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Biomedical subjects

M Abbes

Publications and source records attributed to M Abbes.

104 records · Page 6Linked to original sources

[Primary breast sites of malignant non-Hodgkin's lymphoma. Apropos of 10 cases].

The authors describe 10 cases of malignant non Hodgkin's lymphoma in a mammary site in women aged 38 to 82 years. The clinical examination and the sometimes suggest an adenocarcinomatous lesion, thus leading to a useless surgical exeresis. An initial histological study provides the diagnosis. A complete assessment of extension allows an accurate staging and the refinement of the therapeutic schedule. Exclusive radiation therapy seems to be justified in low-malignancy forms remaining strictly confined to the breast. For the high- and medium-malignancy forms, the essential weapon is chemotherapy, which seems to improve the duration and rate of remission.

Adult↗

Subcutaneous mastectomy. A review of 130 cases.

Subcutaneous mastectomy (SCM) is discussed in connection with 130 such procedures performed on 108 patients. Seventy-nine malignant breast lesions and 51 benign breast lesions were operated on by this technique, which lies midway between conservative therapy and classical ablation. Conservation of the nipple-areola complex depends on the results of intraoperative biopsy; flaps are reduced when necessary. Breast volume is usually reconstituted using a prosthesis. Eleven of the 79 malignant breast lesions recurred locally (13.6%): generalization of postoperative irradiation thus seems justified, as in conservative therapy protocols. The 5-year survival rate of 83% is comparable to that of other treatment techniques for T1-T2 cancers. Cosmetic results have been improved, and the fact that SCM may give a better result than reconstruction after mastectomy must be kept in mind. However, the technique is only indicated for those cases which would otherwise be suitable for conservative surgery, were it not for the need to resect the gland because of a diffuse pathology.

Adenocarcinoma↗

[Strategy and results in the treatment of squamous cell carcinoma of the anal canal. A review of 51 cases (author's transl)].

In this retrospective study of 51 patients treated for squamous cell carcinoma of the anal canal some aspects of the natural history are touched upon. The authors also discuss their results and define their current therapeutic approach. It is a rare lesion; only 2-3% of all colorectal cancers with a predominance for women (4 to 1) and of 2 histological varieties. The epidermoid type (74%) is made more prevalent though the basal layer type (26%). The prognosis is very poor once the stage T, is passed. The simultaneous finding of a primary lesion and associated inguinal lymphadenopathy is of serious consequences. The proposed therapeutic schema consists of: --Radiotherapy exclusively for T1 lesions. --Preoperative radiotherapy and abdominoperineal resection for all large lesions T3-T4. --For the intermediate T2 lesion: initially radiotherapy (2,500-4,000 rads) followed by careful reevaluation under general anesthesia to define whether further curie-therapy or surgical resection when an unsatisfactory response.

Adult↗

[Study of 241 epitheliomas of uterine cervix (T1-T2) treated by radio-surgical procedure (author's transl)].

A casuistic study of 241 epidermoid cancers of the uterine cervix treated at the Cancer Center in Nice is analysed depending upon various protocols. The cases are studied according to the stage and type of treatment, with indication of the incidence of lymph node involvement. Surgical or radiological procedure, pelvic-node-vaginal recurrence, modalities of death and survival control at five years are detailed. Results reveal the advantage of a radio-surgical procedure.

Carcinoma↗

[Subcutaneous mastectomies. Apropos of 272 cases].

Subcutaneous mammectomy was performed in 272 patients with reconstruction in 256. This type of surgery lies midway between conservative surgery and mammectomy. The conditions of exeresis and prosthetic reconstruction, follow-up (recurrences and metastasis) were analyzed according to each histological type and were comparable with the usually reported results for breast cancer. Likewise, the cosmetic results were staged to analyze the different criteria allowing a symmetrically satisfactory reconstruction. Out come was globally satisfactory (70% good results). The only drawback for subcutaneous mammectomy would be the need to use a prosthesis which requires expertise in both breast surgery and plastic surgery.

Adult↗