Carcinome métaplasique du sein : à propos d’un cas

Le carcinome métaplasique du sein est une tumeur maligne primaire rare et agressive, représentant 0,2-5% de tous les cancers du sein. Cette tumeur maligne est caractérisée par la présence histologique d'au moins deux types cellulaires, généralement des composants épithéliaux et mésenchymateux. Nous rapportons le cas d’une patiente qui présentait un carcinome métaplasique du sein droit. A travers ce cas et une revue de la littérature, les caractéristiques anatomo-cliniques, radiologiques, thérapeutiques et évolutives seront discutées.Les variantes métaplasiques sont agressives, chimiorésistantes et ont une forte propension à métastaser ainsi qu’un risque de récidive locale plus élevé, rendant ainsi leur pronostic plus sombre que les carcinomes du sein non métaplasiques c'est-à-dire, les carcinomes canalaires invasifs. Même si les carcinomes métaplasiques du sein sont traités de la même manière que les carcinomes invasifs, il n’en reste pas moins que leur prise en charge reste difficile et qu’il n’existe pas de standard thérapeutique. Le principal traitement reste la chirurgi

Stochastic optimization over the integer efficient set of multiobjective transportation problem

International audienc

Stochastic optimization over the integer efficient set of multiobjective transportation problem

International audienc

Chemical composition, antioxidant and insecticidal activities of a new essential oil chemotype of Pinus nigra ssp. mauritanica (Pinaceae), northern Algeria

Essential oil (EO) of aerial parts (twigs and needles) of an Algerian-Moroccan endemic pine Pinus nigra Arn. ssp. mauritanica (Mair. & Pey.) (Pinaceae) collected in Northern Algeria were extracted by hydrodistillation (HD) and solid phase micro-extraction (SPME). The compounds were analysed using Gas Chromatography (GC) and GC-Mass Spectrometry (GC-MS). The mean oil yield was 0.23%, for twigs and 0.47% for needles. 83 and 91 compounds have been identified for needles and twigs respectively. Chemical divergences from all other studied Black pines worldwide were observed in needles where the major components identified by HD are β-caryophyllene (26.2%), germacrene D (17.2%), α-pinene (9.4%) unveiling a new chemotype. Significative qualitative and quantitative differences were observed in chemical composition, depending on both technics HD and SPME. Twigs showed a higher potential for the antioxidant activities DPPH, ABTS and β-carotene system than EO needles. In other hand, needles revealed a higher activity for all concentrations than twigs with significant differences (p < 0.05). For phosphomolybden tests, both EOs exhibited more significant antioxidant potential compared to the DPPH, ABTS, β-carotene and reducing power systems. Noticeable insecticidal effects with variable rate depending on used plant parts, concentration, duration and frequency of exposure were also observed

Neurotensin receptor type 2 protects B-cell chronic lymphocytic leukemia cells from apoptosis

International audienc

Physical-chemical characterization and ecotoxicity of residues from alteration of engineered nanomaterials

19th Annual VM Goldschmidt Conference, Davos, SWITZERLAND, JUN 21, 2009International audienceno abstrac

Intraoperative Autofluorescence Imaging for Parathyroid Gland Identification during Total Laryngectomy with Thyroidectomy

Objective: Hypoparathyroidism is a known complication of total laryngectomy, although parathyroid preservation and/or reimplantation are not routine. Autofluorescence is a new technique for identifying parathyroid glands intraoperatively. The aim of this study was to evaluate the feasibility of autofluorescence in this context. Materials and Methods: A retrospective study of patients undergoing total laryngectomy/pharyngectomy with concomitant thyroidectomy using the Fluobeam® (Fluoptics, Grenoble, France) and frozen section of a parathyroid fragment in case of reimplantation. The rates of identification using autofluorescence, reimplantation, and hypoparathyroidism were evaluated. Results: Eighteen patients (16 males, median age 67) underwent total laryngectomy/pharyngectomy with total thyroidectomy (n = 12) or hemithyroidectomy (n = 6). A median of 2 parathyroid glands were identified per patient. Ninety-two percent were identified by autofluorescence before visualisation. All parathyroids were reimplanted due to devascularization. Temporary hypoparathyroidism occurred in nine patients, and was permanent in one patient. After 34 months of median follow-up (range 1–49), no tumor recurrence was observed in the reimplantation sites. Conclusions: To our knowledge, this is the largest study to evaluate autofluorescence during total laryngectomy with thyroidectomy. No tumor recurrence occurred in the sites of parathyroid reimplantation