Publications by authors named "Leveque Jean"

Introduction: The aims of this study were to describe survival outcomes in patients with ovarian cancer aged ≥80 years and to explore predictors of poor prognosis.

Methods: We collected clinical, demographic, histologic, surgical and follow-up data for patients with ovarian cancer aged ≥80 years from a multicenter French cohort (FRANCOGYN) who underwent surgery from 1999 to 2019. Primary endpoints were overall survival (OS) and disease-free survival (DFS).

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High temperature superconductors (HTSs) are enablers of extensive electrification for aircraft propulsion. Indeed, if used in electrical machines, HTS materials can drastically improve their performance in terms of the power-to-weight ratio. Among the different topologies of superconducting electrical machines, a flux modulation machine based on HTS bulks is of interest for its compactness and light weight.

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  • Uterine innervation is crucial to female reproductive health and has significant implications for conditions like endometriosis; recent histological advances have revealed its complex structure and role in these disorders.
  • This review summarizes current research on uterine innervation, focusing on its effects on endometriosis and associated pain, using a systematic approach to analyze relevant studies.
  • The review identified 45 studies that highlighted a trend towards increased nerve fiber density in ectopic endometrial tissue, suggesting a link between this heightened innervation and the chronic pain seen in endometriosis patients.
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Objectives: Breast cancer is the most frequent and deadly cancer among women. In France, 50% of adults are currently overweight, mostly as a result of a sedentary lifestyle. Numerous studies have highlighted overweight, obesity and lack of physical activity as risk factors for the occurrence and prognosis of cancers, particularly breast cancer.

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  • The study focused on managing and understanding the survival rates of endometrial cancer patients aged 80 and older to identify indicators of poor prognosis.
  • Data was collected from a French cohort, revealing that 184 out of 1647 patients treated for endometrial cancer were senior citizens, with a median overall survival of 16.4 months.
  • Findings indicate that not using chemotherapy when indicated significantly correlated with worse survival outcomes, emphasizing the need for elderly patients to follow standard care guidelines for treatment.
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  • A chyle leak is a rare complication that can occur after surgery for breast cancer, specifically following procedures like a tumorectomy.
  • A case is presented involving a 78-year-old woman who experienced a chylous leakage after having sentinel lymph nodes removed during breast-conserving surgery for invasive ductal carcinoma.
  • After noticing a "milky" drainage fluid and swelling ten days post-surgery, she required a second surgery where a mass ligature was performed, and a drain was placed to manage the complication.
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Objective: To assess the surgical management and survival of severely obese patients with high-risk endometrial cancer.

Materials And Methods: Data from 269 patients with high-risk endometrial cancer who were treated between 2001 and 2018 were collected from a multicenter database (11 centers). We classified the patients according to their BMI and compared outcomes in two groups: a normal weight group of women with a BMI < 25 kg/m, and a severe obesity group of women with a BMI ≥ 35 kg/m.

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  • Endometriosis is a chronic condition that negatively affects women's fertility, and the study aims to explore the relationship between preoperative Enzian scores and postoperative fertility outcomes after deep pelvic endometriosis surgery.
  • A retrospective study conducted at Rennes University Hospital analyzed data from women who underwent surgery for deep endometriosis, utilizing the ENDOREN database to assess the correlation between MRI-based Enzian scores and live birth rates.
  • Results showed a live birth rate of 35%, identifying the Enzian B score as a positive predictor for live births, while factors like uterine adenomyosis and previous endometriosis surgeries were found to negatively impact fertility outcomes.
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Schwannomas are benign nerve tumors arising mainly in the intracranial, cervical, or lumbar regions. We describe the case of a presacral schwannoma in a 42-year-old woman. This atypical localization is most often discovered by symptoms related to compression of nervous structures.

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Introduction And Hypothesis: Bladder outlet obstruction (BOO) is a common occurrence after midurethral sling (MUS) insertion and can result in acute or chronic urinary retention or de novo lower urinary tract symptoms (LUTS). However, the management of BOO after MUS is not standardised. The objective of this study was to compare two therapeutic strategies for suspected BOO after MUS.

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  • This study aimed to map the anatomy and function of nerve innervation in the human uterus to enhance understanding of pelvic pain conditions like endometriosis.* -
  • Researchers dissected female fetal pelvises to create a 3D reconstruction model, identifying nerve types and their distribution throughout different layers of the uterus.* -
  • The findings revealed diverse nerve fiber types and densities, highlighting rich innervation in certain areas, which could inform future therapeutic strategies for uterine pain disorders.*
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Backgrounds: Dysmenorrhea is the most common gynecological complaint in young women but is overlooked by recent studies. Our objective was to evaluate the prevalence of dysmenorrhea in adolescents in France and its impact on daily living.

Methods: It was a cross-sectional study conducted between April-May 2019, in eight randomly selected high schools in France.

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The authors present a case of a young female with extensive pelvic splenosis, which was complicated by torsion of one of the splenosis nodules operated by laparoscopy. She has been followed during several years. The diagnosis was made on the basis of the history, imaging (ultrasound, CT scan, MRI, and Technetium 99m-labeled embrittled red blood cell scans), and blood workup.

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Objectives: To compare oncologic outcomes of patients with early-stage cervical cancer and negative nodes who underwent sentinel lymph node biopsy alone (SLNB) versus pelvic lymphadenectomy (PL).

Methods: An ancillary analysis of two prospective multicentric trials on SLN biopsy for cervical cancer (SENTICOL I and II) was conducted. Only patients with early-stage cervical cancer (IA to IIA FIGO stage), bilateral detection of SLN, negative SLN after ultrastaging and negative non-SLN after final pathologic examination were included.

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High-Temperature Superconductors (HTS) considerably accelerate the development of superconducting machines for electrical engineering applications such as fully electrical aircraft. This present contribution is an overview of different superconducting materials that can be used as magnetic screens for the inductor of high specific power electrical machines. The impact of the material properties, such as the critical temperature (Tc) and the critical current density (Jc), on the machine performances is evaluated.

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  • Mucosal melanomas in the female genital tract are rare, and this study looked at the differences in survival between vulvar and vaginal types.
  • Out of 33 patients, most had vulvar melanomas, but vaginal melanomas were found to be deeper and recurred more quickly.
  • The study showed that vaginal melanomas have a much worse chance of survival compared to vulvar melanomas, and larger tumors increase the risk of death.
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Introduction: Pelvic floor disorders (PFD) are common conditions impacting quality of life and sexuality may worsen after ovarian cancer therapies. Our objective was to describe the prevalence of PFD and sexuality in women with ovarian cancer (OC).

Methods: We reviewed articles indexed in the MEDLINE database until June 2020 and selected articles assessing UI, POP, FI and sexual dysfunction in a population of women with OC.

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Background: Uterine transplant (UT) represents an opportunity to treat absolute uterine infertility. However, the use of uterine veins for venous return, in addition to ovarian veins, significantly increases the risk of ureteral wounds in the living donor and UT time for the recipient. Our aim was to demonstrate that dual ovarian venous return is sufficient for graft viability and survival.

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The incidence (rate per 100 000) of borderline ovarian tumors (BOTs) increases progressively with age, starting at 15-19 years and peaking at around 4.5 cases per 100 000 at an age of 55-59 years (LE3) with a median age of 46 years. The five year survival for FIGO stages I, II, III and IV is 99.

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In the Early Stages (ES) of Borderline Ovarian Tumor (BOT), if surgery without risk of tumor rupture is possible, then laparoscopy with protected extraction is recommended over laparotomy (Grade C). In case of bilateral serous ES BOT treatment with a strategy to preserve fertility and/or endocrine function, bilateral cystectomy is recommended if possible (Grade B). In case of mucinous BOT treatment with a strategy to preserve fertility and/or endocrine function, unilateral adnexectomy is recommended (grade C).

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Purpose: To compare the ovarian response to controlled ovarian hyperstimulation (COH) in patients with hematologic malignancies treated for fertility preservation (FP) and healthy subjects (oocyte donors (OD)).

Patients And Methods: Retrospective cohort study comparing 41 women (18-37 years) who underwent COH for oocyte vitrification prior to gonadotoxic treatment for hematologic cancer (FP group) from January 2014 to February 2019 and with 117 women undergoing COH as part of an OD protocol (OD group) during the same period. The number of frozen mature oocytes, number of oocytes retrieved, total dose of rFSH, maximal estradiol levels, percentage of maturity, number of dominant follicles >14 mm, days of stimulation were evaluated.

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Epithelial ovarian cancer (EOC) affects 43,000 women worldwide every year and has a five-year survival rate of 30%. Mainstay treatment is extensive surgery and chemotherapy. Outcomes could be improved by molecular profiling.

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Introduction: Endocrine disruptors (ED) such as phthalates or bisphenol A are ubiquitous and pregnant women and children are particularly vulnerable. Perinatal health professionals are well-placed to inform pregnant women about the risks. We set out to evaluate perinatal health professionals' knowledge of ED and the information they give during pregnancy.

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