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Bouzaiene H, Saadallah F, Bouaziz H, Jaidane O, Ben Hassouna J, Dhieb T, Rahal K. Inflammatory breast cancer: As surgical oncologists, what can we do? Int Rev Cell Mol Biol 2024; 384:113-124. [PMID: 38637095 DOI: 10.1016/bs.ircmb.2024.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/20/2024]
Abstract
Breast cancer surgery is the primary treatment for early-stage breast cancer. However, inflammatory breast cancer (IBC), with its specific presentation characterized by skin invasion, is unfit for primary surgery. According to the different guidelines, the management of IBC is trimodal with the coordination of oncologists, surgeons, and radiation therapists. Advances in breast cancer imaging and the development of more targeted therapies make new challenges for this aggressive cancer. This chapter aims to provide an update on the role of surgery in IBC. Radical surgery is still considered the standard surgical treatment in IBC. Some authors suggest a conservative surgery in patients with a clinical response to chemotherapy without affecting survival. For lymph node surgery, the sentinel lymph node biopsy (SLNB) is not feasible in IBC patients, according to the existing studies. However, prospective studies on SLNB are needed to verify its reliability after chemotherapy for a specific group of patients. In the metastatic IBC, surgery can be considered if there is a good response after chemotherapy or for uncontrolled symptoms. Existing studies showed that surgery may impact survival for these patients. Prospective studies are mandatory to optimize IBC management, considering factors such as tumor's molecular profile.
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Affiliation(s)
- Hatem Bouzaiene
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - Fatma Saadallah
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Hanen Bouaziz
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Olfa Jaidane
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Jamel Ben Hassouna
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Tarak Dhieb
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Khaled Rahal
- Department of Surgical Oncology, Salah Azaiez Institute, Bab Saadoun, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Zemni I, Aloui M, Saadallah F, Mansouri H, Chargui R, Ben Dhiab T. A huge prolapsed cervical leiomyoma: A case report. Int J Surg Case Rep 2023; 106:108139. [PMID: 37054542 PMCID: PMC10139963 DOI: 10.1016/j.ijscr.2023.108139] [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: 01/06/2023] [Revised: 03/03/2023] [Accepted: 03/16/2023] [Indexed: 04/15/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Uterine leiomyoma is the most common pelvic tumor in women. Its cervical location is rare and may extend into the vagina in 2.5 % of cases. Treatment of cervical fibroids includes either myomectomy or hysterectomy, depending on the patient's profile and the tumor's characteristics. These fibroids challenge the surgeon because of their proximity to vital pelvic structures and their likelihood of causing surgical complications. CASE PRESENTATION A 47-year-old woman presented with abdominopelvic pain and a bulky necrotic mass protruding out of her vagina. CT scan showed a large heterogeneous anterior mass of the cervix measuring 30 cm prolapsed in the vagina. She underwent a total hysterectomy with complete resection of the cervical mass. The histopathological report confirmed the diagnosis of a cervical leiomyoma with no signs of malignancy. CLINICAL DISCUSSION Three types of cervical leiomyoma are known: interstitial, supra-vaginal, and polypoidal. The last one, observed in our case, is the rarest type. When prolapsed in the vagina, cervical leiomyoma can outgrow its blood supply and become necrotic. Several approaches are available for the management of cervical leiomyomas. The approach choice depends on many factors such as the tumor size and location, its extent, and the desire for fertility. CONCLUSION This report describes the case of a large gangrenous and prolapsed non-pedunculated cervical leiomyoma which remains a rare and disabling complication of this benign tumor for which hysterectomy remains the treatment of choice.
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Affiliation(s)
- Ines Zemni
- Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia.
| | - Marwa Aloui
- Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia
| | - Fatma Saadallah
- Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia
| | - Houyem Mansouri
- Department of Surgical Oncology, Regional Hospital of Jendouba, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia
| | - Riadh Chargui
- Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia
| | - Tarek Ben Dhiab
- Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University Tunis EL Manar, Tunisia.
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Ines Z, Sabrine H, Saadallah F, Mohamed Ali A, Lamia C, Riadh C, Khaled R. An Aggressive Presentation of Merkel Cell Carcinoma: A Case Report. J Investig Med High Impact Case Rep 2021; 8:2324709620963714. [PMID: 33047644 PMCID: PMC7566174 DOI: 10.1177/2324709620963714] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Merkel cell carcinoma (MCC) is a rare malignant neuroendocrine tumor more common in
immunosuppressed old patients. It is characterized by a high frequency of local
recurrence, regional nodal metastasis, distant metastasis, and low survival rate. The
diagnosis of MCC is challenging due to its rarity and can be clinically mistaken for other
skin cancer. We report a case of locally advanced MCC of the left groin with aggressive
behavior that was finally controlled with a combined treatment and we collected data from
the literature to discuss the appropriate therapeutic algorithm for the management of this
uncommon skin tumor.
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Affiliation(s)
- Zemni Ines
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Haddad Sabrine
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Fatma Saadallah
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Ayadi Mohamed Ali
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Charfi Lamia
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Chargui Riadh
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
| | - Rahal Khaled
- Salah Azaiez Institute, University of Tunis El Manar, Tunis, Tunisia
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Fekih-Romdhane F, Saadallah F, Mbarek M, Bouzaiene H, Cheour M. Prevalence and correlates of hopelessness in Tunisian women with benign breast disease and breast cancer. J Psychosoc Oncol 2021; 40:677-694. [PMID: 34328072 DOI: 10.1080/07347332.2021.1943103] [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] [Indexed: 11/12/2022]
Abstract
BACKGROUND There is limited research suggesting that women with Benign Breast Disease (BBD) experience psychological distress similar to breast cancer (BC) women. We aimed to examine hopelessness and its related factors in BC and BBD women. METHOD This was a cross-sectional study. The Beck Hopelessness Scale and the Beck Depression Inventory were administered to 51 BBD and 52 BC women. RESULTS BC women had higher hopelessness scores as compared to those with BBD (6.9 ± 4.8 vs. 4.9 ± 3.6; p = .018). After controlling for confounding variables, depression and suicidal ideation/behavior were significantly associated with hopelessness in the BBD group, while only a lower socioeconomic status was associated with higher hopelessness scores in the BC group. CONCLUSION We found that not only BC but also BBD lead to a psychological burden. Early detection and handling of hopeless feelings and thoughts that may arise in this population are recommended.
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Affiliation(s)
- Feten Fekih-Romdhane
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Razi Hospital, Manouba, Tunisia
| | - Fatma Saadallah
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Mahdi Mbarek
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Hatem Bouzaiene
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Majda Cheour
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Razi Hospital, Manouba, Tunisia
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Saadallah F, Bouraoui I, Naija L, Sakhri S, Zemni I, Hassouna JB, Dhieb TB, Bouzaiene H, Rahal K. Coexistence of invasive ductal breast carcinoma and fibroadenoma. Pan Afr Med J 2019; 33:139. [PMID: 31558937 PMCID: PMC6754844 DOI: 10.11604/pamj.2019.33.139.17140] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Accepted: 12/28/2018] [Indexed: 11/11/2022] Open
Abstract
Fibroadenomas are the most common breast disease that occurs usually in young. The coexistence of an invasive ductal carcinoma and a fibroadenoma in the ipsilateral breast is extremely rare. We present the case of a 52 years woman, presented to us for an upper-outer breast lump. Breast imaging concluded to tow contiguous lesions, one of them was suspicious. She had a conservative surgery. Histology concluded to a fibroadenoma and an invasive ductal carcinoma.
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Affiliation(s)
- Fatma Saadallah
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Imen Bouraoui
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Lamia Naija
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Saida Sakhri
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Ines Zemni
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Jamel Ben Hassouna
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Tarak Ben Dhieb
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Hatem Bouzaiene
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
| | - Khaled Rahal
- Department of Surgical Oncology, Salah Azaiz Anti-cancer Institute, Tunis, Tunisia
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Jbeli R, Boukhachem A, Ben Jemaa I, Mahdhi N, Saadallah F, Elhouichet H, Alleg S, Amlouk M, Ezzaouïa H. An enhancement of photoluminescence property of Ag doped La 2O 3 thin films at room temperature. Spectrochim Acta A Mol Biomol Spectrosc 2017; 184:71-81. [PMID: 28486202 DOI: 10.1016/j.saa.2017.04.072] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Revised: 04/23/2017] [Accepted: 04/25/2017] [Indexed: 05/14/2023]
Abstract
Metal transition doped oxide thin films or nanocomposites have recently emerged at the forefront of potentials research. With the focus mainly on efficiency, the aspect of stability against optical irradiation of such materials has so far not been thoroughly addressed. This work covers the synthesis of silver doped lanthanum oxide thin films (La2O3:Ag) which have been prepared by the spray pyrolysis technique on glass substrates at 460°C. Then, Ag thin films were grown on lanthanum oxide thin films by thermal evaporation. The present work aims to reach the synthesis of La2O3:Ag thin films using both the spray pyrolysis and thermal evaporation techniques. First, X-ray diffraction analysis shows that undoped and Ag doped films crystallize in a mixture of hexagonal and cubic phase with crystallites oriented along (001) direction. Raman spectroscopy shows the bands positions corresponding to hexagonal and cubic phases. On the other hand, an attempt regarding their optical properties has been carried out by means of photoluminescence measurements. Second, from electrical conductivity measurements, the activation energy decreases from 1.42 to 1.09eV with the increase of annealing time and the charge carriers are following the CBH model as dominant charge transport mechanism. Finally, the annealing time influences the surface wettability property and transforms La2O3 character from hydrophobic (θ>90°) to hydrophilic (θ<90°).
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Affiliation(s)
- R Jbeli
- Laboratoire de Semi-conducteurs, Nanostructures et Technologies Avancées, Centre National de Recherches en Sciences des Matériaux, B.P. 95, Hammam-Lif 2050, Tunisia.
| | - A Boukhachem
- Unité de Physique des Dispositifs à Semiconduteurs, Faculté des Sciences de Tunis, Tunis El Manar University, Tunisia
| | - I Ben Jemaa
- Laboratoire de Photovoltaıque et Matériaux Semi-conducteurs, Université de Tunis El Manar, 1002 Tunis, Tunisia
| | - N Mahdhi
- Laboratoire Matériaux, Organisation et Propriétés, Campus Universitaire El Manar, Tunis 2092, Tunisia
| | - F Saadallah
- Laboratoire de Semi-conducteurs, Nanostructures et Technologies Avancées, Centre National de Recherches en Sciences des Matériaux, B.P. 95, Hammam-Lif 2050, Tunisia
| | - H Elhouichet
- Laboratoire de Physico-Chimie des Matériaux Minéraux et leurs Applications, Centre National de Recherches en Sciences des Matériaux, B.P. 95, Hammam-Lif 2050, Tunisia
| | - S Alleg
- Laboratoire de Magnétisme et Spectroscopie des Solides, Département de Physique, Université de Annaba B.P. 12, Annaba 23000, Algeria
| | - M Amlouk
- Unité de Physique des Dispositifs à Semiconduteurs, Faculté des Sciences de Tunis, Tunis El Manar University, Tunisia
| | - H Ezzaouïa
- Laboratoire de Semi-conducteurs, Nanostructures et Technologies Avancées, Centre National de Recherches en Sciences des Matériaux, B.P. 95, Hammam-Lif 2050, Tunisia
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Ben Hassouna J, Saadallah F, Mezghani B, Ayedi MA, Charfi L, Achouri L, Dhieb T, Rahal K. Primary cutaneous leiomyosarcoma of the flank: Case report and review. Journal of Dermatology & Dermatologic Surgery 2015. [DOI: 10.1016/j.jdds.2014.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Bouanene I, El Mhamdi S, Saadallah F, Ben Salah A, Soltani M. Profil des auto-médiquants dans la ville de Monastir, Tunisie. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.311] [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] Open
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