[Arguments for centralization of surgical treatment of ovarian cancer in France based on morbidity and mortality data].

Objective: To examine the current state for ovarian cancer surgery in France from 2009 to 2016 and to examine the impact of the volume of activity on morbidity and mortality by institution.

Material And Method: National retrospective study analyzing surgical sessions for ovarian cancer from the program of medicalization of information systems (PMSI), from January 2009 to December 2016. Institutions were divided according to the number of annual curative procedures into 3 groups: A<10; B: 10-19; C≥20.

Adherence to French and ESGO Quality Indicators in Ovarian Cancer Surgery: An Ad-Hoc Analysis from the Prospective Multicentric CURSOC Study.

Background: Quality Indicators for ovarian cancer (OC) have been developed by the European Society of Gynaecological Oncology (ESGO) and by the French National Cancer Institute (Institut National du Cancer, INCa). The aim of the study was to characterize OC care distribution in France by case-volume and to prospectively evaluate the adherence of high-volume institutions to INCa/ESGO quality indicators.

Methods: The cost-utility of radical surgery in ovarian cancer (CURSOC) trial is a prospective, multicenter, comparative and non-randomized study that includes patients with stage IIIC-IV epithelial OC treated in nine French health care tertiary institutions.

[Surgical management of ovarian cancer: Trends in clinical practice].

Surgery has evolved as a mainstay of the management of ovarian cancer since evidence of the major benefit of complete surgery, i.e. achieving complete resection of the disease without visible macroscopic residue in a comprehensively explored abdominal cavity, has been made available.

[Ulcerated cancers of the breast: results of modified mastectomy. Apropos of 64 cases].

Although, happily, at the present time the actual tendency in mammary neoplastic disease is being increasingly orientated towards conservative treatment, a fairly large number of total mastectomies are still being performed in patients diagnosed at a late stage. The frequency, technical aspects and precise local and general prognosis of this affection are discussed in relation to 63 breast cancers treated surgically between 1975 and 1984. These so-called "trimming" mastectomies represent 4.

[Low transverse laparotomy with rectus abdominus section in gynecology and obstetrics. Apropos of 1,000 cases].

The authors report 1,000 cases (357 cesarean sections, 230 hysterectomies for benign lesions, 157 conservative utero-adnexal procedures, 128 tubal plasties, 58 prolapse or incontinence procedures, 70 cancers) ,of laparotomies performed according to the technique described by Mouchel in 1980, i.e. strictly supra-pubic and transverse, from skin to peritoneum, including section of the rectus abdominis.

Are physical properties of totally implanted systems modified by long-term chemotherapy? Preliminary results.

The physical properties of totally implanted systems for long term chemotherapy were tested before and after in vitro and in vivo chemotherapy. The results show that the drugs used (Cisplatin, Vinblastine and Bleomycin) did not alter the mechanical and microscopic properties of the catheter walls. Although the results cannot be extrapolate to others antineoplastic agents, they confirm the usefulness of the systems for long-term chemotherapy.

[The harpoon technic in excision of subclinical mammary lesions. Preliminary results].

Preliminary results are reported of the use of a surgical technique since April 1983 for excision of subclinical mammography-observed anomalies. The procedure involves the insertion of a harpoon-shaped metallic thread, after detection by mammography, to obtain guidance of surgical procedures. Preliminary results in 36 cases included the detection of 10 cancers, confirming documented data in this field, and it would therefore appear worthwhile continuing along this pathway of early diagnosis.

Vascular access for intravenous chemotherapy: totally implanted systems.

This is a prospective study conducted in order to evaluate totally implanted venous access systems. The report concerning 42 patients is presented. The follow-up is 5 to 17 months (median 9 months).

[Occult cancer of the breast].

21 cases of occult breast cancer were reviewed retrospectively. The patients were followed up from 1 to 9 years. Only one of these patients had partial axillary nodal disease and none had recurrence of mammary neoplastic disease.

[Sarcoma of the uterine body].

This work is a retrospective study of the sarcomas of the uterus which were treated at the Oscar Lambret centre in the last ten years. The difficulty in diagnosing sarcomas of the uterus by the histologist can be appreciated when it is realised that classification of uterine sarcoma is complex. It is not possible to give any statistical interpretation of what is found because of the relative rarity of the cases (about 3% of all cancers of the body of the uterus).

[Telemetric transmission of fetal cardiac rhythm in monitoring high risk pregnancies (author's transl)].

Telemetric transmission of fetal cardiac rhythm using a fetal electro-cardiographic signal which has been picked up from the mother's abdomen made it possible to monitor the fetus from a distance in 44 patients. This method of investigation, which is very demanding on the team, should be reserved for high-risk fetal cases. It makes it possible in some cases to pick up an early diagnosis of acute fetal distress, outside the times that are usually given for observations of fetal monitoring, namely multiples of ten minutes.