1,944 results match your criteria: "institut universitaire du cancer[Affiliation]"

Interleukin-33 (IL-33) is an alarmin released by epithelial cells in response to tissue damage. It activates resident immune sentinel cells, which then produce signals commonly associated with type 2 immune responses, particularly affecting infiltrating antigen-specific T cells. Given that mast cells (MCs) are a primary target of IL-33 and can shape T helper (Th) cell responses, we investigated the effect of IL-33 priming on the ability of MCs to influence Th cell cytokine production.

View Article and Find Full Text PDF

Introduction: Therapeutic drug monitoring of imatinib is widely performed to individualize imatinib dosage. While N-desmethyl imatinib is an active metabolite of imatinib, its concentrations are not routinely determined.

Methods: Imatinib and N-desmethyl imatinib trough plasma concentrations at steady-state were obtained from 295 patients with either chronic myeloid leukemia or gastrointestinal stromal tumor to see whether N-desmethyl imatinib provided additional information.

View Article and Find Full Text PDF

Electron radiation therapy: Back to the future?

Cancer Radiother

November 2024

Department of Radiation Oncology, institut Curie, 26, rue d'Ulm, 75005 Paris, France; Université Versailles-Saint-Quentin, 78000 Versailles, France.

Article Synopsis
  • Electron radiotherapy is preferred for treating superficial lesions due to its effectiveness at surface levels, but its complexity has led to a decline in use for many conditions, replaced by advanced techniques like intensity-modulated radiotherapy.
  • Though modern photon therapies are often chosen, they still fall short for certain specific conditions where electron therapy, including total skin irradiation and some pediatric treatments, remains superior.
  • The development of flash therapy, which offers high doses in a short time, shows promise with fewer side effects, indicating potential for new applications and a renewed interest in electron radiotherapy in specialized clinical settings.
View Article and Find Full Text PDF
Article Synopsis
  • Vulnerable social groups struggle with accessing quality care, particularly for cervical cancer screening via Cervico-Uterine Smear (CUS), highlighting the need for effective primary care systems.
  • A study in France examined data from 695,694 women aged 25 to 64 in 2012, revealing that 29% underwent CUS, primarily by gynecologists, with significant screening rate disparities based on age, location, and socioeconomic status.
  • The findings suggest that involving General Practitioners in cervical screening could enhance equality in access to care, particularly for deprived populations, emphasizing the importance of organizing health systems around primary care.
View Article and Find Full Text PDF

Background: Radiation-induced nausea and vomiting have mutiple clinical consequences: delay or refusal of irradiation (decreased antineoplastic efficacy of irradiation), altered quality of life, dehydration, malnutrition, interruption of treatment, decompensation of comorbidities and aspiration. These guidelines aim at defining good clinical practices for management of radiation-induced nausea and vomiting (RINV).

Methods: AFSOS, SFRO, SFH, SFNEP, SFCE and GFRP applied an expert consensus methodology to propose updated guidelines.

View Article and Find Full Text PDF
Article Synopsis
  • Trimodal therapy is a new treatment for bladder cancer that combines surgery, radiation, and chemotherapy instead of removing the bladder completely.
  • Using special chemotherapy with radiation helps control cancer better than just radiation alone.
  • There are different methods and doses used around the world, but doctors are working on improving these treatments and testing new combinations to help patients even more.
View Article and Find Full Text PDF

Predictive genomic and transcriptomic analysis on endoscopic ultrasound-guided fine needle aspiration materials from primary pancreatic adenocarcinoma: a prospective multicentre study.

EBioMedicine

November 2024

Service de Gastroentérologie et Pancréatologie, Centre Hospitalier Universitaire de Toulouse-Rangueil (CHU), Toulouse, France; Centre de Recherches en Cancérologie de Toulouse, Inserm U1037, CRCT, Université de Toulouse, Inserm, CNRS, Toulouse, France.

Article Synopsis
  • The study utilized endoscopic ultrasound-guided fine needle aspiration biopsy to diagnose and analyze genetic material from primary pancreatic tumors in 397 patients with pancreatic adenocarcinoma.
  • Key findings revealed significant differences in molecular profiles between metastatic and non-metastatic tumors, including varying mutation rates of KRAS and TP53.
  • The researchers suggested that genomic and transcriptomic profiling could help predict survival outcomes for patients undergoing specific chemotherapy treatments, informing future therapeutic strategies.
View Article and Find Full Text PDF

Role of F-FDG-PET/CT in the initial staging of very high-risk Ewing Sarcoma in a prospective multicentric Phase II Study: Is there still a place for bone marrow sampling?

Br J Cancer

November 2024

Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents, and Young Adults with Cancer) Departments, Curie Institute, Paris, France.

Article Synopsis
  • - The Ewing Sarcoma Family of Tumors (ESFT) includes rare cancers, with a significant portion showing metastatic spread, especially affecting bone and bone marrow, which worsens prognosis and necessitates stronger treatments.
  • - The French phase II COMBINAIR3 study compared the effectiveness of PET/CT to traditional bone marrow aspiration and biopsy (BMAB) for staging extra-pulmonary metastatic ESFT in 42 patients.
  • - Results indicated that PET/CT had high specificity (100%) and notable sensitivity (83.3%) in detecting bone marrow involvement, suggesting it can replace BMAB for initial staging, thereby enhancing treatment planning for high-risk ESFT patients.
View Article and Find Full Text PDF

Purpose: Patients with IDH-mutant 1p/19q-codeleted grade 3 oligodendroglioma (O3) benefit from adding alkylating agent chemotherapy to radiotherapy (RT). However, the optimal chemotherapy regimen between procarbazine, 1-(2-Chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU), and vincristine (PCV) and temozolomide (TMZ) remains unclear given the lack of randomized trial data comparing both regimens.

Methods: The objective was to assess the overall survival (OS) and progression-free survival (PFS) associated with first-line PCV/RT versus TMZ/RT in patients newly diagnosed with O3.

View Article and Find Full Text PDF

Real-world data for marginal zone lymphoma patients in the French REALYSA cohort: The REALMA study.

Hematol Oncol

November 2024

Université Paris Cité, Assistante Publique Hôpitaux de Paris, Hôpital Saint-Louis, Service d'Hémato-Oncologie, Paris, France.

Marginal Zone Lymphoma (MZL) comprises three subtypes: extranodal MZL (EMZL), splenic MZL (SMZL) and nodal MZL (NMZL). Since clinical trials have limited representativeness, there is a need for real-world data (RWD) evidence in MZL. Real-world data in Lymphoma and survival in Adults (REALYSA) is a prospective multicentric French cohort of newly diagnosed lymphoma patients.

View Article and Find Full Text PDF

Background: In 2021, the EAU Guidelines implemented a novel, expert opinion-based follow-up scheme, with a three-risk-category system for clear cell (cc) and non-cc renal cell carcinoma (non-ccRCC) after surgery with curative intent. We aimed to validate the novel follow-up scheme and provide data-driven recurrence estimates according to risk groups, to confirm or implement the oncologic surveillance strategy.

Methods: We identified 5,320 patients from a prospectively maintained database involving 28 French referral centers.

View Article and Find Full Text PDF

Background: Results of conventional induction chemotherapies in primary central nervous system lymphoma (PCNSL) need to be improved. Ibrutinib, a BTK inhibitor, and lenalidomide, an immunomodulatory drug, have shown promising results at relapse, supporting to further assess their individual use in combination with high-dose methotrexate-based chemotherapy.

Methods: Patients with newly diagnosed PCNSL were randomized to receive four 28-day cycles of ibrutinib or lenalidomide in combination with R-MPV (rituximab, methotrexate, procarbazine, vincristine and prednisone) in a 3 + 3 design.

View Article and Find Full Text PDF

The first review on prenatal drug exposure and ocular malformation occurrence.

Front Pediatr

September 2024

Department of Medical and Clinical Pharmacology, University Hospital Center, CERPOP INSERM UMR 1295 - SPHERE Team, Toulouse, France.

Even though a non-negligible portion of congenital eye anomalies has a clear genetic origin, an etiology is not found for most patients. Prenatal medication exposure is recognized to be involved in fetal malformations and several medications are specifically known to alter eye morphogenesis during embryonic development leading to congenital eye defects. We explored and reviewed the role of medications described in the genesis of ocular malformations, a role that has been little evaluated and probably still underestimated especially since several studies have shown the wide exposure of pregnant women to medication.

View Article and Find Full Text PDF
Article Synopsis
  • The CAPItello-291 study examined the effectiveness of the drug combination capivasertib and fulvestrant in treating advanced HR-positive, HER2-negative breast cancer in patients whose cancer progressed after previous treatments.
  • Results indicated that patients receiving the capivasertib plus fulvestrant treatment experienced longer progression-free survival (7.2 months) compared to those receiving placebo plus fulvestrant (3.6 months).
  • Common side effects included diarrhea and rashes, but the study is still ongoing, and more results are anticipated in the future.
View Article and Find Full Text PDF

Although previous literature shows tumor location as a prognostic factor in upper tract urothelial carcinoma (UTUC), there remains uninvestigated regarding the impact of tumor location on grade concordance and discrepancies between ureteroscopic (URS) biopsy and final radical nephroureterectomy (RNU) pathology. In this international study, we retrospectively reviewed the records of 1,498 patients with UTUC who underwent diagnostic URS with concomitant biopsy followed by RNU between 2005 and 2020. Tumor location was divided into four sections: the calyceal-pelvic system, proximal ureter, middle ureter, and distal ureter.

View Article and Find Full Text PDF

Background And Objective: More than 10% of patients with negative clinical metastatic status (cN0M0) on conventional imaging for prostate cancer (PCa) harbor lymph node involvement (pN+) at final pathology following radical prostatectomy (RP) and lymphadenectomy. Our aim was to assess outcomes of initial observation for cN0M0 pN+ PCa and identify prognostic factors that may help in clinical decision-making.

Methods: We performed a retrospective multicenter study of patients with cN0M0 PCa on conventional imaging (computed tomography and/or magnetic resonance imaging, and a bone scan) who were found to have pN+ disease at RP between 2000 and 2021.

View Article and Find Full Text PDF

Impact of discrimination on training and career of radiation oncologists in France.

Clin Transl Radiat Oncol

September 2024

Department of Radiation Oncology, Tenon Hospital, AP-HP, Sorbonne University, Paris, France.

Purpose: In France, radiation oncologists are predominantly men with only 44 % of women. Many studies have highlighted gender disparities in medicine. The main objective of our study was to assess the impact of discriminations on radiation oncologists' career.

View Article and Find Full Text PDF

Background: Fatigue, cognitive impairment, anxiety, depression, and sleep disturbance are cancer-related behavioral symptoms that may persist years after early-stage breast cancer, affecting quality of life. We aimed to generate a predictive model of long-term cancer-related behavioral symptoms clusters among breast cancer survivors 4 years after diagnosis.

Methods: Patients with early-stage breast cancer were included from the CANcer TOxicity trial (ClinicalTrials.

View Article and Find Full Text PDF
Article Synopsis
  • - Capivasertib, a selective pan-AKT inhibitor, was shown to significantly improve progression-free survival when added to fulvestrant compared to fulvestrant alone in patients with advanced breast cancer (P < 0.001), specifically those who had previously experienced disease progression on aromatase inhibitors.
  • - In a randomized trial with 708 patients, individuals received either capivasertib plus fulvestrant or a placebo plus fulvestrant, with safety analyses revealing common adverse events (AEs) like diarrhea, rash, and hyperglycemia associated with capivasertib treatment.
  • - Among 705 patients analyzed, 72.4% experienced diarrhea, while 38% had a rash
View Article and Find Full Text PDF

Doxorubicin-Trabectedin with Trabectedin Maintenance in Leiomyosarcoma.

N Engl J Med

September 2024

From the Departments of Medical Oncology (P.P., A.L.C.), Radiology (C.B.), and Biostatistics and Epidemiology (B.A.), Institut Gustave-Roussy, and Oncostat, INSERM Unité 1018, Labeled Ligue Contre le Cancer (B.A.), Villejuif, the Department of Medical Oncology, Institut Bergonié, and the Faculty of Medicine, University of Bordeaux, Bordeaux (A.I.), the Department of Medical Oncology, Institut Curie (S.P.-N.), and the Department of Medical Oncology, Hôpital Cochin-Port Royal (P.B.-R.), Paris, the Department of Medical Oncology, Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse (C.C.), Lille University, and the Department of Medical Oncology, Centre Oscar Lambret, Lille (N.P.), the Department of Medical Oncology, Institut Régional du Cancer, INSERM Unité 1194, Institut de Recherche en Cancérologie de Montpellier, and the University of Montpellier, Montpellier (N.F.), the Department of Medical Oncology, Institut Paoli-Calmettes (F.B.), the Department of Medical Oncology, La Timone University Hospital (F.D.), and Aix-Marseille Université (F.B., F.D.), Marseille, the Department of Medical Oncology, Centre Hospitalo-Universitaire Dupuytren, Limoges (V.L.-L.), the Department of Medical Oncology, Centre Léon Bérard, and University Claude-Bernard Lyon 1, Lyon (I.R.-C.), the Department of Medical Oncology, Centre Hospitalier Universitaire de Besançon-Hôpital Jean-Minjoz, Besançon (E.K.), Institut de Cancérologie de l'Ouest, Angers-Nantes (E.B.), Institut de Cancérologie de la Loire, Saint-Priest-en-Jarez (O.C.), Centre Georges-François Leclerc, Dijon (N.I.), the Department of Medical Oncology, Centre Paul Papin, Rouen (C.G.), and Institut de Cancérologie de Lorraine, Vandoeuvre-lès-Nancy (M.R.) - all in France.

Article Synopsis
  • A phase 3 trial was conducted to compare the effectiveness of doxorubicin alone versus the combination of doxorubicin and trabectedin in treating advanced leiomyosarcoma.
  • The trial involved 150 patients and showed that those receiving the combination therapy had a longer median overall survival (33 months) compared to those receiving doxorubicin alone (24 months), with lower death rates in the combination group.
  • While the combination treatment improved progression-free survival (12 months vs. 6 months), it also led to a higher incidence of adverse events and dose reductions compared to doxorubicin alone.
View Article and Find Full Text PDF