1
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Sghier AB, Samba S, Bouabid M, Mouhib N, Berhili S, Moukhlissi M, Mezouar L. Primary cerebral melanoma: An exceptional localization in a case report. Radiol Case Rep 2024; 19:1674-1678. [PMID: 38384706 PMCID: PMC10877127 DOI: 10.1016/j.radcr.2024.01.049] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 01/17/2024] [Accepted: 01/18/2024] [Indexed: 02/23/2024] Open
Abstract
Cerebral melanoma is often related to a secondary location of a cutaneous or mucosal melanoma. However, primary cerebral melanoma is a very rare clinical situation, representing less than 1% of all melanomas and 0.07% of all cerebral tumors. The diagnosis of a primary cerebral melanoma therefore requires rigorous clinical and paraclinical investigations. We report a case of primary cerebral melanoma treated in our onco-radiotherapy department.
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Affiliation(s)
- Ahmed Ben Sghier
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Soumiya Samba
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Meriem Bouabid
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Nourelhouda Mouhib
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Soufiane Berhili
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Mohamed Moukhlissi
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
| | - Loubna Mezouar
- Radiotherapy Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed 1st University Oujda, Morocco
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2
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Ben Sghier A, Samba S, Bouabid M, Berhili S, Moukhlissi M, Mezouar L. Cutaneous metastasis of lung cancer: Case report. Radiol Case Rep 2024; 19:1208-1210. [PMID: 38259707 PMCID: PMC10801123 DOI: 10.1016/j.radcr.2023.12.003] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/29/2023] [Accepted: 12/06/2023] [Indexed: 01/24/2024] Open
Abstract
Lung cancer is one of the most common cancers in men, and is often diagnosed at the metastatic stage. It often leads to lung, bone, brain, liver, and adrenal metastases. However, unusual secondary locations are possible, such as skin metastases, which are often associated with a poor prognosis. We report a case of lung cancer revealed by a subcutaneous mass on the forehead.
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Affiliation(s)
- Ahmed Ben Sghier
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
| | - Soumiya Samba
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
| | - Meriem Bouabid
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
| | - Soufiane Berhili
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
| | - Mohamed Moukhlissi
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
| | - Loubna Mezouar
- Radiotherapy Department, Faculty of Medicine and Pharmacy, University Mohamed VI Hospital, Mohamed First University Oujda, Morocco
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3
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Bouabid M, Margoum S, BenSghier A, Miry N, Bennani A, Moukhlissi M, Berhili S, Mezouar L. Multimodal Therapy of Locally-Advanced Penile Cancer: A Case Report With Literature Review. Cureus 2024; 16:e57163. [PMID: 38681381 PMCID: PMC11056019 DOI: 10.7759/cureus.57163] [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] [Accepted: 03/28/2024] [Indexed: 05/01/2024] Open
Abstract
Cancer of the penis is a rare tumor that occurs in the elderly. Because of its rarity, it is often not diagnosed early, and its treatment poses difficulties for practicing oncologists. We report the case of an elderly patient treated for locally advanced squamous cell carcinoma (SCC) of the penis, with a review of the literature. A 71-year-old man, who had been complaining of pruritus on the penis two years ago, presented with an ulcerated lesion on the prepuce and the glans. A biopsy of the lesion with pathological study showed a SCC of the penis. Pelvic MRI showed tumor thickening centered on the glans of the penis, infiltrating the fascia and the spongy urethra with discrete upstream dilatation and bilateral inguinal adenomegaly. CT scan of the neck, chest, abdomen, and pelvis showed no secondary localizations. Treatment initially consisted of carcinological surgery by a partial penectomy with bilateral inguinal lymph node dissection. The tumor was therefore classified as pT3N3M0. A PET CT scan performed later was in favor of local and regional recurrence. Surgery was not feasible, so concomitant chemo-radiotherapy was indicated at a total dose of 70 Gy in 35 fractions of 2 Gy concomitantly with platinum-based chemotherapy, withgood evolution.
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Affiliation(s)
- Meriem Bouabid
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Souad Margoum
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Ahmed BenSghier
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Nadir Miry
- Department of Pathology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Amal Bennani
- Department of Pathology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Mohamed Moukhlissi
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Soufiane Berhili
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Loubna Mezouar
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
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4
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Samba S, Guerrouaz MA, Bensghier A, Berhili S, Moukhlissi M, Mezouar L. Adenoid Cystic Carcinoma of the Vulva: A Case Report. Cureus 2024; 16:e56048. [PMID: 38606234 PMCID: PMC11008925 DOI: 10.7759/cureus.56048] [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] [Accepted: 03/12/2024] [Indexed: 04/13/2024] Open
Abstract
Adenoid cystic carcinoma (ACC) of the vulva represents a highly uncommon type of female malignancy. Due to the absence of specific treatment guidelines, such cases are typically managed by the treatment protocols for vulvar cancer. Here, we report the case of a 52-year-old woman who presented with a painful right vulvar mass, leading to a diagnosis of ACC of the vulva after biopsy and immunohistochemical analysis. She underwent vulvectomy, bilateral inguinal lymphadenectomy, and targeted radiotherapy, and no evidence of recurrence has been found for three years, with ongoing monitoring for post-radiation effects. This case adds valuable insights into the management of ACC of the vulva and underscores the need for further research and guideline development to optimize care for future patients.
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Affiliation(s)
- Soumiya Samba
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | | | - Ahmed Bensghier
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Soufiane Berhili
- Department of Radiation Oncology, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Mohamed Moukhlissi
- Department of Radiotherapy, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
| | - Loubna Mezouar
- Department of Radiation Oncology, Centre Hospitalier Universitaire Mohammed VI, Oujda, MAR
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5
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Samba S, Bensghier A, Margoum S, Berhili S, Moukhlissi M, Mezouar L. Exploring Head and Neck Paraganglioma: A Case Report. Cureus 2024; 16:e55720. [PMID: 38586626 PMCID: PMC10998543 DOI: 10.7759/cureus.55720] [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] [Accepted: 03/07/2024] [Indexed: 04/09/2024] Open
Abstract
Paragangliomas (PGLs) are tumors that are rarely malignant; the majority of them are benign. Similar to pheochromocytoma, they develop from the autonomic nerve system. This system originates from neural crest cells and can undergo neoplastic transformation. PGLs can arise either inside or outside the adrenal glands. Head and neck PGLs are very scarce. The primary locations where this tumor commonly originates within this region are the carotid body, jugular bulb, and vagal body. Hence, in our case report, we attempt to highlight the uncommon presentation of this disease in a 46-year-old female, who initially presented with hypertension and persistent dysphonia. The patient underwent successful external radiotherapy. This case report aims to raise awareness of the characteristics of these rare malignancies.
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Affiliation(s)
- Soumiya Samba
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Ahmed Bensghier
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Souad Margoum
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Soufiane Berhili
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Mohamed Moukhlissi
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Loubna Mezouar
- Department of Radiation Oncology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
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Sghier AB, Samba S, Bouabid M, Berhili S, Moukhlissi M, Mezouar L. A rare presentation of esthesioneuroblastoma: a case report and review of the literature. Pan Afr Med J 2023; 46:111. [PMID: 38465014 PMCID: PMC10924622 DOI: 10.11604/pamj.2023.46.111.42205] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 12/07/2023] [Indexed: 03/12/2024] Open
Abstract
Esthesioneuroblastoma is a rare malignant tumor developing from the olfactory neuroepithelium. It represents less than 5% of all cancers of the nasal cavity. We are going to report the observation of a patient followed at the regional oncology center of Oujda in Morocco who presented a locally advanced esthesioneuroblastoma. Treatment consisted of surgical resection followed by adjuvant radiotherapy on the tumor bed. Currently, the patient is in good control of his disease.
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Affiliation(s)
- Ahmed Ben Sghier
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
| | - Soumiya Samba
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
| | - Meriem Bouabid
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
| | - Soufiane Berhili
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
| | - Mohammed Moukhlissi
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
| | - Loubna Mezouar
- Radiotherapy Department University Mohamed VI Hospital, Faculty of Medicine and Pharmacy, Mohamed First University Oujda, Oujda, Morocco
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7
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Bouabid M, Moukhlissi M, Bensghir A, Samba S, Berhili S, Mezouar L. Pure mediastinal seminoma about a case report. Radiol Case Rep 2023; 18:3565-3571. [PMID: 37577076 PMCID: PMC10412719 DOI: 10.1016/j.radcr.2023.07.036] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 07/15/2023] [Accepted: 07/18/2023] [Indexed: 08/15/2023] Open
Abstract
Mediastinal Seminoma is one of the malignant germ cell tumors of the mediastinum. It is a rare tumor that represents only 1%-4% of mediastinal tumors. We report the case of a patient treated at the Oncology Center of Oujda for a pure primitive seminoma of the mediastinum, with a review of the literature to assess the epidemiological, clinical, therapeutic, and prognostic characteristics of this pathology. This is a 25-year-old man whose aunt is being treated for breast cancer and who complained of persistent dry cough with asthenia without any other associated signs. The initial imaging revealed a voluminous locally advanced tumor process in the anterior and middle mediastinum. Tumor markers Alpha-fetoprotein (AFP) and beta-subunit of chorionic gonadotrophic hormone (BHCG) were normal, as well as testicular ultrasound. The CT- guided transthoracic biopsy with anatomopathological study and immunohistochemistry was in favor of a pure seminoma. The treatment consisted of primary chemotherapy with BEP protocol. The response was favorable with a significant reduction in tumor size estimated at 90%. The residual tumor was inoperable due to its intimate contact with the vascular structures and was treated with external radiotherapy at a total dose of 36 Gy. The evolution at 20 months after treatment was in favor of a good clinical and radiological evolution.
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Affiliation(s)
- Meriem Bouabid
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
| | - Mohamed Moukhlissi
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
| | - Ahmed Bensghir
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
| | - Soumya Samba
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
| | - Soufiane Berhili
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
| | - Loubna Mezouar
- Department of Radiotherapy, Faculty of Medicine Oujda, Hassan II Oncology Center, Mohammed VI Hospital Center of Oujda, Mohammed 1st University Oujda, Morocco
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8
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El Youssi Z, Mansouri H, Elouaouch S, Moukhlissi M, Berhili S, Mezouar L. Early-Stage Primary Rectal Melanoma: A Case Report. Cureus 2023; 15:e42629. [PMID: 37641758 PMCID: PMC10460638 DOI: 10.7759/cureus.42629] [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] [Accepted: 07/28/2023] [Indexed: 08/31/2023] Open
Abstract
Malignant primary rectal melanomas (PRM) are rare tumors. Their diagnosis is frequently delayed as these lesions are often mistaken for benign diseases, resulting in extremely poor overall survival. Histological evaluation with special immunohistochemical (IHC) stains is often indispensable for a definitive diagnosis. The main treatment for this condition involves surgical resection. Adjuvant therapy has also been long recommended. We discuss the case of a 60-year-old woman who presented with changes in bowel habits, anal pain, and perineal burning with no bleeding. A digital rectal examination revealed a nodular mass extending 5 cm from the anal verge. Rectosigmoidoscopy demonstrated an ulcerated polypoid tumor extending 4 cm from the anal verge and over 5 cm into the lower rectum. Biopsy and IHC tests confirmed the diagnosis of rectal melanoma. The patient was successfully managed with surgery followed by external beam radiotherapy and a complete response was achieved after 10 months of follow-up.
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Affiliation(s)
- Zahira El Youssi
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
| | - Hanane Mansouri
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
| | - Sofia Elouaouch
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
| | - Mohammed Moukhlissi
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
| | - Soufiane Berhili
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
| | - Loubna Mezouar
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed I University of Oujda, Oujda, MAR
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9
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Elouaouch S, El Youssi Z, Mansouri H, Nadir M, Bennani A, Guerrouaz MA, Moukhlissi M, Berhili S, Mezouar L. Localized Hidradenocarcinoma of the Scalp: A Case Report. Cureus 2023; 15:e38675. [PMID: 37288227 PMCID: PMC10243552 DOI: 10.7759/cureus.38675] [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] [Accepted: 05/07/2023] [Indexed: 06/09/2023] Open
Abstract
Hidradenocarcinomas or malignant hidradenomas are tumors developed from the sweat glands, in particular, the eccrine glands. It is a rare entity of skin tumors and frequently appears de novo with a slight female predominance and an average age of 50 years at diagnosis. We report the case of a 57-year-old woman treated for localized hidradenocarcinoma of the scalp, successfully managed by surgery and adjuvant radiotherapy.
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Affiliation(s)
- Sofia Elouaouch
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Zahira El Youssi
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Hanane Mansouri
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Miry Nadir
- Anatomopathology, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Amal Bennani
- Anatomopathology, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | | | - Mohamed Moukhlissi
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Soufiane Berhili
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
| | - Loubna Mezouar
- Radiation Oncology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, MAR
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10
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Moukhlissi M, Samba S, Najioui Y, Bennani A, Berhili S, Mezouar L. [A rare case of botryoid sarcoma of the uterine cervix: case report]. Pan Afr Med J 2023; 44:102. [PMID: 37250679 PMCID: PMC10219833 DOI: 10.11604/pamj.2023.44.102.37239] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 02/01/2023] [Indexed: 05/31/2023] Open
Abstract
Botryoid sarcoma is a subtype of rhabdomyosarcoma affecting soft tissues and exceptionally the cervix. We here report the case of an 18-year-old female patient presenting to the emergency department with a feeling of pelvic heaviness, metrorrhagia and urinary retention. Gynecological examination showed budding mass of the uterine cervix. The biopsy showed botryoid sarcoma. Radiological evaluation revealed heterodense cervico-isthmic corporeal mass measuring 97 / 87 mm, without adenopathies or effusions or tumors at other sites. Treatment involved neoadjuvant chemotherapy with vincristine - adriamycin and cyclophosphamide (V-A-C), followed by surgery (total hysterectomy without adnexal preservation). After a follow-up of 3 years, the patient is still in clinical and radiological remission.
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Affiliation(s)
- Mohamed Moukhlissi
- Département de Radiothérapie, Centre Régional d’Oncologie, CHU Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohamed Premier Oujda, Oujda, Maroc
| | - Soumya Samba
- Département de Radiothérapie, Centre Régional d’Oncologie, CHU Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohamed Premier Oujda, Oujda, Maroc
| | - Younesse Najioui
- Département d’Anatomie Pathologique, CHU Mohammed VI, Université Mohamed Premier Oujda, Oudja, Maroc
| | - Amal Bennani
- Département d’Anatomie Pathologique, CHU Mohammed VI, Université Mohamed Premier Oujda, Oudja, Maroc
| | - Soufiane Berhili
- Département de Radiothérapie, Centre Régional d’Oncologie, CHU Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohamed Premier Oujda, Oujda, Maroc
| | - Loubna Mezouar
- Département de Radiothérapie, Centre Régional d’Oncologie, CHU Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohamed Premier Oujda, Oujda, Maroc
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11
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Moukhlissi M, Mansouri H, Najioui Y, Bennani A, Berhili S, Mezouar L. Osteosarcoma of the ethmoid sinus: About a case. Radiol Case Rep 2023; 18:1617-1619. [PMID: 36865619 PMCID: PMC9971021 DOI: 10.1016/j.radcr.2023.01.055] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 01/11/2023] [Accepted: 01/12/2023] [Indexed: 02/17/2023] Open
Abstract
Osteosarcomas of the craniofacial bones account for less than 10% of all osteosarcomas. Primary osteosarcomas of the nasal cavity and paranasal sinus are rare localization (0.5%-8.1% of osteosarcomas occur in this site). Accordingly, we report a case of osteosarcoma arising de novo from the ethmoid bone in a 46-year-old female. Initially, she presented with headache, bilateral epistaxis, and postnasal drip. Biopsy revealed an osteosarcoma ethmoidal. The patient was treated by a neoadjuvant chemotherapy followed by surgical resection and radiotherapy.
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Affiliation(s)
- Mohamed Moukhlissi
- Departement of Radiotherapy, Hassan II Oncology Center, Mohammed VI University hospital Center, Mohamed First University, Oujda, Morocco,Corresponding author at: Departement of Radiotherapy, Hassan II Oncology Center, Mohammed VI University hospital Center, Mohamed First University, Oujda, Morocco.
| | - Hanane Mansouri
- Departement of Radiotherapy, Hassan II Oncology Center, Mohammed VI University hospital Center, Mohamed First University, Oujda, Morocco
| | - Younesse Najioui
- Departement of Anatomo-Pathology, Mohammed VI University hospital center, Mohamed First University, Oujda, Morocco
| | - Amal Bennani
- Departement of Anatomo-Pathology, Mohammed VI University hospital center, Mohamed First University, Oujda, Morocco
| | - Soufiane Berhili
- Departement of Radiotherapy, Hassan II Oncology Center, Mohammed VI University hospital Center, Mohamed First University, Oujda, Morocco
| | - Loubna Mezouar
- Departement of Radiotherapy, Hassan II Oncology Center, Mohammed VI University hospital Center, Mohamed First University, Oujda, Morocco
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12
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Moukhlissi M, Elouaouch S, Aichouni N, Berhili S, Mezouar L. Hemangiopericytoma of the central nervous system: a case report. Pan Afr Med J 2023; 44:58. [PMID: 37128618 PMCID: PMC10148174 DOI: 10.11604/pamj.2023.44.58.36813] [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] [Received: 08/14/2022] [Accepted: 01/01/2023] [Indexed: 02/04/2023] Open
Abstract
Hemangiopericytomas or solitary meningeal fibrous tumors are extremely rare mesenchymal tumors. They represent only 1.6% of all central nervous system tumors, occurring mainly in adults between 40 and 50 years of age with a slight male predominance. We report the observation of a 20-year-old man treated at the Oujda Regional Oncology Center for cerebral hemangiopericytoma, revealed by headaches resistant to usual analgesic treatments without other associated signs. Initial imaging a left temporo-parieto-occipital intraaxial tumor process all responsible for a sub-falcoial and temporal engagement whose appearance first evokes a high-grade glial tumor. The patient received a complete excision whose pathological examination with immunohistochemical study was in favor of a grade III hemangiopericytoma according to the WHO 2016 classification. Therapeutic management with adjuvant radiotherapy was supplemented with a volumetric modulated arc therapy (VMAT) technique at a total dose of 54Gy. We will discuss through this case, the clinical and therapeutic peculiarities by a review of the literature.
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Affiliation(s)
- Mohamed Moukhlissi
- Department of Radiotherapy, Hassan II Regional Oncology Center, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco
- Corresponding author: Mohamed Moukhlissi, Department of Radiotherapy, Hassan II Regional Oncology Center, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco.
| | - Sofia Elouaouch
- Department of Radiotherapy, Hassan II Regional Oncology Center, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco
| | - Narjiss Aichouni
- Department of Radiology, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco
| | - Soufiane Berhili
- Department of Radiotherapy, Hassan II Regional Oncology Center, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco
| | - Loubna Mezouar
- Department of Radiotherapy, Hassan II Regional Oncology Center, Mohammed VI University Hospital, Mohammed First University, Oujda, Morocco
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Muacevic A, Adler JR, Al Jarroudi O, Berhili S, Brahmi SA, Afqir S. An Extranodal Site of Diffuse Large B-cell Lymphoma Presenting as Ovarian Cancer. Cureus 2023; 15:e34337. [PMID: 36865970 PMCID: PMC9973535 DOI: 10.7759/cureus.34337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2023] [Indexed: 01/30/2023] Open
Abstract
Due to its uncommon nature, primary ovarian lymphoma has no clinical particularities and can be confused with other ovarian cancers. It poses a twofold diagnostic and therapeutic challenge. An anatomopathological and immunohistochemical study is the crucial step in the diagnosis. Our case was a 55-year-old woman diagnosed with an Ann Arbor stage II E ovarian non-Hodgkin's lymphoma who initially presented with a painful pelvic mass. This case reflects the major role of an immunohistochemical study in the diagnosis workup, leading to the appropriate management of such rare tumors.
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Berhili S, Mouden K, Moukhlissi M, Harroudi TE, Mezouar L. Primary transitional cell carcinoma of the endometrium: Exceptional presentation of a rare tumor. Radiol Case Rep 2023; 18:205-208. [PMCID: PMC9633738 DOI: 10.1016/j.radcr.2022.10.030] [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: 09/30/2022] [Revised: 10/05/2022] [Accepted: 10/08/2022] [Indexed: 11/07/2022] Open
Affiliation(s)
- Soufiane Berhili
- Faculty of Medicine, Mohammed Premier University, Oujda, Morocco
- Department of Radiotherapy, Hassan II Oncology Center, CHU Mohammed VI, PK8 Jerada Rd, 60000, Oujda, Morocco
- Corresponding author.
| | - Karima Mouden
- Department of Radiotherapy, Beni Mellal Oncology Center, Beni Mellal, Morocco
| | - Mohammed Moukhlissi
- Faculty of Medicine, Mohammed Premier University, Oujda, Morocco
- Department of Radiotherapy, Hassan II Oncology Center, CHU Mohammed VI, PK8 Jerada Rd, 60000, Oujda, Morocco
| | - Tijani El Harroudi
- Faculty of Medicine, Mohammed Premier University, Oujda, Morocco
- Department of Oncological Surgery, Hassan II Oncology Center, CHU Mohammed VI, Oujda, Morocco
| | - Loubna Mezouar
- Faculty of Medicine, Mohammed Premier University, Oujda, Morocco
- Department of Radiotherapy, Hassan II Oncology Center, CHU Mohammed VI, PK8 Jerada Rd, 60000, Oujda, Morocco
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Berhili S, Guerrouaz MA, Terrab FZ, Moukhlissi M, Mezouar L. Immediate Versus Salvage Postoperative Radiotherapy in High-Risk Prostate Cancer Patients: A Critical Review. Cureus 2022; 14:e27678. [PMID: 36134086 PMCID: PMC9481222 DOI: 10.7759/cureus.27678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/04/2022] [Indexed: 11/30/2022] Open
Abstract
Radical prostatectomy in high-risk prostate cancer patients has long been followed by immediate adjuvant radiotherapy (IART) to increase biochemical relapse-free survival. However, the increased urinary and digestive radio-induced toxicities have raised questions about the safety of delaying radiotherapy until the occurrence of biochemical or clinical relapse. Recently, early salvage radiotherapy (ESRT) has been compared to IART, and results found equivalence in terms of efficiency outcomes, but increased toxicity was noted in patients receiving IART, leading to the proposal of ESRT as the new standard of care in high-risk patients after surgery. However, several confounding points are discussed in the present review regarding the methodology and results of these recent trials. Further follow-up is necessary to detect possible long-term advantages of one radiotherapy timing over the other.
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Berhili S, Guerrouaz MA, Oulhouq Y, Terrab FZ, Moukhlissi M, Idrissi FEAE, Mezouar L. Sino-nasal low-grade chondrosarcoma revealed by isolated bilateral loss of sight: an unprecedented presentation of a rare tumour. Radiol Case Rep 2022; 17:2563-2567. [PMID: 35634018 PMCID: PMC9130089 DOI: 10.1016/j.radcr.2022.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 04/12/2022] [Accepted: 04/13/2022] [Indexed: 11/29/2022] Open
Abstract
Chondrosarcomas are malignant cartilage-forming tumors representing less than 0.1% of all head and neck malignancies, and nasal cavity is an exceptional location among them. Clinical presentation could be consisting of either rhinological signs or asymptomatic endonasal mass. None of the previous reports mentioned ophthalmological symptoms at the forefront of the initial presentation. We report a case of sino-nasal low-grade chondrosarcoma in a patient who presented initially with isolated bilateral subtotal blindness, managed by endoscopic resection and adjuvant radiotherapy.
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17
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Berhili S, Rezzoug M, Ben Sghier A, Moukhlissi M, Mezouar L. Oral Malignant Melanoma in a Patient With Neurofibromatosis Type 1: An Extremely Rare Association. Cureus 2022; 14:e25331. [PMID: 35761911 PMCID: PMC9232212 DOI: 10.7759/cureus.25331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2022] [Indexed: 11/05/2022] Open
Abstract
Neurofibromatosis type 1 (NF1) is a genetic disorder associated with high rates of neural crest-derived tumors, both benign and malignant. Many series have identified cutaneous melanoma as a rare tumor among cancers occurring in individuals with NF1 disease, but the mucosal location has to date never been reported. In this paper, we report an oral melanoma occurring in a patient with NF1 disorder, diagnosed at a locally advanced stage, successfully managed by definitive external beam radiotherapy, along with a comprehensive literature review on the melanoma-NF1 association.
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18
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Oulhouq Y, Bakari D, Krim DE, Zerfaoui M, Rrhioua A, Berhili S, Mezouar L. Dosimetric study of Hounsfield number correction effect in areas influenced by contrast product in lungs case. Rep Pract Oncol Radiother 2021; 26:590-597. [PMID: 34434575 PMCID: PMC8382071 DOI: 10.5603/rpor.a2021.0083] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 02/27/2021] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND The aim of the study was dosimetric effect quantification of exclusive computed tomography (CT) use with an intravenous (IV) contrast agent (CA ), on dose distribution of 3D-CRT treatment plans for lung cancer. Furthermore, dosimetric advantage investigation of manually contrast-enhanced region overriding, especially the heart. MATERIALS AND METHODS Ten patients with lung cancer were considered. For each patient two planning CT sets were initially taken with and without CA. Treatment planning were optimized based on CT scans without CA. All plans were copied and recomputed on scans with CA. In addition, scans with IV contrast were copied and density correction was performed for heart contrast enhanced. Same plans were copied and replaced to undo dose calculation errors that may be caused by CA. Eventually, dosimetric evaluations based on dose volume histograms (DVHs) of planning target volumes (PTV) and organs at-risk were studied and analyzed using the Wilcoxon's signed rank test. RESULTS There is no statistically significant difference in dose calculation for the PTV maximum, mean, minimum doses, spinal cord maximum doses and lung volumes that received 20 and 30 Gy, between planes calculated with and without contrast scans (p > 0.05) and also for contrast scan, with manual regions overriding. CONCLUSIONS Dose difference caused by the contrast agent is negligible and not significant. Therefore, there is no justification to perform two scans, and using an IV contrast enhanced scan for dose calculation is sufficient.
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Affiliation(s)
- Yassine Oulhouq
- LPMR, Faculty of Sciences, University Mohamed 1st, Oujda, Morocco,HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco
| | - Dikra Bakari
- National School of Applied Sciences, University Mohamed 1st, Oujda, Morocco
| | - Deae-Eddine Krim
- LPMR, Faculty of Sciences, University Mohamed 1st, Oujda, Morocco
| | | | - Abdeslem Rrhioua
- LPMR, Faculty of Sciences, University Mohamed 1st, Oujda, Morocco
| | - Soufiane Berhili
- HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco
| | - Loubna Mezouar
- HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco
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Berhili S, Ouabdelmoumen A, Sbai A, Kebdani T, Benjaafar N, Mezouar L. Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study. Clin Breast Cancer 2019; 19:e160-e165. [DOI: 10.1016/j.clbc.2018.08.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 08/28/2018] [Accepted: 08/29/2018] [Indexed: 10/28/2022]
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20
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Berhili S, Kadiri S, Bouziane A, Aissa A, Marnouche E, Ogandaga E, Echchikhi Y, Touil A, Loughlimi H, Lahdiri I, El Majjaoui S, El Kacemi H, Kebdani T, Benjaafar N. Associated factors with psychological distress in Moroccan breast cancer patients: A cross-sectional study. Breast 2017; 31:26-33. [DOI: 10.1016/j.breast.2016.10.015] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Revised: 10/11/2016] [Accepted: 10/15/2016] [Indexed: 01/06/2023] Open
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21
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Kadiri S, Aissa A, Berhili S, Khmou M, Elmajjaoui S, Kebdani T, El Khannoussi B, Elkacemi H, Benjaafar N. Merkel cell carcinoma occurring in a black woman: a case report. J Med Case Rep 2017; 11:25. [PMID: 28143624 PMCID: PMC5282901 DOI: 10.1186/s13256-016-1189-8] [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] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Accepted: 12/27/2016] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Merkel cell carcinoma is a rare, very aggressive neuroectodermal tumor of the skin. It is typically located on sun-exposed skin and frequently found in white men aged between 70 and 80 years. CASE PRESENTATION We report a case of a 58-year-old black woman diagnosed with Merkel cell carcinoma of the posterior face of the right elbow. She had biopsy excision and was lost to follow-up. Four months later, she presented with recurrent disease on the inferior third of the right arm with three ipsilateral axillary lymph node metastases. Amputation of the right arm and ipsilateral axillary lymph node dissection were performed, followed by adjuvant radiotherapy. Six months later, the patient died as a result of respiratory failure caused by lung metastasis. To the best of our knowledge, no specific studies have been done comparing the course and the characteristics of Merkel cell carcinoma in white and black populations, and no similar case has been reported in the literature. CONCLUSIONS The Merkel cell carcinoma is very rare in black people. As described elsewhere in the literature, our patient had a poor outcome despite radical management. To date, to the best of our knowledge, there has been no comparison of the prognosis of this tumor in white and black populations.
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Affiliation(s)
- Selma Kadiri
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Abdellah Aissa
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Soufiane Berhili
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Mouna Khmou
- Department of Cytopathology, National Institute of Oncology, Rabat, Morocco
| | - Sanaa Elmajjaoui
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Tayeb Kebdani
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | | | - Hanan Elkacemi
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
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22
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Berhili S, Aissa A, Kadiri S, Cherradi N, El Majjaoui S, El Kacemi H, Kebdani T, Benjaafar N. Extra-axial ependymoma of the cerebral convexity: A very rare intracranial adult tumor. Neuroradiol J 2017; 30:281-285. [PMID: 28059629 DOI: 10.1177/1971400916687584] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Ependymomas are rare adult tumors that originate from the ventricular system or the ependymal surface of the central canal. Extra-axial supratentorial ependymomas are extremely rare, and only five cases have been reported to date in the English literature. Case presentation A 46-year-old previously healthy male presented with a gradual painless loss of vision in the right eye. Cerebral MRI showed a right parietal-occipital lesion resembling an atypical meningioma. Surgical resection was performed, and immunohistochemical staining results concluded that it was a very uncommon location of a grade 3 ependymoma. Favorable outcome was observed one year after completion of postoperative radiotherapy. Conclusion Clinical and imaging aspects are misleading in rare brain tumors, and immunohistochemistry is essential to re-address diagnosis.
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Affiliation(s)
- Soufiane Berhili
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Abdellah Aissa
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Selma Kadiri
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Nadia Cherradi
- 2 Cytopathology Laboratory, Ibn Sina Specialty Hospital, Mohamed V University in Rabat, Morocco
| | - Sanae El Majjaoui
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Hanan El Kacemi
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Tayeb Kebdani
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
| | - Noureddine Benjaafar
- 1 Radiotherapy Department, National Oncology Institute, Mohamed V University in Rabat, Morocco
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23
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Berhili S, Kadiri S, Benoulaid M, Aissa A, Ogandaga E, El Majjaoui S, Elkacemi H, Kebdani T, Benjaafar N. Quelle est la valeur du soutien familial dans la survenue de la détresse psychologique chez les patientes suivies pour cancer du sein ? Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.026] [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: 10/21/2022]
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24
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Marnouche EA, Maghous A, Kadiri S, Berhili S, Touil A, Kettani F, Majjaoui S, Elkacemi H, Kebdani T, Benjaafar N. Sebaceous carcinoma of the parotid gland: a case report and review of the literature. J Med Case Rep 2016; 10:174. [PMID: 27295996 PMCID: PMC4906575 DOI: 10.1186/s13256-016-0946-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 01/12/2016] [Accepted: 05/10/2016] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Sebaceous carcinoma is a rare malignancy primarily with aggressive growth affecting the cutaneous tissues of the periocular region. Sebaceous carcinoma of the parotid gland is exceedingly rare, with only 32 cases reported in the literature. Our case brings this total to 33. CASE PRESENTATION We present a case of a 57-year-old Moroccan woman with a firm, painless, slowly enlarging swelling at her left parotid area, with normal overlying skin and no palpable neck nodes. Parotidectomy with facial nerve preservation was performed, and microscopic examination showed sebaceous carcinoma. Then, she underwent adjuvant radiotherapy. With a follow up of 20 months, head and neck computed tomography revealed no recurrence. CONCLUSIONS The optimal treatment is unclear. With more cases reported, clinicopathological characteristics and histogenesis are increasingly understood. Therefore the treatment for this rare tumor continues to evolve.
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Affiliation(s)
- El Amin Marnouche
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco.
| | - Abdelhak Maghous
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Selma Kadiri
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Soufiane Berhili
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Asmae Touil
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Fouad Kettani
- United Nations Center of Cytopathology, Rabat, Morocco
| | - Sanaa Majjaoui
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Hanane Elkacemi
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
| | - Tayeb Kebdani
- Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
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Mezouri I, Berhili S, Mouhajir N, Bellefqih S, Elkacemi H, Kebdani T, Benjaafar N. [Radiotherapy for endometrial cancer: experience of the national institute of oncology with 52 cases]. Pan Afr Med J 2016; 23:144. [PMID: 27279969 PMCID: PMC4885712 DOI: 10.11604/pamj.2016.23.144.4772] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2014] [Accepted: 09/10/2014] [Indexed: 11/11/2022] Open
Abstract
Le cancer de l'endomètre est le cancer gynécologique le plus fréquent en occident. Il concerne principalement les femmes ménopausées. L'objectif de notre travail est de rapporter l'expérience du service de radiothérapie à l'Institut National d'Oncologie (INO) dans la prise en charge du cancer de l'endomètre. Nous avons analysé rétrospectivement 52 cas de cancer de l'endomètre traités dans le service de radiothérapie de l'INO entre 2007 à 2009. Les données collectées à partir des dossiers médicaux de nos patientes concernaient les aspects épidémiologiques, cliniques, thérapeutiques et évolutifs de ce cancer. La médiane d’âge des patientes était de 57 ans, 87% étaient ménopausées. Le délai moyen de consultation était de six mois. Le maitre symptôme était des métrorragies chez 51 patientes. Le diagnostic histologique a été porté sur un curetage biopsique de l'endomètre dans 51% des cas. L'examen anatomopathologique a montré un adénocarcinome endométrioïde dans 92% des cas. Après le bilan, 27% des patientes étaient stade I, 30% stade II, 20% stade III et 1% stade IVA selon la classification de la Fédération Internationale de Gynécologie Obstétrique (FIGO). Après la chirurgie, 51% des patientes ont reçu une radiothérapie externe. La dose délivrée était de 46 Gray (Gy). Une curiethérapie du fond vaginal a été délivrée chez toutes les patientes. Sur le plan évolutif, 83% des patientes étaient toujours suivies en situation de bon contrôle de leur maladie, 8% ont eu une récidive locorégionale et 4% avaient des métastases à distance. Ainsi, le cancer de l'endomètre est un cancer dont le traitement repose sur la chirurgie. La radiothérapie est le traitement adjuvant principal.
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Affiliation(s)
- Imane Mezouri
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Soufiane Berhili
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Nawal Mouhajir
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Sara Bellefqih
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Hanan Elkacemi
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Tayeb Kebdani
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
| | - Noureddine Benjaafar
- Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc
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Berhili S, El Khannoussi B, Kadiri S, Mezouri I, Bazine A, Touil A, El Khiyat I, Kebdani T, Benjaafar N. Uterine cervix metastasis from a sigmoid adenocarcinoma: a rare presentation of an uncommon tumor. Gynecol Oncol Res Pract 2014; 1:6. [PMID: 27231559 PMCID: PMC4878055 DOI: 10.1186/2053-6844-1-6] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Accepted: 08/26/2014] [Indexed: 11/30/2022]
Abstract
Metastatic carcinoma to the uterine cervix from colorectal cancer, through haematogenous or lymphatic spread, is extremely rare. We report the case of a 59 year old woman in whom cervical metastasis was diagnosed after 13 months of follow-up for a sigmoid adenocarcinoma, confirmed by immunohistochemical study, with a review of the literature. This case illustrates that abnormal gynecologic symptoms can reveal a disease progression on patients who suffer colorectal cancer.
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Affiliation(s)
- Soufiane Berhili
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Basma El Khannoussi
- Laboratory of Cytopathology, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Selma Kadiri
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Imane Mezouri
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Amine Bazine
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Asmae Touil
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Imane El Khiyat
- Laboratory of Cytopathology, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Tayeb Kebdani
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Noureddine Benjaafar
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
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