{"id":172,"date":"2014-05-27T15:30:24","date_gmt":"2014-05-27T13:30:24","guid":{"rendered":"http:\/\/arser.org\/?p=172"},"modified":"2021-09-09T15:53:35","modified_gmt":"2021-09-09T13:53:35","slug":"cancer-que-de-progres","status":"publish","type":"post","link":"https:\/\/resra.bruet.com\/en\/cancer-que-de-progres\/","title":{"rendered":"Cancer, que de progr\u00e8s"},"content":{"rendered":"

Dr Stephane VIGNES, MD.\u00a0Chef de Service de l\u2019Unit\u00e9 de Lymphologie, Centre de R\u00e9f\u00e9rence des maladies vasculaires rares H\u00f4pital Cognacq-Jay, 75015 Paris. Email\u00a0: stephane.vignes@cognacq-jay.fr<\/em><\/p>\n

Op\u00e9ration de Halstedt, mastectomie emportant le muscle pectoral, \u00ab\u00a0bombe au cobalt\u00a0\u00bb, chimioth\u00e9rapie lourde postop\u00e9ratoire pendant 1 an\u2026 Tous ces traitements ont aujourd\u2019hui disparu de la prise en charge du cancer du sein localis\u00e9. C\u2019\u00e9tait il y a 40 ans, c\u2019est \u00e0 la fois lointain et proche. A l\u2019\u00e9poque, c\u2019\u00e9tait le prix de la gu\u00e9rison. Que de chemin parcouru depuis ces premiers traitements\u00a0!<\/p>\n

Des progr\u00e8s dans la chirurgie du sein avec des ex\u00e9r\u00e8ses partielles, des mastectomies respectant les muscles, des curages axillaires plus \u00e9conomes dont le d\u00e9veloppement de la technique du ganglion sentinelle, une radioth\u00e9rapie plus cibl\u00e9e et moins dos\u00e9e, des chimioth\u00e9rapies adjuvantes plus br\u00e8ves et associ\u00e9e \u00e0 de nouveaux anti-\u00e9m\u00e9tiques faisant dispara\u00eetre le spectre des vomissements\u2026 Oui des traitements mieux tol\u00e9r\u00e9s, plus efficaces\u2026 mais toujours aussi \u00e9prouvants physiquement et moralement.<\/p>\n

Les effets ind\u00e9sirables \u00e9taient en effet beaucoup plus fr\u00e9quents et graves avec les traitements anciens, avec des complications pr\u00e9coces mais surtout tardives, invalidantes, comme le lymph\u0153d\u00e8me, parfois tr\u00e8s volumineux et\/ou associ\u00e9 \u00e0 une atteinte neurologique du plexus brachial. Dans certaines \u00e9tudes anciennes, pr\u00e8s de 100% des femmes avaient un lymph\u0153d\u00e8me du membre sup\u00e9rieur apr\u00e8s traitement d\u2019un cancer du sein\u00a0!
\nIl peut aussi s\u2019y associer des douleurs neuropathiques de plexite, d\u2019intensit\u00e9 variable et de traitement difficile, traitement entra\u00eenant lui-m\u00eame des effets ind\u00e9sirables comme somnolence et troubles mn\u00e9siques.<\/p>\n

Heureusement, ces effets ind\u00e9sirables sont peu fr\u00e9quents \u00e0 ce jour. Ils touchent cependant encore les populations trait\u00e9es il y a de nombreuses ann\u00e9es et parfois aussi celles trait\u00e9es plus r\u00e9cemment. Le retentissement est tr\u00e8s important, psychologique, fonctionnel, social et professionnel. Le cancer est gu\u00e9ri, presque oubli\u00e9, mais les s\u00e9quelles persistent, ne s\u2019oublient pas rappelant la maladie causale. Ces s\u00e9quelles ne gu\u00e9rissent pas et peuvent m\u00eame s\u2019aggraver avec le temps, majorant la g\u00eane et le handicap.<\/p>\n

Il est n\u00e9cessaire de s\u2019y int\u00e9resser, de ne pas les minimiser, d\u2019entendre les patients qui en souffrent, de les prendre en charge de fa\u00e7on sp\u00e9cifique dans le cadre de l\u2019apr\u00e8s cancer. La recherche est indispensable dans ces domaines, pour mieux prendre en compte et comprendre ces effets ind\u00e9sirables, d\u2019essayer de trouver des traitements, \u00ab\u00a0de faire progresser la science\u00a0\u00bb comme on dit, afin d\u2019am\u00e9liorer la qualit\u00e9 de vie des patients gu\u00e9ris du cancer.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr Stephane VIGNES, MD.\u00a0Chef de Service de l\u2019Unit\u00e9 de Lymphologie, Centre de R\u00e9f\u00e9rence des maladies vasculaires rares H\u00f4pital Cognacq-Jay, 75015 Paris. Email\u00a0: stephane.vignes@cognacq-jay.fr Op\u00e9ration de Halstedt, mastectomie emportant le muscle pectoral, \u00ab\u00a0bombe au cobalt\u00a0\u00bb, chimioth\u00e9rapie lourde postop\u00e9ratoire pendant 1 an\u2026 Tous ces traitements ont aujourd\u2019hui disparu de la prise en charge du cancer du sein … Continue reading “Cancer, que de progr\u00e8s”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-172","post","type-post","status-publish","format-standard","hentry","category-articles"],"yoast_head":"\r\nCancer, que de progr\u00e8s - Association pour la Recherche sur les S\u00e9quelles de la Radioth\u00e9rapie<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/resra.bruet.com\/en\/cancer-que-de-progres\/\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Cancer, que de progr\u00e8s - Association pour la Recherche sur les S\u00e9quelles de la Radioth\u00e9rapie\" \/>\r\n<meta property=\"og:description\" content=\"Dr Stephane VIGNES, MD.\u00a0Chef de Service de l\u2019Unit\u00e9 de Lymphologie, Centre de R\u00e9f\u00e9rence des maladies vasculaires rares H\u00f4pital Cognacq-Jay, 75015 Paris. Email\u00a0: stephane.vignes@cognacq-jay.fr Op\u00e9ration de Halstedt, mastectomie emportant le muscle pectoral, \u00ab\u00a0bombe au cobalt\u00a0\u00bb, chimioth\u00e9rapie lourde postop\u00e9ratoire pendant 1 an\u2026 Tous ces traitements ont aujourd\u2019hui disparu de la prise en charge du cancer du sein … Continue reading "Cancer, que de progr\u00e8s"\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/resra.bruet.com\/en\/cancer-que-de-progres\/\" \/>\r\n<meta property=\"og:site_name\" content=\"Association pour la Recherche sur les S\u00e9quelles de la Radioth\u00e9rapie\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/profile.php?id=100086562396208\" \/>\r\n<meta property=\"article:published_time\" content=\"2014-05-27T13:30:24+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2021-09-09T13:53:35+00:00\" \/>\r\n<meta name=\"author\" content=\"adminC\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"adminC\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/resra.bruet.com\/cancer-que-de-progres\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/resra.bruet.com\/cancer-que-de-progres\/\"},\"author\":{\"name\":\"adminC\",\"@id\":\"https:\/\/resra.bruet.com\/#\/schema\/person\/bf85e76615ee71b054ca0af4ac792a84\"},\"headline\":\"Cancer, que de progr\u00e8s\",\"datePublished\":\"2014-05-27T13:30:24+00:00\",\"dateModified\":\"2021-09-09T13:53:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/resra.bruet.com\/cancer-que-de-progres\/\"},\"wordCount\":462,\"publisher\":{\"@id\":\"https:\/\/resra.bruet.com\/#organization\"},\"articleSection\":[\"Papers\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/resra.bruet.com\/en\/cancer-que-de-progres\/\",\"url\":\"https:\/\/resra.bruet.com\/en\/cancer-que-de-progres\/\",\"name\":\"Cancer, que de progr\u00e8s - 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