Impact du délai diagnostique sur la survie du cancer du testicule

Objectives

Testicular cancer is the leading cancer of young adults and its incidence is increasing in almost all industrialized countries. The survival rate after testicular cancer is 95%, all stages combined, but a group of patients with poor prognosis still fails to respond to treatment. The time to diagnosis is defined as the time in months between perception of the first symptoms of testicular cancer by the patient and the diagnosis of the disease by the doctor. The objective of this study is to determine whether the time to diagnosis has a prognostic value, particularly whether it is correlated with the stage of the disease and survival.

Material and Methods

The time to diagnosis was studied in 542 patients with a diagnosis of testicular cancer between 1983 and 2002 in the Midi-Pyrenées region. Information concerning the disease and treatments contained in medical files was collected on a summary document. The time to diagnosis was correlated with prognostic parameters, including stage and survival.

Results

The mean time to diagnosis was 3.7±5.1 months and was longer for seminomas (4.9±6.1 months) than for non-seminomatous germ cell tumours (NSGCT) (2.8 ±4.0 months). The time to diagnosis was correlated with the stage of the disease and the 5-year survival on the overall population and in the NSGCT group, but not in the seminoma group.

Conclusions

Early diagnosis has a prognostic value (correlation with stage of the disease and 5-year survival rate). Testicular cancer information campaigns should therefore be envisaged.     

Sur la respiration du ciliéTetrahymena Geleii

Résumé Tetrahymena geleii provenant de cultures âgées de 70 heures, étudié à l'état non proliférant en milieu minéral tamponné à pH 7.3, à la température de 22°C., présente une respiration de base correspondant à Q_{O 2} voisin de 14. La consommation d'oxygène de cet organisme est accrue de 54% en présence de butyrate de sodium 0,01 M; elle est également accrue en présence d'acétate de sodium et de butyrate d'éthyle. Elle n'est pratiquement pas modifiée ni par le glucose ni par les acides dicarboxyliques participant au cycle deKrebs. Elle est inhibée de 50% par la pyrocatéchine 0,01 M.     

Contribution a la connaissance des propriétés du virus de la densonucléose

Résumé Le virus de la densonucléose est thermorésistant. Il n'est pas inactivé après traitement avec des solvants de lipides. Aucun pouvoir hémagglutinant n'a été mis en évidence avec des érythrocytes d'espèces variées. Ces propriétés sont comparées à celles desParvovirus.

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Summary The densonucleosis virus is thermoresistant. It is not inactivated after treatment with lipid solvents. Attempts to demonstrate hemagglutination of DNV, using different erythrocytes, were unsuccessful. These properties are compared to those of Parvoviruses.

     

Recherches sur la conservation du virus de la densonucléose

Résumé Le virus de la densonucléose (VDN) conserve une partie de sa virulence en solution aqueuse entre 0°C et 30°C pendant deux mois. Son pouvoir infectieux se maintient à—10°C pendant deux mois mais est supprimé après dix jours de dessication. On peut done considérer ceParvovirus d’Insectes comme un virus relativement résistant aux températures que l’on rencontre ordinairement dans la nature et au laboratoire.

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Summary The persistence of DNV is described. This virus retains a part of its infectivity in aqueous solution between 0°C and 30°C. The log LD₅₀ initially 7,15 drops to 2 after two months. The virus keeps its infectivity at 10°C but it loses all its pathogenicity after 10 days in dry conditions.

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Ce travail a été réalisé en partie dans le cadre d’une convention I.N.R.A.-D.R.M.E.     

Performances de la TEP au 18F-FDG dans la caractérisation initiale de la lésion primitive du cancer du sein

Objective¹⁸F-FDG PET/CT is for the moment not recommended for stage T of the TNM classification of breast cancer. The aim of our study was to evaluate the performance of ¹⁸F-FDG PET/CT in the initial staging of breast tumors. Tumor size, skin involvement and inflammation as well as the relationship between primary tumor maximum standardized uptake value (SUVmax) and histopathological grade (SBR), molecular tumor subtypes (luminal A and B, Her2 enriched, triple negative), estrogen receptors (ER), progesterone receptors (PR) and focality were evaluated.MethodsHistological reports of patients operated for breast cancer, without neoadjuvant chemotherapy, were compared to preoperative ¹⁸F-FDG PET/CT.ResultsSeventy-four patients who underwent surgery in 2016 were included. ¹⁸F-FDG PET/CT was able to visualize primary tumors in 91% and to correctly classify the T stage of the TNM classification in 81% of the cases, to detect multifocality in 73% and cutaneous and inflammatory breast cancers in 100%. The uptake intensity of ¹⁸F-FDG (SUVmax) was significantly correlated with histo-prognostic factors such as SBR grade (P = 0.02), lack of expression of estrogen receptors (ER) (P = 0.01) and progesterone (PR) (P = 0.02), positive HER2 status (P = 0.01) or triple negative subtype tumors (P = 0.02).Conclusion¹⁸F-FDG PET/CT provides relevant elements for local assessment, in particular, tumor focality and inflammatory character in addition to ensuring the regional and extension assessment.     

Génétique moléculaire de la transposition du bras long du chromosome x sur l'y lors de la spéciation humaine

Five cosmidic probes (7 b; 8 j; 22 b; CB 16 and 115 i 1) recognizes site of simple-copy DNA sequence homology between the human X and Y chromosomes. Genomic DNAS restricted with Eco RI from the great apes (Gorilla and Pan) were examined for sequences homologous to these probes, by molecular hybridization studies. Experiments reported here revealed, by genetic dosage with sex, that the great apes have homologous sequences of these five probes on their X chromosomes only. The simplest explanation of these results is that the corresponding sequences were transposed from the X chromosome to the Y chromosome after the human line diverged, like probe pDP 34 for locus DXY S1 (Page et al., 1984).     

Contribution à la systématique du genre Pichia

The presence of intracellular osidases, nitrite and nitrate reductases, vitamin requirements and GC content in the DNA, have been investigated for in 18 species of Pichia.According to their typical characters and their biocaracters, a pattern is suggested for the integration of these new species into the formerly existing groups of the genus Pichia. A new way of classifying the species of the genus Pichia is proposed.     

Aspects toxiques du cuivre sur la biomasse et la productivité du phytoplancton de la rivière du Saguenay,Québec

In 1979 and 1980, batch culture experiments were conducted to observe the inhibitory effect of copper ion (concentrations of 10, 50, 100, 200 and 400 µg Cu · l^–1) on the standing crops and photosynthesis of phytoplankton of the Saguenay River (for 124 hours) and in Chlorella vulgaris (for 8 days). These algal assays were carried out using the surface water of the Saguenay River. In natural populatoins of phytoplankton, it was found that photosynthesis was more sensitive than growth: at the lowest concentrations, such as 10 µg Cu · 1^–1, copper seemed to increase the chlorophyll concentrations whereas the rates of primary production show a decrease of 60% with respect to the control. At higher concentrations of copper, the effect is weak in chlorophyll concentrations and more pronounced in the rates of primary production (decrease of 86 to 90%). The pennate diatoms are dominant (in all the samples) and these organisms are known as relatively resistant to copper. In Chlorella vulgaris, it was observed that with 100 µg Cu · 1^–1, chlorophyll concentrations and rates of photosynthesis respectively decrease by 63 and 99% with respect to the control. At higher concentrations of copper, a maximum decrease of 70% and 99% respectively for chlorophyll concentrations and rates of primaryproduction are observed.

     

Effets du rubidium et du césium sur la croissance et la nutrition minerale des characees

Résumé Le rubidium et le césium introduits à l'état de chlorure dans le milieu de culture ont à faible dose un effet stimulant sur la croissance de Chara fragilis et de Chara vulgaris. La résistance de ces végétaux à l'action toxique des deux ions est accrue par l'addition de potassium au milieu.Les analyses chimiques confirment que le rubidium et le césium sont antagonistes vis-à-vis du potassium et du sodium alors qu'ils ne modifient pas de manière significative le taux de calcium.

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Chara fragilis and Chara vulgaris were cultivated in a natural medium containing rubidium and caesium as chloride.The growth of Characeae was increased after culture in the solutions containing Rb and Cs in small amount. The resistance to the toxic effects of these two ions is enhanced if potassium chloride is added to the medium.Quantitative analyses indicate that Rb and Cs decrease the rate of Na and K but have no significative influence on the rate of Ca.

Université de Dijon, Laboratoire de Nutrition minérale des Végétaux     

Chronologie du Paléolithique supérieur dans le Nord-Est de la principale île du Japon

Palaeolithic archaeology in Tohoku region has long been discussed on constructing chronology, however it is difficult to build reliable chronological order because of poor stratigraphic excavations. In recent radiocarbon dating has advanced. In this paper I discuss the relation between chronology and radiocarbon dating in Tohoku region. At first, I categorize the Palaeolithic industries and establish the chronology by analyzing tool typology, lithic technology, and stratigraphic data. I correlate it with radiocarbon data from sites in Tohoku region. The result of analysis shows that Upper Palaeolithic industries are divided into 18 categories and 8 periods on chronology. The calibration curve IntCal 13 indicated that oldest Early Upper Palaeolithic site appeared around 37,000 cal BP, and late Upper Palaeolithic started about 27,000 cal BP. The pottery first appeared as far back as around 16,000 cal BP. Now we do not have enough radiocarbon data, so we have to gather and examine more ¹⁴C data.     

Performances diagnostiques actuelles du coroscanner dans la détection de la maladie coronaire

Recent advances in multislice computed tomography (MSCT), which might represent a minimally invasive alternative to coronary angiography (CA), have allowed the ability to analyze coronary arteries. In this review, we present the current diagnostic performance of MSCT, as compared with the reference standard (CA), for the assessment of native coronary arteries, coronary in-stent restenosis and coronary artery bypass graft.     

Nouveautés de la flore halophile du Littoral croate

Summary The archipelago opposite Senj (Croatian Coast) is very exposed to the Bora hurricanes accompanied by air dryness, salt spray, and periodic coast icing. Therefore the xerohalophytic flora of this area is very interesting. Four new taxa from there are described:Astragalus glacialis n. spec. subsp.glacialis s. s. and subsp.uraganicus n. subsp.,Allium horvatii n. spec., andPinus nigra Arn. subsp.croatica n. subsp., a stenoendemic relict near extinction on the isle of Prvi.     

Action du cordo-mésoderme dorsal sur la régionalisation et la différenciation du massif endodermique chezRana dalmatina Bon. (Amphibien Anoure)

Résumé Du cordo-mésoderme dorsal greffé sur la région ventrale d'un massif endodermique de même âge provoque sa différenciation locale (st. 17/neurula). Des néo-formations nombreuses et variées sont obtenues en faisant varier les caractéristiques du greffon (cordo-mésoderme) et du porte-greffe (endoderme). L'existence, la nature et le volume de ces néo-formations dépendent: de l'étroitesse et de la durée du contact greffon/porte-greffe, de l'âge du cordo-mésoderme et de l'âge de l'endoderme, des niveaux de contact, plus ou moins antérieurs, du greffon et du porte-greffe.Les résultats des greffes (st. 17) sont interprétés grâce à la construction de modèles théoriques. Ces modèles sont bâtis sur les quatre paramètres suivants: 1) l'existence de 2 facteurs morphogénétiques, l'un de nature endodermique et l'autre de nature cordo-mésodermique. Ces 2 facteurs sont responsables de l'apparition de néo-formations; 2) la localisation de ces 2 facteurs actifs dans les deux tiers (antérieur et moyen) de l'endoderme et du cordo-mésoderme; 3) la décroissance de l'activité des 2 facteurs selon l'axe antéro-postérieur de l'embryon; 4) le rôle différent de chacun de ces 2 facteurs. Le facteur endodermique déterminerait la nature et la taille des néo-formations; le facteur cordo-mésodermique jouerait un rôle stimulant.Une discussion est engagée sur la méthode, la démarche et l'intérêt de ce type d'interprétation des résultats.

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Effect of dorsal chordo-mesoderm on regionalisation and differentiation of the endodermal mass inRana dalmatina bon (Amphibia Anura)Elaboration of a theoretical model

Summary Chordo-mesoderm grafted onto the ventral area of yolk endoderm of the same age causes its local differentiation (Rana dalmatina: st. 17/neurula). Numerous and various neo-formations are achieved by variation of the grafted tissue (chordo-mesoderm) and host (endoderm) characteristics. The existence, the constitution and the volume of the neo-formations are dependant on: the tightness and the duration of the graft/host contact, the age of the chordo-mesoderm and the age of the endoderm, and the antero-posterior level of contact with grafted tissue and host.The results of the grafts (st. 17) are explained by the elaboration of a theoretical model. These models are elaborated according to four parameters: (1) the existence of two morphogenetic factors, one endodermal and the other mesodermal. These two factors are responsible for the constitution of neo-formations; (2) the localization of these two factors, active in the anterior and median thirds of the endoderm and the chorda-mesoderm; (3) decreasing activity of these two factors along to the antero-posterior axis of the embryo; (4) the different notes of each of these two factors. The endodermal factor might determine the constitution and the size of the neo-formations; the chordo-mesodermal factor might play a stimulatory role.The method, the procedure and the interpretation of this kind of results are discussed.

     

La découverte d’un galet gravé du Paléolithique final dans la région du Haut Iénisséï (Sibérie du Sud)

The paper deals with the artifact found during the realization of a salvage archaeological project connected with the construction of the railway from Kyzyl to Kuragino (the Krasnoyarsk Region, South Siberia) in 2012. During the exploration of the multicomponent habitation site of Irba 2 below the Holocene cultural strata the Pleistocene remains have been unearthed. These include bones of bison, reindeer, red deer, giant deer, wild horse, brown bear and hare, lithics, and pieces of worked antler. Radiocarbon dates indicate the Final Pleistocene age (ca. 13 to 11 kyr BP). The assemblage belongs to the Afontova culture dominated in the upper reaches of Yenisei during the Final Upper Paleolithic. The rare finding, an unique engraved oval-shaped flat pebble of white marble is worth to mention. It has 37 lateral grooves, cross-shaped engravings in the central parts of both lateral surfaces and traces of unfinished hollows. The nearest analogs are agalmatolite discs from the sites of Afontova Gora II and III located at Krasnoyarsk. These findings are rare in the Paleolithic and could be considered as amulets.     

Quelques organismes sporadiques du plancton de la région d'Amsterdam

Sans résuméLaboratoire du Service Medical et Sanitaire de la ville d'Amsterdam.     

Contribution à la connaissance des Desmidiées du Congo belge

Résumé Le présent travail s'occupe de 85 Desmidiées, dont la plupart ont été trouvées dans le matériel que j'ai recueilli au Congo, à Stanley-Ville.Quant aux Micrasterias, ce genre a été étudié avant tout sur du matériel provenant des environs de Léopoldville et recueilli par les Docteurs W. Bervoets et Fr. Evens. Une partie des déterminations et des figures ont été faites par le Dr. Evens. Je l'en remercie ici tout spécialement.Les espèces et variétés traitées se répartissent comme suit:Des 85 espèces trouvées dans le matériel examiné, 76 sont nouvelles pour le Congo et 5 variétés sont décrites comme nouvelles pour la science. Ce sont: Pleurotaenium subcoronulatum (Turner) W. & G. S. West, var. maximum Euastrum malmei Borge, var. congolense Micrasterias tropica Nordstedt, var. ndjiliensis van Oye & Evens Cosmarium obsoletum Reinsch, var. glabra Staurastrum orbiculare Ralfs, var. maxima De beaucoup d'espèces des données systématiques sont mentionées et discutées.La dispersion des différentes espèces est examinée là o\u on dispose d'assez de données.Enfin, des conclusions générales sont faites quand le matériel le permettait. En général, les données du travail permettent de confirmer les conclusions faites antérieurement.