Publications by authors named "Tarek Dhiab"

Article Synopsis
  • * A case study of a 59-year-old woman showed a painful, slow-growing vulvar lesion diagnosed as BSC, confirmed by biopsy and treated with partial radical vulvectomy and sentinel lymph node biopsy, both showing no evidence of metastasis.
  • * This case highlights the importance of recognizing squamous differentiation in BSC for ensuring complete surgical excision, as it has a higher risk of recurrence and metastasis compared to basal cell carcinoma,
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Introduction: Metatypical basal cell carcinoma is a rare and aggressive subtype of skin cancer. It necessitates a careful and nuanced approach to management. The first-line treatment is a wide surgical excision, which can lead to significant tissue loss.

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Introduction And Importance: The right ovarian vein typically drains into the inferior vena cava, while the left ovarian vein terminates in the left renal vein. Variations in the drainage pattern of the ovarian veins are infrequent, with reported incidences ranging from 0.03 % to 9.

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Introduction: Perivascular epithelioid cell tumors are uncommon mesenchymal tumors. The genital tract is the most common extrarenal location. Preoperative diagnosis is rarely achieved owing to non-specific symptoms and imaging features.

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Article Synopsis
  • Inguinal lymph node metastasis and the number of metastatic lymph nodes (NMLN) are key prognostic factors in vulvar squamous cell carcinoma (VSCC), but the lymph node ratio (LNR) also reflects lymphadenectomy effectiveness.
  • This study analyzed data from 192 VSCC patients to assess the impact of LNR and lymph node count on overall survival (OS) and recurrence-free survival (RFS).
  • Results indicated significant findings with a 5-year OS of 52.5% and 5-year RFS of 55.8%, highlighting LNR, FIGO stage, and negative margins as critical independent prognostic factors.
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Metastasis to the pancreas from malignant tumors is a rare event, representing only 1% to 2% of all pancreatic neoplasms. They occur in 2 different clinicopathological settings: as a manifestation in widespread metastatic disease or as an isolated mass in the pancreas. We report the case of a 41-year-old woman who had a history of invasive lobular breast cancer treated with radical surgery, chemotherapy, and radiotherapy.

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Background: Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome.

Aim: This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses.

Methods: We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia.

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Introduction: Vaginal metastasis from colorectal cancer is a rare occurrence, typically associated with other metastatic lesions. Isolated metastasis is exceedingly uncommon, with only a few cases documented in the literature. Vaginal involvement in colorectal cancer primarily results from direct contiguous spread from the primary tumor.

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Article Synopsis
  • Sex cord-stromal tumors with annular tubules are very rare ovarian tumors that make up less than 1% of ovarian cancers and can recur decades after initial treatment.
  • A 16-year-old girl diagnosed and treated for this tumor experienced significant delays in follow-up, leading to late recurrences detected via imaging and elevated serum inhibin B levels.
  • Surgical removal of the tumor is crucial for treatment, but due to the rarity of these tumors, there's often a lack of early detection and staging, highlighting the importance of ongoing monitoring for patients.
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Introduction: Infectious affections are the most frequent post-operative complications, the rate have been reducing due to the administration of perioperative antibiotics and they are rarely serious. They are usually associated to pelvic collections, fistulas, urinary tract stenosis and, exceptionally, necrotizing fasciitis (FN) and pelvic organ necrosis. There is no well-codified treatment.

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Introduction: Primary cutaneous apocrine carcinomas of the axilla represents an extremely rare entity, with <200 cases reported in the literature. It can be challenging, even almost impossible, to distinguish histologically from metastases of breast origin. We herein present the first case of an axillary cutaneous apocrine adenocarcinoma followed and treated in our institute.

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Introduction: Primary Thyroid Lymphoma (PTL) is defined as lymphoma involving the thyroid gland alone or the thyroid gland and adjacent neck lymph nodes without contiguous spread or distant metastases at the time of diagnosis. Most thyroid lymphomas are B cell lymphomas, and 98% of all PTL cases are non-Hodgkin's lymphoma. It is a rare disease accounting for around 5% of the thyroid neoplasms and 2% of extranodal lymphomas.

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Background: Nasopharyngeal carcinoma is known for its high potential for regional and distant metastasis. However, breast metastasis is rarely reported.

Case Presentation: A 39-year-old Caucasian male presented with bilateral neck lymph node enlargement.

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Introduction: Cutaneous metastases (CM) revealing lung carcinoma are extremely rare, accounting for 0.8%. The diagnosis is guided by histology and immunohistochemistry.

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Introduction And Importance: Uterine leiomyoma is the most common pelvic tumor in women. Its cervical location is rare and may extend into the vagina in 2.5 % of cases.

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Background: The management of gastric adenocarcinoma is essentially based on surgery followed by adjuvant treatment. Adjuvant chemotherapy (CT) as well as chemoradiotherapy (CTRT) have proven their effectiveness in survival outcomes compared to surgery alone. However, there is little data comparing the two adjuvant approaches.

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Penile cancer is a rare pathology in Tunisia where circumcision is a common practice. Squamous cell carcinoma accounts for 95% of cases. Treatment is essentially based on surgery.

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Article Synopsis
  • The study focuses on the clinico-epidemiological and histopronostic traits of triple negative breast cancer (TNBC) in Tunisian women and assesses their treatment outcomes.
  • It involved a review of 90 patients treated for TNBC from January 2008 to December 2009 at the Salah Azaiz Institute, finding that 14% of breast cancers diagnosed were TNBC.
  • Results showed a significant recurrence rate and variable response to chemotherapy, highlighting the need for targeted therapies to improve outcomes for patients with chemoresistant TNBC.
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Inflammatory breast cancer (IBC) is characterized by a peculiar geographic distribution in incidence, being described as more common in Tunisia and the region of North Africa. The authors performed a systematic review of published literature on rapidly progressing breast cancer and IBC in Tunisia and analyzed the evolution in epidemiology, clinical presentation, treatment, and therapeutic results. They collected, analyzed, and compared all the indexed Tunisian articles about rapidly progressing breast cancer and IBC since the 1970s opening of the Institut Salah Azaiz Institute in Tunis.

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Male breast cancer is rare compared to its female counterpart representing less than 1% of cancer in men. The objective of our retrospective study is to report the epidemiologic and clinical profile and to analyse the therapeutic results and prognostic factors in a Tunisian population collected during a period of 20 years at a single institution. We collected from 1979 to 1999, all the histological confirmed male breast cancers treated at our institution.

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The sarcoma of the penis is a very rare tumor more exceptional is the Leiomyosarcoma of the penis for which the diagnosis required an immunohistochemical study. The prognosis for this tumor is poor. We report a case, which arise to a 53 year-old-man in this instance we did a review of the medical literature.

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