Impact de la chimiothérapie de première ligne sur la survie des cancers du sein métastatiques au cours du temps

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ISBN 13 :
Total Pages : 98 pages
Book Rating : 4.:/5 (124 download)

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Book Synopsis Impact de la chimiothérapie de première ligne sur la survie des cancers du sein métastatiques au cours du temps by : Judith Raimbourg

Download or read book Impact de la chimiothérapie de première ligne sur la survie des cancers du sein métastatiques au cours du temps written by Judith Raimbourg and published by . This book was released on 2012 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge du cancer du sein métastatique a évolué ces 20 dernières années avec le développement de nouveaux traitements de chimiothérapie dont l'impact sur la survie n'est pas clairement établi. Nous avons analysé l'impact de la 1ère ligne de chimiothérapie sur la survie au cours du temps en comparant deux populations de patientes suivies pour un cancer du sein métastatique à l'Institut de Cancérologie de l'Ouest entre 1992 et 1995 (période I n=185) et entre 2001 et 2004 (période II n=196). Il n'y a pas de différence significative en survie globale entre les deux périodes (26 vs 29 mois p=0.12). Il existe une augmentation significative de la survie sans progression au cours du temps pour la population globale (10.2 vs 12 mois p=0.08) et dans le sous-groupe des patientes traitées par une 1ère ligne de chimiothérapie (8.4 vs 11.8 mois p=0.022). Le délai sans rechute > 24 mois, la positivité des récepteurs aux œstrogènes et la période II sont des facteurs pronostiques favorables sur la survie globale. Les nouveaux agents de chimiothérapie améliorent la survie sans progression mais ne semblent pas améliorer la survie globale.

Evolution de la prise en charge des cancers du sein

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ISBN 13 :
Total Pages : 374 pages
Book Rating : 4.:/5 (69 download)

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Book Synopsis Evolution de la prise en charge des cancers du sein by : Tienhan Sandrine Myriam Dabakuyo

Download or read book Evolution de la prise en charge des cancers du sein written by Tienhan Sandrine Myriam Dabakuyo and published by . This book was released on 2009 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le contraste entre l'augmentation de l'incidence des cancers du sein et la stabilité de la mortalité observée depuis vingt cinq ans en France est en grande partie expliqué par l'amélioration de la prise en charge et le diagnostic précoce. Notre travail avait pour objectifs d'évaluer l'impact de l'évolution des modes de prise en charge diagnostique et thérapeutique sur les survies globale (OS) et relative (RS), ainsi que sur la qualité de vie (QdV) des patientes atteintes de cancer du sein. Une première étude nous a permis d'évaluer les OS et RS ainsi que de déterminer les facteurs pronostiques. Nos résultats montrent que les OS et RS sont influencées par le stade TNM, le grade SBR, les récepteurs hormonaux, le statut multifocal de la tumeur, l'extension locorégionale et la période de diagnostic. Une étude de QdV, prospective, multicentrique nous a permis d'évaluer l'impact de différentes techniques chirurgicales : ganglion sentinelle (SLNB), SLNB + curage axillaire complémentaire (ALND) et ALND sur la QdV des patientes atteintes de cancer du sein en Bourgogne. Les résultats de cette étude révèlent que la SLNB permet d'améliorer la QdV des patientes si elle n'est pas suivie par un curage complémentaire. Enfin, une étude évaluant l'impact du moment d'administration de la chimiothérapie sur les OS et RS des patientes atteintes du cancer du sein, nous a permis d'évaluer l'effet de la chimiothérapie néoadjuvante sur la survie en utilisant la RS comme critère de jugement principal. Malgré une tendance favorable, la chimiothérapie néoadjuvante comparativement à la chimiothérapie adjuvante n'améliore pas les OS et RS des patientes atteintes de cancer du sein.

Impact du délai de récidive locorégionale sur la survie sans métastase après chimiothérapie néoadjuvante dans le cancer du sein à partir d'un modèle de type "random survival forest"

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ISBN 13 :
Total Pages : 178 pages
Book Rating : 4.:/5 (113 download)

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Book Synopsis Impact du délai de récidive locorégionale sur la survie sans métastase après chimiothérapie néoadjuvante dans le cancer du sein à partir d'un modèle de type "random survival forest" by : Sophie Carrez

Download or read book Impact du délai de récidive locorégionale sur la survie sans métastase après chimiothérapie néoadjuvante dans le cancer du sein à partir d'un modèle de type "random survival forest" written by Sophie Carrez and published by . This book was released on 2016 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La récidive locorégionale est associée à un risque de survenue de métastases à distance et de décès dans le cancer du sein. L'objectif de cette étude était d'évaluer l'impact du délai de récidive locorégionale sur la survie sans métastase dans une série de cancers du sein traités par chimiothérapie néoadjuvante. Méthodes : Entre 2002 et 2012, 1191 patientes de la cohorte NEOREP à l'institut Curie ont été incluses. Une analyse multivariée a été réalisée à l'aide d'un modèle statistique de type « Random Survival Forest ». Résultats : Le délai médian de suivi était de 59,8 mois. 7,1% des patientes ont présenté une récidive locorégionale. Le délai de récidive locorégionale et la récidive locorégionale étaient les facteurs les plus discriminants dans la survenue de métastase. Un délai de récidive locorégionale inférieur à 50 mois était associé à un mauvais pronostic en termes de survie sans métastase à 3 et 5 ans. L'analyse par sous-types moléculaires (Luminal, triple négatif et Her2 positif) retrouvait également un seuil pronostique à 3 ans de 50 mois pour les 3 sous-types. A 5 ans, le seuil restait de 50 mois pour les tumeurs triple négatives mais était de 75 mois pour les tumeurs luminales et HER2 positives. Conclusion : Une récidive locorégionale avant 50 mois est un facteur pronostique important dans la survenue de métastases dans le cancer du sein traité par chimiothérapie néoadjuvante. Passé ce seuil, la survie sans métastase est peu influencée par le délai de récidive.

Managing Breast Cancer Risk

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Publisher : PMPH-USA
ISBN 13 : 9781550092608
Total Pages : 328 pages
Book Rating : 4.0/5 (926 download)

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Book Synopsis Managing Breast Cancer Risk by : Monica Morrow

Download or read book Managing Breast Cancer Risk written by Monica Morrow and published by PMPH-USA. This book was released on 2003 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Breast Cancer Risk is a single source for information needed by primary care physicians, nurses, gynecologists, as well as oncologic specialists who deal with women who are concerned about breast cancer. Its purpose is to bring together a multidisciplinary group of experts to address breast cancer risk in a clinically meaningful way. Chapters providing detailed information on individual risk factors are accompanied by a discussion of models, which integrate multiple factors for a more complete assessment of risk. Traditional strategies for risk management, including surveillance and prophylactic surgery, are reviewed, and the data on newer techniques such as ductal lavage and screening with magnetic resonance is presented. The rational for chemoprevention with selective estrogen receptor modulators (SERMS) is discussed, and the evidence for tamoxifen as a chemopreventative is updated. The potential for chemoprevention with newer SERMS and the aromatase inhibitors is reviewed. Finally, the critical (and often ignored) areas of quality of life and symptom management are addressed.

Treatment of Ovarian Cancer

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Publisher : Nova Publishers
ISBN 13 : 9781594540226
Total Pages : 248 pages
Book Rating : 4.5/5 (42 download)

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Book Synopsis Treatment of Ovarian Cancer by : A. P. Bardos

Download or read book Treatment of Ovarian Cancer written by A. P. Bardos and published by Nova Publishers. This book was released on 2005 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new volume presents the latest research on therapies for ovarian cancer. Ovarian cancer is cancer that begins in the cells that constitute the ovaries, including surface epithelial cells, germ cells, and the sex cord-stromal cells. Cancer cells that metastasize from other organ sites to the ovary (most commonly breast or colon cancers) are not then considered ovarian cancer. According to the American Cancer Society, ovarian cancer accounts for 4 percent of all cancers among women and ranks fifth as a cause of their deaths from cancer. The American Cancer Society statistics for ovarian cancer estimate that there will be 25,400 new cases and 14,300 deaths in 2003. The death rate for this disease has not changed much in the last 50 years. Unfortunately, almost 70 percent of women with the common epithelial ovarian cancer are not diagnosed until the disease is advanced in stage -- i.e., has spread to the upper abdomen (stage III) or beyond (stage IV). The 5-year survival rate for these women is only 15 to 20 percent, whereas the 5-year survival rate for stage I disease patients approaches 90 percent and for stage II disease patients approaches 70 percent. Ovarian tumors are named according to the type of cells the tumor started from and whether the tumor is benign or cancerous. The three main types of ovarian tumors are: Epithelial Tumors, Germ Cell Tumors and Stromal Tumors.

Blood Glucose Levels

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Publisher : BoD – Books on Demand
ISBN 13 : 178985525X
Total Pages : 140 pages
Book Rating : 4.7/5 (898 download)

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Book Synopsis Blood Glucose Levels by : Leszek Szablewski

Download or read book Blood Glucose Levels written by Leszek Szablewski and published by BoD – Books on Demand. This book was released on 2020-01-08 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: The main source of energy for the body is glucose. Its low blood concentrations can cause seizures, loss of consciousness and death. Long lasting high glucose levels can cause blindness, renal failure, cardiac and peripheral vascular disease, and neuropathy. Blood glucose concentrations need to be maintained within narrow limits. The process of maintaining blood glucose at a steady state is called glucose homeostasis. This is achieved through a balance of the rate of consumption of dietary carbohydrates, utilization of glucose by peripheral tissues, and the loss of glucose through the kidney tubule. The liver and kidney also play a role in glucose homeostasis. This book aims to provide an overview of blood glucose levels in health and diseases.

Adjuvant Therapy for Breast Cancer

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Publisher : Springer Science & Business Media
ISBN 13 : 0387751157
Total Pages : 483 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Adjuvant Therapy for Breast Cancer by : Monica Castiglione

Download or read book Adjuvant Therapy for Breast Cancer written by Monica Castiglione and published by Springer Science & Business Media. This book was released on 2009-07-11 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adjuvant treatment is administered prior to or as follow up to surgical procedures for breast cancer. Proven success in using medical therapies allowing for breast conserving procedures or reducing risk of occurrence. Although there has been much progress towards a cure, including the introduction of new targeted therapies, metastasizing cancer remains highly incurable.

Targeted Therapies in Breast Cancer

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Publisher : Clinical Pub
ISBN 13 : 9781846920660
Total Pages : 0 pages
Book Rating : 4.9/5 (26 download)

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Book Synopsis Targeted Therapies in Breast Cancer by : Gw Sledge

Download or read book Targeted Therapies in Breast Cancer written by Gw Sledge and published by Clinical Pub. This book was released on 2012-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new volume updates the reader on selected areas of targeted therapy in breast cancer, with special emphasis on chemoprevention strategies, drug resistance, biomarkers, combination chemotherapy, angiogenesis inhibition and pharmacogenomics in the context of clinical efficacy. This selected review of targeted therapies will guide the reader on effective treatment as part of an integrated programme of patient management.

Androgen Deprivation Therapy

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Publisher : Springer Publishing Company
ISBN 13 : 0826183956
Total Pages : 247 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Androgen Deprivation Therapy by : Richard J. Wassersug, PhD

Download or read book Androgen Deprivation Therapy written by Richard J. Wassersug, PhD and published by Springer Publishing Company. This book was released on 2021-07-12 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for Androgen Deprivation Therapy: "To my knowledge [this] is the only book written in plain language (no medical jargon) explaining what’s happening during ADT, and detailing how to limit and often solve most associated side effects. It should be read by every man undergoing ADT, as well as family members and also healthcare providers. They will find all the details they need to get the most from this treatment..." Prof. N. Mottet, MD, PhD, Urologist, Medical Oncologist, Head of the Prostate Cancer Guidelines panel of the European Association of Urology Androgen Deprivation Therapy is the only guide written exclusively about the side effects of hormone therapy. The authors have collaborated with the European Association of Urology to produce this specially revised new edition to serve men affected by ADT across the globe. This comprehensive workbook for prostate cancer patients and their loved ones is filled with practical advice from experts in the field. The book covers a wealth of strategies to help men cope with ADT and maintain a good quality of life while on this treatment. It is not only an informational manual, but a guide for both patients and partners about ways to make changes in their lives that can keep them healthy and positive when the patient is on ADT. New to this Edition: Updates on the physical side effects of ADT and management strategies Expanded information on exercise and nutrition for men diagnosed with prostate cancer Updates on the primary drugs used to treat prostate cancer and extensive drug tables with common brand names worldwide Revisions throughout based on critical feedback from international medical experts in the field of prostate cancer and related disciplines Exercises, activities, worksheets, and other tools to promote discussion and inspire behavioural changes that can reduce the burden of ADT Officially endorsed by the European Association of Urology

Global Burden of Disease and Risk Factors

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Publisher : World Bank Publications
ISBN 13 : 0821362631
Total Pages : 511 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Global Burden of Disease and Risk Factors by : Alan D. Lopez

Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.

Hemostasis and Cancer

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Publisher : CRC Press
ISBN 13 : 1000013308
Total Pages : 297 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Hemostasis and Cancer by : Laszlo Muszbek

Download or read book Hemostasis and Cancer written by Laszlo Muszbek and published by CRC Press. This book was released on 2019-06-04 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 1987: The book is to give insight into the multisided relationship of hemostatic systems and malignancies and to help biomedical scientists and practicing clinicians obtain a better understanding of cancer research.

Ophthalmic Oncology

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Publisher : Springer Science & Business Media
ISBN 13 : 1441903747
Total Pages : 483 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Ophthalmic Oncology by : Bita Esmaeli

Download or read book Ophthalmic Oncology written by Bita Esmaeli and published by Springer Science & Business Media. This book was released on 2011-01-06 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights the unique aspects of oncologic ophthalmology as a medical and surgical discipline practiced at a comprehensive cancer center. Multi-disciplinary management of ocular, orbital and adnexal cancers are highlighted using simple and tried-and-true algorithms. In addition, ocular problems caused as a direct result of cancer treatment are reviewed using illustrative photographs and case presentations. The content is provided by full-time ophthalmology faculty and fellows at M. D. Anderson Cancer Center. Experts in complementary disciplines such as ophthalmic pathology, dermatopathology, radiation oncology, radiology, and other surgical subspecialties have brought their unique perspective to each chapter. The book is abundant with clinical photographs as well as interesting case presentations that will help the clinician correctly diagnose cancers of the orbit, eye, and adnexal structures, initiate appropriate management, as well as recognize and treat common ocular complications of cancer therapy.

MRI of the Body

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Publisher : Springer Science & Business Media
ISBN 13 : 3642875564
Total Pages : 390 pages
Book Rating : 4.6/5 (428 download)

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Book Synopsis MRI of the Body by : Daniel Vanel

Download or read book MRI of the Body written by Daniel Vanel and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: As with the introduction of x -ray computed tomography, much of the initial development of magnetic resonance applications tended to focus on the central nervous system. The development of magnetic resonance imaging applications to other organ systems such as the chest, abdomen, pelvis and extremities has lagged somewhat behind, awaiting technical improvements, and a broader user base. The past two years have seen a marked increase in imaging applications throughout the body, most notably the musculoskeletal system. It is in this regard, that MRI of the Body is a welcome arrival as a text which describes both basic principles of magnetic resonance ima ging and surveys the current status of magnetic resonance imaging applications throughout the body. The volume is concise, focused, clinically oriented, and abun dantly illustrated. In each organ system, the appropriate technical approach is discussed, the normal anatomic features are reviewed, and the range of pathologic appearances which may be encountered are described. The authors of the chapters provide a balanced overview of MR applications and describe both present limitations and future potential of magnetic resonance imaging applications in the organ system described.

Ultrasound of Superficial Structures

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Publisher :
ISBN 13 :
Total Pages : 442 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Ultrasound of Superficial Structures by : Luigi Solbiati

Download or read book Ultrasound of Superficial Structures written by Luigi Solbiati and published by . This book was released on 1995 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical text aimed at the diagnostic radiologist and ultrasonographer, which describes and evaluates the applications of high frequency imaging in clinical diagnosis. An introductory chapter covers technical aspects of high-frequency imaging and subsequent chapters cover ulatasound appearances.

Assessing Quality of Life in Clinical Trials

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Publisher :
ISBN 13 : 9780198527695
Total Pages : 490 pages
Book Rating : 4.5/5 (276 download)

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Book Synopsis Assessing Quality of Life in Clinical Trials by : Peter M. Fayers

Download or read book Assessing Quality of Life in Clinical Trials written by Peter M. Fayers and published by . This book was released on 2005 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers in all clinical fields are fully aware of the importance of Quality of Life measurements in judging the efficacy of a given treatment. Psychological criteria play an important role in this evaluation. Assessment of Quality of Life in Clinical Trials: methods and practice explores the current state of the art and illustrates the benefits and potential of health related quality of life assessment in clinical trials. It covers a wide range of analytical issues, emphasizing new and innovative approaches that are of practical and clinical importance.

Rectal Cancer Treatment

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Publisher : Springer Science & Business Media
ISBN 13 : 3540274499
Total Pages : 284 pages
Book Rating : 4.5/5 (42 download)

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Book Synopsis Rectal Cancer Treatment by : M.W. Büchler

Download or read book Rectal Cancer Treatment written by M.W. Büchler and published by Springer Science & Business Media. This book was released on 2005-10-11 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rectal cancer is one of the most prevalent cancers world-wide. It is also a paradigm for multimodal management, as the combination of surgery, chemotherapy and radiotherapy is often necessary to achieve the optimal outcome. Recently, international experts met in Heidelberg, Germany to discuss the latest developments in the management of rectal cancer, including the anatomic and pathologic basis, staging tools, surgical concepts including fast-track surgery and laparoscopic resection, functional outcome after surgery and the role of radio- and chemotherapy. This monograph summarizes this meeting and gives an extensive overview of the current concepts in management of rectal cancer.

Controlled Pulmonary Drug Delivery

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Publisher : Springer Science & Business Media
ISBN 13 : 1441997458
Total Pages : 560 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Controlled Pulmonary Drug Delivery by : Hugh D.C. Smyth

Download or read book Controlled Pulmonary Drug Delivery written by Hugh D.C. Smyth and published by Springer Science & Business Media. This book was released on 2011-06-24 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: The pace of new research and level of innovation repeatedly introduced into the field of drug delivery to the lung is surprising given its state of maturity since the introduction of the pressurized metered dose inhaler over a half a century ago. It is clear that our understanding of pulmonary drug delivery has now evolved to the point that inhalation aerosols can be controlled both spatially and temporally to optimize their biological effects. These abilities include controlling lung deposition, by adopting formulation strategies or device technologies, and controlling drug uptake and release through sophisticated particle technologies. The large number of contributions to the scientific literature and variety of excellent texts published in recent years is evidence for the continued interest in pulmonary drug delivery research. This reference text endeavors to bring together the fundamental theory and practice of controlled drug delivery to the airways that is unavailable elsewhere. Collating and synthesizing the material in this rapidly evolving field presented a challenge and ultimately a sense of achievement that is hopefully reflected in the content of the volume.