[Cancer of the cervix uteri in Tunisia. Clinical presentation and development over a 10-year period]. / Le cancer du col utérin en Tunisie. Présentation clinique et évolution au cours d'une période de 10 ans.

Carcinoma of the cervix is still common in Tunisia, where it occupies second place among malignant diseases in women. Accounting for 17% of the female population of the National Cancer Institute of Tunis, it is preceded only by breast cancer (27%). Study of the factors concurrent with the origin of carcinoma of the uterine cervix seems to indicate that its decrease is secondary to the lowered average age at marriage, to the fall in the reproduction rate among the population at large, and to improved socio-economic conditions among the poorer classes. Study of clinical features observed during two separate periods of 10 years shows a modification in the physiognomy of this cancer, with, notably, a larger frequence of lower stages (45% of stage II in 1984 vs 20% in 1974) and a slight tendancy towards the discovery of smaller non - or early - infiltrating tumors (4% in 1984 vs 0% in 1974). Efforts must continue to be made in the domaine of early detection, especially among the "high risk" population.

[The paraneoplastic syndrome in nasopharynx cancer. 32 cases]. / Le syndrome paranéoplasique du cancer du nasopharynx. Trente-deux observations.

Thirty-two cases of paraneoplastic syndrome associated with nasopharyngeal carcinoma are reported. The prevalence of the syndrome in young subjects was striking: 29 of the patients were under 25 years of age. Seventeen presented with hypertrophic osteoarthropathy, 13 with clubbing of the fingers, 1 with dermatomyositis and 1 with myelemia due to excessive production of bone marrow cells. Twenty-eight patients had metastases which involved the lung in 24. These pulmonary metastases are held responsible for the osteoarticular paraneoplastic syndrome, but in our 4 patients without metastases the syndrome was probably caused by the primary tumour itself.

[Thrombosis of the inferior vena cava in homozygous sickle cell anemia]. / Thrombose de la veine cave inférieure au cours d'une drépanocytose homozygote.

Discovery of occlusion of the inferior vena cava in a child with homozygous sickle cell anemia led to the diagnosis of ensuing thrombosis of the vena cava, based on mode of appearance, clinical evolution of collateral circulation, the pictures obtained in cavography and discovery of a vertebral lesion responsible for slowed circulation and stasis.