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P Merle

Publications and source records attributed to P Merle.

64 records · Page 4Linked to original sources

Early CYFRA 21-1 variation predicts tumor response to chemotherapy and survival in locally advanced non-small cell lung cancer patients.

We have evaluated CYFRA 21-1 serum level variations as an indicator of tumor response and survival in 44 consecutive patients with locally advanced non-small cell lung cancer (NSCLC) treated with induction chemotherapy (IC). Irrespective of the initial CYFRA 21-1 serum concentration, a more than 65% decrease in the serum level after the first chemotherapy course was significantly predictive of an objective tumor response (p = 0.0022). In addition, a more than 80% decrease in this level significantly predicted a better disease-free survival (p = 0.039). In patients with initial CYFRA 21-1 serum levels > 3.3 ng/mL (n = 29), a more than 80% decrease after the first IC course was the most significant predictor of overall survival (p = 0.025) in a Cox analysis including initial staging, tumor response and surgery. We conclude that early monitoring of CYFRA 21-1 serum levels may be a useful prognostic tool for tumor response and survival in stage III NSCLC patients treated by induction chemotherapy.

Adult↗

[Gas dissection of the vertebral body or the vertebral intrasomatic space phenomenon. Physiopathological arguments].

Some features concerning the ischemic origin of the gaseous dissection of the vertebral body and the physiopathology of the necrose, are considered in the adult: --in the way, the anterior topography of vaccum phenomenon is on the model of the arterial distribution in the vertebral body, implying ischemic origin of gaseous dissection; --further, two cases of intravertebral vaccum cleft, noticed after minor trauma, suggest the major role of fractures at the origin of ischemia.

Aged↗