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Diakité A, Diabaté K, James L, Tolba A, Himmich M, Dossou S, Elkacemi H, Kebdani T, Benjaafar N. Cancer du larynx : expérience de l’institut national d’oncologie de Rabat, à propos de 404 cas. Cancer Radiother 2012. [DOI: 10.1016/j.canrad.2012.07.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mezouri I, Bellefqih S, Elkacemi H, Kebdani T, Hassouni K, Benjaafar N, Elgueddari B. Carcinome indifférencié de type nasopharyngé du sinus piriforme : à propos d’un cas et revue de la littérature. Cancer Radiother 2012. [DOI: 10.1016/j.canrad.2012.07.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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53
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Elmajjaoui S, Nabil I, Zaidi H, Kebdani T, Hassouni K, Elgueddari B, Benjaafar N. Étude rétrospective sur 379 cas de chimioradiothérapie concomitante pour cancer du col de l’utérus. Cancer Radiother 2012. [DOI: 10.1016/j.canrad.2012.07.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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54
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Diakité A, Tolba A, James L, Dossou S, Mariem H, Diabaté K, Elkacemi H, Kebdani T, Benjaafar N. Place de la radiothérapie dans la prise en charge des rhabdomyosarcomes pédiatriques : à propos de 30 cas. Cancer Radiother 2012. [DOI: 10.1016/j.canrad.2012.07.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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55
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Elmajjaoui S, Ismaili N, Hassouni K, Kebdani T, Benjaafar N. Modern Outcomes of Cervical Carcinoma in Moroccan Women Treated with Concurrent Chemoradiotherapy. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33557-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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56
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Khalil J, Amine L, Bellefqih S, Afif M, Kebdani T, Hassouni K, Gueddari B, Benjaafar N. Impact des cancers gynécologiques sur la sexualité : qu’en est-il de la femme marocaine ? Cancer Radiother 2012. [DOI: 10.1016/j.canrad.2012.07.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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57
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Tanz R, Mahfoud T, Bazine A, Aassab R, Benjaafar N, El Khalil El Gueddari B, Ichou M, Errihani H. Endometrial stromal sarcoma: prognostic factors and impact of adjuvant therapy in early stages. Hematol Oncol Stem Cell Ther 2012; 5:31-5. [PMID: 22446608 DOI: 10.5144/1658-3876.2012.31] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Endometrial stromal sarcomas (ESS) are rare uterine neoplasms. surgery remains the cornerstone of treatment for early stages and consists of an abdominal hysterectomy with bilateral salpingo-oopherectomy. Despite appropriate surgical treatment, relapse rates are high (18% to 45%) and the value of adjuvant therapies is not clear. We evaluated prognostic factors and the impact of adjuvant treatment on localized ESS (stages I and II). DESIGN AND SETTING Retrospective, case-control study conducted at the National Institute Of Oncology in Rabat, Morocco over 10 years from 2000 to 2009. PATIENTS AND METHODS twenty-one cases of localized ESS were included in the analysis. RESULTS standard surgery was performed in 71.4% of our patients. Myometrial invasion was noted in 57.1% of cases. Mitotic activity was considered high in five patients. Adjuvant treatment was given to 52.3% of patients: endocrine therapy in five patients and radiotherapy in six. Survival was significantly longer in the group of patients who underwent standard surgical treatment (P=.0007), in the absence of deep myometrial invasion (P=.0248) in cases with a low mitotic index (P<.0001) and in patients who received adjuvant therapy (hormone or radiotherapy) (P=.0048). In a multivariate analysis independent risk factors for monitoring were inadequate surgical treatment and absence of adjuvant treatment. CONCLUSIONS Myometrial invasion and mitotic index appear to be important prognostic factors. the reference surgery is hysterectomy with bilateral salpingo-oopherectomy. Lymph node dissection does not appear to provide a benefit. finally adjuvant treatment may carry a significant survival benefit.
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Chenna H, El Kacemi H, Hassouni K, Nouni K, Berhil H, El M’rabet F, El Mesbahi O, Kebdani T, El Gueddari B, Benjaafar N. À propose de sept cas d’épendymome chez l’enfant à l’Institut national d’oncologie de Rabat. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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59
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Berhil H, Masbah O, Chenna H, Zaidi H, Elkacemi H, Hassouni K, Kebdani T, Elgueddari B, Benjaafar N. À propos de 19 cas d’esthésioneuroblastome à l’Institut national d’oncologie. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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60
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Nouni K, Hassouni K, Kebdani T, Benjaafar N, Elgueddari B. Revue de la littérature à propos de dix cas de rhabdomyosarcome orbitaire. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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61
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Bekkouch I, Assaoui F, Masbah O, Benjaafar N. Étude pratique évaluant l’intérêt du décubitus ventral dans la radiothérapie préopératoire du cancer du rectum. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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62
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Berhil H, Masbah O, Chenna H, Zaidi H, Elkacemi H, Hassouni K, Kebdani T, Elgueddari B, Benjaafar N. À propos de 55 cas de cancer du nasopharynx juvénile à l’Institut national d’oncologie du Maroc. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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63
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Asabbane A, Errachdi A, Mouhout A, Rami H, Hassouni T, Amraoui F, Kayrouani M, Errihani N, Elgueddari B, Benjaafar N, Mouhout A, Rami H. Revue de la littérature à propos d’un cas de métastase intramédullaire d’un carcinome bronchique. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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64
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Errachdi A, Kebdani T, Asabbane A, Hemmich M, Hassouni K, El Gueddari B, Benjaafar N. Dysgerminomes du système nerveux central : considérations cliniques et thérapeutiques à propos de quatre cas. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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65
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Hemmich M, Hassouni K, Elkacemi H, Errachdi A, Mouhajir N, Zaidi H, Benjaafar N. Revue de la littérature sur la place de la radiothérapie dans le traitement des carcinomes adénoïdes kystiques du nasopharynx à propos de deux cas. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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66
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Zaidi H, Asabbane A, Errachdi A, Chenna H, Mouhout A, Hemmich M, Kebdani T, Hassouni K, Elgueddari B, Benjaafar N. À propos de six cas de chordome intracrânien. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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67
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Mouhajir N, Rami K, Diabate A, Hemmich M, Hassouni K, Kebdani T, Benjaafar N. Expérience de l’Institut national d’oncologie du cancer du sein bilatéral : à propos de 12 cas. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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68
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Nouni K, Kebdani T, Hassouni K, Benjaafar N, Elgueddari B. À propos d’un cas de PNET du cavum, une localisation exceptionnelle. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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69
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Boulaamane L, Belbaraka R, Lalva I, Tazi M, Boutayeb S, Mrabti H, Benjaafar N, Errihani H. 8599 POSTER Dietary Risk Factors of Nasopharyngeal Carcinoma – a Case Control Study of Moroccan Population. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)72241-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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70
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Errihani H, Ouaouch S, Abahssain H, Razine R, Mrabti H, Abouqal R, Ichou M, Benjaafar N, Zakkouri FA. Smoking, passive smoking, and lung cancer cell types among women in Morocco: Analysis of epidemiologic profiling of 101 cases. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.7069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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71
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Abahssain H, Lalya I, Zakkouri FA, Tazi MA, Mrabti H, Kebdani T, Ichou M, Benjaafar N, Errihani H. Postoperative adjuvant chemoradiation in gastric carcinoma: Results of a retrospective analysis. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e14533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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72
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Tanz R, Mahfoud T, Bazine A, Khmamouch R, Bensouda Y, Ismaili N, Benjaafar N, El Gueddari BK, Ichou M, Errihani H. [Cardiac safety of trastuzumab in adjuvant: a review across 53 observations]. ACTA ACUST UNITED AC 2011; 40:144-8. [PMID: 21227599 DOI: 10.1016/j.jgyn.2010.12.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2010] [Revised: 11/20/2010] [Accepted: 12/08/2010] [Indexed: 11/20/2022]
Abstract
Trastuzumab has been a revolution in the treatment of breast cancer overexpressing HER. Its use as an adjuvant for a period of 1 year is currently an international standard. Its major toxicity is cardiac, where the systematic monitoring of the LVEF before and during treatment. To evaluate the cardiac safety for our patients, we conducted this retrospective case-control study. The average in LVEF before the start of trastuzumab was 62.5% (51-80), and at the end of treatment 60.55 (40-77), a decrease in absolute value by 2%. This difference is statistically significant with P<0.001. Eighty-three percent of our patients have completed treatment, of whom 26.4% with a provisional arrest because of a regressive fall in LVEF. A final arrest has been made in 17% cases due to either a nonregressive reduction in LVEF or the appearance of symptomatic heart failure found in two patients. Analysis of risk factors toxicity found in this group of patients with a cardiotoxicity persisting an average age and average number of treatments received anthracyclines higher than the rest of our sample, and diminished baseline LVEF. But all these differences were not statistically significants. During the period of monitoring of these patients, six (67%) had spontaneous recovery of their LFEV 5 months ± 2.01 after discontinuation of trastuzumab. For two cases of symptomatic heart failure, they had a clinical improvement under medical treatment in February but is still less than 40%. The cardiac safety in our study seems comparable with the literature data but located in the upper range of levels of toxicity. The lack of statistical power of our study does not exclude a greater cardiac toxicity of trastuzumab among Moroccan women and should prompt a more cautious use of this drug and the achievement of larger studies that could answer this question.
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Boulaamane L, Lalya I, Tazi E, Essaadi I, Allam W, Ismaili N, M’rabti H, Benjaafar N, El Gueddari B, Errihani H. Le lymphome non hodgkinien de l’amygdale : série de 21 cas sur trois ans. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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74
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Chenna H, Zaidi H, Kebdani T, Berhil H, Hassouni K, El Kacemi H, Benjaafar N, El Gueddari B. À propos de deux cas de lymphome nasosinusien avec revue de la littérature. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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75
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Zaidi H, Kebdani T, Chenna H, Hassouni K, Kacemi H, Benjaafar N, El Gueddari B. À propos d’un cas de carcinome adénoïde kystique du larynx avec revue de la littérature. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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