Effects of an artificial hypercaloric and hyperproteic feeding on nutritionnal status in post-surgery head and neck cancer patients.MALHERBE, Christian ; DE FLINES, Jenny ; VERBRUGGE, Anne-Marie et alPoster (2012, July) Detailed reference viewed: 15 (1 ULg) Chimiothérapie néoadjuvante dans les cancers "tête et cou"Piret, Pascal ; Demez, Pierre ; Moreau, Pierre et alin Revue Médicale de Liège (2010) Les cancers de la sphère oto-rhino-laryngologique représentent 5 % des cancers et sont assez souvent diagnostiqués à un stade avancé. Leur traitement nécessite une approche multidisciplinaire comprenant ... [more ▼] Les cancers de la sphère oto-rhino-laryngologique représentent 5 % des cancers et sont assez souvent diagnostiqués à un stade avancé. Leur traitement nécessite une approche multidisciplinaire comprenant la chirurgie, la radiothérapie et/ ou la chimiothérapie. La chimiothérapie permet d'améliorer la survie lorsqu'elle est appliquée en association avec la radiothérapie (6,5% de bénéfice absolu en survie globale) dans les maladies localement avancées. La chimiothérapie d'induction ou néoadjuvante a fait l'objet de nombreuses études, mais n'a jamais clairement montré de bénéfice excepté dans le but d'une préservation laryngée. Les nouveaux schémas de chimiothérapie comprenant un taxane ont fait renaître un intérêt pour le traitement d'induction. Quelques études randomisées ont montré un bénéfice en termes de taux de réponse, survie sans maladie ou survie globale lorsque le docetaxel est associé au cisplatine-5FU. Cependant, le bénéfice de l'ajout d'un traitement d'induction à la radiochimiothérapie concomitante reste controversé. De nouvelles études sont en cours. A l'heure actuelle, la chimiothérapie d'induction n'est recommandée en routine que dans la perspective d'une préservation laryngée. [less ▲] Detailed reference viewed: 45 (2 ULg) Place des anticorps monoclonaux dans le traitement des tumeurs de la tete et du cou.Sautois, Brieuc ; Martin, Marie ; Demez, Pierre et alin Revue Médicale de Liège (2009), 64(5-6), 284-6 Monoclonal antibodies are now part of the armamentarium available for the treatment of head and neck cancer. Cetuximab, a monoclonal antibody targeting EGFR, improves overall survival as compared with ... [more ▼] Monoclonal antibodies are now part of the armamentarium available for the treatment of head and neck cancer. Cetuximab, a monoclonal antibody targeting EGFR, improves overall survival as compared with radiotherapy alone as radical treatment of locally advanced head and neck cancer. It is now reimbursed in Belgium after multidisciplinary discussion if cisplatin is contra-indicated. In the metastatic setting adding cetuximab to platinum based chemotherapy improves overall survival as compared with chemotherapy alone, a first-time event over a 30-year period, unfortunately not yet accessible to the Belgian patients. Other monoclonal antibodies targeting EGFR or VEGF are also currently under investigation while cetuximab is being explored in the induction, the maintenance or the post-operative radiotherapy settings. [less ▲] Detailed reference viewed: 48 (4 ULg) Perception of head and neck cancer quality of life within the medical world: a multicultural study.Demez, Pierre ; Moreau, Pierre ![]() in Head & Neck (2009), 31(8), 1056-67 BACKGROUND: Physician's perception of quality of life of patients with cancer is unclear. No reports have evaluated its influence on patient management. METHODS: Five hundred otolaryngologists completed a ... [more ▼] BACKGROUND: Physician's perception of quality of life of patients with cancer is unclear. No reports have evaluated its influence on patient management. METHODS: Five hundred otolaryngologists completed a questionnaire regarding the quality of life of patients with head and neck cancer. RESULTS: Seventy-eight percent of responders thought that quality of life must be considered when choosing treatment, even if this meant decreased survival. Seventy-five percent thought it justified to withhold curative treatment if this would lead to impaired quality of life. Pain and breathing were the most important symptoms to consider. The perception was worse for physicians practicing in Latin culture, working in private practice, or with no personal acquaintance with a head and neck cancer victim and was better after radiotherapy than after surgery and chemotherapy. CONCLUSION: Quality of life is important for physicians and is considered as essential as survival by many physicians. The perception of patient's quality of life influences the treatment choice. [less ▲] Detailed reference viewed: 21 (4 ULg) Les tumeurs de la sphere ORL: standards de traitement et nouvelles approches en radiotherapie.Coucke, Philippe ; Piret, Pascal ; Werenne, Xavier et alin Revue Médicale de Liège (2008), 63(3), 141-8 We intend to review the general value of radiotherapy in the management of head and neck cancer. Our aim is to define a treatment protocol which is evidence-based and therefore of use in daily clinical ... [more ▼] We intend to review the general value of radiotherapy in the management of head and neck cancer. Our aim is to define a treatment protocol which is evidence-based and therefore of use in daily clinical practice. There is general agreement on the efficacy of the concomitant schedules combining radiotherapy and chemotherapy, both in the adjuvant setting as well as in the exclusive non-surgical approach. This however does not preclude further research aiming at optimizing the therapeutic index. As far as neoadjuvant chemotherapy is concerned, applied prior to radical local treatment, there are no conclusive data available which allows us to implement this treatment option in routine clinical practice. This approach deserves further investigations and patients should be entered in well designed prospective randomized trials. [less ▲] Detailed reference viewed: 120 (14 ULg) Cabergoline in prolactinomen.; ; Demez, Pierre et alin Tijdschrift voor Geneeskunde (1995), 51 Detailed reference viewed: 4 (0 ULg) Le traitement des adénomes à prolactine : utilisation d'un nouvel agoniste dopaminergique à longue durée d'action, la cabergoline, chez 56 patientsBeckers, Albert ; ; Demez, Pierre et alin Médecine et Hygiène (1993), 51(1990), 1978-1980 Nous avons utilisé la cabergoline, un nouvel agoniste dopaminergique, dans le traitement des adénomes hypophysaires à prolactine. Cinquante-six patients atteints de micro-adénome dans 35 cas et de ... [more ▼] Nous avons utilisé la cabergoline, un nouvel agoniste dopaminergique, dans le traitement des adénomes hypophysaires à prolactine. Cinquante-six patients atteints de micro-adénome dans 35 cas et de macroadénome dans 21 cas ont été traités durant des périodes variant entre 1 et 17 mois à des doses de cabergoline variant entre 0,25 mg et 2 mg par semaine, prises à raison de 1 à 4 fois par semaine. Cette nouvelle substance nous est apparue extrêmement efficace et très bien tolérée [less ▲] Detailed reference viewed: 16 (0 ULg) The treatment of prolactinomas with cabergoline : results in 56 patientsDemez, Pierre ; ; Stevenaert, Achille et alin Journal of Endocrinological Investigation (1993), 16 Detailed reference viewed: 2 (0 ULg) Light and Electron microscopic immunolocalization of Bovine pregnancy-associated glycoprotein in the Bovine PlacentomeDemez, Pierre ; ; Beckers, Jean-François et alin 1st Joint meeting of the Royal Microscopical society and the Belgian Societies for Cell biology, clinical cytology, Electron Microscopy and pathology-Abstract book (1993) Detailed reference viewed: 4 (0 ULg) The treatment of prolactinomas with cabegoline : results in 56 patients; ; et al in Neuro-endocrinologie PRL, VI International prolactin congress - Abstract book (1993) Detailed reference viewed: 10 (0 ULg) Light and electron microscopic immunolocalization of bovine pregnancy-associated glycoprotein in the bovine placentome.; Demez, Pierre ; Beckers, Jean-François et alin Biology of Reproduction (1992), 46(4), 623-9 A bovine pregnancy-associated glycoprotein (bPAG) of 67 kDa has previously been isolated from bovine fetal cotyledons. The objective of this study was to determine the cytological localization of that ... [more ▼] A bovine pregnancy-associated glycoprotein (bPAG) of 67 kDa has previously been isolated from bovine fetal cotyledons. The objective of this study was to determine the cytological localization of that protein in the placentomes and possibly the cells responsible for its production. Highly specific antisera raised against pure bPAG were used to demonstrate the cellular localization of the protein in bovine placentomes by light and electron microscopic techniques. Strong immunostaining was observed exclusively in the cytoplasm of large binucleate cells present predominantly in fetal cotyledonary tissue (villi). Some smaller weakly immunostained cells were also present in caruncular epithelium. By ultrastructural immunogold procedures, the protein was detected only within amorphous cytoplasmic granules. Granules of identical size, but weakly labeled, were found on the maternal side. All cells containing labeled granules were binucleate. These results suggest that bPAG is probably synthesized by trophoblast binucleate cells and stored in granules prior to delivery into the maternal circulation after cell migration. [less ▲] Detailed reference viewed: 24 (2 ULg) |
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