Choroid is a very rare site of metastases but the most primary cancers leading to choroidal metastases are breast cancer then lung cancer. Generally, choroidal metastases occur late the course of cancer in the presence previously of other metastatic sites, and they were associated with poor prognosis. We report the case of a patient followed in Medical Oncology Department of Fes, for breast cancer who presented visual disorders leading to the diagnosis of choroidal metastasis. The aim of this work is to report the rarity of this metastatic site, describe the clinical, and radiological features in addition to therapeutic and prognostic aspects.
Conclusion: Thermal ablation is an effective treatment for colorectal cancer pulmonary metastases. We found no difference in outcome according to the type of thermal ablation used. Small pneumothoraces were common with both types of thermal ablation, but otherwise, both techniques were well-tolerated.Legal entity responsible for the study: The authors.
Introduction: Non-small cell lung cancer is the most common lung cancer. Despite the therapeutic advances, its prognosis is very reserved. Aim: Determine the different prognostic factors of patients with metastatic non-small cell lung cancer and their correlation with patient survival. Methods: A retrospective study was conducted at the medical oncology department of Hassan II University Hospital in Fez, collecting 405 patients during a period of 10 years, from January 2008 to January 2018. The statistical analysis of the results was done by the software SPSS version 23, the survival was calculated by the Kaplan-Meier method. The Cox method was used to study prognostic factors. Results: The average age of our patients was 59 years, with a sex ratio M/F of 6.1. In multivariate analysis, we found a significant correlation between the deterioration of survival and an age greater than 75 years (p = 0.023), a general degraded state (p < 0.001), presence of a biological inflammatory syndrome (p < 0.001), anemia (p < 0.001) and hypoalbuminemia (p < 0.001). In addition, no significant association was found in patients with toxic habits or multiple metastatic sites. Conclusion: The prognostic factors of metastatic NSCLC in our patients were PS, age, anemia, hypoalbuminemia and inflammatory syndrome. We propose to validate all the factors identified by retrospective studies by prospective studies in order to guarantee the best chances of survival for patients.
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