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Amzerin M, Layachi M, Bazine A, Aassab R, Arifi S, Benbrahim Z, Khmamouche MR, Kairouani M, Raiss H, Majid N, Ouaouch S, Ichou M, Afqir S, Mellas N, Fetohi M, Razine R, Errihani H. Cancer in Moroccan elderly: the first multicenter transverse study exploring the sociodemographic characteristics, clinical profile and quality of life of elderly Moroccan cancer patients. BMC Cancer 2020; 20:983. [PMID: 33046017 PMCID: PMC7552478 DOI: 10.1186/s12885-020-07458-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 05/06/2020] [Accepted: 09/24/2020] [Indexed: 12/13/2022] Open
Abstract
Background Moroccan incidence of cancer is increasing with the lengthening of life expectancy. Data regarding elderly Moroccan cancer patients are lacking. In the context of our project aiming to develop an adapted version of the Comprehensive Geriatric Assessment CGA to the Moroccan population, we launched the first Moroccan multicenter transverse study to explore the characteristics of elderly Moroccan cancer patients. Methods The study was conducted in nine Moroccan medical oncology departments. Patients were enrolled over 4 months. Inclusion criteria were patients aged 65 years or over with verified solid cancer. The questionnaire included four sections: socio-demographic and economic data, clinical data, vulnerability and EORTC-QLQ C30. We explored the entire included population. Then, we compared the results according to age (65–70 years old and ≥ 71 years old) and sex. We also explored the correlation between G8 scores and the ability to practice religion as an indicator of fitness level. Results In total, 164 patients were enrolled. The mean age was 73.18 ± 6.01 years. The majority of patients were married, lived with their children and received their financial income from them. Fifteen percent of families asked to hide the diagnosis from the patient. Breast (23%), colorectal (15.9%) and lung (14%) cancers were the most frequent, and 83.5% had an abnormal G8. The majority of the patients were independent for basic daily activities. Female patients had poorer social and economic conditions. Abnormal G8 was correlated with religious practice and quality of life scores. Conclusion This is the first multicenter prospective study designed to collect data on the lifestyle and clinical profiles of elderly Moroccan cancer patients as an Arab and Muslim population. Our study shows that it is a well-cared-for population with strong social ties. However, there is deep economic vulnerability, especially among women, requiring urgent care. Religious practice is an important daily activity for our elderly patients and should be included in the Moroccan CGA.
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Affiliation(s)
- Mounia Amzerin
- Ahmad Bin Zayed Al Nahyan Center of Cancer Treatment, Department of Medical Oncology, Tangier, Morocco. .,Mohamed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.
| | - Mohamed Layachi
- Mohamed VI University Hospital, Department of Medical Oncology, Marrakech, Morocco
| | - Aziz Bazine
- Moulay Ismail Military hospital, Department of Medical Oncology, Meknes, Morocco
| | - Rachid Aassab
- Hassan II Hospital, Department of Medical Oncology, Agadir, Morocco
| | - Samia Arifi
- Hassan II University Hospital, Department of Medical Oncology, Fez, Morocco
| | - Zineb Benbrahim
- Hassan II University Hospital, Department of Medical Oncology, Fez, Morocco
| | | | - Mouna Kairouani
- Hassan II Oncology Center, Department of Medical Oncology, Mohammed VI University Hospital, Oujda, Morocco
| | - Hanan Raiss
- Reginal Center of Oncology, Department of Medical Oncology, Al-Hoceima, Morocco
| | - Noura Majid
- Ibn Rochd University Hospital, Oncology Center, Department of Medical Oncology, Casablanca, Morocco
| | | | - Mohammed Ichou
- Mohamed V Military teaching Hospital, Department of Medical Oncology, Rabat, Morocco
| | - Said Afqir
- Hassan II Oncology Center, Department of Medical Oncology, Mohammed VI University Hospital, Oujda, Morocco
| | - Nawfal Mellas
- Hassan II University Hospital, Department of Medical Oncology, Fez, Morocco
| | - Mohamed Fetohi
- Moulay Ismail Military hospital, Department of Medical Oncology, Meknes, Morocco
| | - Rachid Razine
- Laboratory of Biostatistics, Epidemiology and Clinical Research, Mohammed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.,Department of Public Health, University of Mohamed V Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
| | - Hassan Errihani
- National Institute Of Oncology, Department of Medical Oncology, Mohamed V University in Rabat, Rabat, Morocco
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Errihani H, Ouaouch S, Abahssain H, Razine R, Mrabti H, Abouqal R, Ichou M, Benjaafar N, Zakkouri FA. Smoking, passive smoking, and lung cancer cell types among women in Morocco: Analysis of epidemiologic profiling of 101 cases. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.7069] [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: 11/20/2022] Open
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Zakkouri FA, Ouaouch S, Boutayeb S, Rimani M, Gamra L, Mrabti H, Errihani H. Squamous cell carcinoma in situ arising in mature cystic teratoma of the ovary: a case report. J Ovarian Res 2011; 4:5. [PMID: 21435262 PMCID: PMC3073952 DOI: 10.1186/1757-2215-4-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2010] [Accepted: 03/24/2011] [Indexed: 11/10/2022] Open
Abstract
Introduction Malignant transformation is a rare complication of mature cystic teratoma with squamous cell carcinoma being the most common type. We report a new case of squamous cell carcinoma in situ. Case presentation A 62 year old woman was admitted for an abdomino-pelvic mass and she underwent a left salpingo-oophorectomy. The histopathologic analysis revealed a squamous cell carcinoma in situ arising in mature cystic teratoma of the ovary. Then, she underwent a total hysterectomy, contralateral salpingo-oophorectomy and omentectomy without adjuvant treatment. Conclusion Optimal cytoreduction has been associated with a statistically significant improvement in survival for malignant transformation of mature cystic teratoma.
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Affiliation(s)
- Fatima A Zakkouri
- Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco.
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