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Fki A, Kotti N, Dhouib F, Kammoun N, Frikha M, Jmal Hammami K, Masmoudi M, Turki H, Hajjaji M. Les facteurs professionnels associés au mycosis fongoïde. ARCH MAL PROF ENVIRO 2022. [DOI: 10.1016/j.admp.2022.10.007] [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: 11/05/2022]
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Noubbigh G, Frikha M, El Alami S, Yahyaoui S, Zaraa S, Yousfi A, Mousli A, Abidi R, Saidani I, Mahdhouani M, Mahjoubi K, Nasr C. PO-1893 could we consider the Pancreas as an organ at risk during gastric cancer radiotherapy? Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03856-7] [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: 11/29/2022]
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Zouari S, Frikha M, Fourati N, Kallel M, Frikha M, Mnejja W, Daoud J. 154P Screening of breast cancer: Clinical and biological profile of Tunisian women. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.171] [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: 11/01/2022] Open
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Dhouib F, Frikha M, Fourati N, Fessi Z, Farhat L, Mnejja W, Daoud J. PO-1563 What are the oesophagus dosimetric constraints during breast cancer hypofractionated radiotherapy? Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03527-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Dhouib F, Frikha M, Fourati N, Fessi Z, Farhat L, Mnejja W, Daoud J. PO-1562 Should we delineate brachial plexus in case of breast cancer hypofractionated radiotherapy? Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03526-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Boufarguine R, Bettaieb H, Mbarki W, Halouani S, Abidi I, Makni A, Frikha M, Souayah N, Mbarki C, Oueslati H. Sexuality of the woman during pregnancy: Experience of the Tunisian woman. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mbarki W, Bettaieb H, Frikha M, Abidi I, Halouani S, Boufarguine R, Oueslati H, Mbarki C. Prevalence of and risk factors associated with vaginal lubrication issues in women at 6 months postpartum. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Fourati N, Mnejja W, Frikha M, Dhouib F, Kallel M, Siala W, Daoud J. PO-1360 Are the practices of Radiation oncologists harmonious for hormone therapy in prostate cancer? Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07811-7] [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: 10/20/2022]
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Fourati N, Farhat L, Fessi Z, Frikha M, Siala W, Mnejja W, Daoud J. PO-1110: Bladder dose constraints for conformal radiotherapy in rectal cancer: adaptation to prescribed dose. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01127-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Frikha M, Zouari S, Fourati N, Kallel M, Elloumi F, Bahri M, Siala W, Boudawara T, Khanfir A, Mnejja W, Daoud J. 36P Molecular subtypes in Tunisian breast cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.03.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Krichene J, Trigui A, Mejdoub Y, Yahya MB, Berjab H, Frikha M, Amar MB, Dammak J, Mzali R, Jdidi J. Les kystes hydatiques du foie compliqués de larges fistules kysto biliaires traitées par un traitement conservateur. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Khemiri S, Ben Thabet J, Ben Kridis W, Maalej M, Khanfir A, Frikha M. Psychoaffective repercussions of pain in cancer patients. Cancer Radiother 2019; 23:188-193. [PMID: 31097369 DOI: 10.1016/j.canrad.2018.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2018] [Revised: 08/29/2018] [Accepted: 09/04/2018] [Indexed: 01/06/2023]
Abstract
PURPOSE Pain often induces in cancer patient emotional disorders such as anxiety, depression and alteration of quality of life. The purpose of our work was to assess the impact of the intensity of pain and those characteristics on anxiety, depression state and quality of life of cancer patients. MATERIAL AND METHODS This is an analytical cross-sectional study including 106 cancer patients with pain. We evaluated four parameters: pain intensity by visual analogue scale, the presence of anxiety and of depression using the Hospital Anxiety and Depressive Scale, and the alteration of quality of life by 36-item Short-Form Health Survey. RESULTS Patients' average age was 55 years old. The sex ratio was 0.79. Pain intensity was low in 16%, moderate in 49.1% and intense in 34.9% of patients. The prevalence of anxiety and depression was 49.1% and 54% of patients, respectively. The independent factors correlated to the occurrence of anxiety were: pain intensity, bone localization, continuous progression, chronicity of pain, advanced stage, hospitalization at day hospital, the partial or no response to analgesic treatment. The independent factors correlated to the onset of depression were: intensity of pain, advanced stage of the disease, bone localization, step 2 or 3 of analgesic, and partial or no response to analgesic treatment. CONCLUSION The prevalence of anxiety and depression in our patients was slightly higher than those reported in the literature. The main factors correlated with the onset of depression and anxiety were: severe pain, bone location, and advanced stage of the disease.
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Affiliation(s)
- S Khemiri
- Department of oncology, Habib-Bourguiba hospital, Sfax, Tunisia
| | - J Ben Thabet
- Department of psychiatry, Hédi-Chaker hospital, Sfax, Tunisia
| | - W Ben Kridis
- Department of oncology, Habib-Bourguiba hospital, Sfax, Tunisia.
| | - M Maalej
- Department of psychiatry, Hédi-Chaker hospital, Sfax, Tunisia
| | - A Khanfir
- Department of oncology, Habib-Bourguiba hospital, Sfax, Tunisia
| | - M Frikha
- Department of oncology, Habib-Bourguiba hospital, Sfax, Tunisia
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Frikha M, Auperin A, Tao Y, Elloumi F, Toumi N, Blanchard P, Lang P, Sun S, Racadot S, Thariat J, Alfonsi M, Tuchais C, Cornely A, Moussa A, Guigay J, Daoud J, Bourhis J. A randomized trial of induction docetaxel-cisplatin-5FU followed by concomitant cisplatin-RT versus concomitant cisplatin-RT in nasopharyngeal carcinoma (GORTEC 2006-02). Ann Oncol 2019; 29:731-736. [PMID: 29236943 DOI: 10.1093/annonc/mdx770] [Citation(s) in RCA: 113] [Impact Index Per Article: 22.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background Concomitant chemotherapy (CT)-radiotherapy (RT) is a standard of care in locally advanced nasopharyngeal carcinoma (NPC) and a role for induction CT is not established. Methods Patients with locally advanced NPC, WHO type 2 or 3, were randomized to induction TPF plus concomitant cisplatin-RT or concomitant cisplatin-RT alone. The TPF regimen consisted of three cycles of Docetaxel 75 mg/m2 day 1; cisplatin 75 mg/m2 day 1; 5FU 750 mg/m2/day days 1-5. RT consisted of 70 Gy in 7 weeks plus concomitant cisplatin 40 mg/m2 weekly. Results A total of 83 patients were included in the study. Demographics and tumour characteristics were well balanced between both arms. Most of the patients (95%) in the TPF arm received three cycles of induction CT. The rate of grade 3-4 toxicity and the compliance (NCI-CTCAE v3) during cisplatin-RT were not different between both arms. With a median follow-up of 43.1 months, the 3-year PFS rate was 73.9% in the TPF arm versus 57.2% in the reference arm [hazard ratio (HR) = 0.44; 95% confidence interval (CI): 0.20-0.97, P = 0.042]. Similarly the 3 years overall survival rate was 86.3% in the TPF arm versus 68.9% in the reference arm (HR = 0.40; 95% CI: 0.15-1.04, P = 0.05). Conclusion In conclusion, several important aspects can be emphasized: the compliance to induction TPF was good and TPF did not compromise the tolerance of the concomitant RT-cisplatin phase. The improved PFS and overall survival rates needs to be confirmed by further trials.
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Affiliation(s)
- M Frikha
- Medical Oncology Department, Sfax University Hospital, Sfax, Tunisia
| | - A Auperin
- Department of Statistics, Gustave-Roussy, Villejuif, France
| | - Y Tao
- Department of Radiation Oncology, Gustave-Roussy, Villejuif, France
| | - F Elloumi
- Radiation Oncology Department, Sfax University Hospital, Sfax, Tunisia
| | - N Toumi
- Radiation Oncology Department, Sfax University Hospital, Sfax, Tunisia
| | - P Blanchard
- Department of Radiation Oncology, Gustave-Roussy, Villejuif, France
| | - P Lang
- Radiation Oncology Department, Pitié Salpetrière, Paris, France
| | - S Sun
- Radiation Oncology Department, Centre Hospitalier Montbeliard, Montbeliard, France
| | - S Racadot
- Radiation Oncology Department, Centre L. Bérard, Lyon, France
| | - J Thariat
- Department of Oncology, Centre A. Lacassagne, Nice, France
| | - M Alfonsi
- Radiation Oncology Department, Clinique St Catherine, Avignon, France
| | - C Tuchais
- Radiation Oncology Department, Centre C. Papin, Angers, France
| | - A Cornely
- Department of Statistics, Gustave-Roussy, Villejuif, France
| | - A Moussa
- Department of Statistics, Gustave-Roussy, Villejuif, France
| | - J Guigay
- Department of Oncology, Centre A. Lacassagne, Nice, France
| | - J Daoud
- Radiation Oncology Department, Sfax University Hospital, Sfax, Tunisia.
| | - J Bourhis
- Department of Radiation Oncology, Gustave-Roussy, Villejuif, France; Radiation Oncology Department, CHUV, Lausanne, Switzerland.
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Ben Kridis W, Karray W, Marrekechi G, Khanfir A, Frikha M. A prospective study about the nutritional status of cancer patients in the Southern of Tunisia. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy440.001] [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: 11/12/2022] Open
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Ghorbal L, Hdiji A, Ben Salah H, Elloumi F, Frikha M, Elloumi M, Daoud J. [Results of a retrospective study on radiotherapy for gastric mucosa-associated lymphoid tissue lymphoma]. Cancer Radiother 2018; 22:763-766. [PMID: 30337049 DOI: 10.1016/j.canrad.2018.02.001] [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: 09/28/2017] [Revised: 01/10/2018] [Accepted: 02/06/2018] [Indexed: 02/07/2023]
Abstract
PURPOSE We aimed to evaluate therapeutic results of radiotherapy for gastric mucosa-associated lymphoid tissue (MALT) lymphomas. PATIENTS AND METHODS We reviewed retrospectively the records of 11 patients presenting with gastric MALT lymphoma treated between 1993 and 2014. Patients with low-grade lymphoma in failure after helicobacter eradication had exclusive gastric external radiotherapy. Chemotherapy followed by radiotherapy were indicated in case of high grade lymphoma. Radiotherapy doses range between 30 and 40Gy (2Gy per fraction, five fractions per week). RESULTS All tumours were IE stage. Seven patients with low-grade lymphoma had radiotherapy. Four patients with high-grade lymphoma received chemotherapy then radiotherapy. Ten patients are in complete remission after treatment achievement. Five and 10 years disease-free survival are 100%. No severe toxicity was seen. CONCLUSION Eradication of Helicobacter pylori is the mainstay of treatment of gastric MALT. External irradiation is an effective and well-tolerated treatment modality in case of resistance to helicobacter eradication.
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Affiliation(s)
- L Ghorbal
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, avenue Majida-Boulila, 3027 Sfax, Tunisie.
| | - A Hdiji
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, avenue Majida-Boulila, 3027 Sfax, Tunisie
| | - H Ben Salah
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, avenue Majida-Boulila, 3027 Sfax, Tunisie
| | - F Elloumi
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, avenue Majida-Boulila, 3027 Sfax, Tunisie
| | - M Frikha
- Service de carcinologie médicale, CHU Habib-Bourguiba, avenue Majida-Boulila, 3089 Sfax, Tunisie
| | - M Elloumi
- Service d'hématologie clinique, CHU Hédi-Chaker, route El Ain, 3027 Sfax, Tunisie
| | - J Daoud
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, avenue Majida-Boulila, 3027 Sfax, Tunisie
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Kallel M, Fessi Z, Siala W, mnejja W, Fourati N, daoud H, Boudawara T, Boudawara Z, Frikha M, Daoud J. Adult medulloblastoma: An oncology radiation therapy department experience with 22 cases. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy273.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Ben Kridis W, Ben Hassena R, Charfi S, Toumi N, Boudawara T, Khanfir A, Frikha M. Gastric signet-ring cell carcinoma with hypersecretion of β-Human chorionic gonadotropin and review of the literature. Exp Oncol 2018; 40:149-151. [PMID: 29949529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
β-Human chorionic gonadotropin (β-HCG) is an embryonic protein secreted by the syncytiotrophoblast of the placenta. The determination of the plasma β-HCG level is routinely used for the diagnosis and the follow-up of germ cell tumors. Some adenocarcinomas have been described as being rarely associated with β-HCG hypersecretion. We report a case of gastric signet-ring cell carcinoma with β-HCG hypersecretion and propose hypotheses to explain the pathogenesis of such hypersecretion.
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Affiliation(s)
- W Ben Kridis
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - R Ben Hassena
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - S Charfi
- Department of Pathology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - N Toumi
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - T Boudawara
- Department of Pathology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - A Khanfir
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - M Frikha
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
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Toumi N, Ben Kridis W, Mnejja W, Bouzguenda R, Khanfir A, Ghorbel A, Daoud J, Frikha M. TPF induction chemotherapy followed by concurrent chemoradiotherapy for locally advanced nasopharyngeal carcinoma: Long term results of a Tunisian series. Cancer Radiother 2018; 22:216-221. [PMID: 29650387 DOI: 10.1016/j.canrad.2017.10.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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: 09/12/2017] [Revised: 09/21/2017] [Accepted: 10/04/2017] [Indexed: 11/25/2022]
Abstract
PURPOSE We represent in this study the long term results of docetaxel, cisplatin and 5-fluorouracil induction chemotherapy followed by concurrent chemoradiotherapy in Tunisian patients with locally advanced nasopharyngeal carcinoma. The objective of our study is to analyse the efficacy as well as the toxicity of this therapeutic protocol. PATIENTS AND METHODS Between January 2004 and December 2008, 32 patients with locoregional advanced non metastatic disease (T2b or above and/or N1 or above AJCC 2002) were treated in our institution by three cycles of docetaxel, cisplatin and 5-fluorouracil induction chemotherapy every 21 days followed by concurrent chemoradiotherapy. Conventional radiotherapy was delivered using a cobalt 60 machine during 7 weeks with weekly cisplatin (40mg/m2). RESULTS Twenty-nine patients (90%) had presented an objective clinical response in lymph nodes after neoadjuvant chemotherapy, with a complete response in 28%. Acute toxicity of docetaxel, cisplatin and 5-fluorouracil induction chemotherapy was dominated by vomiting (59%), asthenia (40.6%), diarrhea (34.4%) and febrile neutropenia (15.6%). The complete response rate after the end of treatment was around 80%. The 5 years overall survival and disease-free survival were respectively 68.2% and 67.5%. CONCLUSION Our results, in this field of study, are encouraging with acceptable toxicity despite the lack of intensity-modulated radiotherapy technique in our institution during the period of study.
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Affiliation(s)
- N Toumi
- Department of Oncology, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - W Ben Kridis
- Department of Oncology, Habib-Bourguiba Hospital, Sfax, Tunisia.
| | - W Mnejja
- Department of Radiotherapy, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - R Bouzguenda
- Department of Oncology, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - A Khanfir
- Department of Oncology, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - A Ghorbel
- Department of Otorhinolaryngology, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - J Daoud
- Department of Radiotherapy, Habib-Bourguiba Hospital, Sfax, Tunisia
| | - M Frikha
- Department of Oncology, Habib-Bourguiba Hospital, Sfax, Tunisia
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Ben Kridis W, Sghaier S, Toumi N, Boudawara Z, Khanfir A, Daoud J, Frikha M. A long survival of a patient with brain metastasis of unknown site of the primary tumor. Exp Oncol 2018; 40:85-87. [PMID: 29600979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Eighty percent of brain metastases (BM) are diagnosed in patients with known primary site of cancer. BM of unknown primary represents a difficult diagnosis. In up to 15% of patients with BM, the site of the primary tumor will not be detected despite investigations. The prognosis of this entity is very poor. We report here a case of a long survival of a patient with brain metastasis of unknown primary. The conclusion that can be drawn is that within BM of unknown primary exist patients with a very good prognosis that must be collected and published in order to base recommendations.
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Affiliation(s)
- W Ben Kridis
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - S Sghaier
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - N Toumi
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - Z Boudawara
- Department of Neurosurgery, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - A Khanfir
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - J Daoud
- Department of Radiotherapy, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - M Frikha
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
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Kharrat N, Al'Fadhli S, Rebaï M, Aifa M, Kallel I, Khabir A, Sellami-Boudawara T, Frikha M, Rebaï A. (AC) Dinucleotide Repeat Polymorphism in Intron 1 of Human EGFR Shows Ethnic Specificities and High Evidence for Association with Breast Cancer. Int J Biol Markers 2018. [DOI: 10.1177/172460080702200404] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A polymorphic AC repeat in intron 1 of the EGFR gene was genotyped on 352 healthy individuals and 118 women with breast cancer sampled from the Kuwaiti and Tunisian populations. We compared allele frequencies in these populations with published data on various ethnic groups. We found very close similarity between Tunisian and Kuwaiti populations for both allelic and genotypic frequencies and in both control and patient groups. Our analysis revealed clear interethnic differences between populations; in Europeans, allele 16 occurred predominantly, whereas in Tunisia and Kuwait allele 17 was the most frequent and allele 20 predominated in Asians. One hundred twenty-three healthy women, matched with the 118 breast cancer patients, were used as controls to test for associations between AC repeat and cancer risk. Strong evidence for such an association was found for allele 18 when considered alone (χ2=27.04, corrected p=0.0000016, OR=3.94) or with longer alleles (>17 repeats) (χ2=20.21, p=0.0005, OR=2.30). This contrasts with Asian populations where allele 16 was identified as the risk allele, showing allele heterogeneity depending on ethnicity.
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Affiliation(s)
- N. Kharrat
- Centre de Biotechnologie de Sfax, Bioinformatics and Genome Investigation Unit, Sfax - Tunisia
- Department of Medical Laboratory Sciences, Faculty of Allied Health Sciences, Kuwait University, Sulaibekhat - Kuwait
| | - S. Al'Fadhli
- Department of Medical Laboratory Sciences, Faculty of Allied Health Sciences, Kuwait University, Sulaibekhat - Kuwait
| | - M. Rebaï
- Centre de Biotechnologie de Sfax, Bioinformatics and Genome Investigation Unit, Sfax - Tunisia
| | - M.S. Aifa
- Centre de Biotechnologie de Sfax, Bioinformatics and Genome Investigation Unit, Sfax - Tunisia
| | - I. Kallel
- Centre de Biotechnologie de Sfax, Bioinformatics and Genome Investigation Unit, Sfax - Tunisia
| | - A. Khabir
- Laboratoire d'Anatomie Pathologique, Habib Bourguiba Hospital, Sfax
| | | | - M. Frikha
- Service de Carcinologie, Habib Bourguiba Hospital, Sfax - Tunisia
| | - A. Rebaï
- Centre de Biotechnologie de Sfax, Bioinformatics and Genome Investigation Unit, Sfax - Tunisia
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Fourati N, Kallel M, Fatma D, Elloumi F, Khabir A, Chaabene K, Frikha M, Daoud J. Intérêt de l’escalade de dose à la paroi thoracique dans le traitement des cancers du sein classés T4bM0. Cancer Radiother 2017. [DOI: 10.1016/j.canrad.2017.08.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Siala W, Sellami N, Toumi N, Drira M, Ghorbel A, Frikha M, Daoud J. PO-070: Conventional vs bifractionated radiotherapy innasopharyngeal cancer 10years followup of phase3 trial. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30204-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ghorbal L, Elloumi F, Siala W, Khabir A, Ghorbel A, Frikha M, Daoud J. Aspects anatomocliniques et thérapeutiques des récidives locales des carcinomes du nasopharynx. Cancer Radiother 2017; 21:40-44. [DOI: 10.1016/j.canrad.2016.09.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Revised: 07/22/2016] [Accepted: 09/11/2016] [Indexed: 11/29/2022]
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Frikha M, Chaâri N, Mezghanni N, Souissi N. Influence of warm-up duration and recovery interval prior to exercise on anaerobic performance. Biol Sport 2017; 33:361-366. [PMID: 28090140 PMCID: PMC5143772 DOI: 10.5604/20831862.1221830] [Citation(s) in RCA: 19] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 11/25/2014] [Accepted: 08/25/2016] [Indexed: 11/26/2022] Open
Abstract
The purpose of the study was to determine the impact of different active warm-up (AWU) durations and the rest interval separating it from exercise on anaerobic performance. Eleven male physical education students (22.6 ± 2.52 years; 179.2 ± 4.3 cm; 82.5 ± 9.7 kg; mean ± SD) participated in a cross-over randomized study, and they all underwent the Wingate test after three AWU durations: 5 min (AWU5), 15 min (AWU15) and 20 min (AWU20), with recovery (WREC) or without a recovery interval (NREC) separating the AWU and anaerobic exercise performance. All the AWUs consisted of pedalling at a constant pace of 60 rpm at 50% of the maximal aerobic power. The rest interval between the end of warm-up and the beginning of exercise was set at 5 min. During the Wingate test, peak power (PP), mean power (MP) and the fatigue index (FI) were recorded and analysed. Oral temperature was recorded at rest and at the end of the warm-up. Likewise, rest, post-warm-up and post-Wingate heart rate (HR) and rating of perceived exertion (RPE) were recorded during each session. The ANOVA showed a significant effect of recovery interval, warm-up duration and measurement point on RPE scores (P<0.001). Although the effect of AWU duration on MP and PP was significant (P<0.05), the effect of the recovery interval on both parameters was not significant (P>0.05). Moreover, the analyses showed a significant interaction between recovery interval and AWU duration (P<0.001 and P<0.05 for MP and PP respectively). The AWU15 duration improves the MP and PP when associated with a recovery interval prior to exercise of 5 min. However, the AWU5 duration allows better improvement of power output when the exercise is applied immediately after the warm-up. Consequently, physically active males, as well as educators and researchers interested in anaerobic exercise, must take into account the duration of warm-up and the following recovery interval when practising or assessing activities requiring powerful lower limb muscle contractions.
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Affiliation(s)
- M Frikha
- Research Laboratory "Sports Performance Optimization" National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia; College of Education, King Faisal University, Al Ahsa, KSA
| | - N Chaâri
- Research Laboratory "Sports Performance Optimization" National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - N Mezghanni
- High Institute of Sport and Physical Education, Sfax University, Sfax Tunisia
| | - N Souissi
- Research Laboratory "Sports Performance Optimization" National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia; National Observatory of Sport, Tunis, Tunisia
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Fourati N, Ben Salah H, Sellami N, Rebai N, Bahri M, Mhiri N, Frikha M, Daoud J. Effet hémostatique de la radiothérapie dans la prise en charge des cancers de la vessie. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ben Salah H, Bourmèche M, Kallel M, Bahri M, Sallemi N, Mzali R, Frikha M, Daoud J. Chimioradiothérapie postopératoire des carcinomes de la vésicule biliaire. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.039] [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: 11/27/2022]
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Ayadi I, Abdelli I, Chaabouni Y, Toumi N, Khanfir A, Hachicha J, Frikha M. Syndrome de Fanconi lié à l’ifosfamide. Nephrol Ther 2016. [DOI: 10.1016/j.nephro.2016.07.180] [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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Ayedi I, Abdelli I, Chaabouni H, Charfi S, Khanfir A, Toumi N, Mhiri N, Daoud J, Frikha M. [Neuroendocrine carcinoma of the bladder: A single centre retrospective study]. Cancer Radiother 2016; 20:1-5. [PMID: 26762704 DOI: 10.1016/j.canrad.2015.05.033] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 05/22/2015] [Indexed: 11/26/2022]
Abstract
PURPOSE Neuroendocrine carcinoma of the bladder is a rare tumour representing 0.5 to 1% of bladder tumours. It is a specific histological entity characterized by rapid metastatic dissemination and poor prognosis. The aim of this study was to describe the epidemiological, clinical, therapeutic modalities and the evolutive aspects of patients receiving a treatment for bladder neuroendocrine carcinoma. PATIENTS AND METHODS Between January 2004 and January 2014, seven patients received a treatment for a neuroendocrine carcinoma of the bladder, at the department of oncology, Habib-Bourguiba Hospital, in Sfax, Tunisia. RESULTS The median age was 58 years. All patients were male. Neuroendocrine carcinoma was pure in four cases and associated with urothelial carcinoma in the other three cases. Two patients were diagnosed at a metastatic stage. A cystectomy was performed in two cases. One patient received a chemotherapy and radiotherapy. The other four patients received chemotherapy alone. A single case of complete remission was observed. Median survival was 15 months (5-30 months). One patient is still alive 30 months after diagnosis. CONCLUSION The management of neuroendocrine carcinoma of the bladder is not standardized and requires a multidisciplinary consultation.
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Affiliation(s)
- I Ayedi
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - I Abdelli
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - H Chaabouni
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie.
| | - S Charfi
- Service d'anatomopathologie, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - A Khanfir
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - N Toumi
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - N Mhiri
- Service d'urologie, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - J Daoud
- Service de radiothérapie, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
| | - M Frikha
- Service de carcinologie médicale, CHU Habib-Bourguiba, route Elain km 1, 3027 Sfax, Tunisie
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Rejab H, Kridis WB, Triki H, Foued Frikha M, Khanfir A, Frikha M, Mzali R. An unusual case of gallbladder cancer. Acta Clin Belg 2015; 70:382-3. [PMID: 26364562 DOI: 10.1179/2295333715y.0000000033] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Pure squamous cell carcinoma (SCC) of gallbladder is a very rare tumour and is responsible for only 3% of the malignant neoplasm of this organ. We report a case of SCC of gallbladder in a 58-year-old woman. Through this new observation, we propose to study the clinicopathologic features, pathogeny and treatment of this rare entity.
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Affiliation(s)
- H Rejab
- Department of Surgery, Habib Bourguiba Hospital Sfax , Tunisia
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Feki J, Fourati N, Mnif H, Khabir A, Toumi N, Khanfir A, Boudawara T, Amouri H, Daoud J, Frikha M. [Primary neuroendocrine tumors of the breast: a retrospective study of 21 cases and literature review]. Cancer Radiother 2015. [PMID: 26215367 DOI: 10.1016/j.canrad.2015.04.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE The aim of the present study was to discuss the epidemiology, clinical and pathologic features, treatment, and prognosis of primary neuroendocrine carcinomas of the breast. PATIENTS AND METHODS We report 21 cases diagnosed over a period of 12 years (1995-2011) at the university hospital of Sfax. A review of the clinical data with pathology and immunohistochemistry study was carried out for all the cases. RESULTS The average age was 62 years (34-86 years). At the time of the diagnosis, tumours were classified T1 and T2 (16 cases), N1 (11 cases) and M1 in two cases. The histological examination has shown 13 cases of solid neuroendocrine carcinoma, six cases of large cell type and two cases of atypical carcinoid. Grade I and II SBR were found in 18 cases. Eighty-one percent of the tumours were reactive for synaptophysin; all tumours were positive for chromogranin. Thirteen (61.9%) tumours were estrogen receptor-positive and 12 (57.5%) progesterone receptor-positive. Nineteen (90.5%) tumours were negative for HER2/neu. Overall five-year survival was 72.7%. All patients had surgical treatment with modified radical mastectomy in 13 cases. Adjuvant treatment was indicated according to histopronostic elements. CONCLUSION For primary neuroendocrine carcinoma of the breast, multivariate analysis identified three predictive factors for mortality: disease stage, histological grade and lymph node involvement.
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Affiliation(s)
- J Feki
- Service de carcinologie médicale, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - N Fourati
- Service de carcinologie-radiothérapie, CHU Habib-Bourguiba, 3029 Sfax, Tunisie.
| | - H Mnif
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - A Khabir
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - N Toumi
- Service de carcinologie médicale, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - A Khanfir
- Service de carcinologie médicale, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - T Boudawara
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - H Amouri
- Service de gynécologie-obstétrique, CHU Hédi-Chaker, 3029 Sfax, Tunisie
| | - J Daoud
- Service de carcinologie-radiothérapie, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
| | - M Frikha
- Service de carcinologie médicale, CHU Habib-Bourguiba, 3029 Sfax, Tunisie
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Abstract
Paratesticular rhabdomyosarcoma is a rare tumor. Multimodality treatment should involve surgery, radiotherapy and chemotherapy, which are indicated according to risk groups. Risk group stratification depends on pretreatment staging and definitive histology. Patients older than 10years or those with suspected lymph nodes on imaging have higher incidence of lymph node involvement. Prognosis is excellent for localized tumors, survival rates exceed 90%. We report a case of embryonal paratesticular rhabdomyosarcoma treated in our institution.
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Affiliation(s)
- L Ghorbal
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie.
| | - W Abid
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie
| | - F Elloumi
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie
| | - T Sallemi
- Service d'anatomopathologie, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie
| | - M Frikha
- Service de carcinologie médicale, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie
| | - J Daoud
- Service de radiothérapie carcinologique, CHU Habib-Bourguiba, université de Sfax, route Majida-Bouleila, 3027 Sfax, Tunisie
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Feki J, Fourati N, Boudawara T, Daoud J, Frikha M. [Basal cell carcinoma revealed during treatment of breast cancer by trastuzumab]. ACTA ACUST UNITED AC 2015; 43:686-7. [PMID: 26189098 DOI: 10.1016/j.gyobfe.2015.06.007] [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: 03/18/2015] [Accepted: 06/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- J Feki
- Service d'oncologie médicale, CHU Habib Bourguiba, 3029 Sfax, Tunisie
| | - N Fourati
- Service d'oncologie radiothérapie, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
| | - T Boudawara
- Service d'anatomopathologie, CHU Habib Bourguiba, 3029 Sfax, Tunisie
| | - J Daoud
- Service d'oncologie radiothérapie, CHU Habib Bourguiba, 3029 Sfax, Tunisie
| | - M Frikha
- Service d'oncologie médicale, CHU Habib Bourguiba, 3029 Sfax, Tunisie
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Abbes W, Feki I, Ben Touhèmi D, Ayedi I, Baati I, Masmoudi J, Frikha M, Jaoua A. Quality of Life, Anxiety and Depression in Patients with Cancer. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)30526-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Mnejja W, Toumi N, Bouzguenda R, Siala W, Khanfir A, Ghorbel M, Frikha M, Daoud J. PO-078: Concurrent Cisplatin-radiotherapy with or without induction chemotherapy in nasopharyngeal carcinoma. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)34838-6] [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: 11/29/2022]
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Ghorbal L, Jmour O, Elloumi F, Siala W, Toumi N, Ghorbel A, Frikha M, Daoud J. PO-064: Nodal failures of nasopharyngeal cancer: a Tunisian experience. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)34824-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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36
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Feki J, Marrekchi G, Boudawara T, Rekik N, Maatouq S, Boudawara Z, Frikha M. Subdural hematoma during therapy of gastro-intestinal stromal tumor (GIST) with Imatinib mesylate. Gulf J Oncolog 2015; 1:92-95. [PMID: 25682460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2014] [Indexed: 06/04/2023]
Abstract
Imatinib mesylate is a widely used tyrosine-kinase inhibitor (TKI) in chronic myeloid leukemia (CML) treatment. Imatinib has contributed to complete and prolong cytogenetic responses so that it is now the standard treatment of CML. Recently, Imatinib mesylate has shown a significantly prolonged progression-free survival and overall survival in metastatic and locally advanced c-Kit positive gastro-intestinal stromal tumors (GISTs) and more recently a prolonged disease-free survival in operated high risk GIST. Imatinib is a welltolerated treatment with few side effects mainly gastro-intestinal symptoms (nausea, vomiting and diarrhea), headaches, rash and periorbital edema. Hemorrhage incidents are rare in patients treated with Imatinib. They are more frequently seen in CML patients. Hemorrhage incidents in CML include in many cases upper gastro-intestinal (GI) tract bleeding and central nervous system bleeding in rare ones. In GIST patients treated with Imatinib, hemorrhage incidents are exclusively made of upper GI tract bleeding consecutive to tumor perforation or necrosis. In our observation, we present the case of a subdural hematoma occurring in a patient treated with adjuvant Imatinib for a high risk localized gastric GIST. No other case of subdural hematoma in GIST treated with Imatinib has been reported in literature.
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Affiliation(s)
- J Feki
- Dept. of Medical Oncology, Habib Bourguiba Hospital, Tunisia
| | - G Marrekchi
- Dept. of Medical Oncology, Habib Bourguiba Hospital, Tunisia
| | - T Boudawara
- Dept. of Anatomopathology, Habib Bourguiba Hospital, Tunisia
| | - N Rekik
- Dept. of Emergency Medicine, Habib Bourguiba Hospital, Tunisia
| | - S Maatouq
- Dept. of Legal Medicine, Habib Bourguiba Hospital, Tunisia
| | - Z Boudawara
- Dept. of Neurosurgery, Habib Bourguiba Hospital, Tunisia
| | - M Frikha
- Dept. of Medical Oncology, Habib Bourguiba Hospital, Tunisia
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Khanfir A, Feki J, Zidi Z, Masmoudi S, Bayrouti MI, Daoud J, Frikha M. [Prognostic factors in metastatic colorectal cancer in Tunisia: A retrospective study of 130 patients]. Tunis Med 2015; 93:11-15. [PMID: 25955363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
BACKGROUND The survival of patients with a metastatic colon cancer has improved with palliative chemotherapy, targeted therapies and surgery. Several prognostic factors influencing the survival of these patients were identified in the literature represented mainly by clinical factors: general condition, number and site of metastases, rate of white blood cells, initial carcinoembryonic antigen (CEA) rate, hemoglobin level, and therapeutic factors mainly represented by resection of metastases. AIM To evaluate within a Tunisian retrospective study the significant prognostic factors on survival of metastatic colorectal cancer (MCRC). METHODS We collected retrospectively 130 patients with MCRC treated in Sfax from january 2000 to December 2007. Uni and multivariate analysis were performed according to cox model for the following factors : Age or > 40 years, gender, synchronous vs metachronous metastases, disease-free survival (DFI) 1 > 1year, tumor site(colon vs rectum), performance status or PS ( 0-1or 2-3), white blood cells count (< or > 103/ml3 , haemoglobin rate (Hb) or > 11g/dl, seric carcinoembryonic antigen rate (CEA) < vs > 10 ng/ml, number of metastatic sites (single vs multiple), site of metastatic site (liver vs extrahepatic) and resection or not of the metastatic localizations. RESULTS Statistical analysis showed for univariate analysis the positive impact of : PS 1, (Hb) rate > 11 g/dl, CEA) < 10 ng/ml and resection of metastases, while in in multivariate analysis, they were : a good PS and Hb > 11 g/dl. CONCLUSION Our retrospective study confirmed the known prognostic impact of simple clinical tools like a good performance Status and Hb > 11 g/dl, a (CEA) rate lower than 10 ng/ml and resection of metastases which were identified by several other series such as predictive factors of a better survival in patients with metastatic colorectal cancer.
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Daoud J, Ben Kridis W, Elloumi F, Ayedi I, Mnejja W, Yaich O, Frikha M. Preliminary Results of the Experience of Dar El Amal and Analysis of Feasibility of Mammographiy in Screening for Breast Cancer in Women Younger Than 50 Years. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu327.39] [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: 11/14/2022] Open
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Pérez-Bonilla A, Frikha M, Lázaro R, Mateos G. Type of grinding of the main cereal of the diet affects production of brown egg-laying hens. Anim Feed Sci Technol 2014. [DOI: 10.1016/j.anifeedsci.2014.05.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Elloumi F, Fourati N, Siala W, Ghorbell L, Jlidi R, Ghorbel A, Frikha M, Daoud J. [Large cell neuroendocrine carcinoma of the nasopharynx: A case report]. Cancer Radiother 2014; 18:208-10. [PMID: 24837649 DOI: 10.1016/j.canrad.2014.03.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [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: 01/03/2014] [Revised: 02/08/2014] [Accepted: 03/19/2014] [Indexed: 10/25/2022]
Abstract
Neuroendocrine carcinoma of the head and neck is a rare entity. The parotid gland is the most commonly affected site. A nasopharyngeal site has not been previously described. We report a 35-year-old patient who consulted for tinnitus and nasal obstruction. The assessment found a nasopharyngeal tumour T4N0M0. The patient underwent 6 cycles of chemotherapy based on VP16 and cisplatin, followed by radiotherapy at a dose of 70 Gy to the nasopharynx and 50 Gy to the neck. The evolution was marked by clinical improvement and radiological stability. Six months after the end of treatment, the patient had a local and meningeal relapse. He received palliative care. He died 19 months after the end of treatment.
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Affiliation(s)
- F Elloumi
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie
| | - N Fourati
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie.
| | - W Siala
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie
| | - L Ghorbell
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie
| | - R Jlidi
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie
| | - A Ghorbel
- Service d'ORL, CHU Habib Bourguiba, Sfax, Tunisie
| | - M Frikha
- Service de carcinologie médicale, CHU Habib Bourguiba, Sfax, Tunisie
| | - J Daoud
- Service de radiothérapie oncologique, CHU Habib Bourguiba, Sfax, Tunisie
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Frikha M, Mohiti-Asli M, Chetrit C, Mateos G. Hydrolyzed porcine mucosa in broiler diets: Effects on growth performance, nutrient retention, and histomorphology of the small intestine. Poult Sci 2014; 93:400-11. [DOI: 10.3382/ps.2013-03376] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Mateos G, Mohiti-Asli M, Borda E, Mirzaie S, Frikha M. Effect of inclusion of porcine mucosa hydrolysate in diets varying in lysine content on growth performance and ileal histomorphology of broilers. Anim Feed Sci Technol 2014. [DOI: 10.1016/j.anifeedsci.2013.09.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mseddi M, Frikha M, Abid D, Chaabène K, Chami I, Boudaya S, Amouri H, Turki H. Corrélation entre manifestations cutanées de la grossesse et sexe du fœtus. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Daoud J, Ghorbal L, Siala W, Elloumi F, Ghorbel A, Frikha M. [Is there any difference in therapeutic results of nasopharyngeal carcinoma between adults and children?]. Cancer Radiother 2013; 17:763-7. [PMID: 24269016 DOI: 10.1016/j.canrad.2013.06.046] [Citation(s) in RCA: 7] [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] [Received: 12/18/2012] [Revised: 06/19/2013] [Accepted: 06/25/2013] [Indexed: 01/01/2023]
Abstract
PURPOSE To compare therapeutic results of nasopharyngeal carcinoma between adults and children. PATIENTS AND METHODS Three hundred and seventy seven patients with nasopharyngeal carcinoma received a radiotherapy between 1993 and 2007. Sixty-nine of them were 20years old or less. Two hundred and sixty eight patients received a chemotherapy (neoadjuvant or concomitant). RESULTS Overall survival and disease-free survival at 5 years were 67 % and 59.4 % in all patients, respectively. Overall survival rates at 5 years in children and adults were 66 % and 64 %, respectively (P=0.17), disease-free survival rates at 5 years were 66 % and 57 %, respectively (P=0.17). Local failures occurred more frequently in adults than in children (1.4 % versus 14 %). However, metastatic events were frequently seen in children. Late toxicities were important in children, xerostomia was the most common one. CONCLUSION Despite locally advanced disease in children, therapeutic results were better than in adults but not statistically significant. The use of treatment combination (chemotherapy and radiotherapy) in juvenile nasopharyngeal carcinoma may explain our findings.
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Affiliation(s)
- J Daoud
- Service de radiothérapie carcinologique, université de Sfax, CHU Habib-Bourguiba, route Majida-Bouleila, 3027 Sfax, Tunisie
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Elloumi F, Siala W, Kallel M, Ghorbel L, Ghorbel A, Frikha M, Daoud J. Étude comparative en fonction de l’âge des caractéristiques cliniques et évolutives des carcinomes nasopharyngés. Cancer Radiother 2013. [DOI: 10.1016/j.canrad.2013.07.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bahri M, Bourmèche M, Ben salah H, Guermazi F, Frikha M, Daoud J. Évaluation de la fraction d’éjection ventriculaire après radiothérapie du cancer du sein. Cancer Radiother 2013. [DOI: 10.1016/j.canrad.2013.07.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Siala W, Mnejja W, Bouzguenda R, Toumi N, Ghorbel A, Frikha M, Daoud J. Chimiothérapie à base de cisplatine et 5-fluoro-uracile, avec ou sans docétaxel, suivie de chimioradiothérapie concomitante dans les carcinomes nasopharyngés. Cancer Radiother 2013. [DOI: 10.1016/j.canrad.2013.07.116] [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: 11/27/2022]
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Bahri M, Elloumi F, Bourmèche M, Saidi A, Boudawara T, Frikha M, Daoud J. Récidives mammaires après chirurgie conservatrice d’un cancer du sein. Cancer Radiother 2013. [DOI: 10.1016/j.canrad.2013.07.086] [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: 10/26/2022]
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Frikha M, Valencia DG, de Coca-Sinova A, Lázaro R, Mateos GG. Ileal digestibility of amino acids of unheated and autoclaved pea protein concentrate in broilers. Poult Sci 2013; 92:1848-57. [PMID: 23776273 DOI: 10.3382/ps.2013-03007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2023] Open
Abstract
The effects of autoclaving 2 varieties of micronized (fine grinding) pea protein concentrate (PPC) on the ileal digestibility (ID) of CP and amino acids (AA) were studied in broilers. There was a control diet based on fermented soybean meal (FSBM) and 4 extra diets in which the FSBM was substituted on a CP basis by PPC from 2 different pea cultivars (PPC-1 and PPC-2), either unheated or autoclaved. Chicks were fed a common diet from 1 to 17 d of age and, then, their respective experimental diets from 18 to 21 d of age. Each treatment was replicated 6 times. Autoclaving reduced trypsin inhibitor activity (TIA) but had little effect on the saponin content of the PPC. The apparent ID (AID) of CP was similar for the FSBM and the unheated PPC and lower for both than for the autoclaved PPC. Autoclaving improved (P < 0.001) the AID of CP (87.6 vs. 82.2%) and most indispensable AA (e.g., 92.1 vs. 88.8% for Lys and 83.6 vs. 76.5% for Thr) of the PPC. The improvement in CP and AA digestibility with autoclaving varied with the PPC used and was consistent with the reduction in TIA observed (9.4 to 2.8 mg/g for PPC-1 vs. 9.1 to 5.3 mg/g for PPC-2). The standardized ID (SID) of most indispensable AA was similar for the FSBM and the PPC-2 and higher for both than for the PPC-1 (P < 0.05). For Lys, the lowest SID value was observed for the FSBM and the highest for the PPC-2 either unheated or autoclaved. It is concluded that the ID of the AA of the PPC improved with heating and was in general higher for the autoclaved PPC than for the FSBM. Consequently, heat processed PPC is a good alternative to FSBM and unheated PPC in starter diets for broilers.
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Affiliation(s)
- M Frikha
- Departamento de Producción Animal, Universidad Politécnica de Madrid, Ciudad Universitaria, Madrid, Spain
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Abstract
Drug-induced pancreatitis is rare (1.4-2%). This report describes a 20-year-old female patient who developed acute pancreatitis while being treated for neurosarcoma of abdominal wall with the ifosfamide and doxorubicin regimen. Although it is unusual, it is important to consider chemotherapeutic agents as a possible etiology for acute pancreatitis in patients presenting with gastrointestinal symptoms.
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Affiliation(s)
- W Ben Kridis
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia.
| | - A Khanfir
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
| | - M Frikha
- Department of Oncology, Habib Bourguiba Hospital, Sfax 3029, Tunisia
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