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Shash E, Soliman GA, Al-Kharusi W, Yahia M, Mwaiselage J, Mesemo D, Mwita C, Gathere S, Masamba L, Rais H, Hussein M, Ngo V, Gelabert PM, Hussein H, Chamberlain RM, Soliman AS. The Value of Networking in Cancer Education and Capacity Building. J Cancer Educ 2023; 38:1783-1785. [PMID: 37930582 DOI: 10.1007/s13187-023-02380-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/24/2023] [Indexed: 11/07/2023]
Affiliation(s)
- Emad Shash
- Shefa El-Orman Hospital and Oncology Center, Luxor, Egypt
- The National Cancer Institute, Cairo University, Cairo, Egypt
| | - Ghada A Soliman
- City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Wahid Al-Kharusi
- Oman Cancer Association and the International Cancer Prevention Consortium, Muscat, Oman
| | - Maha Yahia
- Shefa El-Orman Hospital and Oncology Center, Luxor, Egypt
- The National Cancer Institute, Cairo University, Cairo, Egypt
| | | | - Dewani Mesemo
- Muhimbili University for Health Sciences, Dar es Salaam, Tanzania
| | - Chacha Mwita
- Ocean Road Cancer Institute, Dar es Salaam, Tanzania
| | - Samuel Gathere
- Kenya Medical Research Institute (KRMRI), Nairobi, Kenya
| | - Leo Masamba
- Queen Elizabeth Central Hospital, Blantyre, Malawi
| | - Henda Rais
- Saleh Aziz Cancer Institute, Tunis, Tunisia
| | - Mustafa Hussein
- City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Victoria Ngo
- City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Pedro Mateu Gelabert
- City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Hany Hussein
- Shefa El-Orman Hospital and Oncology Center, Luxor, Egypt
- The National Cancer Institute, Cairo University, Cairo, Egypt
| | | | - Amr S Soliman
- City University of New York School of Medicine, New York, NY, USA.
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Kouidhi S, Zidi O, Belkhiria Z, Rais H, Ayadi A, Ben Ayed F, Mosbah A, Cherif A, El Gaaied ABA. Gut microbiota, an emergent target to shape the efficiency of cancer therapy. Explor Target Antitumor Ther 2023; 4:240-265. [PMID: 37205307 PMCID: PMC10185446 DOI: 10.37349/etat.2023.00132] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 01/04/2023] [Indexed: 05/21/2023] Open
Abstract
It is now well-acknowledged that microbiota has a profound influence on both human health and illness. The gut microbiota has recently come to light as a crucial element that influences cancer through a variety of mechanisms. The connections between the microbiome and cancer therapy are further highlighted by a number of preclinical and clinical evidence, suggesting that these complicated interactions may vary by cancer type, treatment, or even by tumor stage. The paradoxical relationship between gut microbiota and cancer therapies is that in some cancers, the gut microbiota may be necessary to maintain therapeutic efficacy, whereas, in other cancers, gut microbiota depletion significantly increases efficacy. Actually, mounting research has shown that the gut microbiota plays a crucial role in regulating the host immune response and boosting the efficacy of anticancer medications like chemotherapy and immunotherapy. Therefore, gut microbiota modulation, which aims to restore gut microbial balance, is a viable technique for cancer prevention and therapy given the expanding understanding of how the gut microbiome regulates treatment response and contributes to carcinogenesis. This review will provide an outline of the gut microbiota's role in health and disease, along with a summary of the most recent research on how it may influence the effectiveness of various anticancer medicines and affect the growth of cancer. This study will next cover the newly developed microbiota-targeting strategies including prebiotics, probiotics, and fecal microbiota transplantation (FMT) to enhance anticancer therapy effectiveness, given its significance.
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Affiliation(s)
- Soumaya Kouidhi
- Laboratory BVBGR-LR11ES31, Biotechnopole Sidi Thabet, University Manouba, ISBST, Ariana 2020, Tunisia
- Association Tunisienne de Lutte contre le Cancer (ATCC), Tunis, Tunisia
- Correspondence: Soumaya Kouidhi, Laboratory BVBGR-LR11ES31, Biotechnopole Sidi Thabet, University Manouba, ISBST, Ariana 2020, Tunisia; Association Tunisienne de Lutte contre le Cancer (ATCC), Tunis, Tunisia. ;
| | - Oumaima Zidi
- Laboratory BVBGR-LR11ES31, Biotechnopole Sidi Thabet, University Manouba, ISBST, Ariana 2020, Tunisia
- Department of Biologu, Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
| | | | - Henda Rais
- Association Tunisienne de Lutte contre le Cancer (ATCC), Tunis, Tunisia
- Service d’Oncologie Médicale, Hôpital Salah-Azaïz, Tunis 1006, Tunisia
| | - Aida Ayadi
- Department of Pathology, Abderrahman Mami Hospital, University of Tunis El Manar, Ariana 2080, Tunisia
| | - Farhat Ben Ayed
- Association Tunisienne de Lutte contre le Cancer (ATCC), Tunis, Tunisia
| | - Amor Mosbah
- Laboratory BVBGR-LR11ES31, Biotechnopole Sidi Thabet, University Manouba, ISBST, Ariana 2020, Tunisia
| | - Ameur Cherif
- Laboratory BVBGR-LR11ES31, Biotechnopole Sidi Thabet, University Manouba, ISBST, Ariana 2020, Tunisia
| | - Amel Ben Ammar El Gaaied
- Laboratory of Genetics, Immunology and Human Pathology, Department of Biology, Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
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Mahdouani M, Ben Ahmed S, Hmila F, Rais H, Ben Sghaier R, Saad H, Ben Said M, Masmoudi S, Hmida D, Brieger A, Zeuzem S, Saad A, Gribaa M, Plotz G. Functional characterization of MLH1 missense variants unveils mechanisms of pathogenicity and clarifies role in cancer. PLoS One 2022; 17:e0278283. [PMID: 36454741 PMCID: PMC9714755 DOI: 10.1371/journal.pone.0278283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 10/28/2022] [Indexed: 12/05/2022] Open
Abstract
Lynch syndrome is a heritable condition caused by a heterozygous germline inactivating mutation of the DNA mismatch repair (MMR) genes, most commonly the MLH1 gene. However, one third of the identified alterations are missense variants, for which the clinical significance is unclear in many cases. We have identified three MLH1 missense alterations (p.(Glu736Lys), p.(Pro640Thr) and p.(Leu73Pro)) in six individuals from large Tunisian families. For none of these alterations, a classification of pathogenicity was available, consequently diagnosis, predictive testing and targeted surveillance in affected families was impossible. We therefore performed functional laboratory testing using a system testing stability as well as catalytic activity that includes clinically validated reference variants. Both p.(Leu73Pro) and p.(Pro640Thr) were found to be non-functional due to severe defects in protein stability and catalytic activity. In contrast, p.(Glu736Lys) was comparable to the wildtype protein and therefore considered a neutral substitution. Analysis of residue conservation and of the structural roles of the substituted residues corroborated these findings. In conjunction with the available clinical data, two variants fulfil classification criteria for class 4 "likely pathogenic". The findings of this work clarify the mechanism of pathogenicity of two unclear MLH1 variants and enables predictive testing and targeted surveillance in members of carrier families worldwide.
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Affiliation(s)
- Marwa Mahdouani
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology of Monastir, University of Monastir, Monastir, Tunisia
| | - Slim Ben Ahmed
- Department of Oncology, Farhat Hached University Hospital, Sousse, Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse, University of Sousse, Sousse, Tunisia
| | - Fahmi Hmila
- Faculty of Medicine Ibn El Jazzar of Sousse, University of Sousse, Sousse, Tunisia
- Department of General and Digestive Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Henda Rais
- Medical Service, Salah Azaiez Institute, Tunis, Tunisia
| | - Rihab Ben Sghaier
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology of Monastir, University of Monastir, Monastir, Tunisia
| | - Hanene Saad
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology of Monastir, University of Monastir, Monastir, Tunisia
| | - Mariem Ben Said
- Laboratory of Molecular and Cellular Screening Processes, Centre of Biotechnology of Sfax, Sfax, Tunisia
| | - Saber Masmoudi
- Laboratory of Molecular and Cellular Screening Processes, Centre of Biotechnology of Sfax, Sfax, Tunisia
| | - Dorra Hmida
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse, University of Sousse, Sousse, Tunisia
| | - Angela Brieger
- Biomedical Research Laboratory, Department of Internal Medicine 1, University Hospital, Goethe University, Frankfurt am Main, Germany
| | - Stefan Zeuzem
- Biomedical Research Laboratory, Department of Internal Medicine 1, University Hospital, Goethe University, Frankfurt am Main, Germany
| | - Ali Saad
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse, University of Sousse, Sousse, Tunisia
| | - Moez Gribaa
- Laboratory of Human Cytogenetics, Molecular Genetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse, University of Sousse, Sousse, Tunisia
| | - Guido Plotz
- Biomedical Research Laboratory, Department of Internal Medicine 1, University Hospital, Goethe University, Frankfurt am Main, Germany
- * E-mail:
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Ouertani E, Yahyaoui Y, Ghodhbani Z, Letaief-Ksontini F, Gabsi A, Meddeb K, Ayadi M, Mokrani A, Chraiet N, Rais H, Zenzri Y, Ben Mansour H, Mezlini A. 26P Uterine sarcoma: A retrospective Tunisian study of 103 cases. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.044] [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] Open
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Achibane A, Taouti H, Elmansouri O, Bannouk Y, Messoudi R, Kreit M, Arrab A, Rais H. Giant conjunctival nevus. J Fr Ophtalmol 2021; 44:1457-1459. [PMID: 34602303 DOI: 10.1016/j.jfo.2021.01.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 12/26/2020] [Accepted: 01/04/2021] [Indexed: 11/15/2022]
Affiliation(s)
- A Achibane
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco.
| | - H Taouti
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - O Elmansouri
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - Y Bannouk
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - R Messoudi
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - M Kreit
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - A Arrab
- Service d'anatomopathologie, CHU de Mohammed 6, BP2360 Principal, avenue Ibn-Sina, Marrakech, Morocco
| | - H Rais
- Service d'anatomopathologie, CHU de Mohammed 6, BP2360 Principal, avenue Ibn-Sina, Marrakech, Morocco
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Schairer C, Hablas A, Eldein IAS, Gaafar R, Rais H, Mezlini A, Ayed FB, Ayoub WB, Benider A, Tahri A, Khouchani M, Aboulazm D, Karkouri M, Eissa S, Bastawisy AE, Yehia M, Gadalla SM, Swain SM, Merajver SD, Brown LM, Pfeiffer RM, Soliman AS. Risk factors for inflammatory and non-inflammatory breast cancer in North Africa. Breast Cancer Res Treat 2020; 184:543-558. [PMID: 32876910 PMCID: PMC10440960 DOI: 10.1007/s10549-020-05864-3] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 08/06/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Studies of the etiology of inflammatory breast cancer (IBC), a rare but aggressive breast cancer, have been hampered by limited risk factor information. We extend previous studies by evaluating a broader range of risk factors. METHODS Between 2009 and 2015, we conducted a case-control study of IBC at six centers in Egypt, Tunisia, and Morocco; enrolled were 267 IBC cases and for comparison 274 non-IBC cases and 275 controls, both matched on age and geographic area to the IBC cases. We administered questionnaires and collected anthropometric measurements for all study subjects. We used multiple imputation methods to account for missing values and calculated odds ratios (ORs) and 95% confidence intervals (CIs) using polytomous logistic regression comparing each of the two case groups to the controls, with statistical tests for the difference between the coefficients for the two case groups. RESULTS After multivariable adjustment, a livebirth within the previous 2 years (OR 4.6; 95% CI 1.8 to 11.7) and diabetes (OR 1.8; 95% CI 1.1 to 3.0) were associated with increased risk of IBC, but not non-IBC (OR 0.9; 95% CI 0.3 to 2.5 and OR 0.9; 95% CI 0.5 to 1.6 for livebirth and diabetes, respectively). A family history of breast cancer, inflammatory-like breast problems, breast trauma, and low socioeconomic status were associated with increased risk of both tumor types. CONCLUSIONS We identified novel risk factors for IBC and non-IBC, some of which preferentially increased risk of IBC compared to non-IBC. Upon confirmation, these findings could help illuminate the etiology and aid in prevention of this aggressive cancer.
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Affiliation(s)
- Catherine Schairer
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | | | | | | | | | | | | | | | | | - Ali Tahri
- Clinique Spécialisée Menara, Marrakech, Morocco
| | | | | | | | | | | | | | - Shahinaz M Gadalla
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Sandra M Swain
- Georgetown University Lombardi Comprehensive Cancer Center, Washington, DC, USA
| | | | | | - Ruth M Pfeiffer
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
- , 9609 Medical Center Drive, Rm 7E142, Bethesda, MD, 20892, USA.
| | - Amr S Soliman
- Medical School of the City University of New York, New York, USA
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Gabsi A, N. Jbali, Yahiaoui Y, Letaief-Ksontini F, Mghirbi F, A. Mokrani, Meddeb K, Ayadi M, Rais H, Chraiet N, Mezlini A. 1832P Nutritional status assessment in patients followed for head and neck cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1479] [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: 10/23/2022] Open
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8
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Souilhi A, Gabsi A, Letaief-Ksontini F, Chraiet N, Yahiaoui Y, Mghirbi F, Mokrani A, Meddeb K, Ayadi M, Rais H, Mezlini A. 1572P Psychological impact of the COVID-19 pandemic on health care workers in oncology in Tunisia. Ann Oncol 2020. [PMCID: PMC7506482 DOI: 10.1016/j.annonc.2020.08.2055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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9
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Nefzi R, BATTI R, Khrouf S, Krir W, Chraiet N, Rais H, Mezlini A, Oumaya A. 1575P Psychological burden in mothers of children with cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.2058] [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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10
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Hmida L, Letaief F, Doghri R, Meddeb K, Mahjoubi K, Mokrani A, Yahiaoui Y, Gabsi A, Cheraiet N, Rais H, Ayadi M, Mezlini A. Cutaneous leiomyosarcoma on the trunk: An unusual presentation with an aggressive course - Case report and review of literature. Pan Afr Med J 2018; 31:190. [PMID: 31068995 PMCID: PMC6492208 DOI: 10.11604/pamj.2018.31.190.16682] [Citation(s) in RCA: 4] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2018] [Accepted: 10/30/2018] [Indexed: 11/25/2022] Open
Abstract
Primary cutaneous leiomyosarcoma (PCL) are soft-tissue sarcoma, arising in the dermis, with or without extension into the subcutis. They are thought to have an indolent course compared to their subcutaneous counterparts, they may recur but rarely metastases. We report the case of a patient with a PCL arising in the anterior trunk wall who developed pulmonary, bone and retroperitoneal metastases 6 years after wide surgical excision of the primary tumor.
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Affiliation(s)
- Lina Hmida
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Feryel Letaief
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Raoudha Doghri
- Anatomic Pathology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Khedija Meddeb
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Khalil Mahjoubi
- Radiotherapy Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Amina Mokrani
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Yosra Yahiaoui
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Azza Gabsi
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Nesrine Cheraiet
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Henda Rais
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Mouna Ayadi
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
| | - Amel Mezlini
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisie
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Gabsi A, Yahiaoui Y, Zenhani A, Herbegue K, Meddeb K, Mokrani A, Letaief F, Ayadi M, Rais H, Chraiet N, Haouet S, Mezlini A. Ureteral metastasis in carcinoma of the breast. Urol Case Rep 2018; 21:38-40. [PMID: 30202731 PMCID: PMC6128026 DOI: 10.1016/j.eucr.2018.08.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Accepted: 08/15/2018] [Indexed: 11/20/2022] Open
Affiliation(s)
- Azza Gabsi
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Yosra Yahiaoui
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Alia Zenhani
- Department of Pathology, Rabta Hospital, Faculty of Medicine, Tunis, Tunisia
| | | | - Khedija Meddeb
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Amina Mokrani
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Feryel Letaief
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Mouna Ayadi
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Henda Rais
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Nesrine Chraiet
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
| | - Slim Haouet
- Department of Pathology, Rabta Hospital, Faculty of Medicine, Tunis, Tunisia
| | - Amel Mezlini
- Medical Oncology Department, Salah Azaiez Institute, Tunis, Tunisia
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12
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Alaoui M'hamdi H, Abbad F, Rais H, Asmouki H, Soumani A, Khouchani M, Belbaraka R. Rare variant of metaplastic carcinoma of the breast: a case report and review of the literature. J Med Case Rep 2018; 12:43. [PMID: 29463294 PMCID: PMC5820794 DOI: 10.1186/s13256-017-1553-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 12/23/2017] [Indexed: 01/03/2023] Open
Abstract
Background Metaplastic carcinoma encompasses a group of neoplasms characterized by differentiation of the neoplastic epithelium into squamous cells and/or mesenchymal-looking elements. Spindle cell carcinoma is a rare variant of this special histological type. Its prognosis remains poor, with a high rate of local recurrence and distant metastasis. To date, only a small number of cases have been described. There is no clear agreement on this histological subtype. Case presentation We report a case of a 53-year-old Moroccan woman who consulted our institution following palpation of a nodule of the left breast. Mammography in combination with breast ultrasonography revealed a lesion classified as Breast Imaging Reporting and Data System 4 with microcalcification. The patient was diagnosed with spindle cell carcinoma of the breast. The diagnosis was based primarily on histological and immunohistochemical studies of the breast biopsy and secondarily on the surgical specimen. No local or distant metastasis was found. The treatment used was total surgical excision followed by radiotherapy. Conclusions We describe the features (epidemiological, clinical, histological, immunohistochemical, and therapeutic outcomes) of our patient’s case and compare them with literature data.
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Affiliation(s)
- H Alaoui M'hamdi
- Department of Medical Oncology of Marrakech, University Hospital of Marrakech, Marrakech, Morocco.
| | - F Abbad
- Department of Pathology, University Hospital of Marrakech, Marrakech, Morocco
| | - H Rais
- Department of Pathology, University Hospital of Marrakech, Marrakech, Morocco
| | - H Asmouki
- Department of Gynecology and Obstetrics, University Hospital of Marrakech, Marrakech, Morocco
| | - A Soumani
- Department of Gynecology and Obstetrics, University Hospital of Marrakech, Marrakech, Morocco
| | - M Khouchani
- Department of Radiotherapy of Marrakech, University Hospital of Marrakech, Marrakech, Morocco
| | - R Belbaraka
- Department of Medical Oncology of Marrakech, University Hospital of Marrakech, Marrakech, Morocco
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Hazmiri FE, Nachite F, Skandour D, Raji A, El ganouni NCI, Rais H. Lateral cervical thymic cyst in a child: a case report. BMC Res Notes 2018; 11:85. [PMID: 29382377 PMCID: PMC5791249 DOI: 10.1186/s13104-018-3208-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Accepted: 01/25/2018] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Cervical thymic cysts are uncommon lesions, rarely considered in the differential diagnosis of neck cysts in children. CASE PRESENTATION We report a rare case of multiloculated thymic cyst in an 8-year-old boy on the right side of the neck. Perioperative diagnosis was a cystic hygroma. Macroscopic examination showed a cystic mass measuring 6.5 cm in total length. Histopathology of the excised specimen revealed thymic tissue with prominent Hassall's corpuscles associated with multiloculated cyst. The cyst wall is bordered by a flattened or multilayered epithelium, often abraded. CONCLUSION This case is presented here for its rarity and should be included in the differential diagnosis of neck masses in children. So, it's a lesion to be well aware of, particularly by pathologists.
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Affiliation(s)
- F. E. Hazmiri
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - F. Nachite
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - D. Skandour
- Department of E.N.T, FMFM-UCAM-CHU Mohammed VI-50 Assif, Arrazi Hospital, 40000 Marrakech, Morocco
| | - A. Raji
- Department of E.N.T, FMFM-UCAM-CHU Mohammed VI-50 Assif, Arrazi Hospital, 40000 Marrakech, Morocco
| | | | - H. Rais
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
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Maghrebi H, Batti R, Zehani A, Chrait N, Rais H, Makni A, Haddad A, Ayadi M, Daghfous A, Jrad M, Kchir N, Bensafta Z, Mezlini A. Round cell sarcoma of the colon with CIC rearrangement. BMC Res Notes 2017; 10:582. [PMID: 29121995 PMCID: PMC5679348 DOI: 10.1186/s13104-017-2906-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 11/01/2017] [Indexed: 11/16/2022] Open
Abstract
Background The CIC-rearranged sarcoma is a very rare highly aggressive malignant soft tissue group of tumors. It has recently been described as highly aggressive soft tissue tumors of children and young adults sharing similar morphological features with the Ewing sarcoma. The digestive localization is exceptional. Case presentation A 14-year-old male presented with a history of abdominal pain for 1 year, which increased in intensity over the last 2 months. Imaging findings showed a large heterogeneous mesenteric mass on the left flank of the abdomen. Exploratory laparotomy was performed and revealed a large cystic hypervascularized mass depending on the transverse colon and mesocolon. A wide excision of the lesion was performed with segmental colectomy. No postoperative complications were noted. The microscopic examination revealed a vaguely nodular growth of undifferentiated small round cells, arranged in solid sheets separated by thin fibrous septa with a scarce stroma. After an uncomplicated post-operative course, the patient was referred for chemotherapy. The patient died 2 months later with a peritoneal and pleural progression. Conclusions The CIC-rearranged sarcoma is an aggressive tumor. There is no standard therapy for this rare disease. Their treatment includes surgery and chemotherapy. Resistance to chemotherapy is common. Further publications and studies will help to determine a standard therapy for this rare disease.
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Affiliation(s)
- H Maghrebi
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia. .,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - R Batti
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Zehani
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Chrait
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - H Rais
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Makni
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Haddad
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Ayadi
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Daghfous
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Jrad
- Radiology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Kchir
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Z Bensafta
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Mezlini
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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15
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Belarbi F, Amal S, Akhdari N, Amouzoune S, Belbachir A, Rais H, Hocar O. Hypoplasie dermique focale (syndrome de Goltz) associée à une bicuspidie de l’aorte. Ann Dermatol Venereol 2017; 144:719-720. [DOI: 10.1016/j.annder.2017.06.005] [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] [Received: 11/22/2016] [Revised: 02/21/2017] [Accepted: 06/12/2017] [Indexed: 11/26/2022]
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16
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Bousrih C, Mokrani A, Ayadi M, Meddeb K, Yahyaoui Y, Letaief F, Chraiet N, Rais H, Mezlini A. Facteurs prédictifs de rechute locale au cours des rhabdomyosarcomes de l’orbite de l’enfant. Cancer Radiother 2017. [DOI: 10.1016/j.canrad.2017.08.026] [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: 10/18/2022]
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17
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Abstract
Background Primary hyperoxaluria is a rare disease with an estimated prevalence of 1 to 3 cases per million. It is due to a hepatic enzyme deficiency responsible for an endogenous overproduction of oxalate. Oxalate crystals commonly deposit in the kidney and more rarely in bone marrow. The literature has reported, to the best of our knowledge, only two cases of hyperoxaluria diagnosed by bone marrow biopsy and our case is the only one that does not show radiological bone lesions. Case presentation A young 22 year old chronic hemodialysis patient with nephrocalcinosis. The patient had a personal and family history of recurrent kidney stones. He presented bone pain with worsening of his general state. On physical examination, no organomegaly was detected. Biological check-up showed only a normochromic and normocytic regenerative anemia resistant to treatment and a bone marrow biopsy was performed. It showed deposits of crystals of oxalate in the bone marrow surrounded by inflammatory reaction against foreign bodies. Given our context, no liver biopsy or genetic studies, which are gold standard of diagnosis testing, were done. The diagnosis of primary hyperoxaluria was made based on morphological characteristics of crystals, his medical and family history, and the absence of any secondary cause of the condition. Since curative treatment is not available in our country, the patient only receives a palliative treatment. Conclusion Primary hyperoxaluria is rarely evoked by the histological study of a bone marrow biopsy. The lack of the possibility of the only effective treatment in our context and the diagnosis, usually late, of this pathology are at the origin of the fatal evolution of the disease in almost all the cases.
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Affiliation(s)
- F Nachite
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - M Dref
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - A Fakhri
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - H Rais
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
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18
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Abbad F, Boukis F, Cherifidrissielganouni N, Matrane A, Khouchani M, Rais H. Une approche pédagogique innovante des métastases thoraciques de carcinome de primitif inconnu-Un outil digital, didactique et algorithmique. Ann Pathol 2017. [DOI: 10.1016/j.annpat.2017.06.020] [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: 10/19/2022]
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19
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Behi K, Ayadi M, Mezni E, Meddeb K, Mokrani A, Yahyaoui Y, Ksontini F, Rais H, Chrait N, Mezlini A. Two years survival of primary cardiac leiomyosarcoma managed by surgical and adjuvant therapy. Clin Sarcoma Res 2017; 7:5. [PMID: 28286642 PMCID: PMC5343408 DOI: 10.1186/s13569-017-0069-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 02/09/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cardiac tumors are a very rare entity. Leiomyosarcoma represents less than 1% of cases. CASE PRESENTATION a 51-year-old woman diagnosed with primary left atrium leiomyosarcoma. She was treated by optimal surgery and adjuvant chemotherapy. She is still alive after a follow-up of 24 months without evidence of local or distant recurrence. CONCLUSIONS Cardiac leiomyosarcoma is a rare tumor with a dismal prognosis. Surgery is the mainstay of treatment. Adjuvant treatment is still controversial.
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Affiliation(s)
- K Behi
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - M Ayadi
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - E Mezni
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - K Meddeb
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - A Mokrani
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - Y Yahyaoui
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - F Ksontini
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - H Rais
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - N Chrait
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - A Mezlini
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
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20
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Ayadi M, Gabsi A, Meddeb K, Mokrani A, Yahiaoui Y, Letaief F, Chraiet N, Rais H, Mezlini A. Primary leiomyosarcoma of thyroid gland: the youngest case. Pan Afr Med J 2017; 26:113. [PMID: 28533836 PMCID: PMC5429415 DOI: 10.11604/pamj.2017.26.113.11472] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 02/02/2017] [Indexed: 12/21/2022] Open
Abstract
Primary leiomyosarcomas of the thyroid gland are extremely rare. We report a case of a 32 year-old women with a multinodular goiter. She underwent total thyroidectomy. The tumor histology showed spindle-shaped cells that expressed desmine, caldesmone and smooth muscle actine but were negative cytokeratins.
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Affiliation(s)
- Mouna Ayadi
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Azza Gabsi
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Khdija Meddeb
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Amina Mokrani
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Yosra Yahiaoui
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Feryel Letaief
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Nesrine Chraiet
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Henda Rais
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
| | - Amel Mezlini
- Service d'Oncologie Médicale, Institut Salah Azaiez Tunis, Faculté de Médecine de Tunis, Université el Manar, Tunisie
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21
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Mghirbi F, Ayadi M, El Behi K, Letaief-ksontini F, Jmour O, Meddeb K, Mokrani A, Yahyaoui Y, Rais H, Chraiet N, Mezlini A. RM-016 Prognostic factors and assessment of postoperative chemoradiotherapy in gastric cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw201.16] [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: 11/12/2022] Open
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22
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Belarbi F, Hocar O, Akhadari N, Amal S, Amouzoune S, Hazmiri F, Fakhri A, Rais H. P 65 : Présentation particulière d’un sarcome d’éwing cutané primitif. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30240-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: 10/21/2022]
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23
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Baino A, Akhdari N, Amal S, Hamdaoui A, Abbad F, Rais H. [Syringocystadenoma papilliferum]. Ann Dermatol Venereol 2015; 142:460-2. [PMID: 25956460 DOI: 10.1016/j.annder.2015.03.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 03/02/2015] [Accepted: 03/31/2015] [Indexed: 11/16/2022]
Affiliation(s)
- A Baino
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc.
| | - N Akhdari
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - S Amal
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - A Hamdaoui
- Laboratoire privé « Zohor » d'anatomie et cytologie pathologiques, 70, rue de la Liberté-Guéliz, Marrakech, Maroc
| | - F Abbad
- Service d'anatomopathologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - H Rais
- Service d'anatomopathologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
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24
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Atarguine H, Hocar O, Abbad F, Rais H, Idalene M, Tassi N, Akhdari N, Moutaj R, Amal S. [Cutaneous cryptococcosis mimicking basal cell carcinoma and revealing systemic involvement in acquired immunodeficiency]. J Mycol Med 2015; 25:163-8. [PMID: 25959736 DOI: 10.1016/j.mycmed.2015.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Revised: 04/03/2015] [Accepted: 04/11/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Cryptococcosis is a rare and a serious opportunistic infection that occurs primarily on the field of immunodeficiency. We report a case of disseminated cryptococcosis in acquired immunodeficiency syndrome revealed by unusual skin lesions. OBSERVATION A 52-year-old patient consulted for two crusty ulcerative lesions situated on the left supraorbital and on the nasal tip that appeared 6 months ago. He also reported respiratory symptoms present since one year, with dry cough and dyspnea, chronic headache and vomiting with no alteration in visual acuity. The mycological study of the skin biopsy on both lesions isolated Cryptococcus neoformans as well as in the sputum and cerebrospinal fluid. Serology of human immunodeficiency virus infection was positive. Treatment with fluconazole, local care and antiretroviral triple therapy was implemented. DISCUSSION Skin lesions during cryptococcosis are rare and observed in 2-10% of cases. Cutaneous symptoms were the reason for consultation in our patient. This is a rare form of cutaneous cryptococcosis leading to the discovery of both pulmonary and central nervous system locations, and to diagnosis of HIV infection.
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Affiliation(s)
- H Atarguine
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc.
| | - O Hocar
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - F Abbad
- Service d'anatomie pathologique, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - H Rais
- Service d'anatomie pathologique, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - M Idalene
- Service de maladies infectieuses, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - N Tassi
- Service de maladies infectieuses, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - N Akhdari
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - R Moutaj
- Service de parasitologie-mycologie médicale, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital militaire Avicenne, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - S Amal
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
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25
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Ben Nasr S, Ayadi M, Bahloul R, Guesmi S, Allani B, Chrait N, Rifi H, Rais H, Mezlini A. Perioperative chemotherapy in locally advanced gastric cancer. A retrospective study about 25 cases. Tunis Med 2015; 93:228-230. [PMID: 26375739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND Perioperative chemotherapy containing 5FU, Cisplatin ± Docetaxel is one of the most active regimens in advanced gastric cancer. OBJECTIVE To report epidemiological and clinical profile and therapeutic results of perioperative chemotherapy in locally advanced gastric cancer in Tunisia. METHODS Our retrospective study concerned patients with histologically confirmed advanced gastric cancer treated at the institute Salah Azaiez of Tunis. They received 2-3 cycles / 3 weeks of neoadjuvant chemotherapy based on FP (5FU and Cisplatin) or TPF (Docetaxel-Cisplatin-5FU). RESULTS From 2010 to 2012, 25 patients with a median age of 60 years and 7.3 sex-ratio received neoadjuvant chemotherapy. Protocols used were TFP in 20 and FP in 5 patients, 17 patients receiving more than 2 cycles. Side effects were represented by mucositis grade 3 in 2 patients, neutropenia grade ¾ in 3 patients and renal failure in 5 patients. After neoadjuvant chemotherapy, we observed 40% of partial response and 20% of stable disease. Six patients (24%) underwent surgery, curative in 4 (R0 in 3 cases) by total gastrectomy and D2 lymphadenectomy and palliative in 2 cases due to peritoneal carcinomatosis. With a median follow up of 16 months, median overall survival was 16 months (2-21 months). CONCLUSION Probably due to the very bulky and advanced stages of our gastric cancer cases, neoadjuvant chemotherapy using FP±T showed no benefit in the treatment of locally advanced gastric cancer in Tunisian patients.
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26
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Belaid I, Jlassi H, Debbiche G, Rais H, Ben Ayed F. [Lung adenocarcinoma with intramedullary spinal cord metastasis: a case report and review of the literature]. Rev Pneumol Clin 2013; 69:149-151. [PMID: 23582264 DOI: 10.1016/j.pneumo.2013.02.007] [Citation(s) in RCA: 4] [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] [Received: 11/26/2012] [Revised: 02/25/2013] [Accepted: 02/26/2013] [Indexed: 06/02/2023]
Abstract
Intramedullary spinal cord metastases are extremely rare and affect 0.1 to 0.4% of all cancer patients. We report the case of intramedullary metastases in a 42-year-old patient, 12 months after the initial diagnosis of a lung adenocarcinoma. The patient was on third-line chemotherapy for a progressive disease with node and bone metastases. He complained of weakness and difficulty walking. The MRI permitted confirmation of the diagnosis. Corticotherapy was started and the patient underwent radiotherapy. A targeted therapy was indicated. The patient died three months after the initiation of this treatment. The aim of this paper is to report a new case of intramedullary spinal cord metastases from a pulmonary adenocarcinoma, focus on its rarity and diagnostic and therapeutic difficulties through a review of the literature.
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Affiliation(s)
- I Belaid
- Service de carcinologie médicale, institut Salah-Azaiz, faculté de médecine de Tunis, Tunis, Tunisie.
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27
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Belaid I, Ayadi M, Rifi H, Chraiet N, Rais H, Mezlini A. Clinicopathological Features and Outcome of Primary Small Intestinal Lymphoma: Analysis of 210 Patients of a Single Institution. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt202.20] [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: 11/13/2022] Open
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28
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Belaid I, Rais H, Rifi H, Chraiet N, Ayadi M, Mezlini A. Primary Intestinal T Cell Lymphoma in Tunisian Patients. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt203.287] [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: 11/13/2022] Open
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29
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Chabli H, Hocar O, Akhdari N, Rais H, Belaabidia B, Amal S. Incontinentia pigmenti avec le stade vésiculaire in utero. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.006] [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]
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30
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Fehri R, Rifi H, Alboueiri A, Malouche D, Ayadi M, Rais H, Mezlini A. Carcinoma of unknown primary: retrospective study of 437 patients treated at Salah Azaiez Institute. Tunis Med 2013; 91:205-208. [PMID: 23588636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Carcinoma of unknown primary (CUP) origin is defined as histologically confirmed metastatic carcinoma in the absence of a detectable primary site at the time of making therapeutic decision. AIM To report epidemiological, clinical, histopathological, therapeutic, and prognostic features of CUP's patients collected at the Salah Azaiez institute (SAI). METHODS We reviewed retrospectively the files of 437 CUP-patients in SAI between January 1994 and December 2006. We analyzed their epidemiological, clinical, histological and therapeutic features and classify patients in favourable and unfavourable subsets. Statistical analysis was performed with R software. Survival curves were made with the method of Kaplan-Meier. RESULTS We collected 437 patients with a median age of 60 years and a sex-ratio of 1.8. CUP are metastatic to lymph nodes (56.5%), bones (29.7%) and liver (28%). 33% of patients had a unique site of metastases. Adenocarcinoma represented 50.5% of cases while 10.5% are classified in the favourable subgroup. 141 out 437 patients received palliative chemotherapy, 83% of them by cisplatin-based regimens obtaining 13% (58 patients) of objective response. Median survival was 7 months. 24 out 58 patients (41%) relapsed. Poor prognostic factors for survival were: multiple metastases (p=0.00033), >3 sites (p=0.03), undifferentiated carcinoma and adenocarcinoma (p>0.0001), liver metastases (p=0.0137), bone (p=0.00653) and adrenal gland (p=0.0334) metastatic sites. Patients who underwent chemotherapy (p>0.001) and who received cisplatbased regimen had better survival (p=0.01). CONCLUSION Our retrospective study done in the context of a minimal and biological work-up confirmed the difficulty to find the primary in CUP.
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31
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Rais H, Jghaimi F, Bassi L, Ziad T, Cherif Idrissi El Ganouni N, Belaabidia B. [Hydatid cyst of the scalp]. Rev Stomatol Chir Maxillofac 2012; 113:472-474. [PMID: 22703598 DOI: 10.1016/j.stomax.2012.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2011] [Revised: 10/05/2011] [Accepted: 04/30/2012] [Indexed: 06/01/2023]
Abstract
INTRODUCTION Hydatid disease is a broad-based anthropozoonosis common to humans and several mammal species. The disease results from the development of Echinococcus granulosis in the body. CASE REPORT We report a new case involving a 58-year old woman hospitalized for a subcutaneous mass in the scalp with no local inflammatory signs. Radiological examination was consistent with a subcutaneous cyst. Complete surgical resection of the mass was performed. Histopathological examination demonstrated hydatid cyst. DISCUSSION Subcutaneous localization of hydatid cyst is uncommon even in endemic zone. Diagnosis is suggested by ultrasonography and confirmed by histology.
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Affiliation(s)
- H Rais
- FMPM/UCAM, service d'anatomie pathologique, CHU Mohammed VI, Marrakech, Maroc
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Hocar O, Madhar M, Akhdari N, Rais H, Belaabidia B, Fikry T, Amal S. [Myxoid neurofibroma of the thumb]. ACTA ACUST UNITED AC 2012; 31:217-9. [PMID: 22980987 DOI: 10.1016/j.main.2012.07.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2012] [Revised: 06/15/2012] [Accepted: 07/01/2012] [Indexed: 10/28/2022]
Abstract
UNLABELLED Myxoid neurofibroma (MN) is a benign tumor of poorly identified perineural cell origin. We report a case of NM of left thumb and discuss the main differential diagnosis. CASE REPORT A 34-year-old woman presented with a painless, slowly progressive tumor of the left thumb of 6 months duration. This tumor had recurred after resection done 26 years before. Clinical examination revealed a tumor on the anterior surface of the left thumb, painless, firm, 4×3cm, ulcerated and covered with thin telangiectasia. The X-ray of the phalanx showed no alteration to the underlying bone. The histopathological study of a skin biopsy reported a myxoid neurofibroma. Excision of the lesion was performed with preservation of the nail. Neither the patient nor her family members had neurofibromatosis. The outcome was favorable and no recurrence was noted after 18 months of follow-up. COMMENTS The usual sites of the MN are the face, shoulders, arms, and periungual regions. It is usually a solitary lesion; however, lesions may be multiple or recur after initial incomplete excision as in our patient. It must be considered in the differential diagnosis of tumors of the extremities. We report this case because of the rarity of both the tumor and its site.
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Affiliation(s)
- O Hocar
- Service de dermatologie, université Cadi Ayyad, CHU Mohammed VI, Marrakech, Maroc.
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Hocar O, Yacoubi H, Akhdari N, Amal S, Ait Essi F, Latifi M, Rais H, Belaabidia B. Unusual presentation of a rare tumor of the dorsal surface of the foot. ISRN Dermatol 2012; 2011:704549. [PMID: 22363857 PMCID: PMC3262540 DOI: 10.5402/2011/704549] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2011] [Accepted: 02/15/2011] [Indexed: 11/23/2022]
Abstract
Calcifying aponeurotic fibroma (CAF) was originally described by Keasbey in 1953 as juvenile aponeurotic fibroma, most commonly occurring in the palms of the hands and soles of the feet in children and adolescents. It usually presents as a firm, painless mass without preceding trauma. We report a case of this rare condition with an unusual presentation in a 60-year-old woman affecting the dorsal surface of the foot. It is a relatively benign condition with a good prognosis following complete surgical excision. It may have a slightly increased incidence in males. The accurate diagnosis is based only on histology but it is essential to differentiate it from other sinister lesions such as fibrosarcoma that may lead to amputation.
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Affiliation(s)
- O Hocar
- Dermatology Department, School of Medicine, Cadi Ayyad University, Mohammed the VIth University Hospital, Marrakesh 40000, Morocco
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Rais H, Jghaimi F, Baalal H, Naji Y, Essaadouni L, Essadki O, Oussehal A, Mejjati M, Aitbenali S, Elyazidi AA, Belaabidia B. [Blastomycosis in Morocco: imported mycosis]. Rev Pneumol Clin 2012; 68:45-49. [PMID: 22305137 DOI: 10.1016/j.pneumo.2011.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Revised: 03/17/2011] [Accepted: 04/03/2011] [Indexed: 05/31/2023]
Abstract
Blastomycosis is a rare case. We report a first Moroccan case. A 41-year-old male presented with a 6-month history of dyspnea, fever and significant chest pain associated with night sweats and weight loss. The physical examination disclosed a firm painful paravertebral mass. The chest radiograph demonstrated a left apical opacity. The thoracic scan showed parenchymal infiltration of the apico-dorsal segment of the left upper lobe with vertebral and costal lytic lesions. Surgical biopsy showed granulomatous inflammation with giant-cell intracytoplasmic inclusions. Fungal studies yielded Blastomyces dermatitidis which responded excellently to ketoconazole. Outcome has been excellent at 3.5 years months follow-up. The clinical and radiographic presentation of blastomycosis is non-specific and can be mistaken for a neoplasm. Delay in diagnosis is common.
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Affiliation(s)
- H Rais
- Service d'anatomie pathologie, faculté de médecine et de pharmacie, CHU Mohammed VI, université Cadi Ayyad, Marrakech, Maroc
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Hazmiri F, Oubaha I, Rais H, Fakhri A, Soummani A, Abbassi H, Essadki O, Oussehal A, Belaabidia B. Le cancer inflammatoire du sein : à propos de 69 cas avec une revue de la littérature. Ann Pathol 2011. [DOI: 10.1016/j.annpat.2011.09.100] [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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Janati S, Rais H, Ouali Idrissi M, Khouchani M, Tahri A, Belaabidia B, Essadki O, Ousehal A. Prise en charge des tumeurs osseuses malignes primitives : expérience du centre hospitalo-universitaire Mohammed-VI de Marrakech. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.207] [Citation(s) in RCA: 1] [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: 11/27/2022]
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Ayoub WHB, Rais H, Zehani S, Hamadi H, Abdallah MB. SP3-4 Incidence of nasopharyngeal carcinoma in the north of Tunisia: tendency and projections until 2024. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976o.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: 11/03/2022]
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Ayoub WHB, Rais H, Zehani S, Hsairi H, Achour N, Abdallah MB. P1-172 Cancer epidemiology in the North of Tunisia 1999-2003. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976d.65] [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: 11/03/2022]
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Abdallah MB, Ayoub WHB, Rais H, Zehani S, Hsairi H, Achour N. SP3-5 Incidence of breast cancer in northern Tunisia: trend and projection into 2024. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976o.5] [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: 11/04/2022]
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Zayen A, Rais H, Rifi H, Ouarda M, Afrit M, Cherif A, Mezline A. Rituximab-Induced Interstitial Lung Disease: Case Report and Literature Review. Pharmacology 2011; 87:318-20. [DOI: 10.1159/000327681] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2011] [Accepted: 03/16/2011] [Indexed: 11/19/2022]
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Rais H, Elmansouri F, Belaabidia B, Essadki O, Oussehal A, Sarf I. [Paratesticular desmoplastic small round cell tumour: case report with literature review]. Cancer Radiother 2010; 14:111-4. [PMID: 20189431 DOI: 10.1016/j.canrad.2009.09.008] [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: 05/22/2007] [Revised: 09/24/2009] [Accepted: 09/30/2009] [Indexed: 11/16/2022]
Abstract
Desmoplastic small round cell tumors are rare aggressive cancers of adolescence and early adulthood. It has recently been separated from other small round cell tumors because of its pathological characteristics and clinical features. They are usually intra-abdominal tumors affecting young people and have classically been associated with a bad prognosis. However, in recent years there have been reports on desmoplastic small round cell tumors affecting other body regions, including the paratesticular area. We report the case of a 27-year-old male who consulted on a progressive enlargement of the right hemiscrotum. He referred no previous urological symptoms and had no systemic symptomatology. Physical examination revealed a round elastic firm 1-cm mass of the epididymis, which was excised. A computed tomography scan showed a para-aortic mass of 1cm. Histological and immunohistochemical diagnosis confirmed a desmoplastic small round cell tumor. The patient received chemotherapy. Today, 6 months after diagnosis the patient remains well and free of disease. Recent reviews on desmoplastic small round cell tumors affecting the paratesticular area have shown a better prognosis for tumors of this origin compared to abdominal ones. We should include this lesion among the differential diagnosis of paratesticular tumors, mainly in children and adolescents.
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Affiliation(s)
- H Rais
- Service de pathologie, hôpital Ibn-Tofail-Gueliz, CHU Mohammed-VI, 4000 Marrakech, Morocco.
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Rais H, Fakhri A, Al Attar H, Aniba K, Ait Ben Ali S, Essadki O, Oussehal A, Belaabidia B. Les tumeurs cérébrales de l’enfant : à propos de 64 observations avec revue de la littérature. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78503-0] [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: 12/01/2022]
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Rais H, Fakhri A, Al Attar H, Fikri T, Essadki B, Belaabidia B. La ténosynovite granulomateuse à grains riziformes du poignet : à propos d’une observation avec revue de la littérature. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78530-3] [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: 11/25/2022]
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Benadra F, Alatawna H, Rais H, Lakhmichi M, Elhaouss A, Sarf I, Belaabidia B. Le carcinome sarcomatoïde à propos de cinq cas. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)94220-4] [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: 10/28/2022]
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Rais H, Rodrigues P, Ramos C, Almedia V, Forgacs E, Cserhati T, Oliveira J. Note. Effect of Blanching and Frozen Storage on the Stability of B-Carotene and Capsanthin in Red Pepper (Capsicum Annuum) Fruit. FOOD SCI TECHNOL INT 2002. [DOI: 10.1177/1082013202008001914] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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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Ben Ayed F, Rais H, Gharbi N, Khalfallah S, Mezlini A, Riahi B, Amara S, Zouari B. [Dispensation of opioids by pharmacists in Tunisia]. Therapie 2001; 56:711-7. [PMID: 11878095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
This national survey aims to evaluate opioid availability and prescription by pharmacists in Tunisia and to examine pharmacists' attitude regarding Tunisian law. We surveyed a sample of 300 pharmacists randomly selected from the National Council of Pharmacists list and using the random table. This study started in September 1999 by sending to pharmacists a confidential questionnaire asking about the importance, the rate of sale and the availability of analgesics in their pharmacy. It also tried to determine pharmacists' opinions regarding Tunisian law. A total of 157 pharmacists out of 300 responded to the survey (52 per cent), 95 per cent were working in pharmacies and 15 per cent in hospitals. Analgesics were estimated to be important to very important in their work in 84 per cent and less important in 16 per cent of cases. They were given under advice with great importance in 85 per cent of cases and with less importance in 15 per cent of cases. Analgesic self-medication was frequent in 95 per cent of cases and rare in 4 per cent of cases. Analgesics of levels 1 and 2 were often to always available in 97 per cent of cases and rarely available in 1.5 per cent of cases. Some 84.7 per cent of pharmacists had opioid supplies and 8.9 per cent had no opioids in stock and 6.4 per cent hadn't given a response. 30 per cent of pharmacists think that the 7 days law for opioid prescription should be modified and 66 per cent think it should not, fearing illicit use, fraud and dependance. Pharmacists think that the minimal list of opioids to be stocked in a pharmacy is sufficient because of low demand.
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Affiliation(s)
- F Ben Ayed
- Service de médecine carcinologique de l'Institut Salah Azaiez (ISA), Association Tunisienne de lutte Contre le Cancer, Boite postale 173, Tunis, Tunisie
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Rabii R, Joual A, Rais H, Fekak H, Moufid K, Bennani S, el Mrini M, Benjelloun S. [Pyonephrosis: diagnosis and treatment: report of 14 cases]. Ann Urol (Paris) 2000; 34:161-4. [PMID: 10953791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Prior to the introduction of antibiotics, the treatment of pyelonephrosis frequently consisted of nephrectomy to remove the non-functional kidney, which was a potentially dangerous source of systemic infection. This approach was later modified as a result of the advances made in antibiotic therapy, and included vigorous antibiotic treatment and prompt drainage of the kidney. At present, percutaneous nephrostomy provides a means of draining off the pus and determining a possible residual renal function. In this study, 14 cases of pyonephrosis were observed over a 7-month period. Lumbar pain was noted in 70% of cases, painful lumbar contact in 5 cases and fever, shivering and pyuria in all cases. Cytobacteriological urine analysis showed the presence of Escherichia coli in 7 patients, Proteus in 4 patients, and in 3 cases abacterial leucocyturia; in 2 patients with only one functional kidney, renal insufficiency was observed. In all cases, the diagnosis was confirmed by ultrasonography. The main etiological factors were urinary lithiasis in 10 patients (71%), followed by uropathy of the pyeloureteral junction in 4 patients (29%). Treatment consisted of primary nephrectomy in 10 cases; in 3 cases, primary nephrostomy was performed with a positive outcome and recovery of renal function in 2 subjects; in one case of renal failure treated by nephrostomy followed by conservative surgery, the patient did not survive. In conclusion, nephrectomy is advocated as the treatment of choice in the case of a damaged kidney and a normal contralateral kidney. Conservative treatment should be envisaged particularly in the case of a single kidney, or if the patient's state of health is poor. The best treatment consists of the detection and cure of the lithiasis which is the main etiological factor in this pathology.
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Affiliation(s)
- R Rabii
- Service d'urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, Joual A, el Mrini M, Benjelloun S. [Prostatic abscesses. A review]. Ann Urol (Paris) 1999; 33:271-3. [PMID: 10510710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
We review the literature to the diagnosis and therapeutic aspect of prostatic abscess. The prostatic abscess having become an uncommon disease. The diagnosis of prostatic abscess has been nearly made by transrectal ultrasound and computed tomography scan. The best diagnostic method is considered to be the transrectal ultrasound. The choice therapy was intravenous antibiotic, and drainage by ultrasound guided transperineal percutaneous puncture.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, el Moussaoui A, Joual A, el Mrini M, Benjelloun S. [Perineal recurrence of resected penile cancer. A case report]. Ann Urol (Paris) 1999; 33:100-3. [PMID: 10352819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
The authors report an unusual case of perineal recurrence of squamous carcinoma of the penis in a 50-year-old, white man, circumcised during infancy and operated 5 years previously for stage T3N0M0 squamous carcinoma of the penis by total amputation of the penis. Clinical examination revealed a very large, infected perineal tumour associated with bilateral inguinal lymphadenopathy. This stage T4N2M0 tumour was treated palliatively by cystostomy, emasculation with perineal tumour reduction and antibiotics. The patient became afebrile and the infection resolved and was referred to the radiotherapy department for further treatment.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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