Publications by authors named "Ines Zemni"

Introduction: Undifferentiated Nasopharyngeal carcinoma (UNPC) exhibits the highest loco-regional cervical lymph node recurrence among head and neck epithelial malignancies. Axillary lymph node recurrence in NPC is uncommon.

Case Description: A 44-year-old male presented with two-month history of painless swelling of the right axilla.

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Peritoneal tuberculosis is one of the most challenging forms of extrapulmonary tuberculosis to diagnose, especially, in women as it often mimics an advanced ovarian carcinoma. Many authors had documented cases where peritoneal tuberculosis was initially misdiagnosed as advanced ovarian carcinoma, but only four cases had reported the coexistence of both conditions. We present the fifth case in the literature of concurrent peritoneal tuberculosis and serous cystadenocarcinoma of the ovary.

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Introduction: Cutaneous metastases (CM) from Gastro intestinal (GI)malignancies are rare. It usually occurs lately in cancer evolution. The treatment is mostly palliative.

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Medullary thyroid carcinoma is a neuroendocrine tumor derived from thyroid C-cells. It is a rare aggressive tumor, known to metastasize to lymph nodes, liver, bones, and lungs. We report a case of a young patient with a family history of breast cancer, who developed breast metastases six months post-treatment for medullary thyroid carcinoma.

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Background: Gastric cancer (GC) remains a serious health concern and is characterized by a multifactorial etiology involving both genetic and epigenetic factors. The aim of the current study was to examine the relationship between Human leukocyte antigen (HLA)-G 3'UTR polymorphisms and the expression of HLA-G in both tumor tissues and plasma samples from patients with GC in the Tunisian population.

Methods: HLA-G 3'UTR polymorphisms (14pb Insertion/deletion and + 3142C/G) were identified by polymerase chain reaction (PCR) or Sanger sequencing.

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Article Synopsis
  • HLA-G 14-bp insertion/deletion polymorphism is linked to cancer risk, particularly associated with the D allele, suggesting it may contribute to cancer cell escape mechanisms.
  • A meta-analysis of 39 studies showed a significant association between this polymorphism and breast cancer, with specific variations in risk based on ethnicity and geographic location.
  • Significant cancer risks linked to the D allele were observed in populations from North Africa, the Middle East, and South America, but no such risks were noted in Europe or North Asia.
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  • * A case study of a 59-year-old woman showed a painful, slow-growing vulvar lesion diagnosed as BSC, confirmed by biopsy and treated with partial radical vulvectomy and sentinel lymph node biopsy, both showing no evidence of metastasis.
  • * This case highlights the importance of recognizing squamous differentiation in BSC for ensuring complete surgical excision, as it has a higher risk of recurrence and metastasis compared to basal cell carcinoma,
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Introduction: Metatypical basal cell carcinoma is a rare and aggressive subtype of skin cancer. It necessitates a careful and nuanced approach to management. The first-line treatment is a wide surgical excision, which can lead to significant tissue loss.

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Introduction: Perivascular epithelioid cell tumors are uncommon mesenchymal tumors. The genital tract is the most common extrarenal location. Preoperative diagnosis is rarely achieved owing to non-specific symptoms and imaging features.

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Article Synopsis
  • Inguinal lymph node metastasis and the number of metastatic lymph nodes (NMLN) are key prognostic factors in vulvar squamous cell carcinoma (VSCC), but the lymph node ratio (LNR) also reflects lymphadenectomy effectiveness.
  • This study analyzed data from 192 VSCC patients to assess the impact of LNR and lymph node count on overall survival (OS) and recurrence-free survival (RFS).
  • Results indicated significant findings with a 5-year OS of 52.5% and 5-year RFS of 55.8%, highlighting LNR, FIGO stage, and negative margins as critical independent prognostic factors.
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Background And Aim: As the presence of single nucleotide polymorphisms (SNPs) in the interleukin gene continues to be a major challenge in the development of effective therapies for digestive cancers, this case-control study was conducted to assess the possible influence of genotype, haplotype and diplotype for two SNPs (-1082A/G (rs1800896) and -592A/C (rs1800872)) located in the promoter region of gene on the incidence, severity and prognosis of colorectal cancer (CRC) in Tunisians.

Methods: gene SNPs were analyzed in 130 CRC cases and 165 healthy subjects (HS) using PCR-SSP.

Results: For the -1082A/G SNP, the comparison of genotype frequencies between cases and HS groups showed that the G allele significantly reduced CRC risk under the recessive model (GG vs.

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Background: Axillary lymph node involvement (ALNI) is associated with an increased risk of local recurrence and poor prognosis in early breast cancer. The determination of the risk of positive axillary lymph node contributes to therapeutic decisions.

Objectives: The aim of this study was to identify clinicopathological predictive factors of axillary lymph node metastases in patients with early breast cancer.

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Article Synopsis
  • Rectal signet ring cell carcinoma is a rare and aggressive subtype of colorectal cancer with a poor survival rate and can metastasize to atypical sites, such as a lipomatous tumor.
  • A case involving a 42-year-old man reveals that this carcinoma metastasized to a lipoma after undergoing treatment that included chemotherapy and surgery, ultimately leading to the patient's death a year later due to disease progression.
  • This situation highlights the importance of thorough pathological examinations in seemingly benign tumors to rule out potential malignancy transfer, underscoring the need for vigilance in cancer diagnostics.
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Metastasis to the pancreas from malignant tumors is a rare event, representing only 1% to 2% of all pancreatic neoplasms. They occur in 2 different clinicopathological settings: as a manifestation in widespread metastatic disease or as an isolated mass in the pancreas. We report the case of a 41-year-old woman who had a history of invasive lobular breast cancer treated with radical surgery, chemotherapy, and radiotherapy.

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Background: Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome.

Aim: This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses.

Methods: We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia.

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Introduction: Vaginal metastasis from colorectal cancer is a rare occurrence, typically associated with other metastatic lesions. Isolated metastasis is exceedingly uncommon, with only a few cases documented in the literature. Vaginal involvement in colorectal cancer primarily results from direct contiguous spread from the primary tumor.

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Introduction: Primary cutaneous apocrine carcinomas of the axilla represents an extremely rare entity, with <200 cases reported in the literature. It can be challenging, even almost impossible, to distinguish histologically from metastases of breast origin. We herein present the first case of an axillary cutaneous apocrine adenocarcinoma followed and treated in our institute.

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Introduction: Primary Thyroid Lymphoma (PTL) is defined as lymphoma involving the thyroid gland alone or the thyroid gland and adjacent neck lymph nodes without contiguous spread or distant metastases at the time of diagnosis. Most thyroid lymphomas are B cell lymphomas, and 98% of all PTL cases are non-Hodgkin's lymphoma. It is a rare disease accounting for around 5% of the thyroid neoplasms and 2% of extranodal lymphomas.

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Background: Nasopharyngeal carcinoma is known for its high potential for regional and distant metastasis. However, breast metastasis is rarely reported.

Case Presentation: A 39-year-old Caucasian male presented with bilateral neck lymph node enlargement.

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Background: Neurofibromatosis type 1 is a neurocutaneous genetic disorder caused by mutations in the NF1 gene, resulting in the formation of benign tumors called neurofibromas. The most common type of tumor seen in patients with neurofibromatosis type 1 is the slow-growing and benign neurofibroma, with a subtype called plexiform neurofibroma being particularly common and causing pain, functional impairment, and cosmetic disfigurement.

Case Presentation: We report the case of a 20-year-old North African female patient with a history of neurofibromatosis type 1 who presented with a growing mass in her right gluteal region, which was later diagnosed as a giant cutaneous neurofibroma.

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Introduction: Cutaneous metastases (CM) revealing lung carcinoma are extremely rare, accounting for 0.8%. The diagnosis is guided by histology and immunohistochemistry.

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Article Synopsis
  • Pelvic actinomycosis related to an intrauterine device is a rare chronic infection that can lead to serious complications, like colonic obstruction and hydronephrosis.
  • Difficulty in diagnosing this condition often results from vague symptoms that can mimic pelvic cancer, making it challenging to identify early on.
  • A case study involving a 67-year-old woman illustrates the diagnosis and surgical management of the condition, highlighting the effectiveness of antibiotic therapy in treating the infection and avoiding more invasive surgical procedures.
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Introduction And Importance: Uterine leiomyoma is the most common pelvic tumor in women. Its cervical location is rare and may extend into the vagina in 2.5 % of cases.

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Myxoid liposarcoma (MLPS) is the second most prevalent subtype of liposarcoma. It is usually found in the deep tissues of the lower limbs and rarely in gynecologic tract. Herein we present the second case in the English literature of a primary MLPS arising from the broad ligament which was thought to be a borderline ovarian tumor.

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