621. [Epidemio-clinical features of retinoblastoma at the Yalgado Ouedraogo University Hospital Center in Burkina Faso: about 32 cases].
作者: Paté Sankara.;Windinmanégdé Pierre Djiguimde.;Ahgbatouhabéba Ahnoux-Zabsonre.;Jérôme Sanou.;Gertrude Meda-Hien.;Ibrahim Abib Diomande.;Mariam Dolo-Traore.;Jean Wenceslas Diallo.;Gabrielle Chantal Bouda.;Gaoussou Sidibe.
来源: Pan Afr Med J. 2020年37卷269页
Retinoblastoma is the most common intraocular cancer of childhood. Its estimated incidence is 1 case per 15 000 to 18 000 births. The purpose of this study is to highlight the epidemiological and clinical features of this disease as well as its management in Burkina Faso. We conducted a retrospective study over a period of 5 years at the Yalgado Ouedraogo University Hospital Center. The average age of patients was 33 months, with predominance of male sex (68.75%). Exophthalmia was the most frequent reason for consultation (59.37%). The predominant pattern was unilateral (75%) associated with eye protrusion (59.38%). Chemotherapy associated with surgery was the treatment of choice, with a 5-year survival rate of 34.37%. Retinoblastoma is one of the most common cancers in children younger than 5 years. In our low-income country this disease is diagnosed late. Patients´ management is complex and is commonly associated with poor prognosis. Mortality and morbidity from this disease are disproportionate in our country facing a shortage of technical equipment. In our low-income country, patient´s management should be based on early detection of the disease as well as on adequate treatment.
622. [The art of war as applied to pediatric gliomas: Know your enemy].
作者: Quentin Bailleul.;Andria Rakotomalala.;Isabelle Ferry.;Pierre Leblond.;Samuel Meignan.;Alessandro Furlan.
来源: Med Sci (Paris). 2021年37卷2期159-166页
Pediatric brain cancers represent the most frequent solid tumors and the leading cause of cancer-driven mortality in children. Pediatric High Grade Gliomas display a very poor prognosis. Among these, DIPG (Diffuse Intrinsic Pontine Gliomas), localized to the brain stem, cannot benefit from a total exeresis due to this critical location and to their highly infiltrating nature. Radiotherapy remains the standard treatment against these tumors for almost five decades, and attempts to improve the prognosis of patients with chemotherapy or targeted therapies have failed. Thanks to the rise of high throughput sequencing, the knowledge of molecular alterations in pediatric gliomas strongly progressed and allowed to highlight distinct biomolecular entities and to establish more accurate diagnoses. In this review, we summarize this new information and the perspectives that it brings for clinical strategies.
623. [Schwannoma of the sciatic nerve: a case report].
Schwannomas of the sciatic nerve are rare tumors. They are mainly manifested by sciatic neuralgia rather than by sensory-motor deficits. We report the case of a 30-year-old female patient with right buttock pain for 1 year. Palpation revealed a positive Tinel sign. A magnetic resonance imaging (MRI) was performed which objectified a roughly rounded, regular mass of 2 cm in diameter in intimate contact with the large sciatic nerve. A complete excision of the tumor was carried out. This excision allowed the pain to disappear and the pathology examination concluded with a plexiform schwannoma.
625. [BCG strain shortage from 2012 to 2014: Evaluation of its impact on the management of patients with high-risk NMIBC].
作者: L Surlemont.;F-X Nouhaud.;H Dupuis.;C Delcourt.;G Defortescu.;J-N Cornu.;C Pfister.
来源: Prog Urol. 2021年31卷6期324-331页
BCG instillations are the gold-standard treatment for high-risk non-muscle-invasive bladder cancer (NMIBC) with a decreased risk of tumor recurrence and muscle infiltration. From 2012 to 2014, a stock shortage of the Connaught strain has led to the cessation of supply for immucyst in France. The objective of this study was to evaluate the potential impact of BCG shortage on the management of patients with NMIBC.
626. [Confusion in the diagnosis of endobronchial tumor].
作者: Houda Snène.;Khalil Zayen.;Nozha Ben Salah.;Hana Blibech.;Hazem Zribi.;Ines Marzouk.;Mouna Mlika.;Leila Ben Farhat.;Nadia Mehiri.;Béchir Louzir.
来源: Pan Afr Med J. 2020年37卷201页
Bronchopulmonary cancer is the leading cause of death in men and the second in women. Some endoscopic or radiological features may guide histological diagnosis and thus facilitate therapeutic management. We here report the case of a 54-year old man, with a history of smoking and recent coronary stent implantation, presenting with haemoptysis and worsening of dyspnea which had evolved over the last month. Chest x-ray showed left pulmonary hemifield lucency with signs of retraction. Bronchial fibroscopy objectified raspberry bud formation spontaneously bleeding, originating from the left main bronchus and suggesting carcinoid tumor. Chest computed tomography (CT) scan showed poorly enhanced endoluminal tissue process at the level of the left main bronchus, located four cm from the carina and complicated with atelectasis. Diagnostic and therapeutic surgery helped to adjust to a diagnosis of endobronchial amartocondroma.
627. [Para-aortic lymph node staging in grade IB2 and above cervical cancers: Comparison of 18FDG PET-CT with para-aortic lymphadenectomy, using data from the Côte d'Or gynaecological cancer registry from 2003 to 2016].
作者: Anne Carré.;Julie Sellier.;Ariane Mamguem Kamga.;Sandrine Dabakuyo.;Magali Rouffiac.;Charles Coutant.
来源: Gynecol Obstet Fertil Senol. 2021年49卷9期677-683页
Current guidelines (ASCO, ESTRO, and ESGO) recommend para-aortic lymphadenectomy (PAL) for lymph node staging in patients with a negative initial PET-CT in locally advanced cervical cancer (LACC), with the aim to determine the radiation fields for radiochemotherapy. The main goal of this study was to compare overall survival (OS) in two groups, which differed according to the para-aortic lymph node staging technique used: imaging alone versus imaging and PAL. Secondary objectives were to determine recurrence-free survival (RFS), the proportion of false negatives on PET-CT, and surgery-related complications.
628. [Predictive factors of maintain of employment and return to work after cancer].
作者: Mariem Mersni.;Houda Belfkih.;Mejda Bani.;Imen Youssef.;Henda Rais.
来源: Bull Cancer. 2021年108卷3期272-283页
Return-to-work after cancer depends on several factors related to the disease but also other socio-professional factors. The primary aim of this study was to identify socio-demographic, disease related and professional factors influencing the return-to-work process.
629. [Squamous cell carcinoma of the bladder: a retrospective study conducted in a Moroccan University Hospital and literature review].
作者: Youssef Kadouri.;Imad Boualaoui.;Salim Lachkar.;Hachem El Sayegh.;Lounis Benslimane.;Yassine Nouini.
来源: Pan Afr Med J. 2020年37卷143页
Squamous cell carcinoma of the bladder is a rare form of bladder tumor, accounting for less than 5% of bladder cancers. Sex ratio is balanced and the black population is more affected by this disease. It manifests with non-specific clinical symptoms and it is dominated by haematuria. Diagnosis is based on endoscopic resection of the bladder with anatomopathological examination. Treatment remains controversial because of the rarity of cases reported in the literature. However, radical cystectomy with extensive lymph node dissection is the treatment of choice. We here report a series of 10 cases of squamous cell carcinoma treated and followed up in our department. Our study highlights the epidemiological, clinical, anatomopathological, therapeutic and evolutionary features of squamous cell carcinoma as well as its prognostic factors.
630. [Stereotactic body radiotherapy for locally advanced pancreatic cancer: A systemic review].
Stereotactic body radiation therapy (SBRT) for locally advanced pancreatic cancer (LAPC) is an emerging treatment option. Most studies showed local control of approximately 75% with no evidence of improved overall survival. Gastrointestinal toxicities could be significant, ranging up to 22% for acute toxicities≥grade 3+ and 44% for late toxicities≥grade 3+. Currently, no standardized guidelines for treatment and management scheme. We conducted a systemic review of published prospective and retrospective trials to evaluate the efficacy, safety, technical data, and discuss future directions.
631. [Squamous cell anal carcinoma. What's next ?].
作者: Stefano Kim.;Laurie Spehner.;Luc Cabel.;François-Clément Bidard.;Christophe Borg.
来源: Bull Cancer. 2021年108卷1期80-89页
Despite its status as a rare disease, the incidence of the squamous cell carcinoma of the anus (SCCA) is surging, especially in its metastatic form. In addition, the prognosis of initially localized diseases has not substantially changed since the 1970s with a recurrence rate of between 25-40 % after the chemoradiotherapy. The updated data from 115 patients included in the Epitopes-HPV01 and Epitopes-HPV02 trials, confirm the modified regimen of DCF (mDCF) as the treatment of choice for patients with advanced SCCA given the rate of sustained remissions and complete molecular responses observed. The carboplatin-paclitaxel regimen may be considered as an option for patients with contraindication to cisplatin or 5-FU. In chemo-refractory patients, the efficacy of anti-PD-1/PD-L1 in monotherapy is limited and only brings benefit to 10-20 % of patients, and its use cannot be generalized in the absence of an association potentiating its effectiveness. In order to better understand the immunological parameters associated with advanced SCCA, an analysis of peripheral immune responses was carried out in the Epitopes-HPV01 and 02 trials. It demonstrated the key role of CD4 Th1 specific responses of telomerase and M-MDSC as main prognostic factors for the therapeutic efficacy of DCF. Numerous combination trials are currently underway or will soon begin in localized SCCA, as well as in the first and second-line in the advanced stage. Finally, the detection of circulating tumor DNA of HPV oncoprotein E6 and E7 (HPVtc), especially by the "digital droplet PCR" technique, is highly sensitive and specific, and can be used in daily practice.
632. [Plan of the day adaptive radiotherapy for bladder cancer: Dosimetric and clinical results].
作者: M Cabaillé.;R Gaston.;S Belhomme.;A Giraud.;J Rouffilange.;G Roubaud.;P Sargos.
来源: Cancer Radiother. 2021年25卷4期308-315页
To account of individual intra-pelvic anatomical variations in muscle invasive bladder cancer (MIBC) irradiation, adaptive radiotherapy (ART) using a personalized plan library may have dosimetric and clinical benefits.
633. [Dosimetric impact of hydrogel spacer use for stereotactic body radiotherapy of localised prostate cancer].
作者: M Ung.;A Bossi.;L Abbassi.;J Vautier.;V Anthonipillai.;M Chevé.;P Blanchard.
来源: Cancer Radiother. 2021年25卷3期237-241页
Stereotactic body radiotherapy (SBRT) of prostate cancer is associated with rectal toxicities, which can be reduced by using a hydrogel spacer. The object of this retrospective study was to show the feasibility of spacer placement under local anesthesia and utility of hydrogel spacer to reduce the dose to the rectal wall.
634. [A review of adaptive radiotherapy for bladder cancer].
作者: M Cabaillé.;J Khalifa.;A M Tessier.;S Belhomme.;G Créhange.;P Sargos.
来源: Cancer Radiother. 2021年25卷3期271-278页
Radiation therapy (RT) for muscle invasive bladder cancer (MIBC) is challenging, with observed variations in bladder shape and size resulting in inappropriate coverage of the target volumes (CTV). Large margins were historically applied around the CTV, increasing the dose delivered to organs at risk (OAR). With repositioning imaging and visualization of soft tissues during image guided RT, an opportunity to consider these movements and deformations appeared possible with an adaptive RT approach (ART).
635. [Ductal carcinomas of the parotid gland].
作者: M Mnejja.;S Kallel.;W Thabet.;M Regaieg.;R Kallel.;T Boudawara.;J Daoud.;B Hammami.;I Charfeddine.
来源: Cancer Radiother. 2021年25卷2期155-160页
To describe the clinical, therapeutic and prognostic features of ductal carcinomas of the parotid gland.
636. [Lung cancer and pulmonary metastasis treated by stereotactic radiosurgery: Evaluation of the relevance of realisation of 3 4D CT by the RPM technique].
作者: M Khadige.;D Peiffert.;I Buchheit.;J Salleron.;K Peignaux-Casasnovas.;F Bidault.;E Martin.
来源: Cancer Radiother. 2021年25卷1期26-31页
Stereotactic lung radiosurgery has been carried out in the team at the Georges-François-Leclerc centre (CGFL) in Dijon since 2008 on a Truebeam® accelerator (Varian®) with the RPM technique.
637. [Adjuvant radiotherapy after radical cystectomy for muscle-invasive bladder cancer].
Locoregional relapse (LRR) after cystectomy is a common early event associated with poor prognosis. The role of radiotherapy as an adjunct to radical cystectomy is not well-defined. The aim of this critical literature review is to provide an overview of the elements in favor of adjuvant radiation for patients treated for muscle-invasive bladder cancer.
638. [Impact of COVID-19 pandemic on breast and gynecologic cancers management. Experience of the Surgery Department in the Nice Anticancer Center].
作者: Marie Gosset.;Jocelyn Gal.;Renaud Schiappa.;Magali Dejode.;Yves Fouché.;Fanny Alazet.;Emilie Roux.;Yann Delpech.;Emmanuel Barranger.
来源: Bull Cancer. 2021年108卷1期3-11页
During the COVID-19 pandemic, the containment measures and the recommendations of several societies in oncology may have impacted the request for initial care for cancers.
639. [French ccAFU guidelines - update 2020-2022: bladder cancer].
作者: M Rouprêt.;G Pignot.;A Masson-Lecomte.;E Compérat.;F Audenet.;M Roumiguié.;N Houédé.;S Larré.;S Brunelle.;E Xylinas.;Y Neuzillet.;A Méjean.
来源: Prog Urol. 2020年30卷12S期S78-S135页
- To update French guidelines for the management of bladder cancer specifically non-muscle invasive (NMIBC) and muscle-invasive bladder cancers (MIBC).
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