103 results match your criteria: "Aix Marseille University AMU[Affiliation]"

Background: After failure of first-line chemotherapy, standard of care for advanced urothelial cancer (aUC) is immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 pathway. Several prognostic models (Bajorin and Bellmunt scores) have been evaluated, but only in the context of chemotherapy.

Objective: To study whether the variables in these scores and new emerging clinical and biological criteria have an impact on the probability of objective response in aUC treated with ICIs in 2nd-line setting and beyond.

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Impact of age on surgical excision margins for vulvar squamous cell carcinomas: A multicenter study by the francogyn group.

Surg Oncol

November 2024

ECEVE U1123, National Institute of Health and Medical Research, Paris Cité University, Paris, France; Department of Obstetrics and Gynaecology, Lariboisiere University Hospital, University Paris Cité, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.

Article Synopsis
  • Vulvar cancer primarily affects older women and requires surgical treatment, with guidelines emphasizing the importance of negative histological margins.
  • A study analyzed the impact of patient age on surgical outcomes, finding that older patients (≥65 years) had larger tumors but similar rates of negative excision margins compared to younger patients (<65 years).
  • Results indicated that younger patients experienced better recurrence-free survival and were more likely to undergo revision surgery despite the older group receiving more radical surgery.
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Exploring uterine involvement in hysterectomy samples following conization for adenocarcinoma in situ of the uterine cervix: Insights from a multicenter study by the FRANCOGYN group.

J Gynecol Obstet Hum Reprod

November 2024

Gynecologic and Breast Oncologic Surgery Department, Georges Pompidou European Hospital, APHP Centre, 20, rue Leblanc 75908 Paris Cedex 15, Paris, France; INSERM UMR-S 1147, University of Paris Cité, Centre de Recherche des Cordeliers, Paris, France.

Article Synopsis
  • A study examined the prevalence of residual adenocarcinoma in situ (AIS) after hysterectomy in women who had clear margins from initial excisional therapy between 2008 and 2021.
  • Out of 53 patients, 20.8% showed residual disease, mainly consisting of persistent AIS, with no cases of invasive cancer.
  • The findings suggest that even with negative margins, a hysterectomy is recommended post-childbearing, as there’s a notable risk of residual disease.
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Impact of age on tumor size in vulvar cancer: A multicenter study by the Francogyn group.

Eur J Surg Oncol

September 2024

ECEVE U1123, National Institute of Health and Medical Research, Paris Cité University, Paris, France; Department of Obstetrics and Gynaecology, Lariboisiere University Hospital, University Paris Cité, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.

Objective: Vulvar cancer is a rare pathology affecting mainly elderly women. This study aims to evaluate the impact of age on tumor size in vulvar cancer.

Material And Methods: This was a multicenter retrospective observational study carried out between January 1, 1998, and December 31, 2020, in patients operated on for vulvar cancer.

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The use of post-transplantation cyclophosphamide (PTCy) for graft-versus-host disease (GVHD) prophylaxis is not established after reduced intensity conditioning (RIC) hematopoietic stem cell transplantation (HSCT) from fully matched donors. This was a randomized, open-label, multicenter, phase 2 trial. All patients received a RIC regimen with fludarabine, intravenous busulfan for 2 days (Flu-Bu2), and a peripheral blood stem cell (PBSC) graft from a matched related or 10/10 HLA-matched unrelated donor.

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Is minimally invasive surgical approach a reasonable option in apparent early stage epithelial ovarian cancer restaging? Results from a multicentric retrospective study.

Eur J Surg Oncol

March 2024

Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France; Inserm, CNRS, Institut Paoli Calmettes, CRCM, Aix Marseille Univ, Marseille, France.

Article Synopsis
  • The study evaluates the effectiveness and long-term survival of minimally invasive surgeries (laparoscopy and robot-assisted laparoscopy) for early-stage ovarian cancer compared to traditional open surgery, with limited long-term data available prior to this research.
  • Conducted across six institutions, the study included 140 patients, revealing that 19.2% were upstaged to advanced cancer and the average operative time was longer for robot-assisted laparoscopy than traditional laparoscopy.
  • Findings showed similar oncological outcomes for both laparoscopic techniques with an overall survival rate of 88.6% and disease-free survival at 79.3%, indicating that minimally invasive surgical staging offers comparable results to open surgery.*
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Rate of residual tumor after repeat surgery for positive margins in ductal carcinoma in Situ, and predictive factors.

J Gynecol Obstet Hum Reprod

March 2024

Department of Obstetrics and Gynaecology, Hôpital Nord, APHM, Aix-Marseille University (AMU), Univ Avignon, CNRS, IRD, IMBE UMR 7263, Marseille 13397, France.

Aims: To evaluate the rate of residual tumor in re-excision specimen of patients with positive margins in ductal carcinoma in situ (DCIS) following breast-conservative surgery, and to identify predictive factors of residual tumor.

Material And Methods: We conducted a monocentric, retrospective study, from January 2010 to December 2020. All 103 patients who underwent re-excision for positive margins in DCIS following breast-conservative surgery for in situ or invasive breast carcinoma were included.

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Lynch syndrome is the most common autosomal dominant inherited cancer predisposing syndrome, due to mutations in DNA mismatch repair genes. The key feature of cancers in Lynch syndrome is microsatellite instability and a high risk of developing mainly colorectal and uterine cancers. However, cancers with microsatellite instability outside this spectrum, for example, lung cancer, are extremely rare.

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Background: The contribution of platelets in thrombosis within microcirculation has been extensively documented in the literature. We previously showed, , that platelet activation revealed by intracellular calcium mobilization was a crucial step in the growth of thrombi following laser-induced injury, a model of thromboinflammation.

Objective: Our goal was to investigate the extent of platelet activation and the spatial distribution of platelets throughout a growing thrombus.

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Background: The REGOBONE multi-cohort study explored the efficacy and safety of regorafenib for patients with advanced bone sarcomas; this report details the Ewing sarcoma (ES) cohort.

Methods: Patients with relapsed ES progressing despite prior standard therapy, were randomised (2:1) to receive regorafenib or placebo. Patients on placebo could crossover to receive regorafenib after centrally confirmed progression.

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Evaluating the clinical impact of the 2023 FIGO staging for endometrial cancer: Complexities and considerations.

Eur J Obstet Gynecol Reprod Biol

December 2023

Department of Obstetrics and Gynaecology, Hôpital Nord, APHM, Aix-Marseille University (AMU), Univ Avignon, CNRS, IRD, IMBE UMR 7263, 13397 Marseille, France.

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How to make a LLETZ simulator: LLETZ Simulator.

J Gynecol Obstet Hum Reprod

December 2023

Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire Amiens Picardie, 1 Rond-Point du Professeur Christian Cabrol, 80000 Amiens, France; Faculté de Médecine, Université Picardie Jules Verne, 3 rue des Louvels, 80000 Amiens, France. Electronic address:

Large loop excision of the transformation zone (LLETZ) of the uterine cervix is a surgical procedure very frequently performed. Simulation of LLETZ under colposcopic guidance has a major role in training practitioners. The objective was to present an ex vivo model of LLETZ.

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Brachytherapy and surgery versus surgery alone for IB2 (FIGO 2018) cervical cancers: A FRANCOGYN study.

Eur J Obstet Gynecol Reprod Biol

November 2023

CHU Lille, Service de chirurgie gynécologique, F-59000 Lille, France; Univ. Lille, CHU Lille, F-59000 Lille, France. Electronic address:

Objective: Evaluation of the management by first brachytherapy followed by radical hysterectomy (Wertheim type) compared to radical hysterectomy alone (Wertheim type) for the treatment of IB2 cervical cancer.

Methods: Data from women with histologically proven FIGO stage IB2 cervical cancer treated between April 1996 and December 2016 were retrospectively abstracted from twelve French institutions with prospectively maintained databases.

Results: Of the 211 patients with FIGO stage IB2 cervical cancer without lymph node involvement included, 136 had surgical treatment only and 75 had pelvic lymph node staging and brachytherapy followed by surgery.

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Impact of cervical excisional dimensions on endocervical margins status in adenocarcinoma in situ of the uterine cervix: A multicenter study from the FRANCOGYN group.

J Gynecol Obstet Hum Reprod

September 2023

Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris (AP-HP), University Hospital, 75013 Paris, France; Centre de Recherche Saint-Antoine (CRSA), INSERM UMR_S_938, Cancer Biology and Therapeutics, Sorbonne University, 75012 Paris, France; University Institute of Cancer, Sorbonne University, 75013 Paris, France. Electronic address:

Article Synopsis
  • A study evaluated how the size of excisional specimens affects the endocervical margin status in patients with adenocarcinoma in situ of the cervix, highlighting that larger lateral and anteroposterior diameters correlated with negative margins.* -
  • Out of 95 patients who had excisional procedures, 80% had negative endocervical margins, while 20% had positive margins, with size dimensions playing a significant role in the margin status.* -
  • Age also influenced the outcome, as patients over 45 were more likely to have positive endocervical margins compared to younger patients, despite having similar excisional specimen sizes.*
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Background: REGOBONE multicohort study explored the efficacy and safety of regorafenib for patients with advanced bone sarcomas; this report details the cohort of patients with relapsed advanced or metastatic chordoma.

Methods: Patients with relapsed chordoma progressing despite 0-2 prior lines of systemic therapy, were randomised (2 : 1) to receive regorafenib (160 mg/day, 21/28 days) or placebo. Patients on placebo could cross over to receive regorafenib after centrally-confirmed progression.

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Article Synopsis
  • - The study compares survival and morbidity rates between two surgical approaches for advanced epithelial ovarian cancer: primary cytoreductive surgery (pCRS) and interval cytoreductive surgery (iCRS), using a matched cohort from the FRANCOGYN data.
  • - Analyzing 513 patients, the results showed no significant differences in overall survival (OS) or recurrence-free survival (RFS) between the two groups, even though the pCRS group experienced higher postoperative complications.
  • - Conclusions indicate that while there is no difference in survival rates, iCRS is associated with lower postoperative morbidity compared to pCRS, suggesting it may be a preferable surgical option.
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Article Synopsis
  • The European Society of Gynaecological Oncology and other organizations created consensus statements to enhance care for patients with vaginal intraepithelial neoplasia (VaIN).
  • Treatment for VaIN depends on the lesion's grade, with follow-ups for low-grade VaIN (VaIN 1) and treatment required for high-grade (VaIN 2-3), highlighting that management should be personalized.
  • Surgical excision is the primary treatment; alternatives like CO laser and topical agents exist, with imiquimod showing the best outcomes, while brachytherapy is suited for specific cases, and consistent follow-up is essential due to the recurring nature of VaIN.
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Article Synopsis
  • The consensus statements developed by ESGO, ISSVD, ECSVD, and EFC aim to enhance care for patients with vaginal intraepithelial neoplasia (VaIN), outlining management strategies based on lesion grade.
  • For low-grade VaIN (VaIN 1), follow-up is usually sufficient, while high-grade VaIN (VaIN 2-3) requires treatment, with surgical excision being the primary method if invasion is suspected.
  • Treatments like CO2 laser and topical agents, especially Imiquimod, are effective, but surgical options are often necessary for cases post-hysterectomy, and patients should be closely monitored due to the risk of recurrence.
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Predictors factors of the absence of high-grade intraepithelial lesion in excisional therapy specimen.

J Gynecol Obstet Hum Reprod

April 2023

Department of Obstetrics and Gynaecology, Hôpital Nord, APHM, Chemin des Bourrely, Marseille, France; Aix-Marseille University (AMU), Univ Avignon, CNRS, IRD, IMBE UMR 7263, 13397 Marseille, France. Electronic address:

Objectives: To identify predictive factors of the absence of high-grade intraepithelial lesion (HGSIL) in cervical excisional therapy specimen.

Methods: Data from 835 women who underwent excisional therapy for a cervical intra epithelial lesion at the department of Gynaecology from two university hospitals, between January 2015 and December 2020 were reviewed. Demographic data, referral cytology, colposcopic findings, results of cervical biopsy and endocervical curettage were retrieved.

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A Suggested Modification to FIGO Stage IV Epithelial Ovarian Cancer.

Cancers (Basel)

January 2023

AP-HP (Assistance Publique des Hôpitaux de Paris), Department of Gynaecological Oncological and Breast Surgery, Hôpital Européen Georges-Pompidou, 75015 Paris, France.

International Federation of Gynecology and Obstetrics (FIGO) staging classification for stage IV epithelial ovarian cancer (EOC) separates stages IVA (pleural effusion) and IVB (parenchymal and/or extra-abdominal lymph node metastases). We aimed to evaluate its prognostic impact and to compare survival according to the initial metastatic location. We conducted a multicenter study between 2000 and 2020, including patients with a FIGO stage IV EOC.

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The role of tumor model in magnetic targeting of magnetosomes and ultramagnetic liposomes.

Sci Rep

February 2023

Laboratoire Physico Chimie Curie, PCC, CNRS UMR168, Institut Curie, Sorbonne University, PSL University, 75005, Paris, France.

The combined passive and active targeting of tumoral tissue remains an active and relevant cancer research field. Here, we exploit the properties of two highly magnetic nanomaterials, magnetosomes and ultramagnetic liposomes, in order to magnetically target prostate adenocarcinoma tumors, implanted orthotopically or subcutaneously, to take into account the role of tumor vascularization in the targeting efficiency. Analysis of organ biodistribution in vivo revealed that, for all conditions, both nanomaterials accumulate mostly in the liver and spleen, with an overall low tumor retention.

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When using post-transplantation cyclophosphamide (PTCy) graft-versus-host disease (GVHD) prophylaxis for lymphoma patients, it is currently unknown whether a matched unrelated donor (MUD) or a haploidentical related donor is preferable if both are available. In this study we wanted to test whether using a haploidentical donor has the same results of a MUD. A total of 2140 adults (34% Center for International Blood and Marrow Transplant Research, 66% European Society for Blood and Marrow Transplantation registry) aged ≥18 years who received their first haploidentical hematopoietic cell transplantation (haplo-HCT) or MUD-HCT (8/8 match at HLA-loci A, B, C, and DRB1) for lymphoma using PTCy-based GVHD prophylaxis from 2010 to 2019 were retrospectively analyzed.

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