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Primary Vulvar Ewing Sarcoma in a 30-Year-Old Woman: A Case Report

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Case Reports in Clinical Medicine 2018年第3期7卷 241-248页

作者： Fatoumata Matokoma Sidibe Hajar Ouahbi Rajae Kanab Layla Tahiri Fatim Zhara el Mrabet Samia Arifi Hind el fatemi Nawfel Mellas Medical Oncology Department HASSAN II University Hospital Fez Morocco Pathology Department HASSAN II University Hospital Fez Morocco

Primary Ewing sarcoma (ES) and primitive neuroectodermal tumor (PNET) are considered as Ewing sarcoma family of tumors (ESFT), characterized by chromosomal translocation t(11;22) (q24;q12) leading to a chimeric transcript EWS-FLI1 in 85% of cases. It typically involves the soft tissues of the chest wall, pelvis, paravertebral region, abdominal wall, retroperitoneal region and extremities in children, adolescents and young adults. It rarely occurs in the female genital tract. We report an extremely rare case of advanced vulvar Ewing sarcoma/PNET of the vulva confirmed by Fluorescence In Situ Hybridization (FISH) in a 30-year-old woman. The patient was treated by 6 cycles of chemotherapy followed by radiotherapy with favourable outcome.

关键词： Ewing Sarcoma/Primitive Neuroectodermal Tumor Vulva Advanced Disease Multimodal Treatment

Quality assessment of intraoperative frozen sections: An analysis of 261 consecutive cases in a resource limited area: Morocco

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Rare tumor of the ovary: Primitive choriocarcinoma

Health（健康） 2012年第7期

作者： Laila Chbani Sekal Mohamed Tawfik Harmouch hinde el fatemi Afaf Amarti

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Open Journal of Obstetrics and Gynecology 2013年第5期3卷 448-450页

作者： Sanaa Errarhay Najia Hmidani Samia Mahmoud Hind el fatemi Hanane Saadi Omar el Mesbahi Nadia Squalli Chahrazed Bouchikhi Amarti Afaf Abdelaziz Banani Department of Gynecology and Obstetrics University Hospital of Fez Fez Morocco Department of Oncology University Hospital of Fez Fez Morocco Department of Pathology University Hospital of Fez Fez Morocco Department of Radiology University Hospital of Fez Fez Morocco

We report the case of a patient of 30 years with primary choriocarcinoma of the ovary. This patient referred for abdomino-pelvic mass suspected clinically and sonographically. Exploratory laparotomy was performed with the presence of two latero-uterine mass adherents to the highly vascularised uterus and difficult to resects deep plane with a mass left hepatic bleeding. A biopsy of both masses was performed and histological examination with immunehistochemical study returned for a primary ovarian non-gestational choriocarcinoma and the patient received 4 cycles of chemotherapy after hepatic artery embolization with good clinical, biological and radiological evaluation.

关键词： Germinal Ovarian Tumour Ovarian Choriocarcinoma Chemotherapy

Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report

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World Journal of Neuroscience 2015年第4期5卷 270-274页

作者： Oumar Coulibaly Lamine Habibou Olory Togbé Régis Nizar el fatemi Rachid Gana Rachid Maaqili Mohamed Jiddane Fouad Bellakhdar Department of Neurosurgery HopitalIbn Sina Rabat Morocco Department of Neurosurgery HopitalIbn Sina Rabat Morocco Department of Neurosurgery HopitalIbn Sina Rabat Morocco

A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there’s no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.

关键词： Spontaneous Spinal Epidural Hematoma Spinal Cord Compression MRI Laminectomy

Risk Factors of Reoperation and Outcome of Patients Operated for Chronic Subdural Hematoma in a Teaching Hospital in Rabat

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Open Journal of Modern Neurosurgery 2023年第2期13卷 60-68页

作者： Yolande Michèle Moune Jose Dimbi Makosso Mustapha Hemama Alngar Djimrabeye Dognon Kossi François de Paul Adjiou Saad elmi Moussa Nourou Dine Adeniran Bankole Nizar el fatemi Rachid el Maaqili Neurosurgery Department Ibn Sina Hospital Rabat Morocco

Background: chronic subdural hematoma is a common pathology, especially in the elderly. Although it has a good prognosis, it poses the problem of recurrence after surgical evacuation. Objective: To analyze the risk factors of reoperation in patients surgically treated for chronic subdural hematoma (cSDH) and evaluate the outcome of patients who benefited from a reoperation. Materials and Methods: A retrospective review was conducted in a single University Hospital Center in Rabat (Morocco) on 49 patients operated on from January 2020 to June 2021 for cSDH. Possible risk factors described in the literature were analyzed and the outcome of post-operative course was evaluated. Statistical significance was defined by p-value Results: 49 patients underwent surgical evacuation of cSDH. The sex ratio of male/female was 3.08. The mean age was 70.6 years. Concerning the medical history, 8.2% were diabetics, 10.2% had heart disease, 18.4% had hypertension, 16.3% associated of comorbidities, 2% had pulmonary embolism, and 2% had neoplasm. 18.4% were on anticoagulation therapy, no patients were on new oral anticoagulants. The clinical findings upon admission were motor deficit at 57.1%, signs of intracranial hypertension at 20.4%, altered consciousness at 16.9% and impaired behavior at 6.1%. 28.6% of patients had a past history of head trauma. The pre-operative CT scan showed unilateral cSDH at 81.6%, midline shifts at 77.6%, and false membranes at 34.7%. Blood appeared chronic at 40.8%, subacute at 24.5%, and mixed densities at 34.7%. The post-operative course was uneventful in 73.5%. According to Ibanez grading 8 patients had mild complications (grade I) and 5 moderate complications (grade II) after the first surgery. We recorded 10.2% of patients who needed a second surgery because of the deterioration of neurologic status or motor deficit associated with an abnormal CT scan. According to the GOS, 85.7% of patients had a good recovery while 10.2% died. None of the factors as

关键词： Chronic Subdural Hematoma Risk Factors of Reoperation Outcome

Testicular Metastasis as an Initial Manifestation of Gastrointestinal Cancer

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Cervical Spondylodiscitis Revealed by Tracheostomy Infected: A Rare Case Report Management and Outcome

Journal of Cancer Therapy（癌症治疗） 2021年第1期

作者： Soumia Berrad Zineb Benbrahim Vincent Lorenga Kazadi Lamiae Nouiakh Hayat Erraichi Rafik Naas Lamiae Amaadour Karima Oualla Samia Arifi hinde el fatemi Nawfel Mellas

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Risk Factors of Reoperation and Outcome of Patients Operated for Chronic Subdural Hematoma in a Teaching Hospital in Rabat

Open Journal of Modern Neurosurgery（现代神经外科学进展） 2023年第1期

作者： José Dimbimakoso Djimrabeye Alngar Moune Michèle Yolande Mustapha Hamama Nizaireel fatemi Rachid el Maaquil

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