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Aspects Anatomocliniques Et Évolutifs

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Aspects Anatomocliniques Et Évolutifs UNIVERSITE CADI AYYAD Lymphome hodgkinien : aspects anatomocliniques FACULTEet évolutifs DE MEDECINE ET DE PHARMACIE MARRAKECH ANNEE 2010 THESE N° 72 LYMPHOME HODGKINIEN : Aspects anatomocliniques et évolutifs THESE PRESENTEE ET SOUTENUE PUBLIQUEMENT LE …/…/2010 PAR Mlle. Hanan RAISS Née le 05 Septembre 1983 à Tafraout POUR L'OBTENTION DU DOCTORAT EN MEDECINE MOTS CLES Maladie de Hodgkin – Adénopathie – Anatomie pathologique JURY Mr. A. OUSEHAL PRESIDENT Professeur de Radiologie Mme. B. BELAABIDIA RAPPORTEUR Professeur d’Anatomie Pathologique Mr. O. ESSADKI Professeur de Radiologie Mme. L. ESSAADOUNI JUGES Professeur agrégé en Médecine Interne Mr. L. MAHMAL Professeur agrégé en Hématologie Clinique Lymphome hodgkinien : aspects anatomocliniques et évolutifs ″ﺭﺏ ﺃﻭﺯﻋﻨﻲ ﺃﻥ ﺃﺷﻜﺮ ﻧﻌﻤﺘﻚ ﺍﻟﺘﻲ ﺃﻧﻌﻤﺖ ﻋﻠﻲَ ﻭﻋﻠﻰ ﻭﺍﻟﺪﻱَ ﻭﺃﻥ ﺃﻋﻤﻞ ﺻﺎﻟﺤﺎ ﺗﺮﺿﺎﻩ ﻭﺃﺻﻠﺢ ﻟﻲ ﻓﻲ ﺫﺭﻳﺘﻲ ﺇﻧﻲ ﺗﺒﺖ ﺇﻟﻴﻚ ﻭﺇﻧﻲ ﻣﻦ ﺍﻟﻤﺴﻠﻤﻴﻦ″ . ﺻﺪﻕ ﺍﷲ ﺍﻟﻌﻈﻴﻢ Lymphome hodgkinien : aspects anatomocliniques et évolutifs Lymphome hodgkinien : aspects anatomocliniques et évolutifs Liste des professeurs Lymphome hodgkinien : aspects anatomocliniques et évolutifs UNIVERSITE CADI AYYAD FACULTE DE MEDECINE ET DE PHARMACIE MARRAKECH Doyen Honoraire : Pr. Badie-Azzamann MEHADJI ADMINISTRATION Doyen : Pr. Abdelhaq ALAOUI YAZIDI Vice doyen : Pr. Ahmed OUSEHAL Secrétaire Général : Mr. Azzeddine EL HOUDAIGUI PROFESSEURS D’ENSEIGNEMENT SUPERIEUR ABBASSI Hassan Gynécologie-Obstétrique A AIT BENALI Said Neurochirurgie ALAOUI YAZIDI Abdelhaq Pneumo-phtisiologie ABOUSSAD Abdelmounaim Néonatologie BELAABIDIA Badia Anatomie-Pathologique BOUSKRAOUI Mohammed Pédiatrie A Lymphome hodgkinien : aspects anatomocliniques et évolutifs EL HASSANI Selma Rhumatologie EL IDRISSI DAFALI My abdelhamid Chirurgie Générale ESSADKI Omar Radiologie FIKRY Tarik Traumatologie- Orthopédie A FINECH Benasser Chirurgie – Générale KISSANI Najib Neurologie KRATI Khadija Gastro-Entérologie LATIFI Mohamed Traumato – Orthopédie B MOUTAOUAKIL Abdeljalil Ophtalmologie OUSEHAL Ahmed Radiologie RAJI Abdelaziz Oto-Rhino-Laryngologie SARF Ismail Urologie SBIHI Mohamed Pédiatrie B SOUMMANI Abderraouf Gynécologie-Obstétrique A TAZI Imane Psychiatrie Lymphome hodgkinien : aspects anatomocliniques et évolutifs PROFESSEURS AGREGES ABOULFALAH Abderrahim Gynécologie – Obstétrique B AMAL Said Dermatologie AIT SAB Imane Pédiatrie B ASRI Fatima Psychiatrie ASMOUKI Hamid Gynécologie – Obstétrique A AKHDARI Nadia Dermatologie BENELKHAIAT BENOMAR Ridouan Chirurgie – Générale BOUMZEBRA Drissi Chirurgie Cardiovasculaire CHABAA Laila Biochimie DAHAMI Zakaria Urologie EL FEZZAZI Redouane Chirurgie Pédiatrique ELFIKRI Abdelghani Radiologie EL HATTAOUI Mustapha Cardiologie ESSAADOUNI Lamiaa Médecine Interne ETTALBI Saloua Chirurgie – Réparatrice et plastique GHANNANE Houssine Neurochirurgie LOUZI Abdelouahed Chirurgie générale OULAD SAIAD Mohamed Chirurgie pédiatrique MAHMAL Lahoucine Hématologie clinique MANSOURI Nadia Chirurgie maxillo-faciale Et stomatologie MOUDOUNI Said mohammed Urologie NAJEB Youssef Traumato - Orthopédie B LMEJJATTI Mohamed Neurochirurgie SAMKAOUI Mohamed Anesthésie- Réanimation Abdenasser SAIDI Halim Traumato - Orthopédie A TAHRI JOUTEI HASSANI Ali Radiothérapie YOUNOUS Saïd Anesthésie-Réanimation Lymphome hodgkinien : aspects anatomocliniques et évolutifs PROFESSEURS ASSISTANTS ABKARI Imad Traumatologie-orthopédie B ABOU EL HASSAN Taoufik Anesthésie - réanimation ABOUSSAIR Nisrine Génétique ADERDOUR Lahcen Oto-Rhino-Laryngologie ADMOU Brahim Immunologie AGHOUTANE El Mouhtadi Chirurgie – pédiatrique AIT BENKADDOUR Yassir Gynécologie – Obstétrique A AIT ESSI Fouad Traumatologie-orthopédie B ALAOUI Mustapha Chirurgie Vasculaire périphérique AMINE Mohamed Epidémiologie - Clinique AMRO Lamyae Pneumo - phtisiologie ARSALANE Lamiae Microbiologie- Virologie ATMANE El Mehdi Radiologie BAHA ALI Tarik Ophtalmologie BASRAOUI Dounia Radiologie BASSIR Ahlam Gynécologie – Obstétrique B BENCHAMKHA Yassine Chirurgie réparatrice et plastique BEN DRISS Laila Cardiologie BENHADDOU Rajaa Ophtalmologie Lymphome hodgkinien : aspects anatomocliniques et évolutifs BENJILALI Laila Médecine interne BENZAROUEL Dounia Cardiologie BOUCHENTOUF Rachid Pneumo-phtisiologie BOUKHANNI Lahcen Gynécologie – Obstétrique B BOURROUS Mounir Pédiatrie A BSSIS Mohammed Aziz Biophysique CHAFIK Aziz Chirurgie Thoracique CHAFIK Rachid Traumatologie-orthopédie A CHAIB Ali Cardiologie CHERIF IDRISSI EL GANOUNI Najat Radiologie DIFFAA Azeddine Gastro - entérologie DRAISS Ghizlane Pédiatrie A DRISSI Mohamed Anesthésie -Réanimation EL ADIB Ahmed rhassane Anesthésie-Réanimation Endocrinologie et maladies EL ANSARI Nawal métaboliques EL BARNI Rachid Chirurgir Générale EL BOUCHTI Imane Rhumatologie Stomatologie et chirurgie maxillo EL BOUIHI Mohamed faciale EL HAOURY Hanane Traumatologie-orthopédie A EL HOUDZI Jamila Pédiatrie B Lymphome hodgkinien : aspects anatomocliniques et évolutifs EL JASTIMI Said Gastro-Entérologie EL KARIMI Saloua Cardiologie EL MANSOURI Fadoua Anatomie - pathologique HAJJI Ibtissam Ophtalmologie HAOUACH Khalil Hématologie biologique HERRAG Mohammed Pneumo-Phtisiologie HERRAK Laila Pneumo-Phtisiologie HOCAR Ouafa Dermatologie JALAL Hicham Radiologie KAMILI El ouafi el aouni Chirurgie – pédiatrique générale KHALLOUKI Mohammed Anesthésie-Réanimation KHOUCHANI Mouna Radiothérapie KHOULALI IDRISSI Khalid Traumatologie-orthopédie LAGHMARI Mehdi Neurochirurgie LAKMICHI Mohamed Amine Urologie LAOUAD Inas Néphrologie MADHAR Si Mohamed Traumatologie-orthopédie A MANOUDI Fatiha Psychiatrie MAOULAININE Fadlmrabihrabou Pédiatrie (Néonatologie) MOUFID Kamal Urologie NARJIS Youssef Chirurgie générale Lymphome hodgkinien : aspects anatomocliniques et évolutifs NEJMI Hicham Anesthésie - Réanimation NOURI Hassan Oto-Rhino-Laryngologie OUALI IDRISSI Mariem Radiologie QACIF Hassan Médecine Interne QAMOUSS Youssef Anesthésie - Réanimation RABBANI Khalid Chirurgie générale SAMLANI Zouhour Gastro - entérologie SORAA Nabila Microbiologie virologie TASSI Noura Maladies Infectieuses ZAHLANE Mouna Médecine interne ZAHLANE Kawtar Microbiologie virologie ZOUGAGHI Laila Parasitologie –Mycologie Lymphome hodgkinien : aspects anatomocliniques et évolutifs DEDICACES Je dédie ce travail… A mon adorable père Lymphome hodgkinien : aspects anatomocliniques et évolutifs Aucun mot ne saurait exprimer tout mon amour et toute ma gratitude. Si mes expressions pourraient avoir quelque pouvoir, j’en serais profondément heureuse. Je vous dois ce que je suis. Merci pour tes sacrifices le long de ces années. Merci pour ta présence rassurante. Merci pour tout l’amour que tu procures à notre petite famille…tu as toujours été pour moi le père idéal, la lumière qui me guide dans les moments les plus obscures. Que cette thèse soit au niveau de votre attente, présente pour vous l’estime et le respect que je voue, et qu’elle soit le témoignage de la fierté et l’estime que je ressens. Puisse dieu te prêter longue vie et bonne santé afin que je puisse te combler à mon tour. Je t’aime beaucoup A ma tendre mère Je ne trouverai jamais de mots pour t’exprimer mon profond attachement et ma reconnaissance pour l’amour, la tendresse et surtout pour ta présence dans mes moments les plus difficiles, et si j en suis arrivé là ce n’est que grâce a toi ma maman adorée. Merci pour tes sacrifices et tes souffrances que tu as endurés pour pouvoir m’éduquer et me voir heureuse. Ce modeste travail parait bien dérisoire pour traduire une reconnaissance infinie envers une mère aussi merveilleuse dont j’ai la fierté d’être la fille. Puisse ce jour être la récompense de tous les efforts et l’exaucement de tes prières tant formulées. Je t’aime très fort A mes Très Chers frères et soeur Noureddine, Abdollah et Samia. Vous savez que l’affection et l’amour fraternel que je vous porte sont sans limite. Je vous dédie ce travail en témoignage de l’amour et des liens de sang qui nous unissent. Puissions-nous rester unis dans la tendresse et fidèles à l’éducation que nous avons reçue. L’implore Dieu qu’il vous porte bonheur et vous aide à réaliser tous vos vœux. A ma chère grand- mère paternelle Lymphome hodgkinien : aspects anatomocliniques et évolutifs Toutes les lettres ne sauraient trouver les mots qu’il faut. Cependant, en reconnaissance pour la grande affection que vous me témoignez et pour la gratitude ainsi que l’amour sincère que je vous porte. Puisse ce travail conforter la confiance que vous me portez et être le fruit de vos prières. Que Dieu vous accorde santé, longue vie et beaucoup de bonheur. A la mémoire de mon grand-père paternel Puissent vos âmes reposent en paix. Que Dieu, le tout puissant, vous recouvre de Sainte miséricorde A mes chers grands parents maternels Trouvez dans ce travail mon estime, mon respect et mon amour. Que Dieu vous procure bonne santé et longue vie. A ma très chère tante Sanae, Je te dédie ce travail en témoignage de l’amour et de la gratitude que j’ai pour toi. Que dieu te garde ma chère tante, et t’accorde tout le bonheur du monde et t’aide à réaliser tous tes vœux. A mes très chers oncles, tantes, cousins et cousines Aucun mot, aucune dédicace ne saurait exprimer la profonde affection que je ne cesserai de porter à chacun d'entre vous. Que Dieu vous procure bonne santé et longue vie. A ma chère amie Hanane Omghar, Je ne saurais trouver une expression témoignant de ma reconnaissance et des sentiments que je te porte. Je te dédie ce travail en te souhaitant plein de bonheur. A tous mes très chers amis (es). Lymphome hodgkinien : aspects anatomocliniques et évolutifs (Nihal Maja,Rabia Idlehcen,Habiba bouhanou,
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