{"id":1478,"date":"2025-09-10T16:38:38","date_gmt":"2025-09-10T16:38:38","guid":{"rendered":"https:\/\/site-cfb:8890\/?page_id=1478"},"modified":"2025-11-06T21:55:38","modified_gmt":"2025-11-06T21:55:38","slug":"cancers-hematologiques","status":"publish","type":"page","link":"https:\/\/www.baclesse.lu\/de\/cancers-hematologiques\/","title":{"rendered":"Cancers h\u00e9matologiques"},"content":{"rendered":"

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Cancers h\u00e9matologiques<\/span><\/p>\n

[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/www.baclesse.lu\/wp-content\/uploads\/2025\/08\/Rayon_CFB_Rose_V2.png\u00a0\u00bb title_text=\u00a0\u00bbRayon_CFB_Rose_V2″ align_tablet=\u00a0\u00bbleft\u00a0\u00bb align_last_edited=\u00a0\u00bboff|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbd6084e7c-e5e7-4196-9a1d-c82dec5ca1d3″ transform_scale_tablet=\u00a0\u00bb80%|80%\u00a0\u00bb transform_scale_phone=\u00a0\u00bb80%|80%\u00a0\u00bb transform_scale_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_translate_tablet=\u00a0\u00bb\u00a0\u00bb transform_translate_phone=\u00a0\u00bb\u00a0\u00bb transform_translate_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb transform_rotate_tablet=\u00a0\u00bb\u00a0\u00bb transform_rotate_phone=\u00a0\u00bb\u00a0\u00bb transform_rotate_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb transform_skew_tablet=\u00a0\u00bb\u00a0\u00bb transform_skew_phone=\u00a0\u00bb\u00a0\u00bb transform_skew_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb transform_origin_tablet=\u00a0\u00bb\u00a0\u00bb transform_origin_phone=\u00a0\u00bb\u00a0\u00bb transform_origin_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb transform_styles_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_styles_tablet=\u00a0\u00bb\u00a0\u00bb transform_styles_phone=\u00a0\u00bb\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_image src=\u00a0\u00bbhttps:\/\/www.baclesse.lu\/wp-content\/uploads\/2025\/07\/PICTOGRAMMES_Cancers-hematologiques.png\u00a0\u00bb title_text=\u00a0\u00bbPICTOGRAMMES_Cancers h\u00e9matologiques\u00a0\u00bb disabled_on=\u00a0\u00bbon|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb transform_scale=\u00a0\u00bb90%|90%\u00a0\u00bb transform_scale_tablet=\u00a0\u00bb70%|70%\u00a0\u00bb transform_scale_phone=\u00a0\u00bb\u00a0\u00bb transform_scale_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_translate=\u00a0\u00bb-20px|0px\u00a0\u00bb transform_translate_tablet=\u00a0\u00bb\u00a0\u00bb transform_translate_phone=\u00a0\u00bb\u00a0\u00bb transform_translate_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_translate_linked=\u00a0\u00bboff\u00a0\u00bb transform_rotate_tablet=\u00a0\u00bb\u00a0\u00bb transform_rotate_phone=\u00a0\u00bb\u00a0\u00bb transform_rotate_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_skew_tablet=\u00a0\u00bb\u00a0\u00bb transform_skew_phone=\u00a0\u00bb\u00a0\u00bb transform_skew_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_origin_tablet=\u00a0\u00bb\u00a0\u00bb transform_origin_phone=\u00a0\u00bb\u00a0\u00bb transform_origin_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb transform_styles_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb-30px|||-20px|false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|tablet\u00a0\u00bb transform_styles_tablet=\u00a0\u00bb\u00a0\u00bb transform_styles_phone=\u00a0\u00bb\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_code disabled_on=\u00a0\u00bboff|on|on\u00a0\u00bb module_class=\u00a0\u00bbtitre-rose\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||20px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

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\"Illustration <\/div>\n

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<\/p>\n

Cancers h\u00e9matologiques<\/h1>\n

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[\/et_pb_code][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ module_class=\u00a0\u00bbta-col-droite\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_accordion _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdbcfc262-b659-4b09-ada2-b468f093dfff\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_accordion_item title=\u00a0\u00bbG\u00e9n\u00e9ralit\u00e9s\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb2bcb5139-c782-4194-9b29-810b74cf3f5e\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb10px||14px|0px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb0px||12px||false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_width_all=\u00a0\u00bb0px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]Les cancers h\u00e9matologiques regroupent diff\u00e9rentes pathologies, les plus fr\u00e9quentes \u00e9tant les leuc\u00e9mies, les my\u00e9lomes et les lymphomes. Les cancers du sang se d\u00e9veloppent \u00e0 partir des diff\u00e9rentes cellules du sang qui sont les globules blancs, les globules rouges ou les plaquettes.<\/span><\/p>\n

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Certains cancers du sang peuvent induire une indication de radioth\u00e9rapie :<\/p>\n

    \n
  • Les lymphomes : Cancer des cellules immunitaires pouvant toucher les ganglions, le syst\u00e8me nerveux central, la moelle osseuse ou n\u2019importe quel autre organe<\/li>\n
  • Les my\u00e9lomes : Prolif\u00e9ration maligne dans la moelle osseuse de plasmocytes qui produisent les anticorps<\/li>\n<\/ul>\n

    Un lymphome est un cancer qui affecte le syst\u00e8me lymphatique. Le syst\u00e8me lymphatique comprend les ganglions lymphatiques, la rate, la moelle osseuse et d\u2019autres tissus lympho\u00efdes. Sa principale fonction est de lutter contre les infections et de contribuer \u00e0 la d\u00e9fense immunitaire de l\u2019organisme. Deux formes principales de lymphomes existent : les lymphomes de Hodgkin (LH), touchant les adultes jeunes, et les lymphomes non hodgkiniens (LNH), plus fr\u00e9quents chez des adultes plus \u00e2g\u00e9s au-del\u00e0 de 60 ans.<\/p>\n

    Le my\u00e9lome est la forme la plus r\u00e9pandue des cancers h\u00e9matologiques. Le my\u00e9lome multiple concerne la moelle osseuse, o\u00f9 les cellules du sang, en l\u2019occurrence les globules rouges, les globules blancs et les plaquettes. Plus pr\u00e9cis\u00e9ment, le my\u00e9lome multiple se d\u00e9veloppe au d\u00e9triment d\u2019un type particulier de globules blancs, les plasmocytes. Ce sont eux qui produisent les anticorps destin\u00e9s \u00e0 combattre infections et maladies. Du fait d\u2019une d\u00e9r\u00e9gulation du syst\u00e8me immunitaire, ce plasmocyte devient malin et se multiplie de fa\u00e7on excessive.<\/p>\n

    Le plasmocytome est une forme localis\u00e9e de my\u00e9lome.[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbSignes cliniques \u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb2bcb5139-c782-4194-9b29-810b74cf3f5e\u00a0\u00bb border_color_top=\u00a0\u00bb#c15fb4″ border_width_right=\u00a0\u00bb0px\u00a0\u00bb border_width_left=\u00a0\u00bb0px\u00a0\u00bb border_color_left=\u00a0\u00bb#c15fb4″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb]<\/p>\n

    Les principaux sympt\u00f4mes d\u2019un lymphome consistent en une augmentation de la taille des ganglions, le plus souvent au niveau du cou et des aisselles. Ce gonflement ganglionnaire peut \u00eatre alors responsable de douleur, d\u2019\u0153d\u00e8me, voire de g\u00eane respiratoire. Une grande fatigue, une perte de poids, des sueurs nocturnes ou une fi\u00e8vre inexpliqu\u00e9e peuvent aussi \u00eatre observ\u00e9s.<\/p>\n

    Les sympt\u00f4mes les plus sp\u00e9cifiques du my\u00e9lome sont des douleurs et une fragilit\u00e9 au niveau osseux. Les sympt\u00f4mes de fatigue, d\u2019an\u00e9mie, d\u2019\u00e9l\u00e9vation du calcium ou encore d\u2019insuffisance r\u00e9nale sont aussi r\u00e9v\u00e9lateurs de ce cancer.<\/p>\n

    [\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbPrise en charge des cancers h\u00e9matologiques au CFB \u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb2bcb5139-c782-4194-9b29-810b74cf3f5e\u00a0\u00bb border_color_all=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb border_color_top=\u00a0\u00bb#c15fb4″ border_width_right=\u00a0\u00bb0px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#c15fb4″ border_width_left=\u00a0\u00bb0px\u00a0\u00bb border_color_left=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb closed_toggle_font_size_tablet=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_phone=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb]<\/p>\n

    Plusieurs traitements et combinaisons de traitements sont possibles au CFB pour le traitement des lymphomes et des my\u00e9lomes.<\/p>\n

    La radioth\u00e9rapie est g\u00e9n\u00e9ralement indiqu\u00e9e en compl\u00e9ment de la chimioth\u00e9rapie pour les lymphomes de Hodgkin classiques, certains lymphomes non hodgkiniens de stades localis\u00e9s ainsi que les plasmocytomes.<\/p>\n

    Le principe pour les lymphomes est d\u2019irradier uniquement les zones ganglionnaires initialement atteintes. Pour les plasmocytomes, il s\u2019agit d\u2019irradier la zone tumorale.\u00a0<\/p>\n

    Radioth\u00e9rapie externe <\/strong><\/h2>\n

    Ce traitement utilise des rayons X dirig\u00e9s, \u00e0 travers la peau, vers la zone \u00e0 traiter. Ces rayons sont produits par un acc\u00e9l\u00e9rateur lin\u00e9aire et d\u00e9truisent progressivement les cellules canc\u00e9reuses.<\/p>\n

    Votre traitement d\u00e9butera avec un scanner de rep\u00e9rage (appel\u00e9 simulation virtuelle)\u00a0; il permet de d\u00e9limiter les zones \u00e0 traiter (volumes cibles), ainsi que les organes sains alentours qui devront \u00eatre pr\u00e9serv\u00e9s au maximum.<\/p>\n

    Votre plan de traitement sera \u00e9tabli de mani\u00e8re individuelle (en tenant compte de vos caract\u00e9ristiques sp\u00e9cifiques et celle de votre maladie) et planifi\u00e9 sur plusieurs semaines. Les s\u00e9ances se d\u00e9roulent du lundi au vendredi et durent environ 15 minutes.<\/p>\n

    Les rayons sont invisibles et indolores et ne rendent pas radioactif.<\/p>\n

    [\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbLes effets secondaires durant le traitement\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb2bcb5139-c782-4194-9b29-810b74cf3f5e\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_color_all=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb border_color_top=\u00a0\u00bb#c15fb4″ border_width_right=\u00a0\u00bb0px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#c15fb4″ border_width_left=\u00a0\u00bb0px\u00a0\u00bb border_color_left=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb closed_toggle_font_size_tablet=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_phone=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

    Les effets secondaires sont pr\u00e9visibles mais pas syst\u00e9matiques\u00a0; chaque situation est unique et chaque patient r\u00e9agit diff\u00e9remment. Nous invitons les patients \u00e0 signaler tout effet ind\u00e9sirable \u00e0 leur m\u00e9decin r\u00e9f\u00e9rent au CFB lors des consultations de surveillance hebdomadaires. De nos jours, les effets secondaires aigus les plus courants sont tr\u00e8s bien pris en charge gr\u00e2ce \u00e0 des traitements symptomatiques. Ils vous seront prescrits si besoin par votre oncologue radioth\u00e9rapeute.<\/p>\n

      \n
    • Fatigue :<\/span> La fatigue est un effet secondaire fr\u00e9quent mais pas forc\u00e9ment d\u00fb au traitement. Elle est souvent due \u00e0 la r\u00e9p\u00e9tition quotidienne du traitement. C\u2019est aussi parfois un contrecoup du traitement de chimioth\u00e9rapie.<\/li>\n
    • Des naus\u00e9es et des diarrh\u00e9es<\/span> peuvent survenir en cas d\u2019irradiations abdominales<\/li>\n<\/ul>\n

      [\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbLes effets secondaires apr\u00e8s le traitement\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb2bcb5139-c782-4194-9b29-810b74cf3f5e\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_color_all=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb border_color_top=\u00a0\u00bb#c15fb4″ border_width_right=\u00a0\u00bb0px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#c15fb4″ border_width_left=\u00a0\u00bb0px\u00a0\u00bb border_color_left=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb closed_toggle_font_size_tablet=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_phone=\u00a0\u00bb\u00a0\u00bb closed_toggle_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

      Les effets observ\u00e9s pendant le traitement s\u2019estompent en g\u00e9n\u00e9ral quelques mois apr\u00e8s la fin du traitement. Certains signes peuvent apparaitre apr\u00e8s plusieurs mois ou ann\u00e9es, ils sont dits \u201ctardifs\u201d. Ils peuvent exceptionnellement \u00eatre en rapport avec les traitements re\u00e7us. Nous vous invitons \u00e0 signaler tout effet ind\u00e9sirable, m\u00eame tardif, \u00e0 votre m\u00e9decin radioth\u00e9rapeute.\u00a0<\/p>\n

        \n
      • Risque d\u2019induction de cancer radio-induit dans les d\u00e9cennies qui suivent le traitement<\/span><\/li>\n
      • Insuffisance cardiaque<\/span><\/li>\n
      • St\u00e9nose des art\u00e8res coronaires<\/span><\/li>\n
      • Hypothyro\u00efdie<\/span><\/li>\n<\/ul>\n

        [\/et_pb_accordion_item][\/et_pb_accordion][et_pb_button button_url=\u00a0\u00bbhttps:\/\/www.baclesse.lu\/les-cancers-pris-en-charge\/\u00a0\u00bb button_text=\u00a0\u00bbLes cancers pris en charge\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bb3f6b84a1-415e-46f4-9eaa-ecd67f3d2f88″ custom_margin=\u00a0\u00bb30px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

        Cancers h\u00e9matologiquesLes cancers h\u00e9matologiques regroupent diff\u00e9rentes pathologies, les plus fr\u00e9quentes \u00e9tant les leuc\u00e9mies, les my\u00e9lomes et les lymphomes. Les cancers du sang se d\u00e9veloppent \u00e0 partir des diff\u00e9rentes cellules du sang qui sont les globules blancs, les globules rouges ou les plaquettes. Certains cancers du sang peuvent induire une indication de radioth\u00e9rapie : Les lymphomes […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1478","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nCancers h\u00e9matologiques - Centre Fran\u00e7ois Baclesse<\/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.baclesse.lu\/de\/cancers-hematologiques\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cancers h\u00e9matologiques - Centre Fran\u00e7ois Baclesse\" \/>\n<meta property=\"og:description\" content=\"Cancers h\u00e9matologiquesLes cancers h\u00e9matologiques regroupent diff\u00e9rentes pathologies, les plus fr\u00e9quentes \u00e9tant les leuc\u00e9mies, les my\u00e9lomes et les lymphomes. Les cancers du sang se d\u00e9veloppent \u00e0 partir des diff\u00e9rentes cellules du sang qui sont les globules blancs, les globules rouges ou les plaquettes. 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