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Scheer L, Lodi M, Özmen T, Alghamdi K, Anyanwu S, Birendra J, Boubnider M, Costa M, Dian D, Elder E, Gebrim LH, Guo X, Heitz D, Imoto S, Ioannidou-Mouzaka L, Kaufman C, Liu H, Mbodj M, Meka E, Mundinger A, Novelli J, Ojuka D, Orda R, Ostapenko V, Pieńkowski T, Podolski P, Vogel T, Yin J, Özmen V, Schneebaum S, Mathelin C. Current Challenges and Perspectives in Breast Cancer in Elderly Women: The Senologic International Society (SIS) Survey. Eur J Breast Health 2023; 19:201-209. [PMID: 37415654 PMCID: PMC10320638 DOI: 10.4274/ejbh.galenos.2023.2023-5-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 05/16/2023] [Indexed: 07/08/2023]
Abstract
Objective Mammographic screening and management of breast cancer (BC) in elderly women are controversial and continue to be an important health problem. To investigate, through members of the Senologic International Society (SIS), the current global practices in BC in elderly women, highlighting topics of debate and suggesting perspectives. Materials and Methods The questionnaire was sent to the SIS network and included 55 questions on definitions of an elderly woman, BC epidemiology, screening, clinical and pathological characteristics, therapeutic management in elderly women, onco-geriatric assessment and perspectives. Results Twenty-eight respondents from 21 countries and six continents, representing a population of 2.86 billion, completed and submitted the survey. Most respondents considered women 70 years and older to be elderly. In most countries, BC was often diagnosed at an advanced stage compared to younger women, and age-related mortality was high. For this reason, participants recommended that personalized screening be continued in elderly women with a long life expectancy.In addition, this survey highlighted that geriatric frailty assessment tools and comprehensive geriatric evaluations needed to be used more and should be developed to avoid undertreatment. Similarly, multidisciplinary meetings dedicated to elderly women with BC should be encouraged to avoid under- and over-treatment and to increase their participation in clinical trials. Conclusion Due to increased life expectancy, BC in elderly women will become a more important field in public health. Therefore, screening, personalized treatment, and comprehensive geriatric assessment should be the cornerstones of future practice to avoid the current excess of age-related mortality. This survey described, through members of the SIS, a global picture of current international practices in BC in elderly women.
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Affiliation(s)
- Louise Scheer
- Service des équipes transverses et d’oncogériatrie, ICANS, Strasbourg, France
| | - Massimo Lodi
- Strasbourg University Hospital, Strasbourg, France; Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France; Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), CNRS, Université de Strasbourg, Illkirch-Graffenstaden, France
| | - Tolga Özmen
- Massachusetts General Hospital, Boston, United States
| | | | - Stanley Anyanwu
- Institute of Oncology, Nnamdi Azikiwe University Nnewi Campus, Nnewi, Nigeria
| | - Joshi Birendra
- Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | | | | | | | | | | | - Xiaojing Guo
- Tianjin Medical University Cancer Institute & Hospital, Tianjin, China
| | - Damien Heitz
- Institut de cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France
| | | | | | - Cary Kaufman
- University of Washington, Seattle, Washington, USA
| | - Hong Liu
- Tianjin Medical University Cancer Institute & Hospital, Tianjin, China
| | | | | | - Alexander Mundinger
- Breast Imaging and Interventions; Breast Centre Osnabrück; FHH Niels-Stensen-Kliniken; Franziskus-Hospital Harderberg, Georgsmarienhütte, Germany
| | | | | | - Ruben Orda
- Chairman of the International School of Senology of Sis, Israel
| | | | | | | | - Thomas Vogel
- Department of Geriatric, Strasbourg University Hospital, 1 place de l’hôpital, Strasbourg, France
| | - Jian Yin
- Tianjin Medical University Cancer Institute & Hospital, Tianjin, China
| | - Vahit Özmen
- Istanbul Florence Nightingale Hospital, İstanbul, Turkey
| | - Schlomo Schneebaum
- Department of Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv Yafo, Israel
| | - Carole Mathelin
- Strasbourg University Hospital, Strasbourg, France; Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France; Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), CNRS, Université de Strasbourg, Illkirch-Graffenstaden, France
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Bathily E, Djigo M, Diop O, Guèye K, Thiaw G, Ndong B, Mbodj M. Ectopie rénale croisée : quand la scintigraphie rénale infirme le diagnostic de rein unique évoqué à l’échographie et à la TDM. Médecine Nucléaire 2023. [DOI: 10.1016/j.mednuc.2023.01.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Diao ML, Diatta A, Mbodj M, Diédhiou M, Ndoye AY, Tendeng JN, Ndong A, Manyacka Ma-Nyemb P, Konaté I, Ndiaye M. [Hospital Management of Work-related injuries in informal sector: case of artisanal fishing in Saint-Louis (Senegal)]. Mali Med 2022; 37:8-11. [PMID: 38196253] [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] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
OBJECTIVES to determine the mechanisms, lesions and hospital management of work-related accidentduringtraditional fishing,an activity subject to vital occupational risks. MATERIALS AND METHODS Descriptive retrospective study on occupational injury files in artisanal fishing professions, registered at the Saint-Louis Regional Hospital (Senegal), from January 2014 to December 2019. All complete records of trauma during any activity related to artisanal fishingwereincluded. Data on accident mechanisms, injuries observed, and hospital management were collected. RESULTS 47 male workers were on average 28.4 years old. Direct shock from a pirogue was most frequent (68.10%), followed by sharp or blunt objects (16.27%). The lesions were characterized by bone fractures in 63.83% of cases (n=30); chest-abdominal-pelvic and limb contusions and wounds represented 12.67% and 21.27% of cases, respectively. Medical management was done in 21 cases (44.7%). Surgery was dominated by intramedullary nailing in 15 cases (31.9%). Two laparotomies were performed with intestinal sutures. A chest contusion death was reported. CONCLUSION Traumatic occupational risks in traditional fishing are life threatening. A better understanding of these risks and their consequencesmakes it possible to ensure good prevention.
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Affiliation(s)
- M L Diao
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - Aer Diatta
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
| | - M Mbodj
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - M Diédhiou
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - A Y Ndoye
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - J N Tendeng
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - A Ndong
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - P Manyacka Ma-Nyemb
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - I Konaté
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - M Ndiaye
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
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Mathelin C, Ame S, Anyanwu S, Avisar E, Boubnider WM, Breitling K, Anie HA, Conceição JC, Dupont V, Elder E, Elfgen C, Elonge T, Iglesias E, Imoto S, Ioannidou-Mouzaka L, Kappos EA, Kaufmann M, Knauer M, Luzuy F, Margaritoni M, Mbodj M, Mundinger A, Orda R, Ostapenko V, Özbaş S, Özmen V, Pagani O, Pieńkowski T, Schneebaum S, Shmalts E, Selim A, Pavel Z, Lodi M, Maghales-Costa M. Breast Cancer Management During the COVID-19 Pandemic: The Senologic International Society Survey. Eur J Breast Health 2021; 17:188-196. [PMID: 33870120 DOI: 10.4274/ejbh.galenos.2021.2021-1-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 03/09/2021] [Indexed: 01/19/2023]
Abstract
Objective In early 2020, the spread of coronavirus disease-2019 (COVID-19) led the World Health Organization to declare this disease a pandemic. Initial epidemiological data showed that patients with cancer were at high risk of developing severe forms of COVID-19. National scientific societies published recommendations modifying the patients' breast cancer (BC) management to preserve, in theory, quality oncologic care, avoiding the increased risk of contamination. The Senology International Society (SIS) decided to take an inventory of the actions taken worldwide. This study investigates COVID-19-related changes concerning BC management and analyzes the will to maintain them after the pandemic, evaluating their oncological safety consequences. Materials and Methods SIS network members participated in an online survey using a questionnaire (Microsoft® Forms) from June 15th to July 31st, 2020. Results Forty-five responses from 24 countries showed that screening programs had been suspended (68%); magnetic resonance imagines were postponed (73%); telemedicine was preferred when possible (71%). Surgeries were postponed: reconstructive (77%), for benign diseases (84%), and in patients with significant comorbidities (66%). Chemotherapy and radiotherapy protocols had been adapted in 28% of patients in both. Exception for telemedicine (34%), these changes in practice should not be continued. Conclusion The SIS survey showed significant changes in BC's diagnosis and treatment during the first wave of the COVID-19 pandemic, but most of these changes should not be maintained. Indeed, women have fewer severe forms of COVID-19 and are less likely to die than men. The risk of dying from COVID-19 is more related to the presence of comorbidities and age than to BC. Stopping screening and delaying treatment leads to more advanced stages of BC. Only women aged over 65 with BC under treatment and comorbidities require adaptation of their cancer management.
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Affiliation(s)
- Carole Mathelin
- Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France.,Immediate the Senology International Society (SIS) Past President, France
| | - Shanti Ame
- Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France
| | - Stanley Anyanwu
- The Senology International Society Vice-President for Africa, Nigeria
| | - Eli Avisar
- Miller School of Medicine, University of Miami, USA
| | | | | | | | | | | | - Elisabeth Elder
- Westmead Breast Cancer Institute, University of Sydney, Australia
| | | | | | - Edelmiro Iglesias
- The Senology International Society (SIS) Vice-President for Europe, Spain
| | | | | | - Elisabeth A Kappos
- Breast Center and Department of Plastic, Reconstructive, Aesthetic and Handsurgery, University Hospital Basel, Switzerland
| | | | - Michael Knauer
- Breast Center Eastern Switzerland, St. Gallen, Switzerland
| | - Franck Luzuy
- Department of Breast Surgery, Hirslanden Clinic, Geneva, Switzerland
| | | | - Mamadou Mbodj
- Department of Nuclear Medicine, General Hospital Idrissa POUYE, Dakar, Senegal
| | | | - Ruben Orda
- The Senology International Society (SIS) International School of Senology, Israel
| | | | | | - Vahit Özmen
- The Senology International Society (SIS) Standing Committee, Turkey
| | - Olivia Pagani
- Department of Oncology, Breast Unit and Institute of Oncology of Southern Switzerland
| | | | | | - Ekaterina Shmalts
- Department of Oncology, Multi-field Clinical Medical Centre "Medical City", Tyumen, Russia
| | - Ashraf Selim
- Department of Radiology, Cairo University, Egypt
| | - Zotov Pavel
- Department of Oncology, Tyumen State Medical University, Russia
| | - Massimo Lodi
- Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg Cedex, France
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5
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Mbaye G, Ndiaye A, Diouf LAD, Diallo AS, Diedhiou A, Sene M, Mbodj M, Thioune O, Dieye AM, Diop I, Cisse A, Diarra M. [Development of Ethylcellulose/Eudragit matrix for controlled and continuous release of insulin]. Mali Med 2009; 24:11-16. [PMID: 20093223] [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: 05/28/2023]
Abstract
PURPOSE Diabetes Type I is a chronic disease requiring insulin repeated injections by parenteral during a lifetime. This method of administration as well as traumatic can be a problem for adherence of patients to treatment. In order to overcome these difficulties, we considered the development of therapeutic transdermal drug delivery (TTDD) of insulin. MATERIAL AND METHOD As active ingredient we used anhydrous human insulin Actarapid HM from Novo Nordisk laboratory, the excipients are ethyl cellulose, Eudragit RS 100 and butylphtalate. We developed two matrix Ethylcellulose/Eudragit in reports 1 and 2, in which are incorporated different proportions of insulin. RESULTS The study of the release of insulin in phosphate buffer at pH 7.4, showed a continuous release profiles strongly depending on Ethylcellulose/Eudragit report and the initial charge of insulin. CONCLUSION This study shows that the matrix Ethylcellulose/Eudragit lends itself to the development of a controlled release of insulin. This allows us to continue this work by combining this matrix with other elements for achieving an insulin TTDD.
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Affiliation(s)
- Gora Mbaye
- Laboratoire de Biophysique et de Physique Pharmaceutique, Faculté de Médecine de Pharmacie et d’Odontologie de Dakar, Université Cheikh Anta Diop de Dakar.
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6
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Diallo AS, Diarra M, Sow A, Mbodj M, Afoutou JM. [Ultrastructural aspects of the spermatozoon abnormalities on infertile men in Senegal]. Dakar Med 2007; 52:17-22. [PMID: 19102086] [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: 05/27/2023]
Abstract
Oligo-astheno-teratozoospermia being frequently observed (44,1%) in male subjects among hypofertiles couples of the sample population, we studied it at the ultrastuctural level. Our investigations have shown that, in addition to morphological and functional abnormalities, spermatic cells in said persons also presented serious ultrasructural disorders which would cause sterility. However in the absence of specific codified treatment for the majority of abnormalities found in sperms and given the high cost of the utrastructural analysis, we propose to limit our study to precise cases of male sterility through routine sample evaluations.
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Affiliation(s)
- A S Diallo
- Laboratoire d'Histologie et Embryologie de la Faculté de Médecine et de Pharmacie de Dakar, Sénégal
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Dem A, Traore B, Diallo BK, Mbodj M, Dieng MM, Kasse AA, Dangou JM, Diouf R, Toure P. [Primary lymphoma of the thyroid: a case report]. Dakar Med 2004; 49:10-2. [PMID: 15782469] [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: 05/02/2023]
Abstract
Primary lymphoma of the thyroid is an uncommon disease. It diagnosis is difficult without immunohistochemestry. We report a case of thyroid lymphoma diagnosed at the A. Le Dantec Hospital of Dakar. A 22-year old young man presented anterior neck mass. Clinical examination showed a thyroid mass with a susclavicular palpable lymph node. The scintigraphy demonstrated that the mass was cold. Total thyroidectomy with cervical lymphadenectomy was the first treatment. Histological examination of the surgical specimen concluded that the mass was an anaplastic lymphoma (large cells type) involving the sus clavicular lymph nodes (stage IIE). Chemotherapy was administrated after one month with C-MOPP schedule. The patient presented no recurrent sign after 30 month. Fine needle aspiration and immunocytochemestry of the thyroid cold masses will contribute in an accurate diagnosis and the management of disease in our institution.
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Affiliation(s)
- A Dem
- Institut du Cancer, Université Cheikk Anta Diop, Dakar, Sénégal
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8
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Diarra M, Pourroy G, Diallo AS, Mbodj M, Mbaye G, Boisnic S, Branchet-Gumila MC, Boymond C, Muster D. [Sodium fluoride controlled release system for intra buccal use]. Dakar Med 2004; 49:44-50. [PMID: 15782477] [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: 05/02/2023]
Abstract
Hydroxyapatite which has the same elemental chemical composition as natural bone and teeth is one of the promising raw material for the design of drug controlled release system in intrabuccal use. It is stable and biocompatible and widely used in orthopedics and odontology. So, in order to improve the administration of drugs for intrabuccal use, we have developped a fluoride controlled release delivering system. We have formulated tablets of 160 to 200 mg to be fixed on the vestibular face of a molar or a premolar and permitting to reach high enough local concentrations for desirable therapeutic effect. The tablets have a granular matrix composed of hydroxyapatite and fillers, ethylcellulose and/or Eudragit. For all tablets, the pharmacotechnical values support the pharmacopoeia norms. On fragments of tissue maintained in culture, the sodium fluoride is released at constant rate. The release profiles observed are predictable. No disintegration of tablets have been observed during release studies and after. Histological analyses performed after release studies showed the biocompatibility qualities of the tablets.
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Affiliation(s)
- M Diarra
- Laboratoire de Physique, Faculté de Médecine et Pharmacie, Université Cheikh Anta Diop, Dakar, Sénégal.
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Ndoye O, Mbodj M, Gassama Seck S, Sizaret PY, Abeille B, Le Pape A. [Scintigraphic imaging of macrophages involved in lung vasoreflex: rat model]. Dakar Med 2003; 48:148-52. [PMID: 15770812] [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: 05/02/2023]
Abstract
At time of pathological situations, a pulmonary fixation of labelled substances injected by intravenous way is observed. This fixation would result from a phagocytosis of these substances by abnormal cells whose presence was induced in the endothelium: Pulmonary Intravascular Macrophages (PIM's). After activation by phagocytosis, these cells are able to secrete powerful vasoactive mediators capable of inducing cardiopulmonary accidents. Hepatic cholestase was induced in Wistar rats by ligation and section of common bile duct. The recruitment of PIM's was followed in vivo by phagocytosis scintigraphic imaging after labelled colloid injection. During the 35 days of evolution of the pathology, we observe a pulmonary fixation of the colloid agents which progresses up to 70% as well as a concomitant decease in the hepatic activity. Histologic examination showed numerous cells related to pulmonary capillaries' endothelium belonging to mononuclear phagocytes line and expressing an activated phenotype of monocytes. The scintigraphic and histological tests carried out enabled us to validate the model of induction of PIM's in rat by ligation of the choledoque one. The study of the vasoactive response via certain mediators can from now be approached, a Doppler technique on the pig aorta is being in the course of evaluation.
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Affiliation(s)
- O Ndoye
- Laboratoire d'Imagerie de Ciblage et Vectorisation, INSERM EMI-U0010, Faculté de Médecine-Tours
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Mbodj M, Ndoye O, Diarra M, Mbaye BN, Sow Toure H, Diouf L, Gassama Seck S, Dhondt JL, Farriaux JP. [Sickle cell disease neonatal screening. First evaluation]. Dakar Med 2003; 48:202-5. [PMID: 15776632] [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: 05/02/2023]
Abstract
A neonatal screening allows a preclinical diagnosis of major sickle cell syndromes and an early management of the affected children. That would improve their life quality and expectancy. The preliminary program was set up on 518 senegalese newborn aged from 1 to 4 days, and coming from all the country ethnic groups. Isoelectrofocalisation is the test used on dried blood eluate and the positive control on citrate agar gel. 478 samples out of 518 (92.5%) have been analysed. Haemoglobinopathy have been found in 11.1% of cases, distributed as follow: heterozygoty FAS and FAC: 9%, double heterozygoty FSC: 0.2% and homozygoty FSS: 1.9%. Sickle cell neonatal screening should be imperatively implemented, with regards in economical considerations. It would be relevant to integrate it in a larger program including information, training and genetic counselling in order to avoid homozygotes birth and to lower the spread of this disease.
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Affiliation(s)
- M Mbodj
- Laboratoire de Biophysique et de Médecine Nucléaire-UCAD
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Becker C, Diouf M, Mbodj M. [Not Available]. Ann Demogr Hist (Paris) 2001:15-31. [PMID: 11621748] [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: 02/21/2023]
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Ndoye O, Mbodj M, Gassama S, Sidibe EH, Toure-Sow H, Ndoye R. [Dysthyroidism after 60 years of age]. Dakar Med 2001; 46:98-101. [PMID: 15773172] [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: 05/02/2023]
Abstract
This work has been conducted on 162 subjects, aged over 60 years, living in Senegal, investigated in the Departement of Biophysics and Nuclear Medecine of Dakar for suspicion of dysthyroidism. The levels of T3, T4 and TSH US hormones were determined by a radio-immunological method. This technique, exhibiting good functionnal sensitivity and its high specificity, is likely to be beneficial to the diagnosis of dysthyroidisms. Besides, this experiment leads us to consider that the dosage of TSH remains an useful first intention examination for the old patients and could notably improve the screening of dysthyroidisms with a decrease in the cost of the investigation. However, because of the therapeutical implications, some biological profiles schould be interpreted cautiously. The equipment for the determination of the free fractions (T3 and T4) with the brought additional accuracy could allow to dismiss some diagnostci uncertainties.
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Affiliation(s)
- O Ndoye
- Laboratoire de Biophysique et de Médecine Nucléaire, Faculté de Médecine Clinique Médicale II - Centre Hospitalier Abass NDao - Dakar (Sénégal)
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Ndoye O, Mbodj M, Akala A, Cisse F, Niang M, Ndoye R. [Serum cortisol level variations in thyroid diseases]. Dakar Med 2000; 45:30-3. [PMID: 14666786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
This work studies the thyroid disorders impact on adrenals glands by measuring total cortisol. Radioimmunoassays of thyroid hormones and cortisol were performed in 108 subjects, aged 20-52 years, with thyroid diseases. Our results show low cortisol values (80.35 nmol/L) in 4.77% of hyperthyroids, high values in 3.57% of hyperthyroids (1348.18 nmol/L) and 12.5% of hypothyroids (969.05 nmol/L). In hyperthyroidism, thyroid hormone stimulates the secretion of 11 ceto metabolites biologically inactive, unable to slow pituitary activity, inducing an increased production of endogene cortisol. Excessive catabolism can lead to the exhausting of overstimulated adrenal glands, and therefore to a decreased cortisol. In hypothyroidism, high cortisol results of increase cortisol half life and decrease of metabolic clearance. Control mechanisms often allow normal cortisol values. These alterations in functional activity of adrenal glands, seen in nearly 10% of these subjects, sometimes command a specific attitude in diagnosis and therapy.
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