{"id":918,"date":"2019-09-14T19:23:55","date_gmt":"2019-09-14T19:23:55","guid":{"rendered":"https:\/\/www.lymphoma.ca\/?page_id=918"},"modified":"2025-08-22T20:46:40","modified_gmt":"2025-08-22T20:46:40","slug":"lattente-sous-surveillance","status":"publish","type":"page","link":"https:\/\/www.lymphoma.ca\/fr\/le-lymphome\/la-llc\/lattente-sous-surveillance\/","title":{"rendered":"L\u2019attente sous surveillance"},"content":{"rendered":"[vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb 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bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][image_with_animation image_url=\u00a0\u00bb77″ alignment=\u00a0\u00bb\u00a0\u00bb animation=\u00a0\u00bbFade In\u00a0\u00bb hover_animation=\u00a0\u00bbnone\u00a0\u00bb border_radius=\u00a0\u00bbnone\u00a0\u00bb box_shadow=\u00a0\u00bbnone\u00a0\u00bb image_loading=\u00a0\u00bbdefault\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_mobile=\u00a0\u00bbdefault\u00a0\u00bb img_link=\u00a0\u00bbhttps:\/\/www.lymphoma.ca\/fr\/le-lymphome\/la-llc\/ressources-llc\/\u00a0\u00bb][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb width=\u00a0\u00bb1\/1″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column_text]Si votre LLC est \u00e0 croissance lente et qu\u2019elle ne cause pas de sympt\u00f4mes importants, vous ne recevrez probablement pas de traitement imm\u00e9diat. On appelle cette approche \u00ab observer et attendre \u00bb ou \u00ab l\u2019attente sous surveillance \u00bb.<\/p>\n

Durant cette p\u00e9riode, les m\u00e9decins vous suivent de pr\u00e8s, mais ne vous traitent pas tant qu\u2019ils n\u2019observent pas de manifestations ou de changements de vos sympt\u00f4mes. On pr\u00e9conise cette approche pour les personnes qui ne pr\u00e9sentent aucune indication th\u00e9rapeutique figurant dans le tableau ci-dessous.<\/p>\n

Cela ne veut pas dire que votre \u00e9quipe de soins de sant\u00e9 ignore le cancer dont vous \u00eates atteint. Durant la p\u00e9riode d\u2019attente sous surveillance, vous rencontrerez r\u00e9guli\u00e8rement votre sp\u00e9cialiste du cancer qui surveillera les changements li\u00e9s \u00e0 la maladie et \u00e9valuera votre \u00e9tat de sant\u00e9 g\u00e9n\u00e9ral. Au cours de ces rendez-vous, votre m\u00e9decin vous examinera, prescrira des tests sanguins et demandera \u00e9galement comment vous vous sentez et si vous avez des sympt\u00f4mes.<\/p>\n

Les r\u00e9sultats des examens et des tests sanguins permettront \u00e0 votre m\u00e9decin de d\u00e9cider si vous avez besoin de traitement et de d\u00e9terminer le type de th\u00e9rapie qui vous convient.<\/p>\n

Bien des gens craignent l\u2019aggravation de leur LLC s\u2019ils ne re\u00e7oivent aucun traitement. Rien de plus naturel que de vouloir \u00eatre trait\u00e9 quand on a le cancer. Mais selon des \u00e9tudes ayant compar\u00e9 l\u2019attente sous surveillance \u00e0 un traitement pr\u00e9coce, les patients atteints de LLC asymptomatique n\u2019ont aucun avantage \u00e0 recevoir un traitement pr\u00e9coce. De plus, certains patients n\u2019auront jamais besoin d\u2019\u00eatre trait\u00e9s. Gr\u00e2ce \u00e0 l\u2019attente sous surveillance, vous \u00e9vitez de subir les effets secondaires du traitement jusqu\u2019au jour o\u00f9 vous en aurez besoin.<\/p>\n[\/vc_column_text][nectar_btn size=\u00a0\u00bbsmall\u00a0\u00bb open_new_tab=\u00a0\u00bbtrue\u00a0\u00bb button_style=\u00a0\u00bbregular\u00a0\u00bb button_color_2=\u00a0\u00bbAccent-Color\u00a0\u00bb icon_family=\u00a0\u00bbnone\u00a0\u00bb text=\u00a0\u00bbT\u00c9L\u00c9CHARGER GUIDE DES PATIENTS L\u2019ATTENTE SOUS SURVEILLANCE\u00a0\u00bb url=\u00a0\u00bbhttps:\/\/www.lymphoma.ca\/wp-content\/uploads\/2022\/10\/20221014_Watch-and-Wait_FR_WEB.pdf\u00a0\u00bb][\/vc_column][\/vc_row]\n

Le traitement ne d\u00e9butera que si vous pr\u00e9sentez au moins une des indications th\u00e9rapeutiques \u00e9num\u00e9r\u00e9es dans le tableau ci-dessous :<\/p>\n\n\n\n\n\n\n\n\n\n
Treatment Indications<\/th>\n<\/tr>\n
Incapacit\u00e9 manifeste de la moelle osseuse \u00e0 satisfaire les besoins du corps en mati\u00e8re de cellules sanguines saines \u2013 mesur\u00e9e en fonction de l\u2019\u00e9volution ou de l\u2019aggravation de l\u2019an\u00e9mie (nombre insuffisant de globules rouges) et\/ou thrombocytop\u00e9nie (nombre insuffisant de plaquettes).<\/td>\n<\/tr>\n
Rate volumineuse, hypertrophie progressive de la rate ou augmentation du volume de la rate causant des sympt\u00f4mes<\/td>\n<\/tr>\n
Ganglions lymphatiques volumineux (au moins 10 cm de son diam\u00e8tre le plus long), hypertrophie progressive des ganglions lymphatiques ou ganglions lymphatiques hypertrophi\u00e9s causant des sympt\u00f4mes.<\/td>\n<\/tr>\n
Augmentation du nombre de lymphocytes de plus de 50 % sur une p\u00e9riode de deux mois ou temps de doublement des lymphocytes (TDL) en moins de six mois.<\/td>\n<\/tr>\n
An\u00e9mie auto-immune et\/ou thrombocytop\u00e9nie (nombre insuffisant de globules rouges ou de plaquettes d\u00fb \u00e0 la formation d\u2019anticorps qui les d\u00e9truisent) qui ne r\u00e9pond pas aux m\u00e9dicaments standards.<\/td>\n<\/tr>\n
Sympt\u00f4mes \u00ab B \u00bb, d\u00e9finis comme au moins un signe ou un sympt\u00f4me suivant li\u00e9 \u00e0 la maladie :<\/p>\n
    \n
  • perte de poids involontaire de 10 % ou plus, au cours des six derniers mois;<\/li>\n
  • grande fatigue (incapacit\u00e9 de travailler ou d\u2019accomplir ses activit\u00e9s habituelles);<\/li>\n
  • fi\u00e8vre de plus de 38\u02daC durant deux semaines ou plus, sans autre signe d\u2019infection; ou<\/li>\n
  • sueurs nocturnes abondantes durant plus d\u2019un mois, sans autre signe d\u2019infection<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

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