[Primary gastric lymphoma: a retrospective series of 35 cases]

Primary gastric non Hodgkin's lymphoma [PGNHL] is the most common site of extranodal malignant lymphoma. It is a rare subtype of malignancy, for which no consensus exists about treatment. The purpose of This paper was to assess the management of PGNHL. Between January 1992 and December 2001,35 patients were retrospectively evaluated. Of the 35 patients, with a mean age of 44 years old Signs, and symptoms are unspecific. 20[57,1%] were in stage IE/IIEI. 15 patients [42,8%] were in stage 11E2,IIIE,IVE. These patients were treated with primary surgery with or without chemotherapy [11;31,4%]; primary chemotherapy [CT] alone with surgery in one patient [21: 60%] and three patients with gastric MALT lymphoma were treated by Helicobacter pylori eradication. The 5 year survival rates of the 35 patients are 62, 86%. There was no significant difference in the 5 year survival rate between the patients with low grade lymphoma and the patients with large grade Iymphoma [75% versus 60%, P=0,467]. The 5-year survival rates for stage I/IIEl and IIE2/lIl/lV patients were 80%, 53,3% respectively [p < 0.144]. Of the 11 primary surgical groups with or without chemotherapy, the 5 year survival rate is 90, 9%. Of the 21 patients who received CT, alone or combined with surgery, the survival rate is 52,4%. There was significant difference between the two groups [P=0,05]. Of the 3 patients with low-grade mucosa-associated lymphoid tissue [MALT] lymphoma with only oral anti-Helicobacter pylori regimen remained disease free after a median follow-up of two years. This study suggested that primary surgical resection may be important factor predicting the long-term survival of patients with primary gastric NHL. H. pylori eradication therapy was an effective first-line treatment for patients with gastric MALT lymphoma

[Prevalence of syphilis and HIV infection in female prisoners in Morocco]

We studied the prevalence of syphilis and HIV infection in 217 female prisoners at Oukacha prison, Casablanca and associated risk factors. The mean age was 32.0 years and mean length of imprisonment 22.8 months. As regards risk factors, 9% of the women said they used condoms, homosexuality was not admitted, 1.8% were intravenous drug users and the average number of sexual partners was 5.17. Fifty-one women [23%] were positive for syphilis and 4 [2%] were HIV-positive. Multivariate analysis found that being married was protective [OR = 0.75, 95% CI: 0.57-0.97], while high number of partners was a positive risk factor [OR = 2, 95% CI: 1.2-3.51]

Fasting and blood biochemical parameters

This is prospective study to evaluate the influence of the long-term fasting on the biochemical constants and deducing from it the credibility of the analyses carried out during this month. At thirty one healthy volonteers, three blood analysis was done per day at three different times: 9h of the morning, midday and 16h. Several biological parameters - glucose, cholesterol total, triglycerides, rates of protids, urea, creatinin, uric acid were made by system Synchron cx delta. We found that the concentration of some parameters does not accept any significant change during the day [triglycerides, urea], others accept a significant change only at the end of the day [glycemia, cholesterol], whereas the concentration in protids, uric acid and creatinin changes at a significant degree along the day. Observing Ramadan led to a change of several blood parameters, represents primarily increase in cholesterol HDL and a reduction in the glycemia. These changes do not affect the biological analysis done during the month of Ramadan if we respects the hour of fasting necessary before each measurement