bMpÞúHRKab;EbkenArbgtulakarRkúg PñMeBj

PñMeBj³ RKab;EbkmYyRKab; RtÚv)aneKdak;bégá[pÞúH enACab;rbgsa
ladMbUgraCFanI  kalBIBak;kNþalyb;mSilmij  eFVI[mankarPJak;
ep¥Ily:agxøaMg enAeBlEdlRbCaBlrdæ CaeRcInkMBugEtmankarRBÜy
)armÖBIkarekItmanclacl xN³ EdlKNbkSRbqaMg )anKMrameFVI
kartv:aenATUTaMgRbeTs RbqaMgeTAnwgPaBminRbRktIkñúgkar
e)aHeqñat ehIykgkmøaMgrbs;rdæaPi)aleFVIkarb®gáab. GñkRsI m:a La Gayu 58 qñaM CasakSImñak; EdlpÞHrbs;GñkRsIenACab;nwgGKarsaladMbUgraCFanI kñúgsgáat; valvg; xNÐ 7 mkra )anniyayfa enAeBlEdlGñkRsI B¤sMeLgRKab;EbkpÞúHenABak;kNþalyb; KµanGñkNamñak;enAEk,renaH b¤k¾edIrenAtampøÚvena
HeT. GñkRsI)anniyayfa³ {´mankarP½yxøacy:agxøaMg enAeBl)anB¤sMeLgRKab;EbkpÞúHenAxagmux
rbgpÞH´ BIeRBaHsMeLgpÞúHenaHvaB¤xøaMgNas;. ´Kitfa mankar)aj;RKab;epøag b¤k¾karvayRby
uT§Kña enAkñúgraCFanIPñMeBj}. GñkRsI)anbnþfa bnÞab;BIB¤sMeLgpÞúH RkúmRKÜsarGñkRsI mi
nmanGñkNamñak;h‘anecjeTAeRkApÞHeT. GñkRsI)anbEnßmfa bnÞab;BImannKr)al ecjmkBinitüeTI
bGñkRsI h‘anecjBIkñúgpÞH eTAemIlkEnøgpÞúH. GñkRsIniyayeTotfa³ {´)aneXIjrbgpÞH´xUcehIy
bMENk RKab;EbkCaeRcIn eXIjenAxagmuxpÞH´}. elak CYn NarinÞ sñgkarrgnKr)alraCFanIPñMeBj
)an[dwgfa RKab;EbkEdlpÞúHenaH RtÚv)aneKdak;bégáenACab;rbgeRkaysaladMbUgraCFanI ehIyv
a)anpÞúHenAevlaem:agRbmaN 1 nig 15 naTIyb;éf¶GgÁar QancUléf¶BuF. elak)an[dwgeTotfa Kµ
anGñkNamñak;søab; b¤k¾rgrbYsedaysarkarpÞúHenHeLIy. elakmanRbsasn_fa³ {rhUtmkdl;eBlen
H eyIgminTan;dwgc,as;las; BImUlehtuénkardak;bégá nigkarpÞúHRKab;EbkenH b¤k¾sÁal;GtþsB
aØaNCnsgS½y EdlCaGñkdak;bégáRKab;EbkenHenAeLIyeT. eyIgkMBugeFVIkaresuIbGegátBIbBaðae
nH}. b:uEnþelak)anbBa¢ak;[dwgfa³ eyagtamkarvaytémørbs;nKr)al nigkaresuIbGegátbzmkarpÞ
úHRKab;EbkenH minBak;B½n§nwgneya)ayeT EtvaRbEhlCaBak;B½n§eTAnwgerOgKMnuMCamYynwgtulak
arBIkic©kar b¤k¾karseRmckþINamYyrbs;tulakarEdlkardak;bégábMpÞúHRKab;EbkenH GaceFVIeLI
gedIm,IbMP½yb¤k¾KMramtulakar}. elak CIv ekg RbFansaladMbUgraCFanIPñMeBj )anEføgfa Cn
sgS½yEdl)andak;bégáRKab;EbkenH manCMnaj nigbTBiesaFx<s;Nas;eRBaHBYkeK)andak;enAkEnøgE
dlKµandak;m:asuInftsV½yRbvtþi. elak)anniyayfa³ {eTaHCamankarpÞúHRKab;EbkenHk¾eday vam
inrMxandl;kic©karrbs;tulakareT ehIytulakar )andMeNIrkarkargardUcFmµtakalBIéf¶mSilmij}
. elak BU davI embBa¢akarrgkgraCGavuFhtßraCFanI PñMeBj )an[dwgfa bMENkRKab;EbkRtÚv)an
RbmUlehIyykeTArkSaTuk edayGñkedaHmInrbs;mCÄmNÐlkm©at;mInkm<úCa suIm:ak ¬CMAC¦ edIm,Ie
FVIkaresuIbGegátbEnßmeTot. {rhUtmkdl;eBlenHeyIg minTan;dwgc,as;BIRbePTRKab;EbkenHenA
eLIyeT}. elakbEnßmfa kgraCGavuFhtß kMBugeFVIkaresuIbGegátelIkrNIenHedIm,IEsVgrkcab;x
øÜnCnsgS½y. cab;taMgBIlT§ple)aHeqñatbzmRtÚv)aneKRbkaskalBIl¶acéf¶TI28 Exkkáda EdlKNbk
SRbqaMg )anekInsMeLgy:ageRcIn eFVI[RbCaBlrdæmankarRBÜy)armÖ enAeBlEdlmankgkmøaMgCaeRc
InRtÚv)ancl½txusRbRktI. cab;taMgBIeRkaykare)aHeqñat KNbkSRbqaMgk¾)aneFVIkarKMramCaeR
cInelIkrYcmkehIyfa xøÜnnwgdwknaMeFVImha)atukmµenATUTaMgRbeTs RbsinebIesckþIesñIrbs;xø
Ün sUm[begáItKN³kmµkarcRmúHÉkraCü edaymanGgÁkarshRbCaCatieFVICaGaCJakNþaledIm,IesuIbG
egátBIPaBminRbRktIkñúgkare)aHeqñat minRtÚv)aneFVIeLIgeTenaH. CamYyKñaenH mankar)armÖ
BIkareRbIkmøaMgb®gáabeTAelIGñktv:aBIsMNak;rdæaPi)alEdldwknaMedayKNbkSRbCaCn. edaysarE
tsßankarneya)ay enAkñúgRbeTskm<úCa enAminTan;manPaBR)adkRbCa elak suk sMeGOn RbFanRkú
mGñkc,ab;karBarsiT§ikm<úCa )ancat;TukkarbMpÞúHRKab;EbkkalBIyb;mSilmijfa GacCaectnaedI
m,IbMP½ykuM[RbCaBlrdæcUlrYmeFVI)atukmµEdldwknaMedayKNbkSse®gÁaHCati. elak sMeGOn Eføg
fa³ {karbMpÞúHRKab;EbkenHKWmanectnaeFVI[mnusSxøackuM[cUlrYmeFVI)atukmµNamYyEdleRKagnw
geFVIeLIgkñúgeBlxagmuxedayKNbkSRbqaMg}.

bMpÞúHRKab;EbkenArbgtulakarRkúg PñMeBj

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PñMeBj³ RKab;EbkmYyRKab; RtÚv)aneKdak;bégá[pÞúH enACab;rbgsa
ladMbUgraCFanI  kalBIBak;kNþalyb;mSilmij  eFVI[mankarPJak;
ep¥Ily:agxøaMg enAeBlEdlRbCaBlrdæ CaeRcInkMBugEtmankarRBÜy
)armÖBIkarekItmanclacl xN³ EdlKNbkSRbqaMg )anKMrameFVI
kartv:aenATUTaMgRbeTs RbqaMgeTAnwgPaBminRbRktIkñúgkar
e)aHeqñat ehIykgkmøaMgrbs;rdæaPi)aleFVIkarb®gáab. GñkRsI m:a La Gayu 58 qñaM CasakSImñak; EdlpÞHrbs;GñkRsIenACab;nwgGKarsaladMbUgraCFanI kñúgsgáat; valvg; xNÐ 7 mkra )anniyayfa enAeBlEdlGñkRsI B¤sMeLgRKab;EbkpÞúHenABak;kNþalyb; KµanGñkNamñak;enAEk,renaH b¤k¾edIrenAtampøÚvena
HeT. GñkRsI)anniyayfa³ {´mankarP½yxøacy:agxøaMg enAeBl)anB¤sMeLgRKab;EbkpÞúHenAxagmux
rbgpÞH´ BIeRBaHsMeLgpÞúHenaHvaB¤xøaMgNas;. ´Kitfa mankar)aj;RKab;epøag b¤k¾karvayRby
uT§Kña enAkñúgraCFanIPñMeBj}. GñkRsI)anbnþfa bnÞab;BIB¤sMeLgpÞúH RkúmRKÜsarGñkRsI mi
nmanGñkNamñak;h‘anecjeTAeRkApÞHeT. GñkRsI)anbEnßmfa bnÞab;BImannKr)al ecjmkBinitüeTI
bGñkRsI h‘anecjBIkñúgpÞH eTAemIlkEnøgpÞúH. GñkRsIniyayeTotfa³ {´)aneXIjrbgpÞH´xUcehIy
bMENk RKab;EbkCaeRcIn eXIjenAxagmuxpÞH´}. elak CYn NarinÞ sñgkarrgnKr)alraCFanIPñMeBj
)an[dwgfa RKab;EbkEdlpÞúHenaH RtÚv)aneKdak;bégáenACab;rbgeRkaysaladMbUgraCFanI ehIyv
a)anpÞúHenAevlaem:agRbmaN 1 nig 15 naTIyb;éf¶GgÁar QancUléf¶BuF. elak)an[dwgeTotfa Kµ
anGñkNamñak;søab; b¤k¾rgrbYsedaysarkarpÞúHenHeLIy. elakmanRbsasn_fa³ {rhUtmkdl;eBlen
H eyIgminTan;dwgc,as;las; BImUlehtuénkardak;bégá nigkarpÞúHRKab;EbkenH b¤k¾sÁal;GtþsB
aØaNCnsgS½y EdlCaGñkdak;bégáRKab;EbkenHenAeLIyeT. eyIgkMBugeFVIkaresuIbGegátBIbBaðae
nH}. b:uEnþelak)anbBa¢ak;[dwgfa³ eyagtamkarvaytémørbs;nKr)al nigkaresuIbGegátbzmkarpÞ
úHRKab;EbkenH minBak;B½n§nwgneya)ayeT EtvaRbEhlCaBak;B½n§eTAnwgerOgKMnuMCamYynwgtulak
arBIkic©kar b¤k¾karseRmckþINamYyrbs;tulakarEdlkardak;bégábMpÞúHRKab;EbkenH GaceFVIeLI
gedIm,IbMP½yb¤k¾KMramtulakar}. elak CIv ekg RbFansaladMbUgraCFanIPñMeBj )anEføgfa Cn
sgS½yEdl)andak;bégáRKab;EbkenH manCMnaj nigbTBiesaFx<s;Nas;eRBaHBYkeK)andak;enAkEnøgE
dlKµandak;m:asuInftsV½yRbvtþi. elak)anniyayfa³ {eTaHCamankarpÞúHRKab;EbkenHk¾eday vam
inrMxandl;kic©karrbs;tulakareT ehIytulakar )andMeNIrkarkargardUcFmµtakalBIéf¶mSilmij}
. elak BU davI embBa¢akarrgkgraCGavuFhtßraCFanI PñMeBj )an[dwgfa bMENkRKab;EbkRtÚv)an
RbmUlehIyykeTArkSaTuk edayGñkedaHmInrbs;mCÄmNÐlkm©at;mInkm<úCa suIm:ak ¬CMAC¦ edIm,Ie
FVIkaresuIbGegátbEnßmeTot. {rhUtmkdl;eBlenHeyIg minTan;dwgc,as;BIRbePTRKab;EbkenHenA
eLIyeT}. elakbEnßmfa kgraCGavuFhtß kMBugeFVIkaresuIbGegátelIkrNIenHedIm,IEsVgrkcab;x
øÜnCnsgS½y. cab;taMgBIlT§ple)aHeqñatbzmRtÚv)aneKRbkaskalBIl¶acéf¶TI28 Exkkáda EdlKNbk
SRbqaMg )anekInsMeLgy:ageRcIn eFVI[RbCaBlrdæmankarRBÜy)armÖ enAeBlEdlmankgkmøaMgCaeRc
InRtÚv)ancl½txusRbRktI. cab;taMgBIeRkaykare)aHeqñat KNbkSRbqaMgk¾)aneFVIkarKMramCaeR
cInelIkrYcmkehIyfa xøÜnnwgdwknaMeFVImha)atukmµenATUTaMgRbeTs RbsinebIesckþIesñIrbs;xø
Ün sUm[begáItKN³kmµkarcRmúHÉkraCü edaymanGgÁkarshRbCaCatieFVICaGaCJakNþaledIm,IesuIbG
egátBIPaBminRbRktIkñúgkare)aHeqñat minRtÚv)aneFVIeLIgeTenaH. CamYyKñaenH mankar)armÖ
BIkareRbIkmøaMgb®gáabeTAelIGñktv:aBIsMNak;rdæaPi)alEdldwknaMedayKNbkSRbCaCn. edaysarE
tsßankarneya)ay enAkñúgRbeTskm<úCa enAminTan;manPaBR)adkRbCa elak suk sMeGOn RbFanRkú
mGñkc,ab;karBarsiT§ikm<úCa )ancat;TukkarbMpÞúHRKab;EbkkalBIyb;mSilmijfa GacCaectnaedI
m,IbMP½ykuM[RbCaBlrdæcUlrYmeFVI)atukmµEdldwknaMedayKNbkSse®gÁaHCati. elak sMeGOn Eføg
fa³ {karbMpÞúHRKab;EbkenHKWmanectnaeFVI[mnusSxøackuM[cUlrYmeFVI)atukmµNamYyEdleRKagnw
geFVIeLIgkñúgeBlxagmuxedayKNbkSRbqaMg}.

RkúmGñkRsavRCavrbs;shrdæGaemrik )anniyaykalBIéf¶cnÞs)aþh_
enHfa bNþa®sþIGs;rdUvEdleRbIR)as;fñaMbBa©úH Qamcab;BI10qñaMeLIg
eTA RbQmeTVdgnwgkarekItmharIkedaH .  karsikSaRsavRCavEdl
)ancuHpSaykñúgRBwtþibRtrbs;smaKmevC¢sa®sþGaemrik)anbBa¢ak;fa
bNþa®sþIEdlelbsarFatuTb;sáat;clnakal;süÚm ¬CCB¦
b¤fñaMbBa©úHsm<aFQam RbQmnwgmharIkedaHcab;BI2>4 eTA2>6dgx<s;Cag®sþIEdlmin)aneRbIR)as;fñaMenH . B¤lT§plxagelIenHekItecjBIkarBiesaFelIbNþa®sþImYycMnYnenArdæv:asuInetanPaKxaglic ehIyEdlPaKeR
cInénBYkeKmanGayucab;BI55qñaMeTA74qñaM . CalT§pleRkaykarBiesaFbgðajfa kñúgcMnYnenaH
880nak;ekItmharIkbMBg;TwkedaH 1>027ekItmharIkcugénEpñkbMBg;TwkedaH ¬Lobular Breast Ca
ncer¦ xN³856nak;epSgeTotmansuxPaBFmµta . GñkÉkeTsxageraKratt,atenAsaklviTüal½y Boston
University )anEføgfa ³ «RbsinCaGRtaRbQmekIneLIg2eTA3dgdUcCakarrkeXIjkñúgkarsik
SaenHEmn dUecñHkareRbIR)as; CCB ry³eBlEvgnwgkøayCaktþaRbQmmYysRmab;mharIkedaH» . 

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RkúmGñkRsavRCavrbs;shrdæGaemrik )anniyaykalBIéf¶cnÞs)aþh_
enHfa bNþa®sþIGs;rdUvEdleRbIR)as;fñaMbBa©úH Qamcab;BI10qñaMeLIg
eTA RbQmeTVdgnwgkarekItmharIkedaH .  karsikSaRsavRCavEdl
)ancuHpSaykñúgRBwtþibRtrbs;smaKmevC¢sa®sþGaemrik)anbBa¢ak;fa
bNþa®sþIEdlelbsarFatuTb;sáat;clnakal;süÚm ¬CCB¦
b¤fñaMbBa©úHsm<aFQam RbQmnwgmharIkedaHcab;BI2>4 eTA2>6dgx<s;Cag®sþIEdlmin)aneRbIR)as;fñaMenH . B¤lT§plxagelIenHekItecjBIkarBiesaFelIbNþa®sþImYycMnYnenArdæv:asuInetanPaKxaglic ehIyEdlPaKeR
cInénBYkeKmanGayucab;BI55qñaMeTA74qñaM . CalT§pleRkaykarBiesaFbgðajfa kñúgcMnYnenaH
880nak;ekItmharIkbMBg;TwkedaH 1>027ekItmharIkcugénEpñkbMBg;TwkedaH ¬Lobular Breast Ca
ncer¦ xN³856nak;epSgeTotmansuxPaBFmµta . GñkÉkeTsxageraKratt,atenAsaklviTüal½y Boston
University )anEføgfa ³ «RbsinCaGRtaRbQmekIneLIg2eTA3dgdUcCakarrkeXIjkñúgkarsik
SaenHEmn dUecñHkareRbIR)as; CCB ry³eBlEvgnwgkøayCaktþaRbQmmYysRmab;mharIkedaH» .