Publications by authors named "Matthieu Chicaud"

Article Synopsis
  • The study aimed to evaluate the importance of liver biopsy in patients with unexplained elevated transaminases, following current clinical guidelines.
  • A retrospective analysis of 87 patients revealed that 48% had minimal or normal liver tissue changes, while different injury patterns were identified in varying percentages: steatosis (21%), hepatitis (13%), vascular (8%), and biliary (1%).
  • Ultimately, liver biopsy significantly impacted clinical management in 15% of cases, helping diagnose conditions like autoimmune hepatitis and metabolic dysfunction, but most patients showed little to no significant pathology.
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Article Synopsis
  • The 5th edition of the WHO classification retains "goblet cell adenocarcinoma" (GCA) as the term for a rare tumor, previously known by over ten other names, now primarily recognized in appendicular tumors and constituting 15-19% of them.
  • Diagnosis relies on examining tissue for low-grade glands with goblet cells and requires a thorough appraisal of the appendix, while tumor grading considers the proportion of low vs. high-grade cells.
  • The tumor typically emerges in individuals over 50, often found incidentally during surgery, and has an intermediate prognosis, with surgery being the main treatment; it has distinct characteristics that help differentiate it from similar cancers.
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Formalin is the international gold-standard fixative in pathology laboratories. However it is not the ideal one considering its deleterious effects on individuals and the environment. Complete formalin removal or even substitution does not seem possible in the near future.

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Introduction: The 2015 Paris Agreement has been the first restrictive agreement in the fight against climate change. The newer generations of pathologists, who feel more anxiety due to environmental problems than their predecessors, are asked to publish research works while they are harder and harder to and in a context of demographical tensions. We wanted to measure the rise of ecology research in pathology since the Paris Agreement.

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A 75 years old patient presented with a papular easily bleeding lesion of the lower lip that had been growing for two months. He was known for alcoholic cirrhosis complicated with hepatocellular carcinoma treated since one year. A working diagnostic hypothesis of benign vascular lesion was proposed.

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Immunotherapies are part of the therapeutic strategy in many cancers and are indicated for metastatic colorectal adenocarcinoma with loss of expression of MisMatch Repair system proteins or with microsatelite instability (dMMR/MSI) in the United States. The rate of pathological response to immunotherapy remains poorly documented, but several cases of complete or major pathological response have recently been described. We decided to report the case of a complete pathological response to immunotherapy of a dMMR/MSI colorectal adenocarcinoma in a 74-year-old patient, initially inoperable due to duodenal invasion.

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Gastric type 1 neuroendocrine tumours are considered to have low rates of proliferation and a good prognosis. We report here a patient with an aggressive well-differentiated high-grade gastric neuroendocrine tumour (gastric grade 3 NET), in a context of autoimmune gastritis. Consistent with grade 3 disease, the tumour had a Ki-67 proliferation index of 30%.

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Fibrosarcomatous transformation of dermatofibrosarcoma protuberans is associated with a significantly worse prognosis in adults, but is a very rare feature in the pediatric population. Here, we report a case that occurred in a child. The diagnosis of fibrosarcomatous transformation of dermatofibrosarcoma protuberans was confirmed by a histopathological assessment and fluorescence in situ hybridization.

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