SURGERY IN MALIGNANT GERM CELL TUMORS OF CHILDHOOD. RESULTS OF THE SECOND ITALIAN COOPERATIVE STUDY TCG 98

Analysis of treatment and results of the patientsenrolled in the Italian TCG-98 Study, still open and comparison of data with those of the previous Studt TCG-9

Fine-needle aspiration cytology in children with superficial lymphadenopathy.

Introduction: In pediatric population Fine-Needle Aspiration Citology (FNAC) is slowly gaining acceptance in clinical management of Superficial Lymphadenopathy (SL). Our experience adds some data about the usefulness of this technique in diagnosing the cause of a SL and therefore guiding further treatment. Patients and Methods: 238 FNAC were performed in 217 patients with SL, observed at our Institution from 2002 to 2006. The neck was the most frequent localization. The results were available within few hours. In cases of granulomatous findings, the samples were processed for microbiological and PCR test, in order to identify Mycobacteria. Results: 174 were reactive lesions, 38 granulomatous lymphadenopathies, 24 malignant lesions, 2 specimens inadequate for diagnosis. Among the 174 reactive SL, 22 required an incisional biopsy after 1 month follow-up. Among the granulomatous lymphadenopathies, 13 children with Cat-Scratch Disease recovered, 25 with Mycobacteria infection underwent surgical excision. For 24 malignant lesions, the diagnosis was confirmed by further biopsy. Two false negative and no false positive were detected (sensitivity 92%, specificity 100%). No complications were encountered. Conclusions: In our experience FNAC, performed by experienced cytopathologist, has revealed to be a fast, safe, non invasive and inexpensive method to achieve diagnosis in persistent SL. The use of FNAC gave us the possibility to select patients for further investigation and/or surgical treatment. Incisional biopsy remains necessary to confirm the diagnosis in case of malignancy or doubtful lesions

Mature and immature teratoma: A report from the second Italian pediatric study

none16noBACKGROUND: Teratomas demonstrate a benign clinical behavior, however they may recur with malignant components or as teratoma, and in a small group of patients prognosis could be fatal. After the first Italian study, we collected cases of teratoma, alongside the protocol for malignant germ cell tumors. PROCEDURE: Patients with teratoma were collected from 2004 to 2014. Teratomas were classified according to the WHO classifications, as mature and immature. Patients with pathological aFP and/or bHCG, and those with a malignant germ cell component were not included. RESULTS: The study enrolled 219 patients (150 mature, 69 immature teratomas) with a median age at diagnosis of 42 months. The primary sites involved were: 118 gonadal and 101 extragonadal teratomas. Two females with ovarian teratoma had a positive family history. Complete and incomplete surgeries were performed in 85% and 9% of cases. Seventeen events occurred: six females had a second metachronous tumor (5 contralateral ovarian teratoma, 1 adrenal neuroblastoma) and 11 teratomas relapsed/progressed (3 mature, 8 immature teratomas). Two patients died, one of progressive immature teratoma and one of surgical complications. At a median follow up of 68 months, the event-free, relapse-free, and overall survival rates were 90.6%, 94.3%, 98.6%, respectively. CONCLUSIONS: Teratomas show a good prognosis, especially the mature ones: surgery and follow-up remain the standard approach. Incomplete surgery in immature teratoma is the group at greatest risk of relapse. Bilateral ovarian tumors are a possibility, and the rare family predisposition to ovarian mature teratoma warrants further analyses. Pediatr Blood Cancer © 2015 Wiley Periodicals, Inc.noneTerenziani M;D'Angelo P;Inserra A;Boldrini R;Bisogno G;Babbo GL;Conte M;Dall' Igna P;De Pasquale MD;Indolfi P;Piva L;Riccipetitoni G;Siracusa F;Spreafico F;Tamaro P;Cecchetto GTerenziani, M; D'Angelo, P; Inserra, A; Bisogno, Gianni; Bisogno, G; Babbo, Gl; Conte, M; Dall' Igna, P; De Pasquale, Md; Indolfi, P; Piva, L; Riccipetitoni, G; Siracusa, F; Spreafico, F; Tamaro, P; Cecchetto, Giovann

Evaluation du risque Brettanomyces dans le vignoble libanais et étude cinétique de la bioconversion de l'acide p-coumarique en 4-éthylphénol

Les altérations sensorielles des vins dues à la présence des levures du genre Brettanomyces se caractérisent par une augmentation de la teneur en phénols volatils tel que le 4-éthylphénol. Le premier objectif de ce travail était de faire un état des lieux sur le risque éthylphénol au Liban en s'intéressant à la présence d'un précurseur (acide p-coumarique), du microorganisme responsable (Brettanomyces) et du produit final (4-éthylphénol) dans les vins élaborés dans ce pays. Une forte hétérogénéité de concentrations en acide p-coumarique a été observée avec des valeurs variant de 0 à 31,4 mg.L-1. Des niveaux importants de 4-éthylphénols de l'ordre de 1,367 mg.L-1 ont été détectés sur certains vins. Un dépistage du contaminant microbien a permis de confirmer pour la première fois la présence de Brettanomyces au Liban, les proportions restant toutefois assez faibles (3 % des échantillons testés). Une étude génétique a caractérisé les souches retenues qui se sont montrées diverses au sein de l'espèce. Le travail a porté ensuite sur l'analyse cinétique des étapes réactionnelles constituant le processus enzymatique de la bioconversion des substrats acide p-coumarique et 4-vinlphénol en 4-éthylphénol pour 5 souches de Brettanomyces bruxellensis d'origines libanaises et françaises. La variabilité entre les souches s'est exprimée aux niveaux génétique et cinétique. Des profils hétérogènes de bioréaction ont été mis en évidence en fonction de la nature des souches. L'analyse du bilan-matière a révélé l'existence probable de phénomènes d'adsorption sur les parois des Brettanomyces qui sont souche-dépendants. La dernière partie a été consacrée à l'évaluation du lien entre quantité de biomasse et production de 4-éthylphénol ainsi qu'à l'influence de quelques paramètres environnementaux (pH, source d'ammonium et milieu de culture) sur la cinétique réactionnelle.Wine sensory alterations due to the presence of Brettanomyces yeasts are characterized by an increased content of volatile phenols such as 4-ethylphenol. The first aim of this work was to make an inventory of the "ethylphenol" risks in Lebanon by focusing on the presence of one precursor (p-coumaric acid), the microorganism provoking these risks (Brettanomyces) and the final product (4-ethylphenol) in wines produced in this country. High heterogeneity of p-coumaric acid concentration was observed with values ranging from 0 to 31,4 mg.L-1. Significant levels of 4-ethylphenols of about 1,367 mg L-1 have been detected in some wines. Screening of microbial contaminants confirmed the presence of Brettanomyces for the first time in Lebanon, with proportions remaining relatively low (3 % of samples tested). A genetic study has characterized the selected strains which are shown to be various within the species. The second objective of this study was the kinetic analysis of the reaction steps constituting the bioconversion enzymatic process of both substrates p-coumaric acid and 4-vinlphenol into 4-ethylphenol for 5 strains of Brettanomyces bruxellensis of different origins (Lebanon and France). Variability between strains was expressed at both levels, genetic and kinetic. Heterogeneous bioreaction profiles were identified according to strain's nature. The mass balance analysis revealed the possible existence of adsorption phenomena on the cell walls of Brettanomyces which are strain-dependent. The last part was devoted to the evaluation of the relationship between biomass concentration and production of 4-ethylphenol as well as the influence of some environmental parameters (pH, ammonium source and culture medium) on the reaction's kinetic.TOULOUSE-INP (315552154) / SudocSudocFranceF