Breast Imaging: Case Review Series E-Book -  Cecilia M Brennecke

Breast Imaging: Case Review Series E-Book (eBook)

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2012 | 2. Auflage
328 Seiten
Elsevier Health Sciences (Verlag)
978-0-323-09163-3 (ISBN)
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Effectively prepare for certification, recertification, and practice with Breast Imaging: Case Review, 2nd Edition! Case studies illustrate how to make confident, final diagnoses through accurate pattern recognition, clinical correlation, and differential diagnosis. It's an ideal way to test and deepen your knowledge of all essential topics in breast imaging.

  • Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.
    • Prepare for the new Board exam format with an updated organization that provides 4-5 multiple-choice review questions for each case.
    • Review 200 cases organized by level of difficulty, with multiple-choice questions, answers, and rationales that mimic the new format of certification and recertification exams.
    • Stay current with the aid of updated cases covering breast MR imaging, digital breast imaging, image-guided biopsy, imaging of high-risk lesions (ADH, LCIS), high-risk patient management, invasive lobular carcinoma, complex cystic cancer, male breast cancer, mucinous carcinoma, MRI of DCIS, desmoid tumors, and much more.
    • See examples of the latest imaging approaches, including digital mammography, MRI, and color Doppler US.

    Effectively prepare for certification, recertification, and practice with Breast Imaging: Case Review, 2nd Edition! Case studies illustrate how to make confident, final diagnoses through accurate pattern recognition, clinical correlation, and differential diagnosis. It's an ideal way to test and deepen your knowledge of all essential topics in breast imaging. - Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. - Prepare for the new Board exam format with an updated organization that provides 4-5 multiple-choice review questions for each case. - Review 200 cases organized by level of difficulty, with multiple-choice questions, answers, and rationales that mimic the new format of certification and recertification exams. - Stay current with the aid of updated cases covering breast MR imaging, digital breast imaging, image-guided biopsy, imaging of high-risk lesions (ADH, LCIS), high-risk patient management, invasive lobular carcinoma, complex cystic cancer, male breast cancer, mucinous carcinoma, MRI of DCIS, desmoid tumors, and much more. - See examples of the latest imaging approaches, including digital mammography, MRI, and color Doppler US.

    Front Cover 1
    Case Review Breast Imaging 4
    Copyright 5
    Dedication 6
    Series Foreword 8
    Preface 10
    Book Foreword 12
    Contents 
    14 
    Chapter 1: Opening Round 16
    Case 1 19
    Incidence and Prevalence 19
    References 19
    Cross-Reference 19
    Comment 19
    Notes 19
    Case 2 21
    Screening Guidelines 21
    References 21
    Cross-Reference 21
    Comment 21
    Notes 21
    Case 3 23
    Risk Factors 23
    References 23
    Cross-Reference 23
    Comment 23
    Notes 23
    Case 4 25
    The Mammogram Report 25
    References 25
    Cross-Reference 25
    Comment 25
    Notes 25
    Case 5 27
    Breast Tissue Density Examples 27
    References 27
    Cross-Reference 27
    Comment 27
    Notes 27
    Case 6 29
    Dense Breast in an 82-Year-Old Woman 29
    References 29
    Cross-Reference 29
    Comment 29
    Notes 29
    Case 7 31
    Hormones 31
    References 31
    Cross-Reference 31
    Comment 31
    Notes 31
    Case 8 33
    Lactational Change 33
    Reference 33
    Cross-Reference 33
    Comment 33
    Notes 33
    Case 9 35
    Poor Positioning, Missed Cancer 35
    References 35
    Cross-Reference 35
    Comment 35
    Notes 35
    Case 10 37
    Motion Unsharpness 37
    References 37
    Cross-Reference 37
    Comment 37
    Notes 37
    Case 11 39
    Medial Mass 39
    References 39
    Cross-Reference 39
    Comment 39
    Notes 39
    Case 12 41
    Sternalis Muscle 41
    References 41
    Cross-Reference 41
    Comment 41
    Notes 41
    Case 13 43
    Pectoralis Muscle on Craniocaudal View 43
    Reference 43
    Cross-Reference 43
    Comment 43
    Notes 43
    Case 14 45
    Hidden Mass 45
    References 45
    Cross-Reference 45
    Comment 45
    Notes 45
    Case 15 47
    Artifact: Hair 47
    Reference 47
    Cross-Reference 47
    Comment 47
    Notes 47
    Case 16 49
    Artifact: Chin 49
    References 49
    Cross-Reference 49
    Comment 49
    Notes 49
    Case 17 51
    Artifact: Deodorant 51
    References 51
    Cross-Reference 51
    Comment 51
    Notes 51
    Case 18 53
    Artifact: Shotgun Pellets in Breast 53
    References 53
    Cross-Reference 53
    Comment 53
    Notes 53
    Case 19 55
    Keloid 55
    References 55
    Cross-Reference 55
    Comment 55
    Notes 55
    Case 20 57
    Artifact: Ventriculoperitoneal Shunt 57
    Reference 57
    Cross-Reference 57
    Comment 57
    Notes 57
    Case 21 59
    Accessory Nipple 59
    References 59
    Cross-Reference 59
    Comment 59
    Notes 59
    Case 22 61
    Neurofibromatosis 61
    References 61
    Cross-Reference 61
    Comment 61
    Notes 61
    Case 23 63
    Superior Vena Cava Syndrome 63
    References 63
    Cross-Reference 63
    Comment 63
    Notes 63
    Case 24 65
    Normal Lymph Nodes 65
    Reference 65
    Cross-Reference 65
    Comment 65
    Notes 65
    Case 25 67
    Enlarged Axillary Lymph Nodes 67
    References 67
    Cross-Reference 67
    Comment 67
    Notes 67
    Case 26 69
    Digital Mammography 69
    References 69
    Cross-Reference 69
    Comment 69
    Notes 69
    Case 27 71
    Punctate Calcifications 71
    References 71
    Cross-Reference 71
    Comment 71
    Notes 71
    Case 28 73
    Tent Sign 73
    Reference 73
    Cross-Reference 73
    Comment 73
    Notes 73
    Case 29 75
    Hamartoma 75
    References 75
    Cross-Reference 75
    Comment 75
    Notes 75
    Case 30 77
    Dermal Calcifications Localization 77
    References 77
    Cross-Reference 77
    Comment 77
    Notes 77
    Case 31 79
    Triangulation 79
    References 79
    Cross-reference 79
    Comment 79
    Notes 79
    Case 32 81
    Oil Cyst 81
    References 81
    Cross-Reference 81
    Comment 81
    Notes 81
    Case 33 83
    Milk of Calcium 83
    Reference 83
    Cross-Reference 83
    Comment 83
    Notes 83
    Case 34 85
    Retained Catheter Cuff 85
    References 85
    Cross-Reference 85
    Comment 85
    Notes 85
    Case 35 87
    Secretory Calcifications 87
    References 87
    Cross-Reference 87
    Comment 87
    Notes 87
    Case 36 89
    Multiple Fibroadenomas 89
    References 89
    Cross-Reference 89
    Comment 89
    Notes 89
    Case 37 91
    Steatocystoma Multiplex 91
    References 91
    Cross-Reference 91
    Comment 91
    Notes 91
    Case 38 93
    Suture Calcifications 93
    Reference 93
    Cross-Reference 93
    Comment 93
    Notes 93
    Case 39 95
    Postlumpectomy Fat Necrosis 95
    References 95
    Cross-Reference 95
    Comment 95
    Notes 95
    Case 40 97
    Suspicious Microcalcifications 97
    References 97
    Cross-Reference 97
    Comment 97
    Notes 97
    Case 41 99
    Nipple Inversion 99
    References 99
    Cross-Reference 99
    Comment 99
    Notes 99
    Case 42 101
    Calcification on Ultrasound 101
    Reference 101
    Cross-Reference 101
    Comment 101
    Notes 101
    Case 43 103
    Implant Removal with Retained Capsule 103
    References 103
    Cross-Reference 103
    Comment 103
    Notes 103
    Case 44 105
    Myxoid Fibroadenoma with Biopsy 105
    References 105
    Cross-Reference 105
    Comment 105
    Notes 105
    Case 45 107
    Lipoma 107
    References 107
    Cross-Reference 107
    Comment 107
    Notes 107
    Case 46 109
    Spot Compression View 109
    References 109
    Cross-Reference 109
    Comment 109
    Notes 109
    Case 47 111
    Mass and Axillary Node 111
    References 111
    Cross-Reference 111
    Comment 111
    Notes 111
    Case 48 113
    Vascular Calcifications 113
    References 113
    Cross-Reference 113
    Comment 113
    Notes 113
    Case 49 115
    Standoff Pad 115
    Reference 115
    Cross-Reference 115
    Comment 115
    Notes 115
    Case 50 117
    Blood Vessel Presenting as a Mass at the Posterior Edge of an Image 117
    References 117
    Cross-Reference 117
    Comment 117
    Notes 117
    Chapter 2: Fair Game 118
    Case 51 121
    Changing Pattern of Multiple Bilateral Masses 121
    References 121
    Cross-Reference 121
    Comment 121
    Notes 121
    Case 52 123
    Ultrasound of Rib 123
    References 123
    Cross-Reference 123
    Comment 123
    Notes 123
    Case 53 125
    Developing Asymmetry 125
    References 125
    Cross-Reference 125
    Comment 125
    Notes 125
    Case 54 127
    Importance of Ultrasound in a Palpable Mass 127
    References 127
    Cross-Reference 127
    Comment 127
    Notes 127
    Case 55 129
    Predictive Value of Negative Imaging 129
    References 129
    Cross-Reference 129
    Comment 129
    Notes 129
    Case 56 131
    Interval Cancer 131
    References 131
    Cross-Reference 131
    Comment 131
    Notes 131
    Case 57 133
    Ductal Carcinoma In Situ 133
    References 133
    Cross-Reference 133
    Comment 133
    Notes 133
    Case 58 135
    Mass Seen on One View 135
    References 135
    Cross-Reference 135
    Comment 135
    Notes 135
    Case 59 137
    Extensive Intraductal Component 137
    References 137
    Cross-Reference 137
    Comment 137
    Note 137
    Case 60 139
    Ectopic Tissue 139
    References 139
    Cross-Reference 139
    Comment 139
    Notes 139
    Case 61 141
    Angiolipoma 141
    References 141
    Cross-Reference 141
    Comment 141
    Notes 141
    Case 62 143
    Pseudoangiomatous Stromal Hyperplasia 143
    References 143
    Cross-Reference 143
    Comment 143
    Notes 143
    Case 63 145
    Palpable Mass in a Teenager 145
    References 145
    Cross-Reference 145
    Comment 145
    Notes 145
    Case 64 147
    Silicone Injections 147
    References 147
    Cross-Reference 147
    Comment 147
    Notes 147
    Case 65 149
    Mass Developing during Pregnancy 149
    References 149
    Cross-Reference 149
    Comment 149
    Notes 149
    Case 66 151
    Subareolar Cancer 151
    References 151
    Cross-Reference 151
    Comment 151
    Notes 151
    Case 67 153
    Sebaceous Cyst 153
    References 153
    Cross-Reference 153
    Comment 153
    Notes 153
    Case 68 155
    Phyllodes Tumor 155
    References 155
    Cross-Reference 155
    Comment 155
    Notes 155
    Case 69 157
    Recurrent Cancer after Mastectomy 157
    References 157
    Cross-Reference 157
    Comment 157
    Notes 157
    Case 70 159
    Developing Calcifications and Ductal Carcinoma In Situ 159
    References 159
    Cross-Reference 159
    Comment 159
    Notes 159
    Case 71 161
    Partial Breast Irradiation 161
    References 161
    Cross-Reference 161
    Comment 161
    Notes 161
    Case 72 163
    Lymphoma in Intramammary Node 163
    References 163
    Cross-Reference 163
    Comment 163
    Notes 163
    Case 73 165
    Cyst with Layering Fluid 165
    References 165
    Cross-Reference 165
    Comment 165
    Notes 165
    Case 74 167
    Gold Therapy 167
    References 167
    Cross-Reference 167
    Comment 167
    Notes 167
    Case 75 169
    Hematoma 169
    References 169
    Cross-Reference 169
    Comment 169
    Notes 169
    Case 76 171
    Palpable Mass in a Male Patient (Lipoma) 171
    References 171
    Cross-Reference 171
    Comment 171
    Notes 171
    Case 77 173
    Metastatic Melanoma 173
    References 173
    Cross-Reference 173
    Comment 173
    Notes 173
    Case 78 175
    Tubular Adenoma 175
    References 175
    Cross-Reference 175
    Comment 175
    Notes 175
    Case 79 177
    Papillary Carcinoma 177
    References 177
    Cross-Reference 177
    Comment 177
    Notes 177
    Case 80 179
    Mammography of Silicone Implant Leak 179
    Reference 179
    Cross-Reference 179
    Comment 179
    Notes 179
    Case 81 181
    Cystic-Appearing Cancer 181
    References 181
    Cross-Reference 181
    Comment 181
    Notes 181
    Case 82 183
    Unilateral Breast Edema 183
    References 183
    Cross-Reference 183
    Comment 183
    Notes 183
    Case 83 185
    Paget's Disease 185
    References 185
    Cross-Reference 185
    Comment 185
    Notes 185
    Case 84 187
    Calcifications in Axillary Lymph Nodes 187
    References 187
    Cross-Reference 187
    Comment 187
    Notes 187
    Case 85 189
    Use of Ultrasound to Evaluate Suspicious Microcalcifications 189
    References 189
    Cross-Reference 189
    Comment 189
    Notes 189
    Case 86 191
    Intraductal Papilloma 191
    References 191
    Cross-Reference 191
    Comment 191
    Notes 191
    Notes 191
    Case 87 193
    Mucinous Carcinoma 193
    References 193
    Cross-Reference 193
    Comment 193
    Notes 193
    Case 88 195
    Palpable Subcutaneous Mass 195
    References 195
    Cross-Reference 195
    Comment 195
    Notes 195
    Case 89 197
    Male Gynecomastia 197
    References 197
    Cross-Reference 197
    Comment 197
    Notes 197
    Case 90 199
    Male Breast Cancer 199
    References 199
    Cross-Reference 199
    Comment 199
    Notes 199
    Case 91 201
    Seat Belt Trauma 201
    References 201
    Cross-Reference 201
    Comment 201
    Notes 201
    Case 92 203
    Atypical Ductal Hyperplasia 203
    References 203
    Cross-Reference 203
    Comment 203
    Notes 203
    Case 93 205
    Postoperative Hematoma 205
    References 205
    Cross-Reference 205
    Comment 205
    Notes 205
    Case 94 207
    Breast Conservation Therapy 207
    References 207
    Cross-Reference 207
    Comment 207
    Notes 207
    Case 95 209
    Postoperative Breast 209
    References 209
    Cross-Reference 209
    Comment 209
    Notes 209
    Case 96 211
    Reduction Mammaplasty 211
    References 211
    Cross-Reference 211
    Comment 211
    Notes 211
    Case 97 213
    Invasive Lobular Carcinoma 213
    References 213
    Cross-Reference 213
    Comment 213
    Notes 213
    Case 98 215
    Implant Leak 215
    References 215
    Cross-Reference 215
    Comment 215
    Notes 215
    Case 99 217
    Ductal Carcinoma In Situ in Two Patients 217
    References 217
    Cross-Reference 217
    Comment 217
    Notes 217
    Case 100 219
    MRI of Intracapsular Rupture of Silicone Implant 219
    References 219
    Cross-Reference 219
    Comment 219
    Notes 219
    Case 101 221
    Peripheral Papilloma with Ductal Carcinoma In Situ 221
    References 221
    Cross-Reference 221
    Comment 221
    Notes 221
    Case 102 223
    Vacuum-Assisted Biopsy 223
    References 223
    Cross-Reference 223
    Comment 223
    Notes 223
    Case 103 225
    Radial Scar 225
    References 225
    Cross-Reference 225
    Comment 225
    Notes 225
    Case 104 227
    MRI of Breast Carcinoma 227
    References 227
    Cross-Reference 227
    Comment 227
    Notes 227
    Chapter 3: Challenge 228
    Case 105 231
    Granular Cell Tumor 231
    References 231
    Comment 231
    Notes 231
    Case 106 233
    Difficult Stereotactic Biopsy-Calcifications in the Axillary Tail of the Breast 233
    References 233
    Cross-Reference 233
    Comment 233
    Notes 233
    Case 107 235
    Calcified Subareolar Masses 235
    References 235
    Cross-Reference 235
    Comment 235
    Notes 235
    Case 108 237
    MRI of Nipple Discharge 237
    References 237
    Cross-Reference 237
    Comment 237
    Notes 237
    Case 109 239
    Ultrasound-Guided Needle Localization 239
    References 239
    Cross-Reference 239
    Comment 239
    Notes 239
    Case 110 241
    Invasive Lobular Carcinoma with Recurrence 241
    References 241
    Cross-Reference 241
    Comment 241
    Notes 241
    Case 111 243
    MRI-Guided Needle Localization 243
    References 243
    Cross-Reference 243
    Comment 243
    Notes 243
    Case 112 245
    MRI-Guided Biopsy 245
    References 245
    Cross-Reference 245
    Comment 245
    Notes 245
    Case 113 247
    Diabetic Mastopathy 247
    References 247
    Cross-Reference 247
    Comment 247
    Notes232 247
    Case 114 249
    High-Grade Ductal Carcinoma In Situ 249
    References 249
    Cross-Reference 249
    Comment 249
    Notes 249
    Case 115 251
    Atypical Ductal Hyperplasia 251
    References 251
    Cross-Reference 251
    Comment 251
    Notes 251
    Case 116 253
    Milk Fistula and Galactocele: Complication of Core Biopsy during Lactation 253
    References 253
    Cross-Reference 253
    Comment 253
    Notes 253
    Case 117 255
    Normal Galactogram 255
    References 255
    Cross-Reference 255
    Comment 255
    Notes 255
    Case 118 257
    Intraductal Mass 257
    References 257
    Cross-Reference 257
    Comment 257
    Notes 257
    Case 119 259
    Invasive Lobular Carcinoma, Contralateral Disease 259
    References 259
    Cross-Reference 259
    Comment 259
    Notes 259
    Case 120 261
    Explanted Ruptured Silicone Implants 261
    References 261
    Cross-Reference 261
    Comment 261
    Notes 261
    Case 121 263
    Palpable Mass after Reduction Surgery 263
    References 263
    Cross-Reference 263
    Comment 263
    Notes 263
    Case 122 265
    Multifocal Disease Seen on MRI 265
    References 265
    Cross-Reference 265
    Comment 265
    Notes 265
    Case 123 267
    Mammography-Guided Needle Localization 267
    References 267
    Cross-Reference 267
    Comment 267
    Notes 267
    Case 124 269
    Palpable Mass in Transverse Rectus Abdominis Myocutaneous (TRAM) Flap 269
    References 269
    Cross-Reference 269
    Comment 269
    Notes 269
    Case 125 271
    Management of Lobular Carcinoma In Situ 271
    References 271
    Cross-Reference 271
    Comment 271
    Notes 271
    Case 126 273
    MRI in Follicular and Luteal Menstrual Phase 273
    References 273
    Cross-Reference 273
    Comment 273
    Notes 273
    Case 127 275
    Adenoid Cystic Carcinoma 275
    References 275
    Cross-Reference 275
    Comment 275
    Notes 275
    Case 128 277
    Medullary Cancer 277
    References 277
    Cross-Reference 277
    Comment 277
    Notes 277
    Case 129 279
    Response to Neoadjuvant Chemotherapy 279
    References 279
    Cross-Reference 279
    Comment 279
    Notes 279
    Case 130 281
    Invasive Lobular Cancer: The Shrinking Breast 281
    References 281
    Cross-Reference 281
    Comment 281
    Notes 281
    Case 131 283
    Metaplastic Cancer 283
    References 283
    Cross-Reference 283
    Comment 283
    Notes 283
    Case 132 285
    Leukemic Infiltrate of the Breast 285
    References 285
    Cross-Reference 285
    Comment 285
    Notes 285
    Case 133 287
    Abscess 287
    References 287
    Cross-Reference 287
    Comment 287
    Notes 287
    Case 134 289
    Axillary Node Presentation of Occult Breast Cancer 289
    References 289
    Cross-Reference 289
    Comment 289
    Notes 289
    Case 135 291
    Inflammatory Breast Cancer 291
    References 291
    Cross-Reference 291
    Comment 291
    Notes 291
    Case 136 293
    Clip Displacement 293
    References 293
    Cross-Reference 293
    Comment 293
    Notes 293
    Case 137 295
    Posterior Mass on MRI 295
    References 295
    Cross-Reference 295
    Comment 295
    Notes 295
    Case 138 297
    MRI of Ductal Carcinoma In Situ 297
    References 297
    Cross-Reference 297
    Comment 297
    Notes 297
    Case 139 299
    MRI for Disease Extent after Biopsy 299
    References 299
    Cross-Reference 299
    Comment 299
    Case 140 301
    Desmoid Tumor 301
    References 301
    Cross-Reference 301
    Comment 301
    Notes 301
    Case 141 303
    Mondor's Disease 303
    Reference 303
    Cross-Reference 303
    Comment 303
    Notes 303
    Case 142 305
    Screening High-Risk Women 305
    References 305
    Cross-Reference 305
    Comment 305
    Notes 305
    Case 143 307
    Asymmetric Size of Breasts 307
    References 307
    Cross-Reference 307
    Comment 307
    Notes 307
    Case 144 309
    Breast Bud Removed 309
    References 309
    Cross-Reference 309
    Comment 309
    Notes 309
    Case 145 311
    Complex Cyst 311
    References 311
    Cross-Reference 311
    Comment 311
    Notes 311
    Case 146 313
    Fat Necrosis in an Unusual Presentation 313
    Reference 313
    Cross-Reference 313
    Comment 313
    Notes 313
    Case 147 315
    Nonconcordant Biopsy 315
    References 315
    Cross-Reference 315
    Comment 315
    Notes 315
    Case 148 317
    Contralateral Breast Screening with MRI 317
    References 317
    Cross-Reference 317
    Comment 317
    Notes 317
    Case 149 319
    Radiation-Induced Sarcoma 319
    References 319
    Cross-Reference 319
    Comment 319
    Notes 319
    Case 150 321
    Cancer Adjacent to Palpable Cyst 321
    Reference 321
    Cross-Reference 321
    Comment 321
    Notes 321
    Index of Cases 322
    Index of Teams 324
    Front Cover 328

    Erscheint lt. Verlag 28.9.2012
    Sprache englisch
    Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Gynäkologie / Geburtshilfe
    Medizinische Fachgebiete Radiologie / Bildgebende Verfahren Radiologie
    Studium 2. Studienabschnitt (Klinik) Anamnese / Körperliche Untersuchung
    ISBN-10 0-323-09163-6 / 0323091636
    ISBN-13 978-0-323-09163-3 / 9780323091633
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    Kopierschutz: Adobe-DRM
    Adobe-DRM ist ein Kopierschutz, der das eBook vor Mißbrauch schützen soll. Dabei wird das eBook bereits beim Download auf Ihre persönliche Adobe-ID autorisiert. Lesen können Sie das eBook dann nur auf den Geräten, welche ebenfalls auf Ihre Adobe-ID registriert sind.
    Details zum Adobe-DRM

    Dateiformat: EPUB (Electronic Publication)
    EPUB ist ein offener Standard für eBooks und eignet sich besonders zur Darstellung von Belle­tristik und Sach­büchern. Der Fließ­text wird dynamisch an die Display- und Schrift­größe ange­passt. Auch für mobile Lese­geräte ist EPUB daher gut geeignet.

    Systemvoraussetzungen:
    PC/Mac: Mit einem PC oder Mac können Sie dieses eBook lesen. Sie benötigen eine Adobe-ID und die Software Adobe Digital Editions (kostenlos). Von der Benutzung der OverDrive Media Console raten wir Ihnen ab. Erfahrungsgemäß treten hier gehäuft Probleme mit dem Adobe DRM auf.
    eReader: Dieses eBook kann mit (fast) allen eBook-Readern gelesen werden. Mit dem amazon-Kindle ist es aber nicht kompatibel.
    Smartphone/Tablet: Egal ob Apple oder Android, dieses eBook können Sie lesen. Sie benötigen eine Adobe-ID sowie eine kostenlose App.
    Geräteliste und zusätzliche Hinweise

    Buying eBooks from abroad
    For tax law reasons we can sell eBooks just within Germany and Switzerland. Regrettably we cannot fulfill eBook-orders from other countries.

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