{"id":354,"date":"2010-04-30T04:00:00","date_gmt":"2010-04-30T04:00:00","guid":{"rendered":"https:\/\/www.lymphoma.ca\/?page_id=354"},"modified":"2020-02-26T15:20:16","modified_gmt":"2020-02-26T15:20:16","slug":"cheminement-du-patient","status":"publish","type":"page","link":"https:\/\/www.lymphoma.ca\/fr\/cheminement-du-patient\/","title":{"rendered":"Cheminement du patient"},"content":{"rendered":"<p>Conna\u00eetre le stade d\u2019un cancer permet de savoir si le cancer s\u2019est \u00e9tendu et dans quelle mesure il s\u2019est \u00e9tendu dans le corps. Il existe quatre stades de lymphome&nbsp;: au stade I et II, il est localis\u00e9 (contenu dans une zone limit\u00e9e), aux stades III et IV, qui sont des stades avanc\u00e9s, il est plus \u00e9tendu. Le stade est d\u00e9termin\u00e9 par&nbsp;:<\/p>\n<ul>\n<li>le nombre et la localisation des ganglions lymphatiques affect\u00e9s;<\/li>\n<li>c\u2019est-\u00e0-dire si les ganglions lymphatiques touch\u00e9s se trouvent au-dessus ou en dessous des deux c\u00f4t\u00e9s du diaphragme (le grand muscle en forme de d\u00f4me qui est situ\u00e9 sous la cage thoracique et qui s\u00e9pare la poitrine [et\/ou le cou] de l\u2019abdomen);<\/li>\n<li>si la maladie s\u2019est \u00e9tendue \u00e0 la moelle osseuse ou \u00e0 d\u2019autres organes comme le foie.<\/li>\n<\/ul>\n<p> La m\u00e9thode la plus fr\u00e9quemment utilis\u00e9e pour d\u00e9terminer pour d\u00e9terminer le stade du lymphome s\u2019appelle le syst\u00e8me de classification par stade d\u2019Ann Arbor, que l\u2019on peut r\u00e9sumer ainsi&nbsp;:<\/p>\n<table cellpadding=\"3\">\n<tbody>\n<tr>\n<td style=\"font-weight: bold;\" width=\"8%\">Stade<\/td>\n<td style=\"font-weight: bold;\">Ce que cela signifie<\/td>\n<\/tr>\n<tr>\n<td>I<\/td>\n<td>Le lymphome ne touche qu\u2019un seul groupe de ganglions lymphatiques.<\/td>\n<\/tr>\n<tr>\n<td>II<\/td>\n<td>Au moins deux groupes de ganglions lymphatiques sont touch\u00e9s, mais ils se trouvent tous au m\u00eame endroit&nbsp;: au-dessus ou en dessous du diaphragme, ou dans la poitrine ou dans l\u2019abdomen.<\/td>\n<\/tr>\n<tr>\n<td>III<\/td>\n<td>Au moins deux groupes de ganglions lymphatiques sont touch\u00e9s \u00e0 la fois dans la poitrine et dans l\u2019abdomen.<\/td>\n<\/tr>\n<tr>\n<td>IV<\/td>\n<td>Le lymphome touche au moins un organe (exemple&nbsp;: la moelle osseuse, le foie ou les poumons) ainsi que les ganglions lymphatiques.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-353\" src=\"https:\/\/www.lymphoma.ca\/wp-content\/uploads\/2010\/04\/stages_fr.jpg\" title=\"La classification des stades du lymphome\" width=\"565\" height=\"700\" class=\"borderedimage\" srcset=\"https:\/\/www.lymphoma.ca\/wp-content\/uploads\/2010\/04\/stages_fr.jpg 600w, https:\/\/www.lymphoma.ca\/wp-content\/uploads\/2010\/04\/stages_fr-242x300.jpg 242w\" sizes=\"auto, (max-width: 565px) 100vw, 565px\" \/><\/p>\n<h3>La classification par stade du lymphome<\/h3>\n<p>Chaque stade d\u2019un lymphome peut \u00e9galement \u00eatre class\u00e9 selon les d\u00e9signations A et B. Les patients concern\u00e9s par la d\u00e9signation&nbsp;B pr\u00e9sentent un ou plusieurs des sympt\u00f4mes&nbsp;B suivants&nbsp;:<\/p>\n<ul>\n<li>Perte de poids inexpliqu\u00e9e de plus de 10&nbsp;% dans les six mois pr\u00e9c\u00e9dant le diagnostic<\/li>\n<li>Fi\u00e8vre inexpliqu\u00e9e avec des temp\u00e9ratures au-dessus de 38&nbsp;\u00b0C (100,4&nbsp;\u00b0F)<\/li>\n<li>Sueurs nocturnes importantes.<\/li>\n<\/ul>\n<p>La pr\u00e9sence de sympt\u00f4mes&nbsp;B peut \u00eatre associ\u00e9e \u00e0 une maladie qui est \u00e0 un stade plus avanc\u00e9.<\/p>\n<h2> La classification par stade de la LLC<\/h2>\n<p><strong><em>La classification par stade Rai<\/em><\/strong><br \/>Le syst\u00e8me de classification par stade Rai est plus fr\u00e9quemment utilis\u00e9 en Am\u00e9rique du Nord. Il existe un autre syst\u00e8me de classification par stade utilis\u00e9 en Europe&nbsp;: le syst\u00e8me Binet. Les deux syst\u00e8mes servent \u00e0 classer la LLC et \u00e0 attribuer des cat\u00e9gories de risques bas\u00e9es sur&nbsp;:<\/p>\n<ul>\n<li>Le nombre de lymphocytes trouv\u00e9s dans le sang<\/li>\n<li>L\u2019augmentation du volume des ganglions lymphatiques, du foie et de la rate<\/li>\n<li>Le nombre de plaquettes trouv\u00e9es dans le sang<\/li>\n<li>La pr\u00e9sence d\u2019an\u00e9mie (nombre trop faible de globules rouges dans le sang).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"font-weight: bold;\">Niveau de risque<\/td>\n<td style=\"font-weight: bold;\" width=\"13%\">&nbsp;Stade Rai<\/td>\n<td style=\"font-weight: bold;\">&nbsp;Sympt\u00f4mes<\/td>\n<td style=\"font-weight: bold;\">&nbsp;\u00c9quivalent du syst\u00e8me Binet<\/td>\n<\/tr>\n<tr>\n<td>Faible<\/td>\n<td>&nbsp;0<\/td>\n<td>\n<ul>\n<li>Pr\u00e9sence excessive de lymphocytes dans le sang<\/li>\n<li>Aucun autre sympt\u00f4me<\/li>\n<\/ul>\n<\/td>\n<td>&nbsp;A<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\">Mod\u00e9r\u00e9&nbsp;<\/td>\n<td>&nbsp;1<\/td>\n<td>\n<ul>\n<li>Pr\u00e9sence excessive de lymphocytes dans le sang<\/li>\n<li>Les ganglions lymphatiques sont plus volumineux que la normale<\/li>\n<\/ul>\n<\/td>\n<td rowspan=\"2\">&nbsp;B<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;2<\/td>\n<td>\n<ul>\n<li>Pr\u00e9sence excessive de lymphocytes dans le sang<\/li>\n<li>Les ganglions lymphatiques peuvent \u00eatre plus volumineux que la normale<\/li>\n<li>La rate ou le foie sont plus volumineux que la normale<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\">\u00c9lev\u00e9&nbsp;<\/td>\n<td>&nbsp;3<\/td>\n<td>\n<ul>\n<li>Pr\u00e9sence excessive de lymphocytes dans le sang<\/li>\n<li>Faible taux de globules rouges dans le sang (an\u00e9mie)<\/li>\n<li>La rate, le foie ou les ganglions lymphatiques peuvent \u00eatre plus volumineux que la normale<\/li>\n<\/ul>\n<\/td>\n<td rowspan=\"2\">&nbsp;C<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;4<\/td>\n<td>\n<ul>\n<li>Pr\u00e9sence excessive de lymphocytes dans le sang<\/li>\n<li>Faible taux de globules rouges dans le sang (an\u00e9mie)<\/li>\n<li>Faible taux de plaquettes dans le sang (thrombocytop\u00e9nie)<\/li>\n<li>La rate, le foie ou les ganglions lymphatiques peuvent \u00eatre plus volumineux que la normale<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Conna\u00eetre le stade d\u2019un cancer permet de savoir si le cancer s\u2019est \u00e9tendu et dans quelle mesure il s\u2019est \u00e9tendu dans le corps. Il existe quatre stades de lymphome&nbsp;: au&#8230;<\/p>\n","protected":false},"author":6,"featured_media":352,"parent":0,"menu_order":60,"comment_status":"closed","ping_status":"closed","template":"page-sidebar.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-354","page","type-page","status-publish","has-post-thumbnail"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cheminement du patient - Lymphoma Canada<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lymphoma.ca\/fr\/cheminement-du-patient\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cheminement du patient - Lymphoma Canada\" \/>\n<meta property=\"og:description\" content=\"Conna\u00eetre le stade d\u2019un cancer permet de savoir si le cancer s\u2019est \u00e9tendu et dans quelle mesure il s\u2019est \u00e9tendu dans le corps. 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