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Revue Du Praticien最新文献

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[Impact of the environment on health. Part 1. Child: the concept of the first 1 000 days]. 环境对健康的影响。第1部分。儿童:最初1000天的概念]。
Q4 Medicine Pub Date : 2023-06-01
Umberto Simeoni, Jean-Baptiste Armengaud
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引用次数: 0
[Ollier disease]. (奥丽疾病)。
Q4 Medicine Pub Date : 2023-06-01
Habib Bellamlih, Oumaima El Bouazzi, Soufiane Belabbes, Abdellatif El Haddad, Brahim Zinoun, Taoufik Africha
{"title":"[Ollier disease].","authors":"Habib Bellamlih, Oumaima El Bouazzi, Soufiane Belabbes, Abdellatif El Haddad, Brahim Zinoun, Taoufik Africha","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21248,"journal":{"name":"Revue Du Praticien","volume":"73 6","pages":"657"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pain in children. Assessment and analgesic treatments]. 儿童疼痛。评估和镇痛治疗]。
Q4 Medicine Pub Date : 2023-06-01
Anne Defontaine, Claude Ecoffey
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引用次数: 0
[Frontline therapy for classical Hodgkin lymphoma patients]. [经典霍奇金淋巴瘤患者的一线治疗]。
Q4 Medicine Pub Date : 2023-06-01
Cédric Rossi, Olivier Casasnovas

FRONTLINE THERAPY FOR CLASSICAL HODGKIN LYMPHOMA PATIENTS. Upfront first-line chemotherapy is indicated for all features of classical Hodgkin's lymphoma, followed by involved node radiotherapy in early stages; the ABVD protocol (doxorubicin (Adriamycin), bleomycin, vinblastine, dacarbazine) is the international standard of care. The 7-agent BEACOPP protocol (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine (Oncovin), procarbazine, prednisone) is used in advanced stages in its «escalated» version (BEAesc). During the 2010 decade, it has been demonstrated that strategies guided by positron emission tomography (PET) allows optimizing the benefit/risk ratio of the treatment by decreasing the intensity of therapies for good responders and intensifying treatment of poor responders. Thus, early PET response evaluation is now essential to adapt the treatment intensity. Despite these major advances, several issues remain, including the management of acute and long-term side effects of first-line treatments, the better options for refractory patients, the place and optimization of radiotherapy, and the place for new therapeutic agents such as the anti-CD30 conjugate antibody (brentuximab vedotin) and PD-1 inhibitors in the first-line treatment setting.

经典霍奇金淋巴瘤患者的一线治疗。对于经典霍奇金淋巴瘤的所有特征,建议进行前期一线化疗,然后在早期进行累及淋巴结放疗;ABVD方案(阿霉素、博来霉素、长春花碱、达卡巴嗪)是国际护理标准。7剂BEACOPP方案(博莱霉素、依托泊苷、阿霉素、环磷酰胺、长春新碱(Oncovin)、丙卡嗪、强的松)在其“升级”版本(BEAesc)中用于晚期。在2010年的十年中,已经证明了以正电子发射断层扫描(PET)为指导的策略可以通过降低对良好反应者的治疗强度和加强对不良反应者的治疗来优化治疗的收益/风险比。因此,早期PET反应评估现在对于适应治疗强度至关重要。尽管取得了这些重大进展,但仍存在一些问题,包括一线治疗的急性和长期副作用的管理,难治性患者的更好选择,放疗的位置和优化,以及抗cd30偶联抗体(brentuximab vedotin)和PD-1抑制剂等新治疗药物在一线治疗中的位置。
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引用次数: 0
[Hodgkin lymphoma: 10 key messages]. [霍奇金淋巴瘤:10个关键信息]。
Q4 Medicine Pub Date : 2023-06-01
Hervé Ghesquières
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引用次数: 0
[A better understanding of biological mechanisms]. [更好地理解生物机制]。
Q4 Medicine Pub Date : 2023-06-01
Hervé Ghesquières
{"title":"[A better understanding of biological mechanisms].","authors":"Hervé Ghesquières","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21248,"journal":{"name":"Revue Du Praticien","volume":"73 6","pages":"615-616"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Let's ride against prostate cancer!] 让我们骑马对抗前列腺癌!]
Q4 Medicine Pub Date : 2023-06-01
Alexandre De la Taille
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引用次数: 0
[Fertility and gonadal disorders in patients with Hodgkin lymphoma]. [霍奇金淋巴瘤患者的生育和性腺功能障碍]。
Q4 Medicine Pub Date : 2023-06-01
Christine Rousset-Jablonski
{"title":"[Fertility and gonadal disorders in patients with Hodgkin lymphoma].","authors":"Christine Rousset-Jablonski","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21248,"journal":{"name":"Revue Du Praticien","volume":"73 6","pages":"651-653"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The history of Hodgkin lymphoma]. 【霍奇金淋巴瘤的病史】。
Q4 Medicine Pub Date : 2023-06-01
Christophe Fermé

THE HISTORY OF HODGKIN LYMPHOMA. Hodgkin lymphoma was initially considered to be caused by infectious agents. The Hodgkin and Reed-Sternberg tumor cells are derived from mature B cells and transforming events were identified. Staging laparotomy has been discontinued for clinical evaluation with the progress of medical imaging. For seven decades, clinical trials have allowed to define risk factors, to improve standard treatments with the optimal use of chemotherapy and radiotherapy. A risk adapted strategy and early response to chemotherapy are mandatory to reduce long-term consequences of treatment.

霍奇金淋巴瘤的病史。霍奇金淋巴瘤最初被认为是由传染性病原体引起的。霍奇金和里德-斯滕伯格肿瘤细胞来源于成熟的B细胞,并确定了转化事件。随着医学影像学的进步,剖腹手术分期已不再用于临床评估。70年来,临床试验确定了危险因素,优化了化疗和放疗的标准治疗方法。风险适应策略和化疗的早期反应对于减少治疗的长期后果是强制性的。
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引用次数: 0
[Toxicity of targeted therapies and immunotherapy with checkpointinhibitors in Hodgkin lymphoma]. [靶向治疗和检查点抑制剂免疫治疗在霍奇金淋巴瘤中的毒性]。
Q4 Medicine Pub Date : 2023-06-01
Jean-Marie Michot, Julien Lazarovici

TOXICITY OF TARGETED THERAPIES AND IMMUNOTHERAPY WITH CHECKPOINT INHIBITORS IN HODGKIN LYMPHOMA. In patients at increased risk of recurrence or progression after autotransplantation, or in cases of relapse after autotransplantation or after at least two lines of treatment when intensive multidrug therapy is no longer a treatment option, targeted anti-CD30 therapy with brentuximab vedotin may be proposed. Brentuximab vedotin is a monoclonal antibody directed against CD30 and coupled with an anti-microtubule cytotoxic agent, monomethyl auristatin E (MMAE). The main adverse side effect of brentuximab vedotin is peripheral neuropathy. In patients who have relapsed after intensive chemotherapy, including autograft for patients eligible for this treatment, and after failure of brentuximab vedotin, anti-PD1 immunotherapy (nivolumab or pembrolizumab) may be offered. Anti-PD1 (Programmed cell death protein 1) side effects are immune-related, varied and unpredictable (endocrinopathies, rash, colitis, interstitial lung disease). The tolerability profiles of brentuximab vedotin and anti-PD1 and the management of the main undesirable side effects of these treatments are detailed for clinical practice.

靶向治疗和免疫治疗与检查点抑制剂治疗霍奇金淋巴瘤的毒性。对于自体移植后复发或进展风险增加的患者,或者自体移植后复发的患者,或者在接受了至少两条治疗线后,当强化多药治疗不再是一种治疗选择时,可以建议使用brentuximab vedotin靶向抗cd30治疗。Brentuximab vedotin是一种靶向CD30的单克隆抗体,与抗微管细胞毒性药物monomethyl auristatin E (MMAE)偶联。brentuximab vedotin的主要不良反应是周围神经病变。在强化化疗后复发的患者,包括符合这种治疗条件的自体移植患者,在brentuximab vedotin治疗失败后,可以提供抗pd1免疫治疗(nivolumab或pembrolizumab)。抗pd1(程序性细胞死亡蛋白1)的副作用与免疫相关,多种多样且不可预测(内分泌病变、皮疹、结肠炎、间质性肺病)。详细介绍了brentuximab vedotin和anti-PD1的耐受性概况以及这些治疗的主要不良副作用的处理。
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引用次数: 0
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