12 results match your criteria: "Centre Hospitalier Universitaire de Angers[Affiliation]"

The combination of carmustine, etoposide, cytarabine, and melphalan (BEAM) followed by autologous stem cell transplantation (ASCT) is a commonly used intensification regimen for patients with Hodgkin lymphoma. As etoposide and cytarabine dosing are not defined, we conducted a retrospective, multicenter study, to compare efficacy and toxicity in 130 patients with Hodgkin lymphoma receiving etoposide and cytarabine at either 200 mg/m/d ( = 50), 400 mg/m/d ( = 35), or etoposide 200 mg/m/d and cytarabine 400 mg/m/d ( = 45). Progression-free survival and overall survival were not associated with the intensity of conditioning.

View Article and Find Full Text PDF

Background: Familial adenomatous polyposis (FAP) is a rare inherited syndrome that predisposes the patient to cancer. Treatment of FAP-related ampullary lesions is challenging and the role of endoscopic papillectomy has not been elucidated. We retrospectively analyzed the outcomes of endoscopic papillectomy in matched cohorts of FAP-related and sporadic ampullary lesions (SALs).

View Article and Find Full Text PDF

Objective: To investigate whether oral antimicrobial prophylaxis as an adjunct to intravenous antibiotic prophylaxis reduces surgical site infections after elective colorectal surgery.

Design: Multicentre, randomised, double blind, placebo controlled trial.

Setting: 11 university and non-university hospitals in France between 25 May 2016 and 8 August 2019.

View Article and Find Full Text PDF
Article Synopsis
  • Autosomal dominant polycystic kidney disease (ADPKD) increases the chance of getting brain aneurysms (IAs). In a study with 2,449 patients, 114 had a history of IAs.* -
  • Most aneurysms were small and many people had more than one; the risk of having IAs grows as people get older, especially for women after age 50.* -
  • Factors that raised the risk for IAs included being female, having high blood pressure at a young age, smoking, and having a specific gene type (PKD1). The study suggests that estrogen might help protect against IAs in women.*
View Article and Find Full Text PDF

An educational programme in neonatal intensive care units (SEPREVEN): a stepped-wedge, cluster-randomised controlled trial.

Lancet

January 2022

INSERM, IMRB, CEpiA Team, University Paris Est Creteil, Creteil, France; Assistance Publique-Hôpitaux de Paris AP-HP, Hôpital Henri Mondor, Unité de Recherche Clinique (URC Mondor), Creteil, France.

Article Synopsis
  • * The trial involved randomly assigning 12 NICUs in France to participate in a 4-month safety program that included education on root-cause analysis and best care practices, monitoring adverse events over 65,830 patient-days.
  • * Results indicated a significant reduction in adverse events from 33.9 to 22.6 per 1000 patient-days, suggesting that such educational interventions could greatly enhance care for critically ill neonates.
View Article and Find Full Text PDF

We report 21 cases of trichogerminoma harbouring previously undescribed FOXK1::GRHL1/2 or GPS2::GRHL1/2/3 in-frame fusion transcripts. Microscopic examination of a preliminary set of five cases revealed well-delimitated tumours located in the dermis with frequent extension to the subcutaneous tissue. Tumours presented a massive and nodular architecture and consisted of a proliferation of basaloid cells.

View Article and Find Full Text PDF
Article Synopsis
  • 13q12.3 microdeletion syndrome causes syndromic intellectual disability and is associated with specific gene deletions, particularly involving KATNAL1 and HMGB1.* -
  • Six patients with loss-of-function variants in HMGB1 exhibited symptoms similar to those seen in 13q12.3 microdeletion syndrome, including developmental and language delays, microcephaly, obesity, and distinct facial features.* -
  • Analysis indicates that the HMGB1 gene is sensitive to loss-of-function mutations, supporting its significant role in the neurodevelopmental issues related to the syndrome.*
View Article and Find Full Text PDF

Impact of the first lockdown for coronavirus 19 on breast cancer management in France: A multicentre survey.

J Gynecol Obstet Hum Reprod

November 2021

Department of Gynaecology, Centre Hospitalier Universitaire de Tours, Tours, France; INSERM U1069 Université François-Rabelais, Tours, France. Electronic address:

Objective: This study examined the impact of lockdown for SARS-CoV-2 on breast cancer management via an online survey in a French multicentre setting.

Material And Methods: This is a multicentre retrospective study, over the strict lockdown period from March 16th to May 11th, 2020 in metropolitan France. 20 centres were solicited, of which 12 responded to the survey.

View Article and Find Full Text PDF
Article Synopsis
  • * Results showed that 40 out of 57 patients achieved a complete response after chemotherapy, with no severe toxicity or treatment discontinuation due to side effects noted.
  • * Although the treatment improved overall survival rates, a significant recurrence of the disease was observed, particularly in the eyes and brain, indicating a need for better strategies to manage local disease control and to monitor specific biomarkers like aqueous humor IL-10.
View Article and Find Full Text PDF

Non-adrenal tumors of the adrenal area; what are the pitfalls?

J Visc Surg

June 2020

Clinique de chirurgie digestive et endocrinienne, institut des maladies de l'appareil digestif, centre hospitalier universitaire de Nantes, 44093 Nantes, France. Electronic address:

Discovery of an adrenal mass is nowadays a frequent situation. While adrenal tumors can cause a variety of symptoms, more often than not they are diagnosed incidentally on imaging exams such as CT-scan or MRI performed for another purpose. However, any retroperitoneal supra-renal mass can have an extra-adrenal origin.

View Article and Find Full Text PDF

Missense Variants in the Histone Acetyltransferase Complex Component Gene TRRAP Cause Autism and Syndromic Intellectual Disability.

Am J Hum Genet

March 2019

Centre Hospitalier Universitaire Sainte-Justine Research Centre, University of Montreal, Montreal, QC H3T 1C5, Canada; Department of Pediatrics, University of Montreal, Montreal, QC H3T1J4, Canada. Electronic address:

Article Synopsis
  • * Researchers identified 17 new variants of the TRRAP gene in 24 patients, linking specific gene mutations to two clinical spectrums: one leads to multi-systemic syndromes with structural malformations and intellectual disabilities, while the other is associated with autism spectrum disorder and epilepsy.
  • * Both clinical groups exhibited distinct facial features and showed altered gene expression related to neuronal function in skin fibroblasts, suggesting a strong genotype-phenotype correlation that can aid in clinical evaluations of TRRAP variants
View Article and Find Full Text PDF

PKD2-Related Autosomal Dominant Polycystic Kidney Disease: Prevalence, Clinical Presentation, Mutation Spectrum, and Prognosis.

Am J Kidney Dis

October 2017

Service de Néphrologie, Centre Hospitalier Régional Universitaire de Brest, Brest, France; Université européenne de Bretagne, Université de Bretagne Occidentale, Brest, France.

Background: PKD2-related autosomal dominant polycystic kidney disease (ADPKD) is widely acknowledged to be of milder severity than PKD1-related disease, but population-based studies depicting the exact burden of the disease are lacking. We aimed to revisit PKD2 prevalence, clinical presentation, mutation spectrum, and prognosis through the Genkyst cohort.

Study Design: Case series, January 2010 to March 2016.

View Article and Find Full Text PDF