Sternal or parasternal involvement from breast cancer: a misleading clinical sign.

Background: Sternal arch is a nonspecific clinical signs wich may arise during following of breast cancer, this sign reveals an involvement of internal mammary nodes secondary to breast cancer.

Aim: To report a rare event such as a loco-regional sternal or parasternal invasion secondary to locally advanced cases of breast cancer (BC) about a Tunisian series.

Methods: We collected retrospectively from 1988 to 2012, 11 cases of BC treated at the Institut Salah Azaiez (ISA) of Tunis, with presence during the disease evolution (initial or at relapse) of a sternal or parasternal swelling.

[Atypical presentations of internal mammary chain involvement in breast cancer].

Background: Breast cancer is the first cancer in women. Lymphatic involvement in breast cancer is common, especially in our patients because of the frequency of locally advanced forms. This contrast with a weak rate of diagnosed internal mammary chain invasion.

[Superior vena cava syndrome and internal mammary nodes in breast cancer: two cases].

Background: The association of superior vena cava syndrome with involvement of the internal mammary lymph nodes in breast cancer has not been reported in the literature.

Aim: To report two cases of association of superior vena cava with involvement of the internal mammary lymph nodes in breast cancer.

Cases Report: We report two observations in two patients 45 and 52 years with breast cancer classified T4N2M0 and T3N2M0 treated.

[Tumors of the pineal region: retrospective study of 40 cases].

Background: the tumours of the pineal region are rare brain tumours, most common in children and characterized by a large clinical and histologic polymorphism.

Aim: to assess the outcome and prognostic factors of 40 patients with primitive pineal region tumours treated at the department of radiotherapy of Salah Azaiz institute.

Methods: between January 1977 and December 2000, 40 patients received radiotherapy.

[Internal mammary lymph node invasion in breast cancer: myth or reality?].

The internal mammary nodes are often underestimated as breast cancer lymphatic pathway spread. It is yet the first site of lymphatic invasion in central or internal tumors and the second site in external tumors. The intra-thoracic situation of internal mammary nodes explains partly, the difficulty of its exploration.

[Total body irradiation: techniques and main indications].

The radiotherapy department at Salah Azaïz institute had started, in March 2000, a new sophisticated technique of irradiation consisting in total body irradiation (TBI). TBI is used in many preparative regimens before bone marrow transplantation in the treatment of haematological malignancies. TBI aims to destroy immunocompetent tissues in order to avoid graft rejection and to eradicate residual tumor cells.

Radio-induced malignancies of the scalp about 98 patients with 150 lesions and literature review.

Introduction: - The induction of malignant diseases is one of the most concerning late effects of ionizing radiation. The topic of this study deals with skin tumors developed in the irradiated areas in children given X-ray therapy for tinea capitis.

Material And Methods: - All patients with malignant tumors of the scalp referred to Salah Azaiz Institute between 1970 and 2001 have been questioned in order to determine if there had been a prior X-ray irradiation for tinea capitis, its modality, and its consequences.