{"id":299,"date":"2023-02-14T17:36:34","date_gmt":"2023-02-14T17:36:34","guid":{"rendered":"https:\/\/www.drapaulapestana.com.br\/?page_id=299"},"modified":"2023-02-14T17:51:38","modified_gmt":"2023-02-14T17:51:38","slug":"cirurgias","status":"publish","type":"page","link":"https:\/\/www.drapaulapestana.com.br\/cirurgias\/","title":{"rendered":"Cirurgias"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"299\" class=\"elementor elementor-299\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ecb5ccf elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"4ecb5ccf\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3fd3a54b\" data-id=\"3fd3a54b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d8625c6 elementor-widget elementor-widget-heading\" data-id=\"d8625c6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 20-12-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Cirurgias<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38761ff elementor-widget elementor-widget-text-editor\" data-id=\"38761ff\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 20-12-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Cirurgia Conservadora da Mama | Cirurgias Linfonodais | Cirurgia das Les\u00f5es N\u00e3o-Palp\u00e1veis | Cirurgias Redutoras de Risco | Mastectomias<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf6ec75 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf6ec75\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-77fad10\" data-id=\"77fad10\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fa870e6 elementor-widget elementor-widget-heading\" data-id=\"fa870e6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C\u00e2ncer de Mama\n\n\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c87a982 elementor-widget elementor-widget-image\" data-id=\"c87a982\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 20-12-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"507\" height=\"558\" src=\"https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/ppq3.png\" class=\"elementor-animation-grow attachment-large size-large wp-image-63\" alt=\"\" srcset=\"https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/ppq3.png 507w, https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/ppq3-273x300.png 273w\" sizes=\"(max-width: 507px) 100vw, 507px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e18506d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e18506d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-cf0ab7c\" data-id=\"cf0ab7c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1942b63 elementor-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1942b63\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"http:\/\/www.drapaulapestana.com.br\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Cirurgia Conservadora da Mama<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Cirurgias Linfonodais<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Cirurgia das Les\u00f5es N\u00e3o-Palp\u00e1veis<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Cirurgias Redutoras de Risco<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Mastectomias<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8ba30c0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8ba30c0\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a766498\" data-id=\"a766498\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b0d4e73 elementor-widget elementor-widget-heading\" data-id=\"b0d4e73\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cirurgia Conservadora da Mama\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8268b76 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8268b76\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d08893d\" data-id=\"d08893d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b44dcf2 elementor-widget elementor-widget-text-editor\" data-id=\"b44dcf2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tA Cirurgia conservadora da mama \u00e9 um dos maiores avan\u00e7os do tratamento do C\u00e2ncer. A t\u00e9cnica consiste na retirada do tumor e Radioterapia no restante da mama. Essa \u00e9 a op\u00e7\u00e3o preferida para o tratamento do C\u00e2ncer de mama inicial, pois as taxas de cura s\u00e3o semelhantes \u00e0 Mastectomia e a qualidade de vida das pacientes \u00e9 melhor. Ensaios cl\u00ednicos tamb\u00e9m demonstraram que a cirurgia conservadora \u00e9 equivalente \u00e0 Mastectomia, fato comprovado ainda pela metan\u00e1lise dos maiores estudos.\n\nN\u00e3o \u00e9 necess\u00e1rio retirar a pele sobre o tumor, muito menos a f\u00e1scia do m\u00fasculo peitoral maior abaixo, basta que a margem esteja livre do C\u00e2ncer. A Cirurgia tamb\u00e9m \u00e9 chamada de QUADRANTECTOMIA, SETORECTOMIA ou SEGMENTECTOMIA.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f0b68ff\" data-id=\"f0b68ff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-622362e elementor-widget elementor-widget-text-editor\" data-id=\"622362e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tEssas margens s\u00e3o avaliadas pelo Patologista na sala de cirurgia.<br><br>A Radioterapia deve ser indicada em TODAS as cirurgias conservadoras, num prazo m\u00e1ximo de 90 dias ou logo ap\u00f3s a Quimioterapia adjuvante.<br><br>A Cirurgia conservadora n\u00e3o deve ser realizada em les\u00f5es proporcionalmente grandes em rela\u00e7\u00e3o ao volume mam\u00e1rio, microcalcifica\u00e7\u00f5es extensas e difusas, impossibilidade de obter margens livres, radioterapia tor\u00e1cica pr\u00e9via e doen\u00e7as vasculares do col\u00e1geno, como l\u00fapus ou esclerodermia (exceto artrite reumat\u00f3ide).\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-cac0970 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"cac0970\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a75bec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a75bec\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-108d628\" data-id=\"108d628\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-84f9175 elementor-widget elementor-widget-heading\" data-id=\"84f9175\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cirurgias Linfonodais\n\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-115bb7a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"115bb7a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bed01d6\" data-id=\"bed01d6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db2010e elementor-widget elementor-widget-text-editor\" data-id=\"db2010e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tA Cirurgia linf\u00e1tica est\u00e1 centralizada na bi\u00f3psia do linfonodo sentinela, que \u00e9 o primeiro g\u00e2nglio (\u00edngua) para o qual as c\u00e9lulas do C\u00e2ncer v\u00e3o ap\u00f3s se multiplicarem e sa\u00edrem da mama. Se esse linfonodo n\u00e3o tiver c\u00e9lulas malignas, n\u00e3o h\u00e1 necessidade de se fazer o esvaziamento axilar.\n\nPara descobrir qual \u00e9 o linfonodo sentinela, deve-se corar injetando azul patente ou azul de metileno ao redor da ar\u00e9ola depois que o paciente j\u00e1 est\u00e1 anestesiado, ou marcar com Tecn\u00e9cio em um centro de Medicina Nuclear e captar o sinal com o Gama Probe durante a Cirurgia.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd4d420 elementor-widget elementor-widget-text-editor\" data-id=\"cd4d420\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.cancerdemamabrasil.com.br\/por-que-operar-a-axila\/\" target=\"_blank\" rel=\"noopener\">Clique<\/a>\u00a0e leia o artigo \u201c<a href=\"https:\/\/www.cancerdemamabrasil.com.br\/por-que-operar-a-axila\/\" target=\"_blank\" rel=\"noopener\">Por que operar a axila<\/a>?\u201d<br \/><em>O linfonodo axilar \u00e9 a principal forma de dissemina\u00e7\u00e3o do c\u00e2ncer de mama<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-315656a\" data-id=\"315656a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c6c8a05 elementor-widget elementor-widget-text-editor\" data-id=\"c6c8a05\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tSe o paciente for acometido por Carcinoma Ductal in situ, n\u00e3o h\u00e1 necessidade de se fazer a bi\u00f3psia do linfonodo sentinela, pois este tipo de tumor n\u00e3o tem capacidade de dar met\u00e1stase.\n\nA outra Cirurgia conhecida \u00e9 o esvaziamento axilar, ou seja, retirada dos linfonodos da axila. \u00c9 importante o paciente saber que pode haver uma sensa\u00e7\u00e3o de dorm\u00eancia transit\u00f3ria no bra\u00e7o e, em alguns casos, a possibilidade de infec\u00e7\u00f5es mais graves no membro superior e incha\u00e7o, devido \u00e0 les\u00e3o proposital do sistema linf\u00e1tico. Nesse contexto, \u00e9 important\u00edssimo o trabalho da fisioterapia e alguns cuidados di\u00e1rios, como evitar movimentos repetitivos ou fazer esfor\u00e7o com o bra\u00e7o.\n\nPara descobrir qual \u00e9 o linfonodo sentinela, deve-se corar injetando azul patente ou azul de metileno ao redor da ar\u00e9ola depois que o paciente j\u00e1 est\u00e1 anestesiado, ou marcar com Tecn\u00e9cio em um centro de Medicina Nuclear e captar o sinal com o Gama Probe durante a Cirurgia.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bd651fe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd651fe\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-47c9b33\" data-id=\"47c9b33\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3606040 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"3606040\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-09f8612 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"09f8612\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7110432\" data-id=\"7110432\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3cb4128 elementor-widget elementor-widget-heading\" data-id=\"3cb4128\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cirurgia das Les\u00f5es N\u00e3o-Palp\u00e1veis\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f9bac96 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f9bac96\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b31584e\" data-id=\"b31584e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41f3641 elementor-widget elementor-widget-text-editor\" data-id=\"41f3641\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tA dissemina\u00e7\u00e3o da Mamografia como m\u00e9todo de rastreamento permite a detec\u00e7\u00e3o do C\u00e2ncer de mama n\u00e3o palp\u00e1vel, permitindo a realiza\u00e7\u00e3o de cirurgias menos agressivas com um melhor progn\u00f3stico.\n\nAs t\u00e9cnicas operat\u00f3rias mais utilizadas para a marca\u00e7\u00e3o pr\u00e9-operat\u00f3ria s\u00e3o o fio met\u00e1lico com a agulha de Kopans e o ROLL. Esses fios met\u00e1licos terminam como ganchos. Eles s\u00e3o orientados por Ultrassonografia ou Mamografia. O procedimento pode ser feito at\u00e9 24h ap\u00f3s a introdu\u00e7\u00e3o do fio.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e6bd622\" data-id=\"e6bd622\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e8a9269 elementor-widget elementor-widget-text-editor\" data-id=\"e8a9269\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tNo ROLL, injeta-se Tecn\u00e9cio dentro da les\u00e3o. Capta-se o sinal com o gamma probe e o cirurgi\u00e3o consegue localizar a proje\u00e7\u00e3o na pele da les\u00e3o e realizar o planejamento quanto ao corte ao ser realizado.<br><br>Em nosso pa\u00eds, a t\u00e9cnica do agulhamento com fio met\u00e1lico ainda \u00e9 amplamente utilizada por ser mais difundida e principalmente por ser um m\u00e9todo mais econ\u00f4mico.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-0d240e0 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"0d240e0\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4bce825 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4bce825\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-11daef8\" data-id=\"11daef8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40456e3 elementor-widget elementor-widget-heading\" data-id=\"40456e3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cirurgias Redutoras de Risco\n\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e3b7a16 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e3b7a16\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a541e80\" data-id=\"a541e80\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fcade77 elementor-widget elementor-widget-text-editor\" data-id=\"fcade77\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tDevemos utilizar esse termo como o correto, pois Cirurgia Profil\u00e1tica sugere a falsa id\u00e9ia de que existe preven\u00e7\u00e3o total do C\u00e2ncer.\n\nExistem 2 tipos de procedimentos: as Mastectomias (uni ou bilateral) e as Salpingooforectomias bilaterais (retirada das trompas e ov\u00e1rios). Essas cirurgias possuem alta complexidade e consider\u00e1vel risco de complica\u00e7\u00f5es, devendo ser reservadas para situa\u00e7\u00f5es de exce\u00e7\u00e3o e ap\u00f3s criteriosa avalia\u00e7\u00e3o.\n\nPara descobrir qual \u00e9 o linfonodo sentinela, deve-se corar injetando azul patente ou azul de metileno ao redor da ar\u00e9ola depois que o paciente j\u00e1 est\u00e1 anestesiado, ou marcar com Tecn\u00e9cio em um centro de Medicina Nuclear e captar o sinal com o Gama Probe durante a Cirurgia.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a91130a\" data-id=\"a91130a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc0be42 elementor-widget elementor-widget-text-editor\" data-id=\"bc0be42\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Mulheres jovens com muta\u00e7\u00e3o comprovada no BRCA-1 seriam poss\u00edveis candidatas, j\u00e1 que os benef\u00edcios da quimiopreven\u00e7\u00e3o s\u00e3o question\u00e1veis. As com muta\u00e7\u00e3o de BRCA-2, les\u00f5es precursoras e pacientes de risco elevado sem muta\u00e7\u00e3o gen\u00e9tica podem se beneficiar da quimiopreven\u00e7\u00e3o. Nestes casos, o uso da cirurgia deve ser ainda mais criterioso.<\/p><p>Os melhores resultados est\u00e9ticos ocorrem nos casos de adenomastectomia (nipple-sparing), e a bi\u00f3psia de linfonodo sentinela n\u00e3o deve ser rotineiramente utilizada.<\/p><p>As Salpingooforectomias podem ser ben\u00e9ficas nas portadores de muta\u00e7\u00e3o no BRCA-1.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f51303c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f51303c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-014aa09\" data-id=\"014aa09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d461ac4 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"d461ac4\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ec508b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec508b7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-66a5b70\" data-id=\"66a5b70\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bf3dbc6 elementor-widget elementor-widget-heading\" data-id=\"bf3dbc6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mastectomias\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-67c0357 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67c0357\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f074e85\" data-id=\"f074e85\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e7de66e elementor-widget elementor-widget-text-editor\" data-id=\"e7de66e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>A Mastectomia \u00e9 a retirada de quase toda a gl\u00e2ndula mam\u00e1ria e possui muitas variantes, desde a Radical, proposta por Halsted, em que se retirava os m\u00fasculos peitoral maior e menor, al\u00e9m das tr\u00eas cadeias de linfonodos axilares, at\u00e9 a Mastectomia Poupadora de pele, que permite a inclus\u00e3o de um expansor ou uma pr\u00f3tese na mesma cirurgia.<\/p><p>A Radical s\u00f3 \u00e9 indicada nos tumores que infiltram a musculatura peitoral.<\/p><p>A Mastectomia radical modificada, em fun\u00e7\u00e3o do diagn\u00f3stico tardio, continua sendo muito realizada em nosso meio e \u00e9 realizada nas seguintes situa\u00e7\u00f5es:<br \/>\u2013 C\u00e2ncer associado a microcalcifica\u00e7\u00f5es mam\u00e1rias difusas suspeitas<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-fc4f63d\" data-id=\"fc4f63d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0757c23 elementor-widget elementor-widget-text-editor\" data-id=\"0757c23\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2013 C\u00e2ncer com rela\u00e7\u00e3o tumor\/mama que n\u00e3o permita resultado est\u00e9tico aceit\u00e1vel com Cirurgia conservadora<br \/>\u2013 Desejo da paciente<br \/>\u2013 C\u00e2ncer multic\u00eantrico<br \/>-Margens comprometidas ap\u00f3s tentativa de amplia\u00e7\u00e3o em tratamento conservador<br \/>\u2013 Radioterapia pr\u00e9via da regi\u00e3o<br \/>\u2013 Doen\u00e7a do col\u00e1geno em atividade<br \/>\u2013 C\u00e2ncer de mama em homem<br \/>\u2013 Gesta\u00e7\u00e3o de primeiro e segundo trimestres (por ser contraindica\u00e7\u00e3o \u00e0 radioterapia)<\/p><p>Cabe ressaltar que, se n\u00e3o houver contra-indica\u00e7\u00e3o, pode-se proceder \u00e0 reconstru\u00e7\u00e3o com retalhos miocut\u00e2neos, que \u00e9 garantido por lei, inclusive no SUS.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-af1350a elementor-align-center elementor-widget elementor-widget-button\" data-id=\"af1350a\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d559b58 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d559b58\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-44eda0a\" data-id=\"44eda0a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b12eec4 elementor-widget elementor-widget-heading\" data-id=\"b12eec4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Links complementares:\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7f6b071 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f6b071\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-ef05764\" data-id=\"ef05764\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b6624a4 elementor-widget elementor-widget-text-editor\" data-id=\"b6624a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Se quiser aprofundar mais, seguem abaixo dois links sobre Cirurgias Mam\u00e1rias:\u00a0\u00a0<br \/>\u2013\u00a0<a href=\"https:\/\/www.hospitalsiriolibanes.org.br\/hospital\/especialidades\/nucleo-mastologia\/Paginas\/cirurgias-mamarias.aspx\" target=\"_blank\" rel=\"noopener\">Hospital S\u00edrio Liban\u00eas<\/a><br \/>\u2013\u00a0<a href=\"http:\/\/www.oncoguia.org.br\/conteudo\/cirurgia-para-cancer-de-mama\/1397\/265\/\" target=\"_blank\" rel=\"noopener\">Oncoguia<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8911a23 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8911a23\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2471f22\" data-id=\"2471f22\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67aaee3 elementor-widget elementor-widget-heading\" data-id=\"67aaee3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Blog<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f9dd4e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4f9dd4e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 20-12-2023 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider 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100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a79f4ce elementor-posts--align-center elementor-grid-3 elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-posts--thumbnail-top elementor-widget elementor-widget-posts\" data-id=\"a79f4ce\" data-element_type=\"widget\" data-settings=\"{&quot;classic_columns&quot;:&quot;3&quot;,&quot;classic_columns_tablet&quot;:&quot;2&quot;,&quot;classic_columns_mobile&quot;:&quot;1&quot;,&quot;classic_row_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:35,&quot;sizes&quot;:[]},&quot;classic_row_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"posts.classic\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"http:\/\/www.drapaulapestana.com.br\/wp-content\/plugins\/elementor-pro\/assets\/css\/widget-posts.min.css\">\t\t<div class=\"elementor-posts-container elementor-posts elementor-posts--skin-classic elementor-grid\">\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-165 post type-post status-publish format-standard has-post-thumbnail hentry category-uncategorized\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.drapaulapestana.com.br\/acolhimento-ao-paciente-com-cancer\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"167\" src=\"https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/bk10.png\" class=\"attachment-medium size-medium wp-image-166\" alt=\"\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.drapaulapestana.com.br\/acolhimento-ao-paciente-com-cancer\/\" >\n\t\t\t\tAcolhimento ao paciente com c\u00e2ncer\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>Esse tema aqui faz absolutamente toda a diferen\u00e7a. A maneira com que \u00a0o diagn\u00f3stico \u00e9 dado e muito bem explicado, o suporte familiar e o<\/p>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-post__read-more-wrapper\">\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.drapaulapestana.com.br\/acolhimento-ao-paciente-com-cancer\/\" aria-label=\"Read more about Acolhimento ao paciente com c\u00e2ncer\" tabindex=\"-1\" >\n\t\t\tLeia mais \u00bb\t\t<\/a>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-162 post type-post status-publish format-standard has-post-thumbnail hentry category-uncategorized\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.drapaulapestana.com.br\/o-que-sao-os-linfonodos-escritos-no-resultado-do-meu-exame\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"289\" src=\"https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/bk7.png\" class=\"attachment-medium size-medium wp-image-163\" alt=\"\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.drapaulapestana.com.br\/o-que-sao-os-linfonodos-escritos-no-resultado-do-meu-exame\/\" >\n\t\t\t\tO que s\u00e3o os linfonodos escritos no resultado do meu exame?\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>O que \u00e9 linfonodo? O linfonodo \u00e9 uma estrutura do sistema linf\u00e1tico cuja fun\u00e7\u00e3o \u00e9 manter o equil\u00edbrio dos fluidos com a produ\u00e7\u00e3o da linfa<\/p>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-post__read-more-wrapper\">\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.drapaulapestana.com.br\/o-que-sao-os-linfonodos-escritos-no-resultado-do-meu-exame\/\" aria-label=\"Read more about O que s\u00e3o os linfonodos escritos no resultado do meu exame?\" tabindex=\"-1\" >\n\t\t\tLeia mais \u00bb\t\t<\/a>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-159 post type-post status-publish format-standard has-post-thumbnail hentry category-uncategorized\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.drapaulapestana.com.br\/afinal-de-contas-cancer-de-mama-doi-ou-nao-doi\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"187\" src=\"https:\/\/www.drapaulapestana.com.br\/wp-content\/uploads\/2023\/02\/bk5.png\" class=\"attachment-medium size-medium wp-image-160\" alt=\"\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.drapaulapestana.com.br\/afinal-de-contas-cancer-de-mama-doi-ou-nao-doi\/\" >\n\t\t\t\tAfinal de contas, c\u00e2ncer de mama d\u00f3i ou n\u00e3o d\u00f3i?\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>Afinal de contas, c\u00e2ncer de mama d\u00f3i? Em geral, c\u00e2ncer de mama n\u00e3o d\u00f3i. Existem exce\u00e7\u00f5es, claro, como quando o caro\u00e7o \u00e9 muito grande e<\/p>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-post__read-more-wrapper\">\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.drapaulapestana.com.br\/afinal-de-contas-cancer-de-mama-doi-ou-nao-doi\/\" aria-label=\"Read more about Afinal de contas, c\u00e2ncer de mama d\u00f3i ou n\u00e3o d\u00f3i?\" tabindex=\"-1\" >\n\t\t\tLeia mais \u00bb\t\t<\/a>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75d743e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75d743e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;waves&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M421.9,6.5c22.6-2.5,51.5,0.4,75.5,5.3c23.6,4.9,70.9,23.5,100.5,35.7c75.8,32.2,133.7,44.5,192.6,49.7\n\tc23.6,2.1,48.7,3.5,103.4-2.5c54.7-6,106.2-25.6,106.2-25.6V0H0v30.3c0,0,72,32.6,158.4,30.5c39.2-0.7,92.8-6.7,134-22.4\n\tc21.2-8.1,52.2-18.2,79.7-24.2C399.3,7.9,411.6,7.5,421.9,6.5z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0fe0277\" data-id=\"0fe0277\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16776d7 elementor-widget elementor-widget-heading\" data-id=\"16776d7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Locais de Atendimento\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06b0073 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"06b0073\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b2e1b6e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2e1b6e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4d429b2\" data-id=\"4d429b2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8563695 elementor-position-top elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"8563695\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"http:\/\/www.drapaulapestana.com.br\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-box.min.css\">\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-hospital\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<span  >\n\t\t\t\t\t\tConsult\u00f3rio Barra Americas Medical City\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAv. Jorge Curi, 550, Bl. A - Sala 284<br>Barra da Tijuca, Rio de Janeiro\/RJ\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-069e414\" data-id=\"069e414\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39fd7e4 elementor-position-top elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"39fd7e4\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-hospital\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<span  >\n\t\t\t\t\t\t Espa\u00e7o Amil Sa\u00fade\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAv. Visconde do Rio Branco,<br>360 - Centro, Niter\u00f3i - RJ.\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2231e1d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2231e1d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5228a87\" data-id=\"5228a87\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2cdf44b elementor-view-default elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"2cdf44b\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-whatsapp-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<span  >\n\t\t\t\t\t\tBradesco e Particular \t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t(21) 99168-6438\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-285bc77 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"285bc77\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-76815c1\" data-id=\"76815c1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17c7ac6 elementor-position-top elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"17c7ac6\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-whatsapp-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<span  >\n\t\t\t\t\t\tAmil \t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t(21) 3003-1333\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21cedb7 elementor-align-center elementor-widget elementor-widget-global elementor-global-93 elementor-widget-button\" data-id=\"21cedb7\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521991686438&#038;text=Ol%C3%A1%20Dra.%20Paula%20Pestana,%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado%20(a)!\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agendar consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea11ddb elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ea11ddb\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-506df05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"506df05\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-943aac3\" data-id=\"943aac3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cca7136 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"cca7136\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/www.doctoralia.com.br\/paula-pestana\/mastologista-cirurgiao-geral\/rio-de-janeiro\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-user-md\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">doctoralia<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-30df4cb\" data-id=\"30df4cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-93b8524 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"93b8524\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/www.instagram.com\/drapaulapestana\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-instagram\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Instagram<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-c3564f3\" data-id=\"c3564f3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8899e6e elementor-align-center elementor-widget elementor-widget-button\" data-id=\"8899e6e\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/www.youtube.com\/channel\/UC5WcoHazFBp1qKgISV2gYFA\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-youtube\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Youtube<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-4bb3122\" data-id=\"4bb3122\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0bb1ca6 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"0bb1ca6\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" 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