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Thomas B, Aupy J, Penchet G, De Montaudouin M, Bartolomei F, Biraben A, Catenoix H, Chassoux F, Dupont S, Valton L, Michel V, Marchal C. Predictive factors of postoperative outcome in the elderly after resective epilepsy surgery. Rev Neurol (Paris) 2021; 178:609-615. [PMID: 34801264 DOI: 10.1016/j.neurol.2021.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 07/25/2021] [Accepted: 08/31/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To evaluate the efficiency of resective epilepsy surgery (RES) in patients over 50 years and determine prognostic factors. RESULTS Over the 147 patients over 50 years (54.9±3.8 years [50-69]) coming from 8 specialized French centres for epilepsy surgery, 72.1%, patients were seizure-free and 91.2% had a good outcome 12 months after RES. Seizure freedom was not associated with the age at surgery or duration of epilepsy. In multivariate analysis, seizure freedom was associated with MRI and neuropathological hippocampal sclerosis (HS) (P=0.009 and P=0.028 respectively), PET hypometabolism (P=0.013), temporal epilepsy (P=0.01). On the contrary, the need for intracranial exploration was associated with a poorer prognosis (P=0.001). Postoperative number of antiepileptic drugs was significantly lower in the seizure-free group (P=0.001). Neurological adverse event rate after surgery was 21.1% and 11.7% of patients had neuropsychological adverse effects overall transient. CONCLUSIONS RES is effective procedure in the elderly. Even safe it remains at higher risk of complication and population should be carefully selected. Nevertheless, age should not be considered as a limiting factor, especially when good prognostic factors are identified.
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Affiliation(s)
- B Thomas
- Department of Clinical Neurosciences, Bordeaux University Hospital, Bordeaux, France
| | - J Aupy
- Department of Clinical Neurosciences, Bordeaux University Hospital, Bordeaux, France; IMN, UMR CNRS 5293, University of Bordeaux, Bordeaux Neurocampus, Bordeaux, France.
| | - G Penchet
- Department of Neurosurgery, Bordeaux University Hospital, Bordeaux, France
| | - M De Montaudouin
- Department of Clinical Neurosciences, Bordeaux University Hospital, Bordeaux, France
| | - F Bartolomei
- Clinical Neurophysiology and Epileptology Department, APHM, Timone Hospital, Marseille, France; INS, Institut de Neurosciences des Systèmes, Aix-Marseille University, Marseille, France
| | - A Biraben
- Department of Neurology, University Hospital of Rennes, Rennes, France
| | - H Catenoix
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | - F Chassoux
- Department of Neurosurgery, Sainte-Anne Hospital Centre, Paris, France
| | - S Dupont
- Epilepsy Unit, La Pitié-Salpêtrière University Hospital, AP-HP, Paris, France
| | - L Valton
- Department of Neurology, Toulouse University Hospital, Toulouse, France
| | - V Michel
- Department of Clinical Neurosciences, Bordeaux University Hospital, Bordeaux, France
| | - C Marchal
- Department of Clinical Neurosciences, Bordeaux University Hospital, Bordeaux, France
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Bonduelle T, Tang HMA, Marchal C, Thomas B. Severe Lyme neuroborreliosis with bilateral hemorrhagic temporal encephalitis. J Neurol 2020; 267:852-854. [PMID: 31955245 DOI: 10.1007/s00415-020-09706-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Revised: 01/08/2020] [Accepted: 01/10/2020] [Indexed: 12/11/2022]
Affiliation(s)
- T Bonduelle
- Department of Neurology, CHU de Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France.
| | - Hoang M-A Tang
- Department of Neurology, CHU de Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France
| | - C Marchal
- Department of Neurology, CHU de Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France
| | - B Thomas
- Department of Neurology, CHU de Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France
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Marchal C, Belhassen M, Guiso N, Cohen R, Verdier R, Uhart M. Vaccins combinés de rappels : couvertures vaccinales 2013–2017 en France. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.04.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Maingon P, Mirjolet C, Truc G, Karine P, Nöel G, Thariat J, Le Pechoux C, Sargos P, Marchal C, Blay J, Salas S, Delannes M, Lagrange J, Mahé M, Coindre J, Collin F, Chibon F, Grisi C, Gauthier M, Merlin J. Sarcoma in irradiated area (SARI): radiation-induced CD8 T-lymphocytes apoptosis as a potential predisposition factor: results of the SARI trial. Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30576-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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De Ceulaer F, Mahin S, Boeur CH, Melchior A, Marchal C, Demelenne M. Regrouper les communes pour améliorer l’efficacité du diagnostic local de santé en milieu rural. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.06.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Massmann A, Marchal C, Janssen M, Niklas C, Seiler-Mussler S, Sester U, Heine G, Schneider G, Stöckle M, Bücker A. Perkutane transluminale Angioplastie zur Behandlung der Transplantatnierenarterienstenose. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Leymarie F, Marchal C, Ducros D, Morfoisse JJ. Pertinence des angioplasties coronaires en Midi Pyrénées. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.01.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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8
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Marchal C, Bezard J, Lagaisse M, Magnin V, Feham N, Khelif D, Corbice C, Marchal C. Respect des contraintes de doses sur les volumes cibles et les organes à risque pour les traitements postopératoires des cancers du sein par une technique mono-isocentrique. Cancer Radiother 2015. [DOI: 10.1016/j.canrad.2015.07.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Marchal C, Corbice C, Marchal C. Installation d’un projecteur de curiethérapie de haut débit de dose dans un bunker d’accélérateur. Cancer Radiother 2015. [DOI: 10.1016/j.canrad.2015.07.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Marchal C, Fontaine E, Corbice C, Magnin V, Feham N, Khelif D, Delattre E. Utilisation de la tomographie conique d’un accélérateur pour la curiethérapie de haut débit de dose (contrôle du positionnement des applicateurs puis réalisation de la planification de dose), une première au centre hospitalier universitaire de la Réunion. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sumodhee S, Gence M, Ribourel G, Lumineau E, Marchal C, Magnin V. Proposition d’un protocole de contrôle de reproductibilité de la distension rectale et vésicale dans les irradiations prostatiques avec la tomographie conique. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Sumodhee S, Magnin V, Badat Y, Feham N, Zinutti M, Caty C, Corbice C, Marchal C. Évaluation d’une technique mono-isocentrique avec complément champ dans le champ concomitant pour le traitement conservateur des cancers du sein. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Renoult F, Marchal C, Brunaud C. Safety and efficacy of whole breast irradiation with a concomitant boost. Analysis of 121 cases treated at the Alexis-Vautrin Cancer Center. Cancer Radiother 2013. [DOI: 10.1016/j.canrad.2013.07.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Hüe T, Graille M, Mortelecque A, Desoutter D, Delathière JM, Marchal C, Teurlai M, Barré N. Diagnostic methods used to monitor an outbreak of babesiosis (Babesia bovis) in a herd of feral cattle in New Caledonia. Aust Vet J 2013; 91:254-8. [DOI: 10.1111/avj.12059] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2012] [Indexed: 12/01/2022]
Affiliation(s)
- T Hüe
- Institut Agronomique néo-Calédonien/Centre de Coopération Internationale en Recherche Agronomique pour le Développement (IAC/CIRAD); BP 73; 98890; Païta; New Caledonia; France
| | - M Graille
- Service des Laboratoires Officiels Vétérinaires Agroalimentaires et Phytosanitaires de Nouvelle-Calédonie; Direction des Affaires Vétérinaires Alimentaires et Rurales de Nouvelle-Calédonie; Station zootechnique de Port-Laguerre; Païta; New Caledonia; France
| | - A Mortelecque
- Service des Laboratoires Officiels Vétérinaires Agroalimentaires et Phytosanitaires de Nouvelle-Calédonie; Direction des Affaires Vétérinaires Alimentaires et Rurales de Nouvelle-Calédonie; Station zootechnique de Port-Laguerre; Païta; New Caledonia; France
| | - D Desoutter
- Service des Laboratoires Officiels Vétérinaires Agroalimentaires et Phytosanitaires de Nouvelle-Calédonie; Direction des Affaires Vétérinaires Alimentaires et Rurales de Nouvelle-Calédonie; Station zootechnique de Port-Laguerre; Païta; New Caledonia; France
| | - JM Delathière
- Service d'Inspection Vétérinaire; Alimentaire et Phytosanitaire; Direction des Affaires Vétérinaires Alimentaires et Rurales de Nouvelle-Calédonie; Nouméa Cedex; New Caledonia; France
| | - C Marchal
- Service des Laboratoires Officiels Vétérinaires Agroalimentaires et Phytosanitaires de Nouvelle-Calédonie; Direction des Affaires Vétérinaires Alimentaires et Rurales de Nouvelle-Calédonie; Station zootechnique de Port-Laguerre; Païta; New Caledonia; France
| | - M Teurlai
- UMR LOCEAN et ESPACE-DEV; Institut de Recherche pour le Développement (IRD); Nouméa Cedex; New Caledonia; France
| | - N Barré
- Institut Agronomique néo-Calédonien/Centre de Coopération Internationale en Recherche Agronomique pour le Développement (IAC/CIRAD); BP 73; 98890; Païta; New Caledonia; France
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Bonnet C, Aupy J, Felix S, Marchal C. Intérêt du bilan dysimmunitaire dans une épilepsie isolée tardive. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fuks D, Verhaeghe JL, Marchal F, Guillemin F, Beckendorf V, Peiffert D, Leroux A, Rios M, Troufléau P, Marchal C. [Surgery and postoperative radiation therapy in primary retroperitoneal sarcomas: experience of the cancer centre Alexis-Vautrin]. Cancer Radiother 2012; 16:194-200. [PMID: 22387193 DOI: 10.1016/j.canrad.2011.11.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2011] [Revised: 11/16/2011] [Accepted: 11/25/2011] [Indexed: 10/28/2022]
Abstract
PURPOSE Surgical resection remains the standard treatment for patients with resectable retroperitoneal sarcomas. The aim of this study was to retrospectively analyse the outcomes of patients with primary retroperitoneal sarcoma. PATIENTS AND METHODS We analysed data of 50 patients with primary retroperitoneal sarcoma who underwent curative-intent resection from 1975 to 2008. External beam radiotherapy and chemotherapy were delivered postoperatively. Demographics, surgical, pathological variables and chemo/radiation therapy were analysed as prognosis factors. RESULTS There were 22 males and 28 females (mean age 54 ± 13 years). Surgery required visceral resections in 30 patients. There were 16 leiomyosarcomas, 25 liposarcomas and eight other sub-types. Twenty-one patients had clear surgical margins. Twenty-eight patients received postoperative external beam radiotherapy (median 45 Gy) and 15 received chemotherapy. At the end of the follow-up (median 55 months), local recurrence occurred in 39% (n=14) among R0/R1 resection group (n=36). Postoperative external beam radiotherapy tends to increase the time of local recurrence from surgery (27 vs. 13 months, P=0.05). The overall survival rates were 81%, 55% and 46% at 1, 3 and 5 years, respectively. Although R0 resection (P=0.01), well tumour differentiation (P=0.004) and postoperative external beam radiotherapy (P=0.02) significantly influenced overall survival in univariate analysis, only R0 resection was an independent prognostic factor in a multivariate analysis. CONCLUSION We confirm the pre-eminence of radical surgery with negative margins as major prognostic factor and the benefit of postoperative radiotherapy.
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Affiliation(s)
- D Fuks
- Département de radiothérapie, centre Alexis-Vautrin, Vandœuvre-lès-Nancy, France
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Rubin S, Le Piffer AL, Rougier MB, Korobelnik JF, Goizet C, Marchal C, Mesli S, Redonnet-Vernhet I, Gonzalez C, Gin H, Rigalleau V. P200 Cécité corticale régressive sous diététique chez un adulte porteur de phénylcétonurie. NUTR CLIN METAB 2011. [DOI: 10.1016/s0985-0562(11)70267-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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18
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Droz-Perroteau C, Marchal C, Dureau-Pournin C, Lassalle R, Jové J, Robinson P, Laverhne G, Vespignani H, Moore N, Fourrier-Réglat A. La réduction précoce du nombre d’antiépileptiques n’a pas d’impact péjoratif sur le statut « libre de crise à un an » des utilisateurs long terme de levetiracetam de la cohorte EULEV. Rev Epidemiol Sante Publique 2011. [DOI: 10.1016/j.respe.2011.08.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Muñiz Y, Granier M, Caruth C, Umaharan P, Marchal C, Pavis C, Wicker E, Martínez Y, Peterschmitt M. Extensive settlement of the invasive MEAM1 population of Bemisia tabaci (Hemiptera: Aleyrodidae) in the Caribbean and rare detection of indigenous populations. Environ Entomol 2011; 40:989-998. [PMID: 22251711 DOI: 10.1603/en11129] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Bemisia tabaci populations belonging to Middle East-Asia Minor one (MEAM1) and Mediterranean (MED) groups (formerly biotype B and Q, respectively) have spread throughout the world. Although the introduction of MEAM1 is documented from several Caribbean islands, it is generally not known whether MED has also been introduced; whether indigenous populations have survived; and if in the affirmative, to which group(s) they belonged. Whiteflies were collected from seven islands on various plant species. The prevalence of MEAM1 and non-MEAM1 individuals was assessed using a microsatellite approach validated with sequences of the mitochondrial cytochrome oxidase I (mtCOI) gene. Of the 262 samples tested, 247 exhibited the MEAM1 pattern, whereas none showed the MED pattern. The mtCOI gene was partially sequenced from a sample of individuals exhibiting MEAM1 (n = 15) and non-MEAM1 patterns (n = 8) and compared with type sequences. The 15 individuals exhibiting the MEAM1 pattern were confirmed to belong to MEAM1. Of the eight individuals representative of the six non-MEAM1 patterns, two belonged to the indigenous New World (NW) group of B. tabaci (NW), one belonged to a distinct species of Bemisia, and five belonged to MEAM1. One individual belonging to NW exhibited 99.9% nucleotide identity with a NW individual from Puerto Rico. The other was identified as the most divergent individual of the North and Central American genetic cluster. We conclude that a highly homogenous MEAM1 population has extensively settled in the Caribbean and that heterogeneous NW populations were still detectable although severely displaced.
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Affiliation(s)
- Y Muñiz
- Grupo de Fitopatología, Centro Nacional de Sanidad Agropecuaria (CENSA), San José de las Lajas, La Habana, Cuba
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Azria D, Cowen D, Bourgier C, de la Lande B, Gourgou-Bourgade S, Douadi Gaci Z, Leblanc-Onfroy M, Latorzeff I, Pradier O, Maingon P, Lecouillard I, Bontemps P, Ellis S, Levy C, Benyoucef A, Racadot S, Laharie-Mineur H, Lagarde P, Marchal C, Lemanski C. Phase III randomized French multicentric study to evaluate the impact of a localized 16-Gy boost after conservative surgery and a 50-Gy whole-breast irradiation in breast ductal carcinoma in situ (the BONBIS trial). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.tps131] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Tentchev D, Verdin E, Marchal C, Jacquet M, Aguilar JM, Moury B. Evolution and structure of Tomato spotted wilt virus populations: evidence of extensive reassortment and insights into emergence processes. J Gen Virol 2010; 92:961-73. [DOI: 10.1099/vir.0.029082-0] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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Renard-Oldrini S, Marchal C, Verhaeghe JL, El Hajj L, Beckendorf V, Tournier-Rangeard L, Peiffert D. Devenir de trois cas de sarcomes de la région sus claviculaire après radiothérapie mammaire. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Renoult F, Faivre JC, Charra Brunaud C, Tournier-Rangeard L, Lostette J, Xémard S, Huger S, Marchesi V, Peiffert D, Marchal C. Le respect des contraintes de dose aux volumes cibles et aux organes à risque est-il toujours possible dans le cadre d’une radiothérapie du sein après traitement conservateur ? Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Marchal C, Marchesi V, Nguyen Tan D, Peiffert D. Évolution des pratiques de simulation virtuelle et de dosimétrie tridimensionnelle en pathologie mammaire de 18 services de radiothérapie du Grand-Est. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Solé G, Coupry I, Rooryck C, Guérineau E, Martins F, Devés S, Hubert C, Souakri N, Boute O, Marchal C, Faivre L, Landré E, Debruxelles S, Dieux-Coeslier A, Boulay C, Chassagnon S, Michel V, Routon MC, Toutain A, Philip N, Lacombe D, Villard L, Arveiler B, Goizet C. Bilateral periventricular nodular heterotopia in France: frequency of mutations in FLNA, phenotypic heterogeneity and spectrum of mutations. J Neurol Neurosurg Psychiatry 2009; 80:1394-8. [PMID: 19917821 DOI: 10.1136/jnnp.2008.162263] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Bilateral periventricular nodular heterotopia (BPNH) is the most common form of periventricular heterotopia. Mutations in FLNA, encoding filamin A, are responsible for the X linked dominant form of BPNH (FLNA-BPNH). Recently, atypical phenotypes including BPNH with Ehlers-Danlos syndrome (BPNH-EDS) have been recognised. A total of 44 FLNA mutations have so far been reported in this phenotype. Most of these mutations lead to a truncated protein, but few missense mutations have also been described. Here, the results of a mutation screening conducted in a series of 32 BPNH patients with the identification of 12 novel point mutations in 15 patients are reported. Nine mutations were truncating, while three were missense. Three additional patients with BPNH-EDS and a mutation in FLNA are described. No phenotype-genotype correlations could be established, but these clinical data sustain the importance of cardiovascular monitoring in FLNA-BPNH patients.
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Affiliation(s)
- G Solé
- Laboratoire de Génétique Humaine, Université Victor Segalen Bordeaux 2, 33076 Bordeaux cedex, France
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Droz C, Dureau C, Vespignani H, Marchal C, Jové J, Moore N, Fourrier-Réglat A. Efficacité et utilisation du lévétiracétam en vie réelle chez l’adulte en France, l’étude EULEV. Rev Epidemiol Sante Publique 2009. [DOI: 10.1016/j.respe.2009.07.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Marchal C, Garandel S, Godet JL. Retour d’expérience sur les événements significatifs de radioprotection déclarés à l’ASN en radiothérapie externe, de la nécessité d’un management de la qualité au service de la gestion des risques. Cancer Radiother 2009. [DOI: 10.1016/j.canrad.2009.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Siauve N, Nicolas L, Vollaire C, Marchal C. Optimization of the sources in local hyperthermia using a combined finite element-genetic algorithm method. Int J Hyperthermia 2009; 20:815-33. [PMID: 15764344 DOI: 10.1080/02656730410001711664] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
This article describes an optimization process specially designed for local and regional hyperthermia in order to achieve the desired specific absorption rate in the patient. It is based on a genetic algorithm coupled to a finite element formulation. The optimization method is applied to real human organs meshes assembled from computerized tomography scans. A 3D finite element formulation is used to calculate the electromagnetic field in the patient, achieved by radiofrequency or microwave sources. Space discretization is performed using incomplete first order edge elements. The sparse complex symmetric matrix equation is solved using a conjugate gradient solver with potential projection pre-conditionning. The formulation is validated by comparison of calculated specific absorption rate distributions in a phantom to temperature measurements. A genetic algorithm is used to optimize the specific absorption rate distribution to predict the phases and amplitudes of the sources leading to the best focalization. The objective function is defined as the specific absorption rate ratio in the tumour and healthy tissues. Several constraints, regarding the specific absorption rate in tumour and the total power in the patient, may be prescribed. Results obtained with two types of applicators (waveguides and annular phased array) are presented and show the faculties of the developed optimization process.
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Affiliation(s)
- N Siauve
- CEGELY, UMR CNRS 5005, Université C. Bernard Lyon 1, 69622 Villeurbanne Cedex, France.
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Brembilla-Perrot B, Groben L, Chometon F, Lethor JP, Admant P, Cloez JL, Popescu I, Marchal C, Cedano J, Abdelaal A, Huttin O, Tatar C, Benzaghou N, Azman B, Terrier De La Chaise A, Marcon F. Rapid and low-cost method to prove the nature of no documented tachycardia in children and teenagers without pre-excitation syndrome. Europace 2009; 11:1083-9. [DOI: 10.1093/europace/eup093] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Dupont S, Verny M, Harston S, Cartz-Piver L, Puisieux F, Benetos A, Vespignani H, Marchal C, Derambure P. [Specificity of epileptic seizures in the elderly: A proposed electro-clinical scale]. Rev Neurol (Paris) 2009; 165:803-11. [PMID: 19150724 DOI: 10.1016/j.neurol.2008.10.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2008] [Revised: 09/01/2008] [Accepted: 10/08/2008] [Indexed: 10/21/2022]
Abstract
Diagnosis of epileptic seizure may be difficult in older patients because seizure manifestations are often unusual: confusion, paresis... and because there are multiple differential diagnoses (syncope, transient ischemic attack, transient global amnesia...). To promote and facilitate the diagnosis of seizures in the elderly, neurologists and gerontologists must work together and focus their strategy on two points: firstly, the knowledge of the specific presentation of seizures in elderly patients, and secondly, the adoption of a reasoning based on seizures and not epileptic syndromes. A multidisciplinary group worked on epilepsy of the elderly to elaborate an electro-clinical score which aims to help establish the diagnosis of epilepsy in elderly patients in different clinical settings. This electro-clinical score is based on a systematic review of scientific literature and the recommendations are explicitly linked to supporting evidence. Further, clinical validation of the electro-clinical score is required.
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Affiliation(s)
- S Dupont
- clinique Paul-Castaigne, hôpital Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, Paris, France.
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Marchal C. Réirradiation pariétale après mastectomie de rattrapage pour récidive sur sein conservé : étude rétrospective sur 31 patientes traitées à Nancy de 1988 à 2005. Cancer Radiother 2008. [DOI: 10.1016/j.canrad.2008.08.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Picot MC, Jaussent A, Kahane P, Crespel A, Gélisse P, Hirsch E, Derambure P, Dupont S, Landré E, Chassoux F, Valton L, Vignal JP, Marchal C, Rougier A, Lamy C, Semah F, Biraben A, Arzimanoglou A, Petit J, Thomas P, Neveu D, Ryvlin P. Évaluation médicoéconomique de la chirurgie des épilepsies partielles pharmacorésistantes de l’adulte. Neurochirurgie 2008; 54:484-98. [DOI: 10.1016/j.neuchi.2008.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2008] [Accepted: 02/25/2008] [Indexed: 10/22/2022]
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Ray-Coquard I, Kassab-Chahmi D, Casadevall N, Chastagner P, Marchal C, Marec-Bérard P, Misset JL. Standards, Options: Recommandations pour I’indication des agents stimulant l’érythropoïèse (ASE: époétine alpha, époétine bêta et darbépoétine) dans la prise en charge de l’anémie en cancérologie (mise à jour 2007), rapport abrégé. ONCOLOGIE 2008. [DOI: 10.1007/s10269-008-0832-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Blanchard N, Bernier V, Anxionnat R, Picard L, Marchal C, Buchheit I, Peiffert D. Procédure décisionnelle deprescription dutraitement parradiochirurgie desmalformations artérioveineuses cérébrales. Cancer Radiother 2007. [DOI: 10.1016/j.canrad.2007.09.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Marchal C, Redondo M, Reyes-Engel A, Perea-Milla E, Gaitan MJ, Machuca J, Diaz F, Caballero J, Carnero J. Association between polymorphisms of folate-metabolizing enzymes and risk of prostate cancer. Eur J Surg Oncol 2007; 34:805-10. [PMID: 17967524 DOI: 10.1016/j.ejso.2007.09.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2007] [Accepted: 09/14/2007] [Indexed: 12/29/2022] Open
Abstract
Polymorphisms of the genes 5'-10'-methylenetetrahydrofolate reductase (MTHFR, 677CT and 1298AC), methionine synthase (MTR, 2756AC) and methionine synthase reductase (MTRR, 66AC) provoke variations in enzyme activity, which can lead to alterations in the metabolism of folates and in the synthesis of S-adenosyl-methionine (SAM), the most active methyl donor in the body. This could play an important role in carcinogenesis through the degree of DNA methylation and of nucleotide synthesis. In the present study, four polymorphisms were studied, two of the methylenetetrahydrofolate reductase gene, and the other two of methionine synthase and methionine synthase reductase. Our aim was to study the association between prostate carcinoma susceptibility and these polymorphisms. A hospital-based case-control study was conducted in 182 patients (mean age: 70.7+/-7.29 years) with histologically confirmed prostate carcinoma and in 205 control subjects (mean age: 70.3+/-7.82 years) diagnosed with benign prostatic hyperplasia (BPH). Genomic DNA was extracted from peripheral leukocytes. Comparison of the MTHFR CT and TT genotypes in patients and the controls revealed significant differences (0.57 vs 0.38) (OR: 2.19, 95% CI: 1.46-3.30) and (0.06 vs 0.15) (OR: 0.36, 95% CI: 0.17-0.73), respectively. No statistically significant differences were found between patients and controls with respect to the MTHFR 1298AC, the MTR 2756AC and the MTRR 66AC polymorphisms. However, among the patients, the MTR 2756 allele C was related to a high Gleason score. We conclude that the polymorphism MTHFR C677T is clearly related to prostatic carcinogenesis, on the contrary to the other polymorphisms studied, although the MTR 2756 allele C acts as a factor of tumor aggressiveness, this being found in tumors with high carcinogenic potential.
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Affiliation(s)
- C Marchal
- Urology Department, Hospital Clínico Universitario, Virgen de la Victoria, Campus de Teatinos s/n, Málaga 29010, Spain.
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Crehange G, Bonnetain F, Seng S, N'guyen T, Mirabel X, Marchal C, Verrelle P, Roullet B, Maingnon P, Bedenne L. Impact of radiation (RT) regimen on palliative procedures (PP) for patients with resectable locally advanced esophageal cancer treated with exclusive chemoradiation (CRT) or preoperative chemoradiation (CRT+S): results from a phase III trial of the Federation Francophone de Cancerologie Digestive (FFCD 9102). J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.4531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4531 Background: The FFCD 9102 trial demonstrated that CRT is an alternative to CRT+S for responding patients. We investigated the type of PP in the follow-up (FU) period, according to the RT scheme: protracted (P-RT) vs. split course (SC-RT). Methods: Resectable T3 N0–1 M0 thoracic esophageal carcinoma were included. First sequence : 2 cycles of cisplatin and 5-FU (day (d)1 - d22) combined with RT. Two schemes of RT were allowed: P-RT (46 Gy / 4.5 weeks (w), 2 Gy / f) or SC-RT (2 one-week courses of 15 Gy, 3 Gy / f). For CRT, the same chemotherapy was given on d43, d64 and d92 combined with 20 Gy / 2w (P-RT) or 15 Gy / 1w (SC-RT). Responding patients after the first sequence were randomized between CRT and CRT+S. The impact of SC-RT vs. P-RT on PP in the FU period was explored using a Mann-Whitney test. Results: From February 1993 to December 2000, 451 pts were registered and 446 were eligible. P-RT: 161 pts, SC-RT: 285 pts. After a median FU of 47.4 months, 2-year overall survival and local relapse-free survival were for P-RT vs. SC-RT: 37.1% vs. 30.5% (p = 0.25) and 76.7% vs. 56.8% (p = 0.002), respectively. P-RT vs. SC-RT: mean length of hospital stay: 48 d vs. 60.5 d (p= 0.0003). Mean number of dilatation sessions: 0.56 vs. 0.66 (p= 0.43). Mean number of stents: 0.21 vs. 0.34 (p= 0.03). Mean number of any PP: 1.01 vs. 1.50 (p= 0.001). Mean dysphagia grade: 2.99 vs. 3.12 (p= 0.21). In the CRT+S-group, P-RT vs. SC-RT: mean length of hospital stay 55.0d vs. 68.7d (p =0.051). Mean number of dilatation sessions: 0.74 vs. 0.74 (p= 0.77). Mean number of stents: 0.09 vs. 0.18 (p= 0.44). Mean number of PP: 1.00 vs. 1.37 (p= 0.054). In the CRT-group, P-RT vs. SC-RT, mean length of hospital stay: 42.6d vs 54.0d (p= 0.053). Mean number of dilatation sessions : 0.38 vs. 0.67 (p= 0.12). Mean number of stents: 0.31 vs. 0.50 (p= 0.03). Mean number of PP: 0.83 vs. 1.86 (p= 0.0005). Conclusions: Stents, rate of PP and length of hospital stay were significantly increased with SC-RT. Dysphagia score was similar between SC-RT and P-RT at last FU. No significant financial relationships to disclose.
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Affiliation(s)
- G. Crehange
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - F. Bonnetain
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - S. Seng
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - T. N'guyen
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - X. Mirabel
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - C. Marchal
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - P. Verrelle
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - B. Roullet
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - P. Maingnon
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
| | - L. Bedenne
- Centre Georges-Francois Leclerc, Dijon, France; Fédération Francophone de Cancérologie Digestive, Dijon, France; Centre Henri Becquerel, Rouen, France; Institut Jean Godinot, Reims, France; Centre Oscar Lambret, Lille, France; Centre Alexis Vautrin, Nancy, France; Centre Jean Perrin, Clermont Ferrand, France; University Hospital Dupuytren, Limoges, France; University Hospital Le Bocage, Dijon, France
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Debruxelles S, Rouanet-Larriviere M, Marchal C. O - 7 Encéphalite de Bickerstaff : un aspect inhabituel de ventriculite à l’IRM. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90723-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Droz-Perroteau C, Dureau-Pournin C, Vespignani H, Marchal C, Pollet C, Jové J, Moore N, Fourrier-Réglat A. Levetiracetam Continuation during One Year Real-Life Practice in France, The EULEV Study. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Benichoux R, Lacoste J, Thibaut G, Marchal C, Ricatte JP. EFFECTS OF 2-AMINO-2-HYDROXYMETHYL-1,3-PROPANEDIOL ON ACID-BASE BALANCE DURING TEMPORARY THORACIC OCCLUSION OF THE INFERIOR VENA CAVA IN THE DOG. Ann N Y Acad Sci 2006. [DOI: 10.1111/j.1749-6632.1961.tb45019.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Crehange G, Bonnetain F, Seng S, Nguyen T, Mirabel X, Marchal C, Verrelle P, Roullet B, Bedenne L, Maingon P. 141. Int J Radiat Oncol Biol Phys 2006. [DOI: 10.1016/j.ijrobp.2006.07.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cutuli B, De Lafontan B, Aristei C, Vitali E, Marchal C, Quetin P, Fay R. O3 Breast conserving therapy (BCT) for stage I–II breast cancer in elderly. Analysis of 927 cases. Crit Rev Oncol Hematol 2006. [DOI: 10.1016/s1040-8428(13)70060-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Cutuli B, De Lafontan B, Aristei C, Vitali E, Marchal C, Quetin P, Fay R. Breast conserving therapy (BCT) for stage I-II breast cancer in elderly. Analysis of 927 cases. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)80236-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Tournier-Rangeard L, Lapeyre M, Brunaud-Charra C, Hoffstetter S, Marchal C, Graff P, Peiffert D. Radiotherapy for Solitary Extramedullary Plasmacytoma in the Head and Neck Region: A Dose Upper than 45 Gy on Target Volume Improves Local Control. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Cutuli B, de Lafontan B, Aristei C, Vitali E, Marchal C, Quetin P, Fay R. Breast Conserving Therapy (BCT) for Stage I-II Breast Cancer in Elderly Women: A Franco-Italian Cooperative Study on 927 Cases. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Penchet G, Marchal C, Loiseau H, Rougier A. [Extra-hippocampal temporal lesions inducing symptomatic drug-resistant epilepsies. Which surgical procedure?]. Neurochirurgie 2005; 51:75-83. [PMID: 16107082 DOI: 10.1016/s0028-3770(05)83462-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
In partial symptomatic epilepsy due to discrete brain lesion, total removal of the epileptogenic lesion generally yields major reduction of seizures, achieved in 85% of the patients. However, prognosis is worse in patients with symptomatic temporal lobe epilepsy. Implication of the temporo-mesial structures in the seizures genesis is generally considered. Careful electroclinical and radiological analysis can provide useful but insufficient information. In order to evaluate the criteria we used to guide our surgical strategy, we analyzed retrospectively a series of 47 patients with drug-resistant symptomatic extra hipocampic temporal epilepsy surgically treated either by isolated lesionectomy (group 1, n=17) or by resection of temporo-mesial structures and associated lesionectomy (group 2, n=30). Patients with extrahippocampal lesions and hippocampal sclerosis (dual pathology) were excluded from this study. With a mean follow-up of 72 months, overall results showed that 84% of group 2 patients (Engel's grade Ia) were seizure-free compared with only 47% of group 1 patients. Statistical analysis showed that the type of surgical procedure was the main prognostic factor. In conclusion, the optimal surgical procedure cannot be defined only with the criteria usually retained for temporo-mesial involvement in seizure genesis. Taking into account the prognostic value of such implication, although complex, is of paramount importance. Our results could be explained by the presence of an acquired dual functional pathology.
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Affiliation(s)
- G Penchet
- Clinique Universitaire de Neurochirurgie, Groupe Hospitalier Pellegrin, CHU Bordeaux, 1, place Amelie-Raba-Leon, 33076 Bordeaux Cedex.
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Finitsis S, Anxionnat R, Bracard S, Lebedinsky A, Marchal C, Picard L. Symptomatic Radionecrosis after AVM Stereotactic Radiosurgery. Study of 16 Consecutive Patients. Interv Neuroradiol 2005; 11:25-33. [PMID: 20584432 PMCID: PMC3403785 DOI: 10.1177/159101990501100104] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2005] [Accepted: 02/20/2005] [Indexed: 11/16/2022] Open
Abstract
SUMMARY The purpose of our study was to analyze the outcome of symptomatic radionecrosis following stereotactic radiosurgery for brain arteriovenous malformations. Of 225 patients treated by linear accelerator radiosurgery for brain AVM, 16 (7,1%) presented post-radiosurgery symptomatic radionecrosis on a mean follow-up period of 50 months (range 1-123 months). Once diagnosed with radionecrosis, 14 of 16 patients were subjected to high dose corticotherapy consisting of escalating doses of dexamethasone for several weeks. The mean interval of occurrence of new symptoms was 11.6 months post-radiosurgery (range 6-20 months). The mean time of follow-up was 2.9 years post radiotherapy ranging from seven months to eight years. Of the 16 patients with symptomatic radionecrosis, 11 (68,75%) showed complete resolution of symptoms while five (31,25%) showed improvement but still presented a neurological deficit at the closing date of the study. At the closing date, 11 patients (68.75%) had angiographically completely obliterated arteriovenous malformations while another two patients had an obliteration of 95% to 98% and one patient had a 98% obliteration with development of a new contralateral AVM. In our series, symptomatic radionecrosis occurred in 7.1% of patients treated with stereotactic radiosurgery for brain AVM. These patients where subjected to a prompt, high dose corticosteroid treatment and most presented symptom resolution or improvement with a fair obliteration rate, offering protection from bleeding. Permanent neurologic deficits attributable to radionecrosis occurred in 2.2% of our patient population treated with stereotactic radiosurgery for brain AVM.
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Affiliation(s)
- S Finitsis
- Department of Diagnostic and Therapeutic Neuroradiology, Neurological University Hospital, Nancy; France
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Finitsis S, Anxionnat R, Bracard S, Lebedinsky A, Marchal C, Berneir V, Picard L. P-34 Radionécroses après radiochirurgie de malformations artérioveineuses cérébrales. À propos de 16 cas. J Neuroradiol 2005. [DOI: 10.1016/s0150-9861(05)83114-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Marchal C, Rangeard L, Brunaud C. Impact de l'anémie sur les traitements des cancers du col utérin. Cancer Radiother 2005; 9:87-95. [PMID: 15820436 DOI: 10.1016/j.canrad.2005.01.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2004] [Revised: 12/30/2004] [Accepted: 01/04/2005] [Indexed: 10/25/2022]
Abstract
During the treatments of carcinomas of the cervix, anemia is relatively frequent and its origin is complex combining often hemorrhage, iron deprivation, inflammatory reactions and infection. The frequency of the primary anemia (hemoglobin level<12 g/dl) is correlated with clinical stage and varies from one publication to another, mainly from 25% for stage I, to 33% for stage II and can approach 40% for stage III. Anemia is correlated with patient survival and it appears to be one of the most powerful prognostic factor after clinical stage and tumor size. Anemia is a bad prognostic factor related to stage and tumor size but it has not been proven to be an independent factor. Anemia increases hypoxia of cervix carcinomas, which is an independent prognostic factor for patients N0. Moreover, we know that the oxygenation of these tumors is correlated with hemoglobin levels. The normalization of Hb levels by transfusion could certainly modify the prognosis of patients anemic before treatment, or of those becoming anemic during radiotherapy treatment. For smokers, anemia is certainly more important that we can appreciate from the Hb levels only, by the presence of carboxyhemoglobin. Concomitant chemotherapies with cisplatin compounds are actually standards and they can largely increase the risk of inducing anemia, therefore more than 50% of patients will experiment it during their different treatments. Transfusion is recommended by the SOR (Standards Options and Recommendations of the Fédération nationale des centres de lutte contre le cancer) under 10 g/dl. The use of erythropoietin is a therapeutic option for Hb levels between 10 and 12 g/dl and strongly recommended after a Hb normalization by blood transfusion. For 70% of patients who respond to erythropoietin, a better control of the Hb level is obtained. The impact of this anemia on quality of life and treatments compliance justifies the use of erythropoietin, especially in cancers for which treatments induce a deep fatigue and a very bad tolerance, which could be a limiting factor.
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Affiliation(s)
- C Marchal
- Département de radiothérapie, centre Alexis-Vautrin, avenue de Bourgogne, 54511 Vandoeuvre-lès-Nancy, France.
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Chastagner P, Pinel S, Bernier V, Marchal C. La synergie d’action de l’association concomitante radiothérapie/topotécan augmente avec l’étalement du traitement. Étude sur deux modèles de glioblastomes xénogreffés. Neurochirurgie 2005. [DOI: 10.1016/s0028-3770(05)83429-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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