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80% of the rate of participation in CC screening per screening cycle; 3) achievement of 100% of the treatment rate for precancerous lesions screened within the framework of the program. CC screening concerns all women aged 30 to 49 years old. Women who have already had CC and pregnant women from the 8th week of amenorrhea until the 6th week postpartum are excluded from the program. The screening test currently used is the naked eye inspection with acetic acid or visual inspection with acetic acid (VIA), which will be followed by a colposcopy exam and biopsy if a precancerous lesion is confirmed. The VIA is carried out at the level of urban and rural health centers, by a trained health professional. Knowing that the pap-smear test was widely used before. Thermo coagulation, also called: cold coagulation, is currently the main treatment for intraepithelial lesions (LIE) that are eligible for this treatment, and finally the national program has introduced anti-HPV vaccination within the national vaccination program (NPI). In Morocco, the purpose of the National Cancer Prevention and Control Plan (PNPCC) is to decrease the incidence, mortality, and morbidity attributable to cervical cancer (CC), including the general objective which is to improve women's care by setting up an organized system for screening, early diagnosis and treatment of this disease, and as operational objectives an: 1) achievement of at least 30% of the annual coverage rate by cervical cancer (CC) screening; 2) achievement of at least 80% of the rate of participation in CC screening per screening cycle; 3) achievement of 100% of the treatment rate for precancerous lesions screened within the framework of the program. CC screening concerns all women aged 30 to 49 years old. Women who have already had CC and pregnant women from the 8th week of amenorrhea until the 6th week postpartum are excluded from the program. The screening test currently used is the naked eye inspection with acetic acid or visual inspection with acetic acid (VIA), which will be followed by a colposcopy exam and biopsy if a precancerous lesion is confirmed. The VIA is carried out at the level of urban and rural health centers, by a trained health professional. Knowing that the pap-smear test was widely used before. Thermo coagulation, also called: cold coagulation, is currently the main treatment for intraepithelial lesions (LIE) that are eligible for this treatment, and finally the national program has introduced anti-HPV vaccination within the national vaccination program (NPI). [ABSTRACT FROM AUTHOR]

Currently, gastric pre-neoplastic lesions (glandular atrophy, intestinal metaplasia, dysplasia) can only be detected during an upper GI endoscopy. Depending on their extent and severity, follow-up is proposed in order to detect the appearance of gastric adenocarcinoma as early as possible. When there is no indication for endoscopy, pre-neoplastic lesions may be present and evolve silently. In countries with a low risk of gastric cancer such as France, where there is no systematic endoscopic screening, patients not at high risk of gastric adenocarcinoma in whom pre-neoplastic lesions exist therefore have a loss of chance with a risk of developing gastric adenocarcinoma at a symptomatic stage, with a poor prognosis. Several serum biomarkers of pre-neoplastic lesions have been proposed, deriving from the histological characteristics of these lesions. The TFF3 peptide is a biomarker of intestinal metaplasia, and the pepsinogen I/II ratio of glandular atrophy. The place of these biomarkers in a national screening strategy remains to be clarified. [ABSTRACT FROM AUTHOR]

Résumé: Contexte: L’angioplastie des coronaires calcifiées et/ou tortueuses est considérée comme une procédure complexe. Pour surmonter les difficultés techniques plusieurs matériels et stratégies ont été proposés. La technique de « mother and child » utilisant le système « 5-in-6 » a récemment émergé comme un outil efficace pour améliorer le support pendant les interventions coronaires percutanées. Objectifs: L’objectif de cette étude est de rapporter notre expérience concernant l’utilisation du cathéter Heartrail II « 5-in-6 », dans les angioplasties coronaires complexes et d’évaluer son efficacité et sa sécurité d’emploi. Sujets et méthodes: Il s’agit d’une étude rétrospective et descriptive sur des procédures utilisant le système « 5-in-6 » chez des patients admis dans trois centres hospitaliers durant la période de juillet 2009 à septembre 2012. C’est le cardiologue interventionnel qui estimait s’il s’agissait d’une bonne indication de l’utilisation du système « 5-in-6 » pour l’angioplastie coronaire. Résultats: Cent quarante-sept patients ont été inclus dans notre étude. Une majorité masculine : 113 hommes (soit 78 %). L’âge moyen de la population était de 68,5±21,5ans. Cent vingt-huit patient (87 %) ont eu un abord radial, dont 123 par abord radial droit. L’angioplastie a intéressé la coronaire droite dans 82 cas (52 %), l’interventriculaire antérieure dans 35 cas (22 %), la circonflexe dans 18 cas (11,5 %), une artère marginale dans 16 cas (9 %), l’interventriculaire postérieure chez trois patients (0,01 %), la rétroventriculaire chez un patient et un greffon saphène chez deux patients (0,01 %). Les lésions étaient de type (B2 ou C) dans 70 % des cas, avec 50 % de lésions distales, modérément à sévèrement calcifiées dans 62 % des cas, et faisant 16±4mm de longueur moyenne. Il y avait 22 (14 %) procédures de désobstruction chronique dont 18 cas (81 %) ont été traitées avec succès. Le système « 5-in-6 » a été mis avec succès et nous a permis de réussir l’angioplastie chez 139 patients (94 %). Conclusion: Notre travail confirme la faisabilité et la sécurité d’utilisation du dispositif Heartrail II « 5-in-6 » en cas d’angioplastie complexe. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: To evaluate the rate of pre-cancerous and cancerous endometrial lesions in hysterectomy during vaginal reconstructive pelvic surgery. Patients and methods: In this retrospective and continuous study, a vaginal procedure including reconstructive pelvic surgery with vaginal mesh, hysterectomy and adnexectomy was performed in 152 patients between April 2001 and January 2006. An ultrasonography evaluation was done before surgery. A histopathological analysis of uterus, ovaries and tubes was also performed. Results: In the analysis of 136 cases, precancerous and cancerous lesions have been diagnosed while ultrasonography or cervical smear were normal: 2 (1.4%) endocervical dysplasia, 1 (0.7%) cervical epidermoid carcinoma, 10 (7.35%) endometrial complex non-atypical hyperplasia, 7 (5.1%) endometrial atypical hyperplasia and 2 (1.4%) endometrioid endometrial carcinoma. There was not any cancerous lesions in tubes or ovaries. At 10months, mesh exposure was low at 2.9% (four cases). Discussion and conclusion: The important rate of cancerous and precancerous lesions raise the question of hysterectomy or hysteroscopy and endometrial biopsy in case of uterine preservation during a vaginal reconstructive pelvic surgery. [Copyright &y& Elsevier]

Fortuitous discovery of a maxillary lesion on radiologic imagery is a challenge to make the etiologic diagnosis. The purpose of this article is to present a case of a patient with a suspicion of a malignant maxillary tumor. All steps are detailed from the first consultation to the final diagnose of keratocyst. All points of therapeutic coverage are discussed. The clinic and radiologic items of a malignant tumor and a kertocyst can be difficult to distinguish and that is why in literature the keratocyst is more and more consider as a cystic benign neoplasia. [ABSTRACT FROM AUTHOR]

Summary: Laryngeal cyst is a rare but generally benign lesion in the larynx. It may cause stridor and life-threatening airway obstruction in early infancy. We report the case of a neonate who developed respiratory distress 24h after birth in relation with materno-fetal infection. Airway obstruction was then suspected because of stridor. A laryngeal mass was discovered at the time of intubation. The infant experienced a nosocomial infection and died on day 14 of life before any surgical treatment. Autopsy concluded in an epiglottic congenital laryngeal cyst. [Copyright &y& Elsevier]

The article presents a case study of a 14-year-old cat diagnosed with feline leishmaniasis in southern France. The cat is presented with erythmatous ulcerated papules in its head and withers, as well as an ulcerated lesion on its left pinnae. Necropsic results indicated the presence of the parasite even after six months of treatment. The article also discusses the sensibility of the cat to the leishmaniasis pathology.

Résumé: Objectifs: Nous avons étudié la valeur de l’échographie (US) dans le diagnostic lésionnel de l’épaule et pour guider les injections locales de corticoïdes, en comparaison à une injection standard dans la prise en charge d’une épaule douloureuse aiguë. Méthode: Soixante-dix patients consécutifs avec une épaule douloureuse aiguë ont été évalués cliniquement et par US. Les patients étaient randomisés et recevaient soit une infiltration standard sous-acromiale de 7mg de bétaméthasone, soit une injection guidée sous US, en fonction du diagnostic échographique. Le suivi était réalisé par un évaluateur indépendant qui ne connaissait pas les résultats de l’échographie initiale et des évaluations cliniques. Résultats: Soixante-sept patients ont terminé l’étude. Les deux groupes ont présenté des réductions significatives de la douleur diurne et nocturne, en comparaison aux valeurs initiales. Le groupe ayant reçu une injection guidée par échographie (groupe « échographie ») avait significativement moins de douleur au repos et à deux et six semaines (ENV : 1,6 versus 3,3, p <0,005 ; 3 versus 4,2, p <0,04). Le pourcentage de bons répondeurs était significativement plus élevé dans le groupe échographie à deux semaines, (81 % versus 54 %, p <0,005) et six semaines (64 % versus 38 %, p <0,05). À deux et six semaines, le taux de répondeurs et les scores d’activité douloureuse, ainsi que le score de Constant étaient en faveur du groupe échographie bien que cela ne soit pas statistiquement significatif. Conclusion: Les injections locales de corticoïdes dans une scapulalgie entraînent des améliorations significatives de la douleur et de la fonction jusqu’à 12 semaines. L’examen échographique permet de diagnostiquer l’étiologie de cette douleur et de guider l’injection. Il apporte des bénéfices supplémentaires jusqu’à six semaines. Nous recommandons de faire une échographie en routine dans la prise en charge de la douleur aiguë de l’épaule. [ABSTRACT FROM AUTHOR]

Abstract: Objective: The incidence rate of uterix cervical cancer in 2006 in the Alpes-Maritime was 6.2 per 100,000 women. The existence of curable precancerous lesions and an effective vaccine make it a target cancer in public health. The objective of this study was to establish prevalence of cervical intraepithelial neoplasia in 2006 before the campaign of vaccination against HPV. Patients and methods: Retrospective study including all histological samples (smears excluded) of the cervix, performed in 2006 with a diagnosis of intraepithelial Neoplasia among residents of the Alpes-Maritimes. Extraction codes’ corresponding was carried out by all pathology laboratories located in the Alpes-Maritimes and around. A comparison of codes with pathology reports was performed for 11.4% of random samples. Results: This study included 2066 patients aged 16 to 88 years. The average age was 37.3 years (±12.3). Among these patients, most pejorative intraepithelial neoplasia lesion was CIN 1, CIN 2, CIN 3, respectively for 941, 380 and 375 patients. Prevalence of CIN 2 among women 20 to 25 years old was similar to rates seen in 35 to 39 years old (166.5 per 100,000) and the rate of CIN 3 was similar to that seen in 45 to 49 years (78.1 per 100,000). Discussion and conclusion: Rates of CIN for the entire female population of the Alpes-Maritimes in 2006 has been established. The results observed in women aged less than 25 years old will be useful for comparison after the campaign of vaccination against HPV. [Copyright &y& Elsevier]

Abstract: Aneurysmal bone cyst (ABC) is a benign osteolytic lesion usually occurring in the metaphysis of long bones. Authors report a case of a 21-year-old man with an expanding aneurysmal bone cyst in the entire humeral diaphysis and both metaphyses, discovered incidentally. Authors present the therapeutic difficulties encountered and discuss theepidemiology, diagnosis and management of ABCs. [Copyright &y& Elsevier]

Abstract: Cryofibrinogenemia (CF) is an unrecognized disorder and is rarely symptomatic. CF represents 10 % of the whole cryoproteins. Mean age at diagnosis is between 50 and 60years. The skin is the most frequently involved organ, in 80 % of patients at diagnosis. Skin lesions include purpura, livedo and Raynaud''s phenomenon. In severe cases, skin ulcerations or necrosis and gangrene may occur. Arterial thrombosis is frequently reported (20 to 40 % of cases). Defect in the fibrinolysis process may lead to the cryofibrinogen accumulation and clotting in small and medium arteries and provide a rationale for the use of fibrinolytic agents at least in the most severe cases. In this article, we review the clinical presentation, pathogenesis and treatment of CF. [Copyright &y& Elsevier]

Abstract: The aim of diagnosis imaging is to detect hepatocellular carcinoma at an early stage, when a curative treatment is available. Biopsy is no longer required prior to treatment, and diagnosis of hepatocellular carcinoma is heavily dependent of imaging characteristics. Therefore, the purpose of this article is to describe the typical features of small (<20mm) and larger hepatocellular carcinomas with noninvasive diagnostic criteria, including ultrasound, computed tomography and MRI. Advances in these imaging modalities have greatly improved the detection of small hepatic nodules on liver cirrhosis, including the different steps of carcinogenesis, from regenerative to dysplastic nodules, and we emphasize the difficulties of radiological differentiation of precancerous lesions and small hepatocellular carcinomas. [Copyright &y& Elsevier]

Metastases are sometimes the first revelation of cancers. In metastatic disease of unknown origin, the role of the pathologist is to affirm the malignant character of the lesion; provide histological information for possible origins; and to give histological therapeutic arguments. In most of the cases, the histological analysis based on cellular morphology is sufficient to suspect a particular origin. In case of poor differentiated carcinoma in addition to the histological analysis, the immunohistochemical study allows the detection of various specific antigens. In this review, we approach various morphological criteria and the interest of the various antibodies to confirm the origin primitive of a metastasis. [ABSTRACT FROM AUTHOR]

Abstract: Diabetic mastopathy is an uncommon benign entity occurring in young women with type 1 diabetes. Its clinical and radiological signs are not specific and often mimic a breast carcinoma. However, the benign nature of this lesion is easily recognized on histological examination, visualizing dense keloid-like fibrosis, lymphocytic lobulitis and ductitis with lymphocytic perivascular inflammation, with or without epithelioid-like fibroblasts. Surgery can generally be avoided. The evolution of this entity is characterized by the risk of local growth, bilateralisation or recurrence after surgical treatment. We present a case in which the core biopsy allowed the diagnosis of a diabetic mastopathy and we discuss its clinical, diagnostic, pathological and therapeutic particularities. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: To determine the prevalence of cervical squamous intraepithelial lesions among HIV-positive women, compared to that of HIV-negative women and identify the different types of lesions in both groups. Patients and methods: Cross-sectional study conducted in 16 months in two facilities and the service of pathological anatomy of Bangui. The sample consisted of 250 HIV-positive women matched to 250 HIV-negative women. The parameters studied were the HIV status, the result of cervical smear screening, the rates of CD4 and the data of the interview. Results: The smears were inflammatory in 54.4% of HIV-negative and 46.4% of HIV-positive. Epidermoid intraepithelial lesions of the cervix were more frequent among HIV-positive women than among HIV-negative women with respectively 34.8% and 16.4% (P <0.0001). The low-grade lesions were more common regardless of HIV status of patients. The median age of onset of the LEI was lower among HIV-positive whatever the grade of the lesion. Koïlocytosis was found in 27.2% of HIV-positive women against 9.2% among HIV-negative (P <0.001). Discussion and conclusion: The prevention of infection by HIV and HPV and the monitoring of precancerous lesions would allow to prevent their evolution towards invasive cancer. [ABSTRACT FROM AUTHOR]

Abstract: Introduction: The Niemann Pick disease type B is a rare deficiency in sphingomyelinase activity, autosomal recessively inherited. Case reports: We report three patients (two men, one woman) of the same family, who showed pulmonary and hepatosplenic lesions, usually present in the disease but also adrenal gland lesions confirmed by tomodensitometry. Conclusion: The current treatment of Niemann Pick disease is purely symptomatic awaiting the use of enzymatic replacement therapy which has been successfully experimented in animal model. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: Clinical and pathological features of mucocele-like lesions in the breast are well-known though rare. The aim of this study is to evaluate the frequency of other breast proliferations association, the underestimation with ultrasound guided core biopsy or stereotactic vacuum-assisted biopsy and its implication on patient''s management. Patients and methods: Retrospective study conducted in the gynecology departments of Tours and Orleans between January 1997 and December 2007, reviewing the records of all patients with diagnosis of mammary mucocele-like lesion on core or stereotactic biopsy. Results: Eight cases were identified, all screen-detected (mammographic abnormalities) on asymptomatic women. For the five cases diagnosed by core biopsy, initial histological examination found isolated mucocele-like lesions in four cases, and association with atypical ductal hyperplasia in the other case. Vacuum-assisted biopsy and/or surgical excision were always done finding an association with mucinous carcinoma and another case of association with atypical ductal hyperplasia. For cases diagnosed by vacuum-assisted biopsy, histological examination was almost similar to the surgical one. Discussion and conclusion: High rate of associated lesions (especially atypical ductal hyperplasia) makes necessary the advice of complementary surgical excision after a diagnosis of a mucocele-like lesion on a biopsy specimen. Vacuum-assisted biopsies could have their place as a curative method in certain conditions. [Copyright &y& Elsevier]

Copyright of Revue de Stomatologie & de Chirurgie Maxillo-Faciale is the property of Masson SPA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revue de Stomatologie & de Chirurgie Maxillo-Faciale is the property of Masson SPA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Summary: We describe a rare case of Influenza B-associated encephalopathy with hemorrhagic lesions of the corpus callosum. A 12-year-old Caucasian girl presented a 24-h fever followed by partial seizure, secondarily generalized, and disturbance of consciousness. Magnetic resonance imaging on Day 2 of her illness showed two hemorrhagic lesions of the corpus callosum. The Influenza B virus was found on nasopharyngeal swab. Neurologic signs had completely recovered by Day 3. A review of the literature identified a few similar cases; the common features include a relatively older age and prompt and complete recovery from clinical symptoms. This is the first report to describe hemorrhagic lesions of the corpus callosum in influenza. [Copyright &y& Elsevier]

Abstract: Anal cancer is a rare pathology in the general population but the incidence of this cancer has been on the rise for certain high-risk groups, such as homosexual men and immunodepressed subjects. The incidence of anal cancer is 10 times higher in the HIV-positive population than in the female population in general. Moderate to severe dysplasias (AIN2-3) are types of precancerous lesions that usually precede the appearance of the cancer. HPV16 infection is the most common (3/4 of the cases) followed by HPV18 (less than 10%). In anal cancer, HPV16 is present in over 75% of the cases. The prevalence of HPV in anal cancer is higher in women (90%) than in men (75%). Squamous cervical and anal cancers have strong similarities founded on the causal association to HPV, in particular HPV16. Recent data indicate that anti-HPV vaccination has a significant potential in preventing HPV infections, precancerous lesions, and anal cancer in the general population as well as in the high-risk groups. [Copyright &y& Elsevier]

Summary: The basal-cell carcinoma is the most frequent malignant tumor in human, usually involving the healthy sun-exposed skin of head and neck area, but thoracic and members localisations are possible. Macroscopic appearence is variable excepting the pathognomonic pearl. Periungueal lesions are in this context very rare and we report the case of a 64-year-old man presenting with a basal-cell carcinoma on the thumb. A litterature review was also performed and our purpose is to warn our colleagues about this quite often unrecognized pathology which may need a more agressive treatment in case of delayed diagnosis, and to remind them that all chronic lesions impose a biopsy. [Copyright &y& Elsevier]

Abstract: Volar perilunar dislocations of the carpus are rare. They occur in young patients following a violent injury. Open reduction is often needed because of instability of the lesion. The authors report a case of volar transscaphoid perilunate fracture-dislocation treated surgically, with a satisfactory functional result after a follow-up of two and a half years. [Copyright &y& Elsevier]

Abstract: Myositis ossificans circumscripta is a benign lesion characterized by focal heterotopic soft tissue ossification and occurring in young people generally after localized trauma. The location of this case in the forearm is rare. The clinical signs, radiological appearance and the histological features can be confused with osseous or soft tissue sarcoma, as was the case in our patient. [Copyright &y& Elsevier]

Copyright of Néphrologie & Thérapeutique is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé: La scintigraphie osseuse a fait la preuve de son efficacité depuis de nombreuses années, notamment grâce à sa bonne sensibilité, pour une irradiation peu importante et un caractère non invasif. Toutefois, elle peut être prise en défaut à cause de l’absence de spécificité de la fixation du traceur, et la différenciation entre lésions bénignes et malignes n’est pas toujours aisée. Le recours à un complément d’imagerie morphologique est souvent nécessaire pour établir le diagnostic final. Par ailleurs, la résolution limitée de la scintigraphie empêche une localisation très précise des lésions. La tomoscintigraphie peut désormais être couplée à un scanner dès l’acquisition des images grâce à la technique de tomographie d’émission monophotonique-tomodensitométrie (TEMP/TDM), qui fournit des images fonctionnelles et anatomiques fusionnées. Ce type d’imagerie multimodalité a montré son intérêt dans l’interprétation des scintigraphies osseuses en pathologie cancéreuse, en permettant une augmentation importante de la spécificité par rapport au mode planaire, et également à la tomoscintigraphie seule, notamment pour les anomalies du rachis. La localisation précise des anomalies et les informations supplémentaires qu’apporte cette technique peuvent aussi être utiles pour la pathologie bénigne, comme les traumatismes, les infections ou les lésions dégénératives. Cependant, il n’y a pas encore d’études publiées précisant l’intérêt de cette nouvelle technique dans les diverses indications en dehors de la cancérologie. Néanmoins, sa diffusion ne fait que commencer et elle pourrait devenir un examen couramment réalisé en pratique dans certains cas de pathologie rhumatologique. [Copyright &y& Elsevier]

Abstract: The most common approach in the treatment of bifurcation lesions is stenting only the main branch (MB) with provisional T-stenting of the side branch (SB). However, some bifurcation lesions may have extensive disease within a large SB requiring stenting of this vessel. The “crush” technique, which has been proposed as an alternative approach to other strategies to treat complex bifurcations, is a relatively simple technique that ensures complete coverage of the SB ostium. Previous series have reported its safety and feasibility, but limited data are available about the long-term outcomes. We report our experience on 21 consecutive patients (pts) treated with the “crush” technique with drug-eluting stents (DES) between November 2005 and March 2007. Clinical follow-up was 18±7 months for 19 pts (90%), and angiographic follow-up was completed in 66% of pts (N =14), at a mean time of 8.5±4 months. Mean pt age was 70±11 years; 33% (N =7) had diabetes mellitus, and mean preoperative logistic EUROSCORE predicted 11% mortality rate. The left anterior descending artery/diagonal and the distal left main were the most frequent bifurcation locations (52 and 43% of cases respectively), with a type 1,1,1 of the Medina classification of bifurcation lesions in 62% of pts, and an angulation MB–SB below 50° in 66% of cases. Final kissing balloon dilation was performed in 90% of pts (N =20). Stent diameter and length were similar between MB and SB. The procedure was successfull in 100% of cases in the MB and 95% of cases in the SB. Procedure-related CK elevation above 2 ULN was seen in two pts (9.5%), without ECG modification. One pt had subacute stent thrombosis 5 days after his procedure. At the end of follow-up, target vessel revascularization (TVR) was required in four pts (19%), and target lesion revascularisation (TLR) in three pts (14%) whom had focal restenosis in the SB ostium (one pt) and in the MB and SB ostia (one pt). Sudden death occurred in one pt 14 months after his procedure. In conclusion, when an effective strategy for stenting both branches is planned, the “crush” technique with final kissing balloon can be safely used by experienced operators to treat complex bifurcation lesions with DES. The safety profile and TLR rate in our small series of “crush” stenting were similar to that of other studies reported thus far. [Copyright &y& Elsevier]

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Copyright of Revue de Stomatologie & de Chirurgie Maxillo-Faciale is the property of Masson SPA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revue de Stomatologie & de Chirurgie Maxillo-Faciale is the property of Masson SPA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The generalization of colorectal cancer prevention campaigns leads inevitably to the multiplication of control colonoscopies, for those patients who have been treated by endoscopic removal of precancerous lesions. Risk of recurrence varies according to the number, size and histology of the lesions, as well as the patient’s family history. Academic guidelines recommend an examination at three months, three years, five years or a distant unspecified date. We studied 581 patients who had undergone a polypectomy in Brittany in September 2002, which procedure was performed by one of 86 gastroenterologists from the region. We studied to what extent guidelines had been followed. We were able to analyze 384 case files. Of the seven recommended three months check-ups, five were done on time, two were late. Of 102 recommended three years check-ups, 36 were done between one and three years; 66 were not done. Of 105 recommended five years check-ups, 49 were done between 12 and 61 months; 56 were not done. For the 131 patients requiring a ten-year check-up, 49 were checked at five years, of whom 20 had polyps that were either new or not seen at the previous colonoscopy. We can conclude that guidelines are insufficiently observed, for reasons that are linked either to the patient or to the physician. We can expect the situation to improve as a result of information campaigns, new research on the history of the different types of lesions, which will better inform the guidelines, and greater use of computerized alerts regarding the calendar of check-ups. [ABSTRACT FROM AUTHOR]

Abstract: Among 10% of all patients presenting with non ST elevation acute coronary syndromes (ACS), coronary angiography do not show non lesions at all (50%) or mild atheromatous stenosis (50%). ACS without angiographic stenosis are more prevalent in female sex and young patients but can be seen in older ones and in men. Pathogenic mechanisms include acute evolution of vulnerable non-significant plaques and endothelial dysfunction. Inhospital and mean term prognosis is not as benign as expected. Six months deaths and myocardial infarction incidence is around 6%. Numerous rehospitalizations due to ischemic recurrences are also very often seen. Therefore, such surprising coronary angiograms do not preclude a fair follow-up. These patients need a careful therapeutic strategy. [Copyright &y& Elsevier]

Summary: Infantile cutaneous hemangioma is a benign vascular tumour present at 10% of the infants. It forms part of the group of the vascular tumours in the classification of international society for vascular anomalies (ISSVA). Usual surgical attitude is abstention and surgery is proposed only in order to treat sequelae. But some particular situations require early surgery to avoid functional impairment, deformation or growth delay due to the lesion''s development. Using our observations, we recall the epidemiology, the physiopathology, the clinical aspects, the particularities of the facial localizations and their treatments. In these localizations the time intervenes like a fourth dimension that is going to modify, to improve or to aggravate the prognosis. Treatment requires a strategy and precocious surgery. We insist on the fact that the dogma of the therapeutic abstention remained true for a majority of children with small size hemangioma and that a precocious surgery must be proposed for some localizations in the face. [Copyright &y& Elsevier]

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Copyright of Revue Francophone des Laboratoires is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Deep infiltrating endometriosis is a well-known female disease responsible for chronic pelvic pain, urinary dysfunction, infertility, and altered quality of life. Endometriosis and infertility are complex entities and the optimal choice of management of both of them remains obscure. Mechanism of development of the disease has to be understood to optimize patients care. The link between barrenness and endometriosis is well known, but there is no direct link between bladder lesion and infertility. Bladder endometriosis is a deeply infiltrating endometriosis lesion. Its management is first diagnostic and then remedial. In case of ineffectiveness of medical strategy, surgical treatment is indicated. However, for patient suffering from symptomatic isolated bladder endometriosis, surgical management can be offered in first intention. Isolated bladder injuries due to endometriosis are mostly treated by conservative laparoscopic surgery, after a complete evaluation of endometriosis disease and barrenness by clinical exam and imaging techniques. [Copyright &y& Elsevier]

Abstract: Ovarian epithelial dysplasia has been described in the ovarian surface epithelium by histologic, morphometric and nuclear profile studies. It could represent a potential precursor of ovarian malignancy in patients with genetic risk of ovarian cancer, although its natural history and progression to carcinoma are unpredictable. Diagnosis and identification of ovarian dysplasia would certainly be useful to understand the early steps of ovarian carcinogenesis. However, dysplasia in relation with ovulation induction seems to have a different pattern. We report dysplasia definitions and the current clinical management. [Copyright &y& Elsevier]

Abstract: As a consequence of breast imaging development and increased interventional radiology, benign epithelial breast diseases (BEBD) represent a growing percentage of breast pathology diagnoses. BEBD include numerous entities such as cysts, fibrosis, adenosis, duct ectasia, which require neither surgery nor follow-up. Some BEBD have to be individualized (radial scars, papillomas, complex sclerosing adenosis, lobular intraepithelial neoplasia, flat epithelial atypia, atypical hyperplasia), being preinvasive lesions or markers of increased breast cancer risk, or being associated with suspect radiological aspect. BEBD should be managed in a pluridisciplinar way and correctly diagnosed by percutaneous biopsies or surgical specimens. The goals of surgery vary according to lesions. It always allows a complete surgical specimen analysis and therefore a search for atypical or cancerous cells. Surgery can also have a preventive role by reducing the risk of potential malignant transformation. Finally, it enables in some cases the excision of a radiologically suspect mass. So the aim of this review is to give a clinical and morphological description of most common BEBD, underlying their cancer risk, specific diagnosis, therapeutic, follow-up and psychological repercussions. [Copyright &y& Elsevier]

The women treated for a high-grade cervical lesion (CIN2+) have a high and prolonged (beyond 25 years) risk of recurrence (×5 compared to the general population) of cervical as well as extra-cervical lesions. The cytological and colposcopic protocols of follow-up raise the problem of their insufficient sensitivity, and the compliance of the patients to this prolonged follow-up is low. The HPV test, seeking the presence of high-risk HPV, benefits from a high sensitivity and presents altogether a very strong negative predictive value. The addition of this test to the cytological monitoring three to six months after the conization makes it possible to distinguish a group of patients with low risk (with both tests negative) being able to profit from a traditional follow-up, from a high-risk group having at least one positive test, whose surveillance must be reinforced (with triage by colposcopy), prolonged in time and extended beyond the cervix. Like as the primary screening of cervical lesions, the follow-up of the patients after conization must profit from the addition of the HPV test and would deserve protocolization and organization. [Copyright &y& Elsevier]

Up to now, there are only a few studies that have dealt with the psychosexual consequences of vulvar intraepithelial neoplasias (VINs) and their surgical treatment. Yet, these consequences cannot be ignored. The patients’ daily experiences are always complicated, especially because the disease – rightly or not – is assimilated to cancer, is a sexually transmissible infection, affects a part of the body with particular symbols, but also because today there are no certainties whatever on this subject. From the observation of patients followed by a team of specialists, this article aims to describe most frequent reactions, tries to explain them, and considers what medical accompaniment and counsel might be proposed in these circumstances. [Copyright &y& Elsevier]

Abstract: Endometriosis, defined by the development of endometrial tisue outside the uterus, is a benign disease responsible for infertility and pelvic pain. The diagnosis based on a detailed gynecological history and a careful clinical examination should be done as early as possible in order to treat patients correctly. Medical treatment is not appropriate in all cases and surgical treatment should be proposed but morbidity is related to the severity of the lesion. Ectopic implantation of endometrial cells needs complex interactions between host tissue and epithelial endometrial cells. The conditions for the development of endometriosis are estrogeno-dependent growth of endometrial cells, induction of angiogenesis and lymphangiogenesis. Principal cellular and molecular factors of angiogenesis, lymphangiogenesis and fibrosis should be identified in order to develop new therapeutic strategies of endometriosis. [Copyright &y& Elsevier]