but the truth is I carry a 'faulty' gene, BRCA1, which sharply increases my risk of developing breast cancer and ovarian cancer," she wrote. Cancer is a disease caused by an abnormal growth of cells, also called malignancy. Puede tomarse tiempo para reflexionar sobre sus opciones y decidir qué es lo más importante para usted. If a woman doesn't want to have breast implants after a mastectomy, she may have her breast(s) reconstructed with her own body tissue. The type of breast biopsy procedure depends upon the location and size of the growth(s). Bernik said more women are opting for the procedure. Common medical conditions that affect the breasts include breast cancer, breast lumps, fibrocystic changes and cysts, mastitis, and benign tumors (fibroadenomas). *Preventive mastectomy facts medical author: Charles Patrick Davis MD. The technique is referred to as mammography. The two types of radiation therapy are external and internal. These genetic mutations are most commonly found in Jewish women of eastern European descent. In radiation therapy, a radiation oncologist uses high-energy rays to kill cancer cells and stop them from growing and dividing. As is the case for most cancers, the exact cause of breast cancer is not clearly known. Terms of Use. Otros criterios que van sumando puntos son las agregaciones familiares. Women who are at high risk of developing breast cancer may consider preventive mastectomy as a way of decreasing their risk of this disease. Some doctors may advise very close monitoring (periodic mammograms, regular checkups that include a clinical breast examination performed by a health care professional, and monthly breast self-examinations) to increase the chance of detecting breast cancer at an early stage. Otro criterio importante que tendrán en cuenta los expertos para valorar el riesgo es que las pacientes hayan recibido radioterapia en el tórax antes de los 30 años. The breast refers to the front of the chest or, more specifically, to the mammary gland. Find out more about how we use your information in our Privacy Policy and Cookie Policy. La modelo Costarricense Keilyn Castro opino para el programa Espectáculos Internacionales Tv sobre la decisión de la Actriz Angelina Jolie y … The procedure does not, however, guarantee complete protection against cancer, according to the NCI. Normal Blood Sugar Levels (Ranges) In Adults with Diabetes, http://www.cancer.gov/cancertopics/factsheet/Detection/screening-mammograms, http://www.fda.gov/cdrh/consumer/index.html, Preventive mastectomy is the surgical removal of breast tissue or the entire breast to reduce or prevent, Women may choose preventive mastectomy if they are high risk for, Preventive mastectomy may reduce the chance for breast.
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