1347. [The liquid biopsies: What is their contribution to the management of cancer?].
The « liquid biopsies » are samples of liquids such as blood, urine, spinal fluid that can contain tumor material. Clinical assays have been mainly focused on the peripheral blood containing circulating tumor cells and circulating tumor DNA. The circulating tumor cells are cancer cells released from the primary tumor or recurrences or metastases. They enter into the bloodstream after passing through the vessel wall. It is possible to analyze the circulating tumor cells by means of all cytologic and biomolecular techniques. The free circulating tumor DNA is made of fragments of DNA released by living or necrotic tumor cells proceeded from any place of the organism. The free circulating tumor DNA and DNA from circulating tumor cells show structural rearrangements among which some are therapeutic targets. Many studies showed that circulating tumor cells and circulating tumor DNA analyses are useful in revealing recurrences and tracking therapeutic targets.
1349. [Where do we stand with benign prostatic hyperplasia day-case surgery: A laser effect?].
Despite its feasibility has been proven, Benign Prostatic Hyperplasia (BPH) day-case surgery remains uncommon. Our objective was to describe the evolution of BPH day-case surgery in France according to the surgical technique employed.
1350. [Does the delay from prostate biopsy to radical prostatectomy influence the risk of biochemical recurrence?].
作者: M E Meunier.;Y Neuzillet.;C Radulescu.;C Cherbonnier.;J-M Hervé.;M Rouanne.;V Molinié.;T Lebret.
来源: Prog Urol. 2018年28卷10期475-481页
The influence of the delay between prostate biopsy and radical prostatectomy for patients with localized prostate cancer is controversial. The objective of this study was to establish a time limit between prostate biopsy and radical prostatectomy beyond which the risks of upgradging and biochemical recurrence (BCR) are increased.
1352. [Cutaneous melanoma: from rationalized models to patients care].
Cutaneous melanoma derives from the tumoral transformation of melanocytes. These pigmented cells produce melanin prior transmitting it to the surrounding keratinocytes of the skin, hair and mane. The main function of melanin is to protect cells and their DNA from damage caused by ultraviolet light. Melanoma is the most aggressive skin cancer whose incidence has increased steadily in recent decades. Advances in basic research have resulted in a better understanding of the molecular and cellular events responsible for the initiation and progression of melanomas. In this review, we present an overview of the knowledge gained in recent years and show how recent advances lead to new targeted and more efficient therapeutic approaches.
1355. [DICER1 mutated, solid/trabecular thyroid papillary carcinoma in an 11-year-old child].
作者: Lucie Ravella.;Jonathan Lopez.;Françoise Descotes.;Jean-Christophe Lifante.;Catherine David.;Myriam Decaussin-Petrucci.
来源: Ann Pathol. 2018年38卷5期316-320页
We report the case of an 11-year-old patient diagnosed with a solid variant of papillary thyroid carcinoma. Papillary thyroid carcinoma (PTC) is the most common thyroid cancer, representing 80-90% of all newly diagnosed thyroid cancers. Among the many variants described, solid/trabecular variant of papillary thyroid carcinoma is a rare entity and account for 3% of thyroid cancers. It is more common in children and young adults, and it is seen in higher proportion in post radiation papillary thyroid carcinoma cases. Histologically, solid variant papillary carcinoma is characterized by a predominantly solid, trabecular or insular growth pattern, and the presence of cytological features typical of PTC. Its main differential diagnosis is poorly differentiated thyroid carcinoma. It has a less favorable prognosis than the classical papillary type, with a higher risk of distant metastasis, extrathyroidal extension and lympho-vascular invasion. It is associated with a slightly lower long-term survival in adult cases, but not in children. The management of solid variant PTC includes surgery, associated or not with postoperative radioiodine ablation, according to the aggressiveness criteria. Our patient had a DICER1 somatic mutation. Carriers of germline DICER1 mutations are predisposed to a rare cancer syndrome, the DICER1 syndrome, with a higher risk of numerous tumors and infrequently differentiated thyroid carcinomas.
1356. [Primary hodgkin lymphoma of thyroid: case report].
作者: Halima Hadri.;Salma Fares.;Tarek Moutiqui.;Ghizlane Lembarki.;Nadia Moussali.;Naima El Benna.;Meriem Regragui.;Nisrine Bennani.;Sanaa Naoumi.;Mehdi Karkouri.;Asmaa Quessar.
来源: Pan Afr Med J. 2017年28卷266页
Primary thyroid lymphoma is a rare clinical entity, which does not exceed 5% of the diagnosed lymphomas, occur more frequently in women than in men, with a peak incidence in the sixth decade of life. The relationship with chronic thyroiditis is well known. The Hodgkin subtype even rarer; little described in the literature; Posing a diagnostic problem. Diagnostic confirmation is usually carried out on the surgical specimen. To better understand this entity, we report the case of a 64-year-old patient, with no notion of chronic thyroiditis, admitted for Hodgkin's lymphoma of the thyroid, diagnosed on an anterior cervical mass. Thyroidectomy with histopathological and immunohistochemical studies confirmed the diagnosis. The patient had received chemotherapy type ABVD (Adriblastin-Bleomycin-Vinblastine-Dacarbazine) and programmed for radiotherapy.
1357. [A rare parotid tumor].
作者: Kwame Doh.;Ibou Thiam.;Romulus Carmen Adechina Takin.;Khaled Sonhaye.;Gisèle Woto-Gaye.
来源: Ann Pathol. 2018年38卷5期321-324页
Sebaceous lymphadenoma of the parotid (SLP) is a rare, benign tumor with similar epidemiological and macroscopic characteristics with other sebaceous differentiated tumors of the parotid (SDTP). The authors report a case of SLP in an 80-year-old woman. They then recall the distinctive histological and immunohistochemical criteria of SDTP.
1358. [Acute lymphoblastic leukemia among children in Ouagadougou (Burkina Faso): the results of treatment according to the protocol of the Franco-African Pediatric Oncology Group 2005].
作者: Sonia Douamba.;Fatimata Diallo.;Kisito Nagalo.;Laure Tamini.;Lassina Dao.;Fla Kouéta.;Diarra Yé.
来源: Pan Afr Med J. 2018年29卷44页
acute lymphoblastic leukemia (ALL) is being diagnosed in an increasing number of children in our Department. In the developed countries, the treatment of this hematologic malignancy can cure almost 80% of children. In developing countries, few studies focus on acute leukemias in children. The results of cancer treatments in children are disappointing in most African countries, with a survival rate of 10-15%. This study aimed to investigate the clinical, biological, therapeutic and evolutionary features of ALL in children.
1359. [Embryonal rhabdomyosarcoma of the scalp: about a case].
We report the case of a newborn male admitted on the first day of his life with temporo-occipital swelling detected at birth. Clinical examination showed conscious, hemodynamically and respiratory stable, afebrile, vigorous and responsive newborn; craniofacial examination objectified soft, mobile, temporo-occipital mass covered by the scalp measuring 10 cm along its longer left paramedian axis (A). Craniocerebral CT scan showed large heterogeneous left subgaleal parietal-temporal-occipital mass measuring 40/80 mm, suggesting a tumor of soft tissue components of the scalp (B). The newborn underwent surgery which revealed bilobed tumor of the left temporo occipital soft tissue components, without extension to the cranial or the endocranial vault (C). Complete resection of the two masses was performed (D). Anatomo-pathologic study showed histological and immunohistochemical features of embryonal rhabdomyosarcoma. Staging evaluation was unremarkable. No chemotherapy or radiotherapy was proposed to the patient. At 1-year follow-up the child was asymptomatic and ultrasound examination of the surgical site was unremarkable.
1360. [Spindle cell carcinoma of the breast : diagnostic difficulties].
The metaplastic breast cancers are rare lesions, accounting for less than 1 % of all breast malignancies. According to the WHO classification (2012), the spindle cell carcinoma of the breast figures among variants of metaplastic carcinomas. The average age at diagnosis is 53 years, and the usual course is fast. Their prognosis is more pejorative than the classic invasive ductal carcinoma. The differential diagnosis arises with sarcomas, especially phyllodes sarcomas but also with other primary breast sarcomas which remain rare. The distinction of this entity is important for further management of patients which is similar to that of conventional infiltrating carcinoma.
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