Publications by authors named "Christine le Maignan"

The Ottawa score (OS) for predicting the risk of recurrent venous thromboembolism (VTE) in cancer patients with VTE may help to guide anticoagulant treatment decisions that will optimize benefit-risk ratios. However, data on its reliability are conflicting. We applied the OS to all cancer patients with VTE enrolled in the prospective multicenter TROPIQUE study who received low-molecular-weight heparin over a 6-month period.

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Treatment options for metastatic osteosarcomas are scarce. Following failure of standard first line therapy, patients who relapse present a challenging treatment dilemma, and have a poor prognosis. Surgical removal of all metastases is essential.

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Introduction: Treatment of Venous thromboembolism (VTE) in cancer patients is challenging due to higher risk of VTE recurrence or bleeding under anticoagulants. We assessed the effectiveness of a dedicated "Allo-Thrombosis Cancer" multidisciplinary care program (AlloTC-MCP) that incorporated individualized care, regular follow-ups, telephone counselling, and a patient education program.

Methods And Materials: From September 2017 to October 2019, 100 consecutive cancer patients with new VTE onset were enrolled in this observational single-center prospective pilot study and received standard (control group, n = first 50 patients enrolled) or AlloTC-MCP care (n = next 50 patients enrolled) over a 6-month VTE treatment follow-up period.

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  • A retrospective study in Paris evaluated the effectiveness of neoadjuvant therapy with imatinib or pazopanib for patients with locally advanced dermatofibrosarcoma protuberans (DFSP) over a decade from 2007 to 2017.
  • Among the 27 patients, treatment resulted in a 38.5% rate of complete or partial responses and an 85% disease-free rate after a median follow-up of about 65 months.
  • Most patients underwent successful surgical removal of the tumor, although 85% experienced treatment-related adverse events, with few requiring significant treatment interruptions.
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Alveolar rhabdomyosarcoma (ARMS) represents the most common childhood soft tissue sarcoma, but they are rarely seen among adults. Most of the protocols for adults are adapted from pediatric protocols. Here we report a case of a 53-year-old woman diagnosed with a nasal alveolar rhabdomyosarcoma, stage IV at diagnosis, treated by chemotherapy (a regimen inspired from the pediatric protocole pEpSSG RMS 2005) which led to partial response followed by chemo-radiotherapy.

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Venous thromboembolism (VTE) is a major common complication in cancer patients. Risk-adapted thromboprophylaxis and antithrombotic therapy for patients diagnosed with VTE can reduce the recurrence of VTE events. Thrombotic risk varies according to cancer type, stage, and comorbidities.

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  • Soft tissue sarcomas (STS) are rare tumors, making up less than 1% of cancers, and the elderly, particularly those over 90, are often underrepresented in clinical trials.
  • A study using data from the NETSARC network analyzed STS patients over 90, revealing they often have complex genomic tumors but are less likely to undergo optimal surgeries compared to younger patients.
  • Although survival rates are generally worse for patients over 90, those who had surgeries demonstrated survival outcomes similar to younger patients, indicating the need for better management in this age group.
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  • Cutaneous squamous cell carcinoma (cSSC) is a prevalent skin cancer that poses a serious risk, including death, making early detection of lymph node metastasis essential.
  • The study aimed to assess the effectiveness of sentinel lymph node biopsy (SLNB) in predicting patient outcomes for cSSC by analyzing 37 patients from a hospital and 290 cases from previous literature.
  • Results showed that while the rate of positive SLNB was low (0.14), it did not significantly influence relapse-free survival or overall survival, indicating that SLNB may not be essential for managing cSSC.
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Background: A simple, rapid, and sensitive liquid chromatography coupled with tandem mass spectrometry method has been developed and validated for the quantification of ruxolitinib, olaparib, vismodegib, and pazopanib in human plasma.

Methods: After a simple protein precipitation of plasma samples, the chromatographic separation was performed using an ultraperformance liquid chromatography system coupled with mass tandem spectrometry in a positive ionization mode. The mobile phase consisted of a gradient elution of 10-mmol/L formate ammonium buffer containing 0.

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A 62-year-old human immunodeficiency virus-positive man was admitted for multiple cutaneous and subcutaneous nodules on his lower limbs, corresponding to an undifferentiated proliferation of spindle and pleomorphic cells, with irregular nuclei and numerous mitoses. The tumor cells were negative for a large panel of immunohistochemical markers, except CD10. MDM2 immunohistochemical staining was also negative, leading to the diagnosis of Fédération Nationale des Centres de Lutte contre le Cancer grade III undifferentiated pleomorphic sarcoma (UPS).

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Administration of cytotoxic chemotherapy for patients with metastatic cancer and poor performance status is a daily clinical challenge. Guidelines only help to select a therapeutic regimen but do not offer a clear response whether or not the patients should be treated. We performed a prospective analysis in 139 metastatic patients with performance status > 1 according to the Eastern Cooperative Oncology Group scale.

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  • Methotrexate is the standard treatment for breast cancer patients with meningeal carcinomatosis, but its best schedule has not been established, prompting this study to assess the regimen used at Saint-Louis hospital in Paris.
  • The study included 41 patients treated with methotrexate (12 mg/day for 5 days, then 15 mg/week) between 2003 and 2015, with an objective response rate of 54% and a median overall survival of 4 months.
  • While this treatment offers a similar overall survival to dose-dense schedules with improved quality of life, a dose-dense approach is still preferred for patients with HER2+ status or significant meningeal progression.
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  • Castration-resistant prostate cancer has shifted focus from being hormone-resistant to showing resistance to androgen deprivation therapy over the past decade.
  • New treatments targeting the androgen receptor have proven effective for patients with worsening castration-resistant prostate cancer.
  • The review discusses the molecular mechanisms that play a role in the development of castration-resistant prostate cancer, highlighting the continued importance of the androgen receptor in this condition.
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Aim: The French Sarcoma Group performed this retrospective analysis of the 'RetrospectYon' database with data of patients with recurrent advanced soft tissue sarcoma (STS) treated with trabectedin 1.5 mg/m(2) as a 24-h infusion every three weeks.

Methods: Patients who achieved non-progressive disease after six initial cycles could receive long-term trabectedin treatment until disease progression.

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The management of patients with metastatic bladder cancer is mainly based on cytotoxic chemotherapy. The reference molecule is cisplatin. In 2014, first-line regimens include gemcitabine and cisplatin (GC protocol) or methotrexate, vinblastine, and cisplatin doxorubicin (MVAC protocol).

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Disseminated intravascular coagulation (DIC) is a rare, potentially life-threatening complication of advanced prostate carcinoma. We report the successful treatment with abiraterone acetate of acute DIC related to a progressive bone metastatic disease in a chemotherapy-naïve patient with castrate-resistant prostate cancer.

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  • Lung and breast cancer can spread to the meninges, leading to meningeal metastases and various central nervous system defects based on tumor location.
  • Diagnosis is confirmed by identifying cancer cells in the cerebrospinal fluid through cytological examination.
  • Without treatment, patients typically have a prognosis of only weeks to months; however, intrathecal methotrexate chemotherapy for breast cancer-related meningeal carcinomatosis can improve survival and quality of life for about 50% of patients.
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Bevacizumab, a recombinant humanized monoclonal antibody against vascular endothelial growth factor (VEGF), was the first angiogenesis inhibitor approved for the first-line treatment of metastatic colorectal cancer in combination with intravenous fluorouracil-based chemotherapy. Two major cohort studies--BRiTE and BEAT--reported a 2% incidence of bowel perforation, which remains a rare, but serious, complication of bevacizumab treatment. Late anastomotic complications, arising > 3 months after surgery, are emerging occurrences that may be associated with bowel perforation.

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To evaluate the effect of rituximab in poor-prognosis patients with diffuse large B-cell lymphoma (DLBCL), a multicenter phase II trial combining rituximab with chemotherapy followed by high-dose therapy (HDT) with autologous stem cell transplant was conducted by the Groupe Ouest-Est des Leucémies et des Autres Maladies du Sang (GOELAMS). Patients were aged 18 to 60 years, with newly diagnosed CD20-expressing DLBCL, and at least 2 adverse risk factors as defined by the age-adjusted International Prognostic Index (aa-IPI). The treatment consisted of 2 courses of high-dose CHOP-like regimen on day 1 and 15 and 1 course of methotrexate and cytarabine on day 36.

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Lung cancer is the leading cause of cancer-related death worldwide. The world population is getting increasingly older. The incidence of lung cancer is therefore growing among elderly patients.

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Strongyloides stercoralis hyperinfection syndrome due to the acceleration of the autoinfective cycle of the nematode is a life-threatening form of the infection occurring in immunocompromised hosts. Intestinal ileus, which is commonly encountered in this form, may reduce the bioavailability and thus the efficacy of oral anthelminthic drugs used in the treatment of the S. stercoralis hyperinfection syndrome.

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Background: Mucosa-associated lymphoid tissue (MALT) lymphoma is usually associated with a chronic inflammatory disease from which lymphoid tissue of MALT type arises as a prerequisite for lymphoma proliferation. No well-characterized chronic inflammatory process has been identified in the larynx.

Methods: We report a case of primary MALT lymphoma of the larynx associated with extraesophageal reflux, chronic laryngitis, and gastric Helicobacter pylori infection, raising the issue of its physiopathology and treatment.

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  • - Our study evaluated the effectiveness of high-dose chemotherapy (HD-CT) compared to conventional chemotherapy (CT) for patients with metastatic breast cancer, involving 61 patients from 1992 to 1996.
  • - Results showed that patients receiving HD-CT had a median time to progression (TTP) of 12 months, significantly better than the 6 months for the standard CT group, with lower relapse rates at both 2 and 5 years.
  • - The median overall survival (OS) was also longer for HD-CT patients, with 44.1 months compared to 19.3 months for standard CT, suggesting HD-CT may improve patient outcomes, but more research is required to confirm its long
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