Impact of sentinel node biopsy on long-term quality of life in breast cancer patients
Identifieur interne : 000165 ( France/Analysis ); précédent : 000164; suivant : 000166Impact of sentinel node biopsy on long-term quality of life in breast cancer patients
Auteurs : E. De Gournay [France] ; A. Guyomard [France] ; C. Coutant [France] ; S. Boulet [France] ; P. Arveux [France] ; S. Causeret [France] ; S. Gouy [France] ; M-M Padeano [France] ; C. Loustalot [France] ; J-M Sauzedde [France] ; M. Smail [France] ; J-P Combier [France] ; P. Chevillote [France] ; C. Rosburger [France] ; F. Bonnetain [France] ; J. Fraisse [France] ; T. S Dabakuyo-Yonli [France]Source :
- British Journal of Cancer [ 0007-0920 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle (effets indésirables), Biopsie de noeud lymphatique sentinelle (psychologie), Carcinome canalaire du sein (), Carcinome canalaire du sein (anatomopathologie), Carcinome canalaire du sein (psychologie), Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Image du corps (psychologie), Lymphadénectomie (effets indésirables), Qualité de vie, Récidive tumorale locale (), Sujet âgé, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (psychologie), État de santé, Études de suivi.
- MESH :
- anatomopathologie : Carcinome canalaire du sein, Tumeurs du sein.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- psychologie : Biopsie de noeud lymphatique sentinelle, Carcinome canalaire du sein, Image du corps, Tumeurs du sein.
- Adulte d'âge moyen, Carcinome canalaire du sein, Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Qualité de vie, Récidive tumorale locale, Sujet âgé, Tumeurs du sein, État de santé, Études de suivi.
English descriptors
- KwdEn :
- Aged, Body Image (psychology), Breast Neoplasms (pathology), Breast Neoplasms (psychology), Breast Neoplasms (surgery), Carcinoma, Ductal, Breast (pathology), Carcinoma, Ductal, Breast (psychology), Carcinoma, Ductal, Breast (surgery), Female, Follow-Up Studies, Health Status, Humans, Lymph Node Excision (adverse effects), Middle Aged, Neoplasm Recurrence, Local (surgery), Quality of Life, Sentinel Lymph Node Biopsy (adverse effects), Sentinel Lymph Node Biopsy (psychology), Surveys and Questionnaires, Time Factors.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- pathology : Breast Neoplasms, Carcinoma, Ductal, Breast.
- psychology : Body Image, Breast Neoplasms, Carcinoma, Ductal, Breast, Sentinel Lymph Node Biopsy.
- surgery : Breast Neoplasms, Carcinoma, Ductal, Breast, Neoplasm Recurrence, Local.
- Aged, Female, Follow-Up Studies, Health Status, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Time Factors.
Abstract
The aim of this study was to assess long-term quality of life (QoL) over a period of 6 years in women with breast cancer (BC) who underwent sentinel lymph node biopsy (SLNB), axillary lymph node dissection (ALND), or SLNB followed by ALND.
The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ)-C30 and the EORTC-QLQ-BR-23 questionnaires were used to assess QoL before surgery, just after surgery, 6, 12 and 72 months later. The longitudinal effect of surgical modalities on QoL was assessed with a mixed model analysis of variance for repeated measurements.
Five hundred and eighteen BC patients were initially included. The median follow-up was 6 years. During the follow-up, 61 patients died. None of the patients of the SLNB group developed lymphedema during follow-up and the relapse rate was similar in the different groups (
Long-term follow-up showed that SLNB was associated with less morbidity than ALND.
Url:
DOI: 10.1038/bjc.2013.658
PubMed: 24169352
PubMed Central: 3844912
Affiliations:
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PMC:3844912Le document en format XML
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De Gournay</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Guyomard, A" sort="Guyomard, A" uniqKey="Guyomard A" first="A" last="Guyomard">A. Guyomard</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Coutant, C" sort="Coutant, C" uniqKey="Coutant C" first="C" last="Coutant">C. Coutant</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Boulet, S" sort="Boulet, S" uniqKey="Boulet S" first="S" last="Boulet">S. Boulet</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arveux, P" sort="Arveux, P" uniqKey="Arveux P" first="P" last="Arveux">P. Arveux</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Biostatistics and Quality of life Unit/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion, and national quality of life and cancer clinical research platform</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>EA 4184, Faculty of Medicine, University of Burgundy, 7 boulevard Jeanne d'Arc</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Causeret, S" sort="Causeret, S" uniqKey="Causeret S" first="S" last="Causeret">S. Causeret</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Gouy, S" sort="Gouy, S" uniqKey="Gouy S" first="S" last="Gouy">S. Gouy</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Padeano, M M" sort="Padeano, M M" uniqKey="Padeano M" first="M-M" last="Padeano">M-M Padeano</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Loustalot, C" sort="Loustalot, C" uniqKey="Loustalot C" first="C" last="Loustalot">C. Loustalot</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sauzedde, J M" sort="Sauzedde, J M" uniqKey="Sauzedde J" first="J-M" last="Sauzedde">J-M Sauzedde</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Val de Saone private general hospital, 5crs Moreau</institution>, 71000 Macon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Smail, M" sort="Smail, M" uniqKey="Smail M" first="M" last="Smail">M. Smail</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Sainte Marie private hospital, 4 all St Jean des Vignes</institution>, 71100 Chalon sur Saone,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Combier, J P" sort="Combier, J P" uniqKey="Combier J" first="J-P" last="Combier">J-P Combier</name><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Hotel-Dieu hospital, 175 r Mar Foch</institution>, 71200 Le Creusot,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chevillote, P" sort="Chevillote, P" uniqKey="Chevillote P" first="P" last="Chevillote">P. Chevillote</name><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Hotel-Dieu hospital, 175 r Mar Foch</institution>, 71200 Le Creusot,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Rosburger, C" sort="Rosburger, C" uniqKey="Rosburger C" first="C" last="Rosburger">C. Rosburger</name><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Hotel-Dieu hospital, 175 r Mar Foch</institution>, 71200 Le Creusot,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bonnetain, F" sort="Bonnetain, F" uniqKey="Bonnetain F" first="F" last="Bonnetain">F. Bonnetain</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Methodology and quality of Life in Oncology unit (EA 3181), University Hospital, 2 place Saint Jacques and national quality of life and cancer clinical research platform</institution>, 25000 Besançon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Fraisse, J" sort="Fraisse, J" uniqKey="Fraisse J" first="J" last="Fraisse">J. Fraisse</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of surgery/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="S Dabakuyo Yonli, T" sort="S Dabakuyo Yonli, T" uniqKey="S Dabakuyo Yonli T" first="T" last="S Dabakuyo-Yonli">T. S Dabakuyo-Yonli</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Biostatistics and Quality of life Unit/Georges François Leclerc Comprehensive Cancer Care Centre-1 rue Professeur Marion, and national quality of life and cancer clinical research platform</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>EA 4184, Faculty of Medicine, University of Burgundy, 7 boulevard Jeanne d'Arc</institution>, 21000 Dijon,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">British Journal of Cancer</title><idno type="ISSN">0007-0920</idno><idno type="eISSN">1532-1827</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Body Image (psychology)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (psychology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Ductal, Breast (pathology)</term><term>Carcinoma, Ductal, Breast (psychology)</term><term>Carcinoma, Ductal, Breast (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Health Status</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local (surgery)</term><term>Quality of Life</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Sentinel Lymph Node Biopsy (psychology)</term><term>Surveys and Questionnaires</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Biopsie de noeud lymphatique sentinelle (psychologie)</term><term>Carcinome canalaire du sein ()</term><term>Carcinome canalaire du sein (anatomopathologie)</term><term>Carcinome canalaire du sein (psychologie)</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Image du corps (psychologie)</term><term>Lymphadénectomie (effets indésirables)</term><term>Qualité de vie</term><term>Récidive tumorale locale ()</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (psychologie)</term><term>État de santé</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome canalaire du sein</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Carcinome canalaire du sein</term><term>Image du corps</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Body Image</term><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Neoplasm Recurrence, Local</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Carcinome canalaire du sein</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Qualité de vie</term><term>Récidive tumorale locale</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>État de santé</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>The aim of this study was to assess long-term quality of life (QoL) over a period of 6 years in women with breast cancer (BC) who underwent sentinel lymph node biopsy (SLNB), axillary lymph node dissection (ALND), or SLNB followed by ALND.</p></sec><sec><title>Methods:</title><p>The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ)-C30 and the EORTC-QLQ-BR-23 questionnaires were used to assess QoL before surgery, just after surgery, 6, 12 and 72 months later. The longitudinal effect of surgical modalities on QoL was assessed with a mixed model analysis of variance for repeated measurements.</p></sec><sec><title>Results:</title><p>Five hundred and eighteen BC patients were initially included. The median follow-up was 6 years. During the follow-up, 61 patients died. None of the patients of the SLNB group developed lymphedema during follow-up and the relapse rate was similar in the different groups (<italic>P</italic>=0.62). Before surgery, global health status (<italic>P</italic>=0.52) and arm symptoms (BRAS) (<italic>P</italic>=0.99) QoL scores were similar whatever the surgical procedure. The BRAS score (<italic>P</italic>=0.0001) was better in the SLNB group 72 months after surgery. Moreover, during follow-up, patients treated with SLNB had lower arm symptoms scores than ALND patients and there was no difference for arm symptoms between patients treated with ALND and those treated with SLNB followed by complementary ALND.</p></sec><sec><title>Conclusion:</title><p>Long-term follow-up showed that SLNB was associated with less morbidity than ALND.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aaronson, Nk" uniqKey="Aaronson N">NK Aaronson</name></author><author><name sortKey="Ahmedzai, S" uniqKey="Ahmedzai S">S Ahmedzai</name></author><author><name sortKey="Bergman, B" uniqKey="Bergman B">B Bergman</name></author><author><name sortKey="Bullinger, M" uniqKey="Bullinger M">M Bullinger</name></author><author><name sortKey="Cull, A" uniqKey="Cull A">A Cull</name></author><author><name sortKey="Duez, Nj" uniqKey="Duez N">NJ Duez</name></author><author><name sortKey="Filiberti, A" uniqKey="Filiberti A">A 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Intra</name></author><author><name sortKey="Veronesi, P" uniqKey="Veronesi P">P Veronesi</name></author><author><name sortKey="Robertson, C" uniqKey="Robertson C">C Robertson</name></author><author><name sortKey="Maisonneuve, P" uniqKey="Maisonneuve P">P Maisonneuve</name></author><author><name sortKey="Renne, G" uniqKey="Renne G">G Renne</name></author><author><name sortKey="De Cicco, C" uniqKey="De Cicco C">C De Cicco</name></author><author><name sortKey="De Lucia, F" uniqKey="De Lucia F">F De Lucia</name></author><author><name sortKey="Gennari, R" uniqKey="Gennari R">R Gennari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vervoort, Mm" uniqKey="Vervoort M">MM Vervoort</name></author><author><name sortKey="Draisma, G" uniqKey="Draisma G">G Draisma</name></author><author><name sortKey="Fracheboud, J" uniqKey="Fracheboud J">J Fracheboud</name></author><author><name sortKey="De Koning, Hj" uniqKey="De Koning H">HJ de Koning</name></author><author><name sortKey="Van De Poll Franse, Lv" uniqKey="Van De Poll Franse L">LV van de Poll-Franse</name></author><author><name sortKey="De Koning, Hj" uniqKey="De Koning H">HJ de Koning</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Z" uniqKey="Wang Z">Z Wang</name></author><author><name sortKey="Wu, Lc" uniqKey="Wu L">LC Wu</name></author><author><name sortKey="Chen, Jq" uniqKey="Chen J">JQ Chen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="De Gournay, E" sort="De Gournay, E" uniqKey="De Gournay E" first="E" last="De Gournay">E. De Gournay</name></noRegion><name sortKey="Arveux, P" sort="Arveux, P" uniqKey="Arveux P" first="P" last="Arveux">P. Arveux</name><name sortKey="Arveux, P" sort="Arveux, P" uniqKey="Arveux P" first="P" last="Arveux">P. Arveux</name><name sortKey="Bonnetain, F" sort="Bonnetain, F" uniqKey="Bonnetain F" first="F" last="Bonnetain">F. Bonnetain</name><name sortKey="Boulet, S" sort="Boulet, S" uniqKey="Boulet S" first="S" last="Boulet">S. Boulet</name><name sortKey="Causeret, S" sort="Causeret, S" uniqKey="Causeret S" first="S" last="Causeret">S. Causeret</name><name sortKey="Chevillote, P" sort="Chevillote, P" uniqKey="Chevillote P" first="P" last="Chevillote">P. Chevillote</name><name sortKey="Combier, J P" sort="Combier, J P" uniqKey="Combier J" first="J-P" last="Combier">J-P Combier</name><name sortKey="Coutant, C" sort="Coutant, C" uniqKey="Coutant C" first="C" last="Coutant">C. Coutant</name><name sortKey="Fraisse, J" sort="Fraisse, J" uniqKey="Fraisse J" first="J" last="Fraisse">J. Fraisse</name><name sortKey="Gouy, S" sort="Gouy, S" uniqKey="Gouy S" first="S" last="Gouy">S. Gouy</name><name sortKey="Guyomard, A" sort="Guyomard, A" uniqKey="Guyomard A" first="A" last="Guyomard">A. Guyomard</name><name sortKey="Loustalot, C" sort="Loustalot, C" uniqKey="Loustalot C" first="C" last="Loustalot">C. Loustalot</name><name sortKey="Padeano, M M" sort="Padeano, M M" uniqKey="Padeano M" first="M-M" last="Padeano">M-M Padeano</name><name sortKey="Rosburger, C" sort="Rosburger, C" uniqKey="Rosburger C" first="C" last="Rosburger">C. Rosburger</name><name sortKey="S Dabakuyo Yonli, T" sort="S Dabakuyo Yonli, T" uniqKey="S Dabakuyo Yonli T" first="T" last="S Dabakuyo-Yonli">T. S Dabakuyo-Yonli</name><name sortKey="S Dabakuyo Yonli, T" sort="S Dabakuyo Yonli, T" uniqKey="S Dabakuyo Yonli T" first="T" last="S Dabakuyo-Yonli">T. S Dabakuyo-Yonli</name><name sortKey="Sauzedde, J M" sort="Sauzedde, J M" uniqKey="Sauzedde J" first="J-M" last="Sauzedde">J-M Sauzedde</name><name sortKey="Smail, M" sort="Smail, M" uniqKey="Smail M" first="M" last="Smail">M. Smail</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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