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Khaled A, Kourda M, Fazaa B, Kourda J, Ben Jilani S, Kamoun MR, Zermani R. Malignant proliferating trichilemmal cyst of the scalp: histological aspects and nosology. Pathologica 2011; 103:73-76. [PMID: 22007570] [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: 05/31/2023] Open
Abstract
BACKGROUND Malignant proliferating trichilemmal cyst is a rare tumour usually located on the scalp of elderly women. About 40 cases of malignant proliferating trichilemmal tumour have been documented. CASE REPORT We report a case of a malignant proliferating trichilemmal cyst of the scalp in a 57-year-old woman. On the vertex she had a voluminous vegetated and multinodular tumour measuring 7 x 5 cm with spontaneous and abundant bleeding, and another lesion of the scalp corresponding to a trichilemmal cyst. Based on histopathological findings, the case was diagnosed as malignant proliferating trichilemmal cyst. CONCLUSION Diagnostic, clinicoprognostic and histological features of this tumour are discussed. Treatment is not yet standardized given its rarity.
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Affiliation(s)
- A Khaled
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.
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2
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Zehani A, Kourda N, Landolsi A, Adouani A, Zermani R, Ben Jilani S. [Pediatric mandibular ameloblastic fibro-odontoma]. ACTA ACUST UNITED AC 2011; 112:187-9. [PMID: 21492889 DOI: 10.1016/j.stomax.2011.03.001] [Citation(s) in RCA: 1] [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] [Received: 01/03/2010] [Revised: 05/03/2010] [Accepted: 03/01/2011] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Ameloblastic fibro-odontoma (AFO) is a very rare mixed odontogenic tumor (2% of all odontogenic tumors). It is considered as a non-extensive non-aggressive tumor but recurrence and malignant transformation remain possible. We report a voluminous AFO in a child. CASE REPORT A 7-year-old boy presented with a right mandibular and facial swelling. The panoramic radiograph and CT scan revealed a voluminous unilocular radiolucent lesion (10 cm) with an impacted tooth that involved the ramus area and the angle of the right mandible. Enucleation and curettage was performed with a good outcome. There was no recurrence at ten months. DISCUSSION This case is exceptional because of the young patient's age, the large tumor diameter, and the good outcome after ten months. This tumor occurs more often in the posterior region of the mandible and is frequently seen in the first two decades of life. The diagnosis is made on radio-clinical data and may be confirmed by histology. A surgical treatment with complete tumor removal is recommended to prevent recurrence.
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Affiliation(s)
- A Zehani
- Service d'anatomie pathologique, hôpital Charles-Nicolle, Tunis, Tunisia.
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Kourda N, Mlika M, Zidi YSH, Zermani R, Ben Jilani S. [Cecal perforation in a kidney transplant patient: disseminated histoplasmosis]. Med Trop (Mars) 2010; 70:533-536. [PMID: 21520661] [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: 05/30/2023]
Abstract
Disseminated histoplasmosis is a fungal infection caused by Histoplasma capsulatum. It often involves immunodeficient patients and can occur in two forms, i.e., the large- and small-celled variants. The purpose of this report is to describe a case of disseminated histoplasmosis with cutaneous and digestive involvement observed four years after kidney transplantation in a man from Senegal. The patient developed severe sepsis secondary to colonic perforation. Outcome was fatal due to delayed diagnosis and extent of disease.
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Affiliation(s)
- N Kourda
- Département d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis, Tunisie
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4
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Mlika M, Farah F, Jarboui S, Abdessalem M, Zaouche A, Jilani SB, Zermani R. A benign cystic mass of the pancreas mimicking a malignant lesion. Pathologica 2009; 101:261-262. [PMID: 20387716] [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: 05/29/2023] Open
Abstract
Herein, we highlight the diagnostic challenges of cystic pancreatic tumours, and report a case of chronic pancreatitis caused by a cystic tumour, which consisted in a canal dilatation--and not a pseudocyst. The case thus demonstrates a rare association between a cystic form of chronic pancreatitis and adrenal adenoma. We report the case of a 46-year-old patient with no particular past medical history who presented with long lasting symptoms consisting in an abdominal pain and deterioration in general health. Imaging findings (ultrasound, CT-scan, MRI) showed a 3-cm cystic lesion of the tail of the pancreas associated with a 3-cm adrenal mass. Because of the suspicion of a malignant disease, surgical treatment was performed. Pathological findings consisted in fibrotic chronic pancreatitis with canal dilatation and an adrenal adenoma. Pancreatic cystic lesions are rare tumours. Despite of the multiplicity of imaging techniques, differential techniques lack sensitivity and specificity. Final diagnosis must be based on pathological features.
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Affiliation(s)
- M Mlika
- Department of Pathology, Charles Nicolle Hospital, Bab Saadoun, Tunisia.
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5
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Jarboui S, Moussi A, Jarraya H, Ben Mna K, Abdesselem MM, Kourda A, Ben Jilani S, Guettier C, Zaouche A. Primary dedifferentiated liposarcoma of the colon: a case report. ACTA ACUST UNITED AC 2009; 33:1016-8. [PMID: 19272723 DOI: 10.1016/j.gcb.2008.11.014] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2008] [Revised: 10/23/2008] [Accepted: 11/05/2008] [Indexed: 01/17/2023]
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Goucha S, Khaled A, Kharfi M, Fazaa B, Zermani R, Ben Jilani S, Kamoun MR. Granuloma annulare. GIORN ITAL DERMAT V 2008; 143:359-363. [PMID: 19169208] [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: 05/27/2023]
Abstract
AIM Granuloma annulare (GA) is a palisading granulomatous skin disease. It is a relatively common dermatosis typically characterized by an annular arrangement of erythematous or flesh-coloured papules. The aim of this study was to assess the epidemiological and clinical pattern of GA and its management. METHODS A retrospective study dealing with 35 cases of GA collected during an 11-year period from 1995 to 2005 was carried out at the Dermatology Department of Charles Nicolle's Hospital of Tunis. RESULTS There were 24 females and 11 males including 13 children. Four clinical patterns were observed: localized GA with annular shaped lesions in 22 cases (62.8%), subcutaneous GA in 9 cases (25.7%) with 4 children, combination of localized and subcutaneous patterns in one child (2.8%), generalized GA in one adult-patient (2.8%) and combination of generalized and subcutaneous patterns in 2 cases (5.7%). Associated diabetes mellitus was seen in 9 adults (25%) and thyroid diseases in 2 other adults (5.7%). Topical steroids were proposed in 9 cases with partial resolution in 6 of them. Four patients were treated by hydroxychloroquine with an improvement in 3 of them. Two patients (generalized GA with subcutaneous form and subcutaneous GA) were treated by dapsone with partial clearing. CONCLUSION In these series, GA has the same epidemiological and clinical pattern as other series of the literature. Subcutaneous form had a pseudo-rheumatoid presentation in adults and an exclusive involvement of children when it is localized on the scalp. Associated systemic diseases, especially diabetes mellitus, are frequent in the series here observed.
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Affiliation(s)
- S Goucha
- Department of Dermatology, Charles Nicolle hospital of Tunis, Tunisia
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7
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Khaled A, Hammami H, Fazaa B, Zermani R, Ben Jilani S, Kamoun MR. Primary umbilical endometriosis: a rare variant of extragenital endometriosis. Pathologica 2008; 100:473-475. [PMID: 19475890] [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: 05/27/2023] Open
Abstract
Endometriosis is defined as the presence of extra-uterine endometrial tissue. The prevalence rate of umbilical endometriosis ranges from 0.5 to 1.0% of all patients with extragenital endometriosis. In this report, we present a case of primary umbilical endometriosis to highlight the challenges encountered during diagnosis. A nulliparous 39-year-old woman presented to our department with a 2-year history of a tender, painful and non-reducible, firm umbilical mass that enlarged slowly reaching 2 cm in diameter. She had never been pregnant nor had any abdominal surgery. There was no sequential bleeding. Ultrasound of the umbilical region showed a well defined, oval shaped anechoic area. Histological examination on a cutaneous biopsy concluded umbilical endometriosis. The patient was subsequently referred to a gynecologist and underwent surgery with en bloc excision of the lesion. Generally, umbilical endometriosis presents as a roundish tumuor that can either partly or completely occupy the umbilical scar with intermittent bleeding. Characteristically, the mass increases with the menstrual cycle, becoming more evident and usually harder and is associated with cyclic pain. Its pathogenesis remains uncertain. Clinical diagnosis is difficult, and umbilical endometriosis can be easily confused with other conditions such as benign and malignant tumours. Ultrasound examination is useful, and surgical excision is the treatment of choice. Several cases of malignant transformation have also been described.
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Affiliation(s)
- A Khaled
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.
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Hila L, Farah F, Ayari H, Ferjaoui M, Dehria W, Ben Jilani S. Epidemiological study, immunohistochemistry and in situ hybridization studies of nasopharyngeal carcinomas: a Tunisian report. ACTA ACUST UNITED AC 2008; 57:427-9. [PMID: 18835109 DOI: 10.1016/j.patbio.2008.07.029] [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: 04/14/2008] [Accepted: 07/04/2008] [Indexed: 11/19/2022]
Abstract
Nasopharyngeal carcinomas (NPC) are a significant problem of public health in Tunisia. They are particular because of their characteristic geographic distribution. The aims of this study were, first, to appreciate the presence of Epstein-Barr virus (EBV) genome by immunohistochemistry (IHC) and in situ hybridization (ISH) and to compare their benefits to NPC diagnosis and, secondly, to verify the relation between NPC and factors bound to the food and environment conditions. Biopsies, recruited at the department of pathology of EPS Charles Nicolle at Tunis, were analyzed for EBV genome presence by ISH of EBV-encoded small RNA1 (EBER1). IHC was done with encoded nuclear antigen (EBNA1), latent membrane proteins (LMP1), and antigen BZ1 anti-Z EBV-replication activator (ZEBRA). An epidemiological study based upon the analysis of a detailed questionnaire submitted to patients (all from the north of Tunisia) and 60 witnesses was done. The statistic analysis was realised by SPSS Windows 11.5 Advanced Statistics. All samples were classified as Undifferentiated Carcinoma of Nasopharyngeal type (UCNT). We found a sex ratio of 2 with a bimodal repartition. ISH showed 96.6% positive samples. IHC revealed the EBV in 90% of cases and 66.7%, respectively, with EBNA1 and LMP1. The statistic analysis showed a meaningful relation (P<0.05, OR>3) between NPC and dietary factors (spices and piquant condiment), alcohol and the water quality.
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Affiliation(s)
- L Hila
- Section de génétique, faculté de médecine de Tunis, 15, rue Djebel-Lakhdhar, 1007 Bab Saadoun, Tunis, Tunisie.
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9
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Farah-Klibi F, Ben Hamouda S, Ben Romdhane S, Sfar R, Koubaa A, Ben Jilani S, Zermani R. Étude immunohistochimique des sarcomes du stroma endométrial et des tumeurs musculaires lisses de l’utérus. ACTA ACUST UNITED AC 2008; 37:457-62. [DOI: 10.1016/j.jgyn.2008.05.002] [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] [Received: 05/30/2007] [Revised: 11/14/2007] [Accepted: 05/06/2008] [Indexed: 01/12/2023]
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10
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Farah-Klibi F, Ben Rejeb M, Salah R, Najeh N, Zaouche A, Ben Jilani S, Zermani R. Carcinome adénosquameux primitif de la vésicule biliaire. ACTA ACUST UNITED AC 2008; 32:632-4. [DOI: 10.1016/j.gcb.2008.04.024] [Citation(s) in RCA: 7] [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: 05/21/2007] [Revised: 04/03/2008] [Accepted: 04/21/2008] [Indexed: 11/27/2022]
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Kourda N, Elloumi H, Chérif K, Jilani SB, Zermani R. Tumeur de Brenner proliférante : à propos d’un cas. ACTA ACUST UNITED AC 2008; 36:292-5. [DOI: 10.1016/j.gyobfe.2007.11.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2007] [Accepted: 11/27/2007] [Indexed: 11/25/2022]
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Fazaa B, Cribier B, Zaraa I, Zermani R, Zeglaoui F, Zouari B, Ben Jilani S, Maalej M, Kamoun MR. Low-dose X-ray depilatory treatment induces trichoblastic tumors of the scalp. Dermatology 2007; 215:301-7. [PMID: 17911987 DOI: 10.1159/000107623] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [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: 02/12/2007] [Accepted: 04/20/2007] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Depilatory radiotherapy for ringworm was largely used before antifungals were available. Patients who underwent this treatment are at high risk of developing scalp tumors or other cancers. The aim of this study was to characterize scalp tumors occurring after X-ray therapy for ringworm. METHODS We included cases of postradiotherapy scalp tumors recorded at the Dermatology Department of the Charles Nicolle Hospital, Tunis between 1988 and 2001. We recorded clinical descriptions and all cases were resubmitted to microscopic analysis. RESULTS Sixty-one tumors occurred in 33 men and 12 women with a mean age of 49.8 years. Radiodermatitis was present in 21% of patients. Tumors were basal cell carcinomas in 47 cases, trichoblastomas in 10 cases and trichoblastic carcinomas in 4 cases. Twelve patients had 2-5 tumors, with combinations of tumor types in 3 of them. Mean delay of onset of tumors after radiotherapy was 39.4 years in basal cell carcinoma cases, 38.3 years in trichoblastoma cases and 35.6 years in trichoblastic carcinoma cases. CONCLUSIONS This series shows that although basal cell carcinoma is the most frequent tumor in this situation, trichoblastomas are common. We describe, for the first time, radio-induced trichoblastic carcinomas. Trichoblastic tumors have not yet been described in this context because this concept is relatively recent.
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Affiliation(s)
- B Fazaa
- Dermatology Department, Charles Nicolle Hospital, Tunis, Tunisia
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13
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Khaled A, Jones M, Zermani R, Fazaa B, Baccouche K, Ben Jilani S, Kamoun MR. Granuloma faciale. Pathologica 2007; 99:306-308. [PMID: 18354952] [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: 05/26/2023] Open
Abstract
Granuloma faciale is a rare, benign skin condition that usually occurs on the face. Using an exemplary case of granuloma faciale, we will present the clinical and histological characteristics of this dermatosis. A 49-year-old man presented with a 6-month history of a 10 mm-diameter asymptomatic papulo-nodular red-brown lesion of the nose. A biopsy specimen led to the diagnosis of granuloma faciale. The patient received a session of pulsed-dye laser therapy, which led to significant improvement. This benign and usually isolated dermatosis can more rarely be extrafacial. It may often be mistaken for other benign dermatoses (sarcoidosis, discoid lupus erythematosus) as well as for malignant dermatoses (lymphoma, basal cell carcinoma). Histology is
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Affiliation(s)
- A Khaled
- Department of Dermatology, Charles Nicolle Hospital of Tunis.
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14
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El Atat R, Derouiche A, Kourda N, Hammami A, Chebil M, Ben Jilani S, Ayed M. Segmental infarction of the testis: an exceptional complication of diabetes microangiopathy. Int J Impot Res 2007; 19:615-6. [PMID: 17851583 DOI: 10.1038/sj.ijir.3901608] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [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: 11/08/2022]
Abstract
We report a case of segmental infarction of the testis in a 55-year-old man. Past medical history included 12 years of type II diabetes and hypertension. The patient presented with a 2-month history of testicular pain and was found clinically and sonographically to have a testicular tumour. The pathological examination of the partial orchiectomy specimen revealed segmental infarction of the testicle secondary to diabetes microangiopathy. We propose diabetes microangiopathy as a localization and aetiology of segmental testicular infarction. A possible testicular sparing procedure through an inguinal approach may be considered in cases of testicular masses for which the clinical and imaging findings are suggestive of focal testicular infarction.
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Affiliation(s)
- R El Atat
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia.
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15
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Farah-Klibi F, Ferchichi L, Jarboui S, Ben Slama S, Zaouche A, Ben Jilani S, Zermani R. Amyloïdose de type β2-microglobuline révélée par une perforation intestinale chez une hémodialysée chronique. Rev Med Interne 2007; 28:269-71. [PMID: 17349721 DOI: 10.1016/j.revmed.2006.12.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 02/22/2006] [Accepted: 12/06/2006] [Indexed: 11/29/2022]
Abstract
Long term haemodialysis patient is subject to several complications such as generalised amyloidosis which is the result of deposits of beta2-microglobulin not depurated by haemodialysis. Digestive location causes ischemic accidents such as ulcer, infarctus, digestive haemorrhage, pseudo-obstruction and perforation manifested by a surgical emergency. Our observation is the 6th case of intestinal perforation caused by amyloidosis deposit reported in the literature.
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Affiliation(s)
- F Farah-Klibi
- Service d'anatomie et de cytologie pathologiques de l'hôpital Charles-Nicolle de Tunis, boulevard 9-Avril-1938, 1006 Tunis, Tunisie.
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Mekni A, Maamouri N, Zidi Y, Braham E, Fareh F, Bellil K, Haouet S, Kchir N, Jilani SB, Zitouna M. Desmoplastic small round cell tumor of the abdomen. Report of two cases. Pathologica 2007; 99:54-6. [PMID: 17633809] [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: 05/16/2023] Open
Abstract
Desmoplastic small round cell tumor (DSRCT) is a rare clinicopathological entity individualized in 1989. Its etiopathogenesis is still unknown, and diagnosis can be achieved only by immunohistochemistry and cytogenetic studies. The objective of this work is to report two new cases of DSRCT and to review the literature to clarify its epidemiological, clinical and pathological aspects.
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Affiliation(s)
- A Mekni
- Department of Pathology, Hospital "La Rabta", Bab Saadoun, Tunis, Tunisie.; ' Department of Gastroenterology,
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17
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Taarit CB, Ajlani H, Fareh F, Zermani R, Jilani SB, Gharbi W, Maiz HB, Khedher A. Multiple myeloma of the liver presenting as non-obstructive jaundice. Ann Hematol 2007; 86:529-30. [PMID: 17308902 DOI: 10.1007/s00277-007-0267-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2006] [Accepted: 01/26/2007] [Indexed: 10/23/2022]
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18
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Bounemra-Benghanem A, Amri MA, Rammeh-Rommani S, Chebil M, Zermani R, Ben Jilani S, Jenhani F. [Contribution of cell cycle and DNA content study by flow cytometry in the prognosis of superficial bladder cancer: Tunisian experience]. Ann Biol Clin (Paris) 2007; 65:41-9. [PMID: 17264038] [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] [Received: 10/02/2006] [Accepted: 11/30/2006] [Indexed: 05/13/2023]
Abstract
Clinico-pathological study of superficial bladder cancer (pTa/pT1) informs about prognostic factors such as the size of the tumor, its uni or multifocal character, its grade and stage. Presently, these factors constitute the basis of therapeutic decision but do not allow to foresee the prognosis with certainty. Many technics have contributed to a better knowledge of such tumors; however, they have not allowed to fully master prognostic uncertainties. During the last decades, cell cycle and DNA content study by flow cytometry has been developping, bringing an additional prognostic element to various types of tumors. We have decided to study the impact of this technique to the assessment of the prognosis of superficial bladder tumors. The study concerned 65 patients presenting superficial bladder tumors (pTa/ pT1), with a follow-up of at least two years in case of not recurrence and in case of recurrence, having had a second resection with analysis of sections. Flow cytometry was applied to formol-fixed and paraffin-embedded endoscopic resection material of initial tumors by simple-labelling of DNA with propidium iodide. Following cytometric study, 35 (54%) of tumors were aneuploid and 30 (46 %) were diploid. For the diploid ones, S-phase mean value was 14.94% (from 2.72% to 33.43%); and G2M mean value was 8.3 (from 1% to 18%). The presence of an DNA- aneuploid peak had a predictive value of recurrence and progression in stage, with relative risks of 12 and 6.85 respectively. It was also correlated with the histological grade and stage. On the other hand, S-phase and G2M values had no prognostic significance.
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Affiliation(s)
- A Bounemra-Benghanem
- Laboratoire d'Immunologie Cellulaire, Centre National de Transfusion Sanguine, Tunis.
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Farah-Klibi F, Ferchichi L, Zaïri I, Rammeh S, Adouani A, Jilani SB, Zermani R. Lipomatous hemangiopericytoma (adipocytic variant of solitary fibrous tumor) of the orbit. A case report with review of the literature. Pathologica 2006; 98:645-8. [PMID: 17285842] [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: 05/13/2023] Open
Abstract
Hemangiopericytoma (HPC) of the orbit is a rare tumor presenting with slowly progressive proptosis, ocular motility impairment and visual loss. In 1995, a newly variant of HPC termed lipomatous hemangiopericytoma (LHPC), was described. Only two cases arising in the orbit have been previously reported. The authors describe another case of orbital LHPC and discuss the clinicopathologic features, including the immunohistochemical staining profile and ultrastructural appearance of this distinctive tumor, and briefly discuss the relationship between HPC and solitary fibrous tumor of soft tissue, a neoplasm with many clinical and pathologic similarities.
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Affiliation(s)
- F Farah-Klibi
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia.
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20
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Rammeh Rommani S, Trabelsi A, Attia L, Msakni I, Koubaa A, Ben Jilani S, Zermani R. Perivascular epithelioid cell tumor of the uterus: a case report. Pathologica 2006; 98:649-51. [PMID: 17285843] [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: 05/13/2023] Open
Abstract
A case of a perivascular epithelioid cell tumor (PEComa) arising in the uterus of a 35-year-old woman is presented. Imaging studies revealed a 5 cm well circumscribed mass in the uterine fundus. The tumor was composed of clear to faintly eosinophilic, epithelioid and spindled cells. Immunohistochemically, most tumour cells were strongly positive for HMB-45, smooth muscle actin and desmine, but negative for epithelial markers, S-100 Protein and neuroendocrine markers. Reevaluation of the patient for signs of tuberous sclerosis complex after the diagnosis gave negative results. At the most recent follow-up 4 months later there was no evidence of recurrence.
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Affiliation(s)
- S Rammeh Rommani
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia.
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21
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Ben Slama S, Farah-klibi F, Sassi O, Sfar R, Koubaa A, Ben Jilani S, Zermani R. Tumeurs épithéliales ovariennes bilatérales : à propos de 18 cas. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78512-1] [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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22
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Khalfaoui T, Kria L, Anane R, Erraies K, Beltaief O, Mkannez G, Zhioua R, Ben Jilani S, Ouertani Meddeb A. [Expression of intercellular adhesion molecule type 1 in the conjunctiva of diabetic patients: a preliminary study]. J Fr Ophtalmol 2006; 29:783-8. [PMID: 16988628 DOI: 10.1016/s0181-5512(06)73847-5] [Citation(s) in RCA: 1] [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: 11/26/2022]
Abstract
PURPOSE Recent research has incriminated adhesion molecules in the pathogenesis of diabetic retinopathy. These molecules have been found to be expressed in many cells participating in inflammatory processes and neovascularization. The purpose of our investigation was to study the expression of intercellular adhesion molecule type 1 (ICAM-1) in the conjunctiva of diabetic patients without retinopathy in comparison with normal human conjunctiva. PATIENTS AND METHODS Fifteen conjunctival biopsies were obtained from diabetic patients without retinopathy. The ocular fundus examination and retinal fluorescein angiography were normal. The normal human conjunctiva were taken from five patients undergoing senile cataract surgery. Immunohistochemical analysis consisted of indirect immunoperoxidase using the monoclonal antibody ICAM-1. RESULTS The adhesion molecule ICAM-1 was immunolocalized in epithelial, vascular endothelial, and inflammatory cells. The expression of this molecule was different in diabetic patients for the same duration. In the normal human conjunctiva, the expression of ICAM-1 was very low. CONCLUSION This preliminary study shows that ICAM-1 is present in the conjunctiva of diabetic patients without retinopathy and thus may add new insights into the pathogenesis of diabetic retinopathy.
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Affiliation(s)
- T Khalfaoui
- Service d'Ophtalmologie, EPS Charles Nicolle, Tunis, Tunisie.
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Ferchichi L, Rammeh-Rommani S, Ben Hammouda S, Sfar R, Farah F, Ben Jilani S, Zermani R. Association d'un adénocarcinome du col de type endométrioïde à un cystadénocarcinome mucineux de l'ovaire. ACTA ACUST UNITED AC 2006; 34:410-2. [PMID: 16677843 DOI: 10.1016/j.gyobfe.2006.03.016] [Citation(s) in RCA: 1] [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] [Received: 06/24/2005] [Accepted: 03/07/2006] [Indexed: 10/24/2022]
Abstract
The authors report the case of a 40-year-old woman, who was operated for an ovarian mucinous cystadenocarcinoma. The pathologic findings of the hysterectomy specimen with bilateral salpingoophorectomy showed an ovarian mucinous cystadenocarcinoma associated with an endometrioid adenocarcinoma of the uterine cervix. The mucinous cystadenocarcinoma represents the third most common type of ovarian carcinoma. In the literature, this tumor had been found in association with endocervical adenocarcinoma or with minimal deviation adenocarcinoma (adenoma malignum) of the uterine cervix. However, its association with an endometrioid adenocarcinoma, to our knowledge, has not been reported.
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Affiliation(s)
- L Ferchichi
- Service d'Anatomie et Cytologie Pathologiques, Hôpital Charles-Nicolle, Boulevard du 9-Avril-1938, 1002 Tunis, Tunisie.
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24
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Bettaieb I, Zermani R, Karray M, Bouzidi R, Farah F, Rammeh S, Kourda N, Zlitni M, Ben Jilani S. [Low-grade central chondrosarcoma: difficult diagnosis in an adolescent girl]. ACTA ACUST UNITED AC 2006; 92:68-72. [PMID: 16609621 DOI: 10.1016/s0035-1040(06)75678-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Central chondrosarcoma of the tibia is exceptional, particularly in young patients. Low-grade tumors raise difficult problems for histological distinction with enchondroma. We report a case of grade 1 chondrosarcoma located in the upper portion of the tibia in a 17-year-old girl. After radical surgery, outcome was favorable with no recurrence or metastasis at three years follow-up. The distinction between low-grade central chondrosarcoma and enchondroma is one of the most difficult challenges in bone pathology. Clinical, radiographic and pathological data must be considered together to reach certain diagnosis.
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Affiliation(s)
- I Bettaieb
- Service d'Anatomie et Cytologie Pathologique, Service d'Orthopédie, Hôpital Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie
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25
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Affiliation(s)
- T Badri
- Service de Dermatologie, Hôpital Charles Nicolle, Boulevard du 9 Avril 1938, 1006 Tunis, Tunisie.
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26
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Rammeh S, Zermani R, Zeddini F, Kourda N, Farah F, Bettaieb E, Zitouni K, Gloulou F, Elmay A, Ben Jilani S. Améloblastome malin : étude d’un cas et revue de la littérature. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)94173-9] [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: 11/28/2022]
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27
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Bettaieb I, Kourda N, El Mezni F, Zermani R, Sfaxi M, Rammeh S, Farah F, Zeddini A, Gloulou F, Ayed M, Ben Jilani S. Adénocarcinome sur greffon rénal : à propos d’une observation. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)94210-1] [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: 10/28/2022]
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28
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Hedri H, Mhibik S, Abderrahim E, Goucha R, Ben Taarit C, Kheder A, Ben Moussa F, Zermani R, Ben Jilani S, Ben Maïz H. Métastase sternale révélatrice d'un hépatocarcinome. Rev Med Interne 2004; 25:238-41. [PMID: 14990297 DOI: 10.1016/j.revmed.2003.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 08/27/2003] [Accepted: 12/05/2003] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Bone metastasis from hepatocarcinoma are rare, their elective seats are the ribs, the vertebra and rarely the sternum. We report a case of a sternal metastasis which makes discovery of a hepatocarcinoma. EXEGESIS A 64 year-old man, alcoholic with a previous history of jaundice who developed since 1999 an anterior chest tumor with excellent clinical condition. Laboratory examination showed cytolysis, cholestasis, positive antihepatitis C virus antibodies and elevated serum alphafetoprotein level. Standard radiography and computed tomography of the chest showed an osteolytic lesion of the sternum spread to the adjacent soft tissues and voluminous right hepatic lesion. Pathologic examination of the sternal tumor concluded to a differential adenocarcinoma. Etiologic investigations to find the primitive tumor were negative. Operative procedure was not possible in consideration of the infiltration of the tumor and its situation near the main blood vessels. Radiotherapy gives rise to partial regression of the tumor. A second reading of the tumor biopsy established the diagnosis of metastasis from a hepatocellular carcinoma. The patient died 22 months after the appearance of the sternal metastasis. CONCLUSION Hepatocarcinoma is rarely disclosed by a sternal metastasis, our case-report is particular by its prolonged survival and the good clinical condition during its follow up.
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Affiliation(s)
- H Hedri
- Service de néphrologie et de médecine interne, hôpital Charles-Nicolle, boulevard du 9-Avril, 1006 BS, Tunis, Tunisie.
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29
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Soussi A, Farah Klibi F, Zermani R, Rammeh S, Ismail O, Zakraoui A, Atallah K, Ben Jilani S. [Subcutaneous dirofilariasis due to Dirofilaria repens in Tunisia: a case involving the scrotum]. Med Trop (Mars) 2004; 64:375-8. [PMID: 15615391] [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: 05/01/2023]
Abstract
Dirofilariasis is a rare anthroponotic disease encountered only in the old world with most cases having been reported from Italy. The dog is the reservoir of this parasite. Man is accidentally infected by mosquitoes. We report the case involving a 27-year-old man living in a rural region of northern Tunisia who presented with a subcutaneous abscess-like scrotal nodule. Microscopic examination of the surgical specimen unexpectedly revealed parasitic involvement. Morphologic examination led to diagnosis of subcutaneous dirofilariasis due to Dirofilaria repens. This case of subcutaneous dirofilariasis brings the total number of cases reported in Tunisia to 6 and is a reminder that this parasitic disease is present in our country and that its incidence is probably underestimated. The scrotum is a rare location that poses the problem of differential diagnosis with malignant tumor or can simulate a surgical emergency. Excision allows diagnosis and treatment.
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Affiliation(s)
- A Soussi
- Service d'anatomie et de cytologie pathologiques, Hôpital Charles Nicolle, Tunis, Tunisie.
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30
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Khiari K, Ben Abdallah N, Cheikhrouhou H, Cherif L, Hadj-Ali I, Ben Maïz H, Tarres K, Chachia L, Koubaa A, Kourda N, Ben Jilani S. [Virilism during pregnancy]. J Gynecol Obstet Biol Reprod (Paris) 2003; 32:261-5. [PMID: 12773930] [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: 03/02/2023]
Abstract
We discuss the causes of virilism in pregnancy and the impact of hyperandrogeny on the female foetus. We report a case of virilism in a 28-year-old, gravida 1, para 1 patient with normal pregnancy and review the literature. After conception, the patient had been well until the 18th week of gestation, when she developed signs of virilization; her serum testosterone was markedly elevated. She delivered of a normal male infant at term. After delivery, signs of virilization regressed with normalization of testosterone level but a wide mass of the left ovary that persisted for 8 months. The histological study of the tumor showed luteinized thecoma. Luteomas and hyper-reactio luteinalis were the principal causes of virilism in pregnancy, thecomas are rare.
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Affiliation(s)
- K Khiari
- Service de Néphrologie et de Médecine Interne, Hôpital Charles Nicolle, Tunis, Tunisie
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Abstract
Retroperitoneal schwannoma is a rare tumor originating in the neural sheath. We report the case of a 48 year-old women. She had a ten year history of lumbal pain. The abdominal sonography had revealed a left retroperitoneal tumor that compresses the left renal cavities. The abdominal CT scan visualized a 56 mm, homogenous, well demarcated, retroperitoneal mass with a low attenuation. This mass with multiple enhanced septa is separated from the left adrenal gland. The diagnosis of a cystic lymphangioma is made. We perform surgical exeresis of the tumor by a left lumbal laparotomy. The pathology examination concludes in an altered schwannoma with Antoni B patterns. Retroperitoneal schwannoma is a primary neural benign tumor with a good prognosis. The management is surgical.
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Affiliation(s)
- S Ben Moualli
- Service d'urologie, hôpital Charles Nicolle, Tunis, Tunisie
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32
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Abstract
The xanthogranulomatosis orchiepididymititis is a benign and a rare disease. Its etiology is unknown. It creates diagnosis, therapeutic and etiological problems. The diagnosis is hardly made because of the variability of the clinical findings. The confusion is mainly made with a malignant tumor, and sometimes with a simple orchiepididymitis. Orchidectomy is usually performed. We report seven cases of orchiepididymitis characterized by their antibiotherapeutic resistance, the destruction of the testis which needed a surgical removal. The diagnosis is established after the histological study of the testis. The etiology is not yet known. The authors study the clinical evolution and therapeutic characteristics of our serial comparing with the literature data.
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Affiliation(s)
- M Hajri
- Service d'urologie, hôpital Charles Nicolle de Tunis, Tunisie.
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33
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Boussen H, Chechia A, Ben Jilani S, Koubaa A. [Letter to the editor concerning the article: "Plea for the creation of reference centers for trophoblastic diseases in France" by F. Golfier, L. Frappart, A. M. Schott, D. Raudrant]. J Gynecol Obstet Biol Reprod (Paris) 2001; 30:288. [PMID: 11398006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
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34
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Gritli S, Omar S, Tartaglini E, Guannouni S, Fleming JC, Steinkamp MP, Berul CI, Hafsia R, Jilani SB, Belhani A, Hamdi M, Neufeld EJ. A novel mutation in the SLC19A2 gene in a Tunisian family with thiamine-responsive megaloblastic anaemia, diabetes and deafness syndrome. Br J Haematol 2001; 113:508-13. [PMID: 11380424 DOI: 10.1046/j.1365-2141.2001.02774.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Thiamine-responsive megaloblastic anaemia (TRMA) syndrome with diabetes and deafness was found in two patients from a Tunisian kindred. The proband was homozygous for a novel mutation, 287delG, in the high-affinity thiamine transporter gene, SLC19A2. We demonstrated that fibroblasts from this patient exhibited defective thiamine transport. These data confirm that the SLC19A2 gene is the high-affinity thiamine carrier and that this novel mutation is responsible for TRMA syndrome.
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Affiliation(s)
- S Gritli
- Division of Hematology and Oncology, Children's Hospital and Dana Farber Cancer Institute, Boston 02115, USA
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35
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Abstract
Renal oncocytoma has some particularities in diagnosis and prognosis. We report a retrospective study performed between 1987 and 1999 at the department of Urology of Charles Nicolle's Hospital. Seven oncocytoma are found out of 120 renal carcinoma. Features at sonography or CT scan or arteriography can not suggest oncocytoma. The diagnosis is made at the pathology examination. Renal oncocytoma is a benign tumor. Conservative surgery will be performed as possible.
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Affiliation(s)
- M Hajri
- Service d'urologie, hôpital Charles Nicolle de Tunis, Tunisie.
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36
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Trabelsi O, el Mezni F, Kammoun A, el Hassairi M, Bahout M, Ben Jilani S, Zaouche A. [Neuroendocrine carcinoma in Barrett's esophagus. Report of a case]. Tunis Med 1999; 77:576-80. [PMID: 10730145] [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: 02/15/2023]
Abstract
The neuroendocrine tumours of the oesophagus are exceptional. They are a spectrum of heterogeneous tumours often not clearly defined in the literature. We report a case of moderately differentiated neuroendocrine tumour of the oesophagus arising from Barrett's mucosa in 51-year-old man treated surgically and who was free of disease 28 months after excision. We discuss about this case, the classification, the histogenesis and therapeutic approaches of these tumours.
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Affiliation(s)
- O Trabelsi
- Service de chirurgie A, Hôpital Charles Nicolle, Tunisie
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37
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Fendri C, Maherzi A, Masmoudi A, Ben Jilani S, Bousnina S. L'antrite nodulaire: un aspect spécifique de l'infection à Helicobacter pylori. Med Mal Infect 1999. [DOI: 10.1016/s0399-077x(99)80048-1] [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: 11/30/2022]
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38
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el Mezni F, Banasr A, Zermani R, Larguech S, Ben Jilani S. [Autopsy and microscopic study of lungs in newborns with respiratory distress: 33 cases]. Tunis Med 1999; 77:215-8. [PMID: 10392022] [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] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Affiliation(s)
- F el Mezni
- Service d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis
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39
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el Mezni F, Khayat O, Zermani R, Mrad K, Ayed M, Ben Jilani S. [Double malpighian and glandular colonic metaplasia of the upper urinary tract (report of a case)]. Ann Pathol 1999; 19:76-7. [PMID: 10320918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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40
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el Mezni F, Chebil M, Belhassine S, Zermani R, Jemni M, Ennigrou S, Ayed M, Ben Jilani S. [Role of urinary cytology in the diagnosis and followup of bladder tumors. Review of 200 cases]. Tunis Med 1998; 76:475-80. [PMID: 10093489] [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] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- F el Mezni
- Service d'Anatomie pathologique, Hopital Charles Nicolle, Tunis
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41
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el Mezni F, Mrad K, el Mezni-Benzarti A, Zermani R, Ben Abdeladhim A, Ben Jilani S. [Kikuchi-Fujimoto subacute necrotizing lymphadenitis: two histologic forms observed in the same patient]. Ann Pathol 1998; 18:422-4. [PMID: 9864579] [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: 02/09/2023]
Abstract
Histiocytic necrotizing lymphadenitis, also known as Kikuchi-Fujimoto disease is a rare self-limited condition of young adults usually misdiagnosed as malignant hematologic disease. The diagnosis depends on microscopic findings. Two histologic types are classically described, proliferative and necrotic types. This is a case report of 17 year-old girl who presented cervical lymphadenopathy. The first lymph node biopsy was in favor of malignant lymphoma. The second lymph node biopsy, done one month later, showed typical histiocytic necrotizing lymphadenitis. To our knowledge, this is the first time that the two forms of this disease are described in the same patient.
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Affiliation(s)
- F el Mezni
- Service d'Anatomie Pathologique, Hôpital Charles-Nicolle, Tunis, Tunisie
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42
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Khayat O, el Mezni F, Zermani R, Meddeb B, Hafsia A, Ben Jilani S. [Destomebes-Rosaï-Dorfman syndrome (apropos of a case)]. Tunis Med 1998; 76:421-3. [PMID: 9881054] [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] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- O Khayat
- Service d'Anatomie cytologie pathologiques, Hopital Charles Nicolle
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43
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Zermani R, M'Rad K, el Mezni F, Khayat O, Ben Becher S, Ben Jilani S. [Familial lymphohistiocytic hemophagocytosis: apropos of a case]. Tunis Med 1998; 76:54-6. [PMID: 9844535] [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] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Affiliation(s)
- R Zermani
- Service d'Anatomie Pathologiaue, Hopital Charles Nicolle, Tunis
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44
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Maherzi A, Oueslati L, Fendri C, Barsaoui S, Ben Jilani S, Bousnina S. Helicobacter pylori et ulcère duodénal chez l'enfant : Prévalence et modalités thérapeutiques, à propos de 22 cas. Arch Pediatr 1998. [DOI: 10.1016/s0929-693x(97)86875-3] [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: 10/18/2022]
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45
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Kharfi M, Zeglaoui F, Fazaa B, Zermani R, Mokhtar I, Ben Jilani S, Kamoun MR. [Malignancy on burn scars. Study of 12 cases]. Tunis Med 1997; 75:870-2. [PMID: 9507334] [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] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- M Kharfi
- Service de Dermatologie-Hôpital Charles Nicolle-Tunis, Tunisie
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46
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Maherzi A, Fendri C, Ben Jilani S, Bousnina S. [Symptomatic Helicobacter pylori infection: prospective study of epidemiological, diagnostic and therapeutic aspects in children in Tunisia]. Arch Pediatr 1996; 3:329-34. [PMID: 8762953 DOI: 10.1016/0929-693x(96)84686-0] [Citation(s) in RCA: 11] [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] [Indexed: 02/02/2023]
Abstract
BACKGROUND Epidemiology, criteria for diagnosis and treatment of Helicobacter pylori (HP)-related infection in children are still debated. POPULATION AND METHODS A total of 130 children and teenagers who presented recurrent episodes of unexplained abdominal pain underwent an endoscopic examination. Gastric biopsies were studied for histology and search for HP (Giemsa and Gram staining, testing for urease and culture in an appropriate environment). Serological tests (Elisa) were performed. HP infection was considered as present when two investigations at least proved positive. Infected children were given one drug (amoxicillin, cimetidine or antiacids) or two drugs (amoxicillin plus tinidazole). Clinical and endoscopic control including histological and bacteriological studies were done for the following 12 to 18 months. RESULTS HP infection was present in 70 children (54%). It was associated chronic gastritis in 64 cases (91%) and with duodenal ulcer in the remaining cases (9%). Recurrent abdominal pain, anorexia, weight loss and family history of peptic diseases were significantly associated with HP infection (P < 0.05). Endoscopic examination was normal in 35 infected children (50%); nodular antritis was inconstant (30%) but always associated with HP-related infection (P < 0.001) as was atrophic or follicular chronic gastritis. Eradication of HP, associated with the disappearance of chronic gastritis, was seen in 53% of children given amoxicillin alone and in 85% of those given amoxicillin plus tinidazole, but never in those receiving cimetidine or antiacids. Relapse of the HP-related infection was observed in four children (16%), 6 to 12 months after the first episode. CONCLUSION These results show high prevalence of HP-related infections in the Tunisian children who suffer from recurrent episodes of abdominal pain. They also confirm the role of HP in the inflammatory process and the development of gastroduodenal ulcer in children.
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Affiliation(s)
- A Maherzi
- Service de médecine infantile B, hôpital d'enfants, Jabbari Tunis, Tunisie
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47
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Djemel N, Khamassi S, Bouzaïdi S, Labbene M, Ben Ammar A, Fendri C, Arrouji Z, Ben Jilani S, Zermani R. [Prevalence of Helicobacter pylori in Tunisia in asymptomatic controls, non-ulcer dyspepsia and duodenal ulcer. A prospective study of 183 cases]. Tunis Med 1995; 73:373-7. [PMID: 9506161] [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] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- N Djemel
- Service de Gastroentérologie B, Hôpital La Rabta, Tunis
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48
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el Mezni F, Zermani R, Touati A, Zakraoui A, Chebil M, Dziri C, Ayed M, Ben Jilani S. [Adrenal myelolipoma. Apropos of 3 cases]. J Urol (Paris) 1995; 101:203-206. [PMID: 8558045] [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: 05/22/2023]
Abstract
The authors report 3 cases of adrenal myelolipoma arising in 3 women who were respectively 36, 47 and 48 year old. The diagnosis was made on the surgical specimen in 3 cases, and the clinical symptomatology was dominated pain seen in all 3 cases. 2 patients have presented hypertensive access. After surgery, the evolution was favourable in all 3 cases.
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Affiliation(s)
- F el Mezni
- Service d'Anatomie pathologique, Hôpital Charles-Nicolle, Tunis, Tunisie
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49
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Zemani R, el Mezni F, Ennouri A, Ferjaoui M, Ben Jilani S. [Primary malignant melanoma of the nasal cavity: report of a case]. Tunis Med 1994; 72:456-9. [PMID: 7871605] [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] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- R Zemani
- Service d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis
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el Mezni F, Chadli-Debbiche A, Khalfallah T, Zermani R, Ben Jilani S. [Acute phlegmonous gastritis. Apropos of a case]. Arch Anat Cytol Pathol 1994; 42:184-187. [PMID: 7857138] [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: 05/22/2023]
Abstract
Phlegmonous gastritis is a rare bacterial infection of the stomach. Its diagnosis is difficult and has a poor prognosis. The authors report a case of phlegmonous gastritis occurring in a 50 year-old woman in whom the diagnosis was made by microscopic examination after surgery for intestinal occlusion. The patient died a few hours after the operation.
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Affiliation(s)
- F el Mezni
- Service d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis, Tunisie
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