{"id":123,"date":"2020-08-26T11:14:40","date_gmt":"2020-08-26T11:14:40","guid":{"rendered":"https:\/\/www.reusceltumor-cumcura.be\/?page_id=123"},"modified":"2020-08-26T11:22:31","modified_gmt":"2020-08-26T11:22:31","slug":"behandeling","status":"publish","type":"page","link":"https:\/\/www.reusceltumor-cumcura.be\/fr\/behandeling\/","title":{"rendered":"Traitement"},"content":{"rendered":"

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Traitement et suivi<\/h1>\n

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Comment se d\u00e9roule le traitement ?<\/h2>\n

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A\u00a0<\/span><\/b>r<\/span><\/b>eusceltumor<\/span><\/b>\u00a0dans l'os<\/span><\/b>\u00a0<\/span>est<\/span>\u00a0trait\u00e9s de pr\u00e9f\u00e9rence par voie chirurgicale<\/span>\u00a0En grattant la tumeur (<\/span>curetage<\/span><\/b><\/a>) ou\u00a0<\/span>l'os\u00a0<\/span>supprimer compl\u00e8tement<\/span>.\u00a0<\/span>Lorsque la localisation de la tumeur<\/span>\u00a0traitement chirurgical\u00a0<\/span>entravant<\/span>,\u00a0<\/span>le m\u00e9decin vous donnera<\/span>\u00a0un m\u00e9dicament qui renforce les os\u00a0<\/span>propositions<\/span>,\u00a0<\/span>d\u00e9nosumab<\/span><\/b><\/a>\u00a0<\/span>nomm\u00e9e<\/span>.<\/span>\u00a0<\/span><\/p>\n

Au\u00a0<\/span>a<\/span><\/b>\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span><\/b>\u00a0\u00e0\u00a0<\/span><\/b>les\u00a0<\/span><\/b>parties de la semaine<\/span><\/b>\u00a0le traitement n'est pas toujours n\u00e9cessaire. Le m\u00e9decin vous proposera une surveillance r\u00e9guli\u00e8re par \u00e9chographie ou IRM.\u00a0<\/span>Ce n'est que lorsque l'excroissance provoque des sympt\u00f4mes ou qu'elle s'\u00e9tend trop loin dans la zone environnante et\/ou dans l'os qu'il est pr\u00e9f\u00e9rable de proc\u00e9der \u00e0 l'examen suivant\u00a0<\/span>les<\/span>\u00a0retirer chirurgicalement<\/span>\u00a0ou initier un traitement syst\u00e9mique.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=”chemo” _builder_version=”3.25.3″ width=”100%” width_tablet=”80%” width_phone=”” width_last_edited=”on|desktop” max_width=”1080px” custom_margin_tablet=”|10%||10%||true” custom_margin_phone=”” custom_margin_last_edited=”on|tablet” module_alignment_tablet=”center” module_alignment_phone=”” module_alignment_last_edited=”on|desktop” locked=”off”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_blurb title=”Systemische behandeling” use_icon=”on” font_icon=”%%190%%” icon_color=”#e29c8d” icon_placement=”left” content_max_width=”1100px” _builder_version=”4.5.8″ header_font=”Montserrat|500|||||||” header_line_height=”1.8em” text_orientation=”center” module_alignment=”left” custom_margin=”||0px|” hover_enabled=”0″ module_id=”denosumab”][\/et_pb_blurb][et_pb_text _builder_version=”4.5.8″ text_font=”Open Sans||||||||” text_font_size=”15px” text_line_height=”2em” header_font=”||||||||” header_2_font=”|700|||||||” header_2_font_size=”32px” header_2_line_height=”1.6em” custom_margin=”10px|||45px|false|false” animation_direction=”top” hover_enabled=”0″ header_2_font_size_tablet=”” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” text_font_size__hover=”14px” text_font_size__hover_enabled=”14px” text_line_height__hover=”1.7em” text_line_height__hover_enabled=”1.7em” text_letter_spacing__hover=”0px” text_letter_spacing__hover_enabled=”0px” text_text_shadow_style__hover=”none” text_text_shadow_style__hover_enabled=”none” text_text_shadow_color__hover=”rgba(0,0,0,0.4)” text_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” link_font_size__hover=”14px” link_font_size__hover_enabled=”14px” link_letter_spacing__hover=”0px” link_letter_spacing__hover_enabled=”0px” link_line_height__hover=”1em” link_line_height__hover_enabled=”1em” link_text_shadow_style__hover=”none” link_text_shadow_style__hover_enabled=”none” link_text_shadow_color__hover=”rgba(0,0,0,0.4)” link_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” ul_font_size__hover=”14px” ul_font_size__hover_enabled=”14px” ul_letter_spacing__hover=”0px” ul_letter_spacing__hover_enabled=”0px” ul_line_height__hover=”1em” ul_line_height__hover_enabled=”1em” ul_text_shadow_style__hover=”none” ul_text_shadow_style__hover_enabled=”none” ul_text_shadow_color__hover=”rgba(0,0,0,0.4)” ul_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” ol_font_size__hover=”14px” ol_font_size__hover_enabled=”14px” ol_letter_spacing__hover=”0px” ol_letter_spacing__hover_enabled=”0px” ol_line_height__hover=”1em” ol_line_height__hover_enabled=”1em” ol_text_shadow_style__hover=”none” ol_text_shadow_style__hover_enabled=”none” ol_text_shadow_color__hover=”rgba(0,0,0,0.4)” ol_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” quote_font_size__hover=”14px” quote_font_size__hover_enabled=”14px” quote_letter_spacing__hover=”0px” quote_letter_spacing__hover_enabled=”0px” quote_line_height__hover=”1em” quote_line_height__hover_enabled=”1em” quote_text_shadow_style__hover=”none” quote_text_shadow_style__hover_enabled=”none” quote_text_shadow_color__hover=”rgba(0,0,0,0.4)” quote_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” text_orientation__hover=”left” text_orientation__hover_enabled=”left” background_layout__hover=”light” background_layout__hover_enabled=”light” custom_padding=”||0px|||”]<\/p>\n

Pour\u00a0<\/span><\/b>cellule g\u00e9ante<\/span><\/b>tumeurs<\/span><\/b>\u00a0<\/span><\/b>de l'os :\u00a0<\/span><\/b>D\u00e9nosumab<\/span><\/b>\u00a0<\/span><\/p>\n

Si la tumeur se trouve \u00e0 un endroit difficile \u00e0 atteindre, ou si les cons\u00e9quences de l'ablation compl\u00e8te de l'os touch\u00e9 sont tr\u00e8s importantes, l'\u00e9quipe de traitement vous proposera de\u00a0<\/span>d\u00e9nosumab<\/span><\/b>\u00a0pour d\u00e9marrer.\u00a0<\/span>D\u00e9nosumab<\/span>\u00a0est un inhibiteur du RANKL qui interrompt les signaux qui incitent les cellules tumorales \u00e0 d\u00e9grader l'os. Il est administr\u00e9 par injections sous-cutan\u00e9es. L'utilisation de ce m\u00e9dicament renforce\u00a0<\/span>l'os et une r\u00e9duction de la douleur est attendue. Les effets du traitement sont contr\u00f4l\u00e9s r\u00e9guli\u00e8rement par des examens IRM.\u00a0<\/span>\u00a0<\/span><\/p>\n

L'utilisation de\u00a0<\/span>d\u00e9nosumab<\/span><\/b>\u00a0a cependant de nombreux effets secondaires. Votre m\u00e9decin en discutera avec vous.\u00a0<\/span>\u00a0<\/span><\/p>\n

Les effets de ce m\u00e9dicament sur l'enfant \u00e0 na\u00eetre n'\u00e9tant pas connus, vous ne devez pas tomber enceinte pendant ce traitement.<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Pour\u00a0<\/span><\/b>tumeurs \u00e0 cellules g\u00e9antes<\/span><\/b>\u00a0des parties hebdomadaires<\/span><\/b>\u00a0peut \u00e9galement\u00a0<\/span>un r\u00e9cent\u00a0<\/span>un traitement syst\u00e9mique soit mis en place, par ex.\u00a0<\/span>Pexidartinib<\/span><\/b>. Votre m\u00e9decin traitant\u00a0<\/span>peut vous donner plus d'informations sur les indications, les effets secondaires et les effets attendus.<\/span>\u00a0<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=”chemo” _builder_version=”3.25.3″ width=”100%” width_tablet=”80%” width_phone=”” width_last_edited=”on|desktop” max_width=”1080px” custom_margin_tablet=”|10%||10%||true” custom_margin_phone=”” custom_margin_last_edited=”on|tablet” module_alignment_tablet=”center” module_alignment_phone=”” module_alignment_last_edited=”on|desktop” locked=”off”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_blurb title=”Chirurgische behandeling (curettage)” use_icon=”on” font_icon=”%%190%%” icon_color=”#e29c8d” icon_placement=”left” content_max_width=”1100px” _builder_version=”4.5.8″ header_font=”Montserrat|500|||||||” header_line_height=”1.8em” text_orientation=”center” module_alignment=”left” custom_margin=”||0px|” hover_enabled=”0″ module_id=”curettage”][\/et_pb_blurb][et_pb_text _builder_version=”4.5.8″ text_font=”Open Sans||||||||” text_font_size=”15px” text_line_height=”2em” header_font=”||||||||” header_2_font=”|700|||||||” header_2_font_size=”32px” header_2_line_height=”1.6em” custom_margin=”10px|||45px|false|false” animation_direction=”top” hover_enabled=”0″ header_2_font_size_tablet=”” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” text_font_size__hover=”14px” text_font_size__hover_enabled=”14px” text_line_height__hover=”1.7em” text_line_height__hover_enabled=”1.7em” text_letter_spacing__hover=”0px” text_letter_spacing__hover_enabled=”0px” text_text_shadow_style__hover=”none” text_text_shadow_style__hover_enabled=”none” text_text_shadow_color__hover=”rgba(0,0,0,0.4)” text_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” link_font_size__hover=”14px” link_font_size__hover_enabled=”14px” link_letter_spacing__hover=”0px” link_letter_spacing__hover_enabled=”0px” link_line_height__hover=”1em” link_line_height__hover_enabled=”1em” link_text_shadow_style__hover=”none” link_text_shadow_style__hover_enabled=”none” link_text_shadow_color__hover=”rgba(0,0,0,0.4)” link_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” ul_font_size__hover=”14px” ul_font_size__hover_enabled=”14px” ul_letter_spacing__hover=”0px” ul_letter_spacing__hover_enabled=”0px” ul_line_height__hover=”1em” ul_line_height__hover_enabled=”1em” ul_text_shadow_style__hover=”none” ul_text_shadow_style__hover_enabled=”none” ul_text_shadow_color__hover=”rgba(0,0,0,0.4)” ul_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” ol_font_size__hover=”14px” ol_font_size__hover_enabled=”14px” ol_letter_spacing__hover=”0px” ol_letter_spacing__hover_enabled=”0px” ol_line_height__hover=”1em” ol_line_height__hover_enabled=”1em” ol_text_shadow_style__hover=”none” ol_text_shadow_style__hover_enabled=”none” ol_text_shadow_color__hover=”rgba(0,0,0,0.4)” ol_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” quote_font_size__hover=”14px” quote_font_size__hover_enabled=”14px” quote_letter_spacing__hover=”0px” quote_letter_spacing__hover_enabled=”0px” quote_line_height__hover=”1em” quote_line_height__hover_enabled=”1em” quote_text_shadow_style__hover=”none” quote_text_shadow_style__hover_enabled=”none” quote_text_shadow_color__hover=”rgba(0,0,0,0.4)” quote_text_shadow_color__hover_enabled=”rgba(0,0,0,0.4)” text_orientation__hover=”left” text_orientation__hover_enabled=”left” background_layout__hover=”light” background_layout__hover_enabled=”light” custom_padding=”||0px|||”]<\/p>\n

Si l'os n'est pas cass\u00e9 et ne se trouve pas dans la colonne vert\u00e9brale, le chirurgien essaiera de gratter l'excroissance (<\/span>curetage<\/span><\/b>) : une ouverture est d'abord pratiqu\u00e9e dans l'os, puis la tumeur est progressivement retir\u00e9e \u00e0 l'aide de plusieurs cuill\u00e8res pointues. Une fraise \u00e0 grande vitesse est utilis\u00e9e pour retirer des parois toutes les parties aberrantes de la tumeur et la cavit\u00e9 de l'os est trait\u00e9e avec une substance (azote liquide ou ph\u00e9nol).\u00a0<\/span>\u00a0<\/span><\/p>\n

Pour renforcer l'os, la cavit\u00e9 est rebouch\u00e9e. Deux possibilit\u00e9s s'offrent \u00e0 vous : l'insertion d'un ciment osseux<\/strong> ou \u00e0 partir de pi\u00e8ces os (artificiel)<\/strong>.\u00a0<\/span>\u00a0<\/span><\/p>\n

L'utilisation du ciment pr\u00e9sente l'avantage de pouvoir utiliser et s'appuyer \u00e0 nouveau sur le membre presque imm\u00e9diatement. Il offre \u00e9galement la possibilit\u00e9 d'une\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0plus visible car la tumeur se d\u00e9veloppe autour du ciment et non \u00e0 l'int\u00e9rieur.\u00a0<\/span>Lors du remplissage avec de l'os (artificiel), il faut \u00eatre patient pendant plusieurs semaines, voire plusieurs mois, avant que l'os ne se d\u00e9veloppe. Lorsque la tumeur repousse, il est plus probable qu'elle se d\u00e9veloppe dans l'os (artificiel) qui est moins visible.<\/span>\u00a0<\/span><\/p>\n

Cependant, le ciment n'est pas une solution durable. Apr\u00e8s un \u00e0 deux ans, une seconde op\u00e9ration est n\u00e9cessaire pour retirer le ciment. Une fois que l'on est s\u00fbr que le\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0compl\u00e8tement disparu, la cavit\u00e9 peut \u00eatre remplie avec des morceaux d'os (artificiels), apr\u00e8s quoi l'os peut se r\u00e9g\u00e9n\u00e9rer \u00e0 nouveau.<\/span>\u00a0<\/span><\/p>\n

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Si l'os est trop atteint ou cass\u00e9, ou si le chirurgien est s\u00fbr qu'un\u00a0<\/span>curetage<\/span><\/b><\/a>\u00a0sera insuffisante, il est parfois pr\u00e9f\u00e9rable d'enlever cet os.<\/span>\u00a0<\/span><\/p>\n

Il existe alors deux options chirurgicales : retirer l'os sans le remplacer (pour les petites excroissances dans les os non porteurs) ou le retirer avec une reconstruction.<\/span>\u00a0<\/span><\/p>\n

En g\u00e9n\u00e9ral, l'os est remplac\u00e9, soit par un autre os (reconstruction biologique), soit par une proth\u00e8se interne.\u00a0<\/span>\u00a0<\/span><\/p>\n

La reconstruction biologique est pr\u00e9f\u00e9rable. Cela peut se faire en \"recyclant\" l'os affect\u00e9 : l'os affect\u00e9 est retir\u00e9 et trait\u00e9 par radiation ou par une autre technique de st\u00e9rilisation pour tuer les cellules tumorales. L'os trait\u00e9 est ensuite remplac\u00e9 et viss\u00e9. Cet os est alors transform\u00e9 par le corps en un nouvel os vivant, ce qui constitue une solution durable. Une autre solution consiste \u00e0 utiliser un os de la banque de tissus, provenant d'un donneur. Ces os sont soumis \u00e0 des tests approfondis afin qu'aucune maladie ne soit transmise par le donneur.<\/span>\u00a0<\/span><\/p>\n

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la restauration de l'articulation n'est pratiquement possible qu'\u00e0 l'aide d'une proth\u00e8se. Ces proth\u00e8ses ne doivent pas \u00eatre compar\u00e9es aux proth\u00e8ses classiques pos\u00e9es sur des patients pr\u00e9sentant une usure de ces articulations.<\/span><\/p>\n

Les proth\u00e8ses reconstructives sont beaucoup plus volumineuses car une grande partie de l'os est remplac\u00e9e, et pas seulement le cartilage us\u00e9. Ces proth\u00e8ses ont une dur\u00e9e de vie limit\u00e9e car elles concernent g\u00e9n\u00e9ralement des patients jeunes et actifs. Les proth\u00e8ses dot\u00e9es d'un syst\u00e8me de fixation biologique sont privil\u00e9gi\u00e9es, ce qui r\u00e9duit le risque de descellement.<\/span>\u00a0<\/span><\/p>\n

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Si les sympt\u00f4mes sont trop nombreux, il est pr\u00e9f\u00e9rable de proc\u00e9der \u00e0 l'ablation chirurgicale de la tumeur. Les chances d'une\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0de r\u00e9cidive des tissus mous apr\u00e8s l'ablation est \u00e9lev\u00e9, jusqu'\u00e0 30% pour la forme localis\u00e9e et jusqu'\u00e0 50% pour la forme diffuse. Si la tumeur est enlev\u00e9e \u00e0 ciel ouvert (= avec une incision), elle a moins de chances de r\u00e9appara\u00eetre que si elle est enlev\u00e9e par une intervention chirurgicale par trou de serrure.<\/span>\u00a0<\/span><\/p>\n

S'il s'agit d'une forme localis\u00e9e, le chirurgien enl\u00e8vera la tumeur avec une petite marge de tissu normal, mais sans affecter votre fonction. En d'autres termes, le chirurgien n'enl\u00e8vera pas les tendons, les nerfs ou les vaisseaux sanguins essentiels. S'il s'agit d'une forme diffuse, le chirurgien enl\u00e8vera une marge l\u00e9g\u00e8rement plus importante de tissu normal, et si possible sans affecter votre fonction. En effet, cette forme r\u00e9cidive plus rapidement car elle est moins bien d\u00e9limit\u00e9e par rapport \u00e0 son environnement et doit donc \u00eatre trait\u00e9e de mani\u00e8re plus agressive. Dans les cas extr\u00eames, il est m\u00eame n\u00e9cessaire de proc\u00e9der \u00e0 une intervention chirurgicale.\u00a0<\/span>rayonner<\/span><\/b>\u00a0ou \u00e0\u00a0<\/span>traitement syst\u00e9mique<\/span><\/b>\u00a0pour ma\u00eetriser la tumeur.<\/span>\u00a0<\/span><\/p>\n

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Une pr\u00e9occupation particuli\u00e8re est que, quelle que soit la technique de reconstruction utilis\u00e9e, l'os trait\u00e9 reste tr\u00e8s sensible \u00e0 la chaleur. inflammations<\/strong>. En raison d'une circulation sanguine limit\u00e9e autour de la proth\u00e8se ou de la\u00a0<\/span><\/span><\/span>botent<\/span><\/span>\u00a0<\/span>les antibiotiques peuvent ne pas atteindre les germes qui se sont install\u00e9s sur la proth\u00e8se ou l'os, ou les atteindre difficilement. En cas d'infection incontr\u00f4lable, une intervention chirurgicale suppl\u00e9mentaire est n\u00e9cessaire, voire une amputation dans un deuxi\u00e8me temps. Votre m\u00e9decin peut vous recommander de prendre des antibiotiques au moindre signe d'infection bact\u00e9rienne ou de traitement dentaire pour le reste de votre vie.<\/span><\/span>\u00a0<\/span><\/p>\n

 <\/p>\n

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Qu'en est-il de votre fonctionnalit\u00e9 ?<\/strong><\/h3>\n

L'ablation d'une partie de l'os ou du tissu mou permet g\u00e9n\u00e9ralement d'obtenir un os plus ou moins solide. d\u00e9ficience<\/strong> de votre travail. Votre m\u00e9decin en discutera bien avec vous au pr\u00e9alable afin de vous donner une id\u00e9e claire de ce qui vous attend et d'\u00e9viter les attentes irr\u00e9alistes. Des explications compl\u00e9mentaires sont parfois n\u00e9cessaires ult\u00e9rieurement, avec des m\u00e9decins sp\u00e9cialis\u00e9s (par exemple un m\u00e9decin r\u00e9\u00e9ducateur dans le cadre d'une amputation) ou avec des confr\u00e8res. L'objectif de la r\u00e9\u00e9ducation est de r\u00e9tablir autant que possible vos activit\u00e9s quotidiennes. Il est parfois difficile d'accepter que votre fonction normale reste limit\u00e9e \u00e0 vie. Cette limitation affecte votre fonctionnement psychosocial et \u00e9conomique.<\/span><\/span>\u00a0<\/span><\/p>\n

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text_orientation__hover=”left” text_orientation__hover_enabled=”left” background_layout__hover=”light” background_layout__hover_enabled=”light”]<\/p>\n

Comment fonctionne le suivi ?<\/h2>\n

[\/et_pb_text][et_pb_divider color=”#e29c8d” divider_weight=”3px” _builder_version=”4.5.8″ max_width=”50px” custom_margin=”||0px” hover_enabled=”0″][\/et_pb_divider][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=”off|desktop” module_id=”wanneergenezen” _builder_version=”3.25.3″ width=”100%” width_tablet=”80%” width_phone=”” width_last_edited=”on|desktop” max_width=”1080px” custom_margin_tablet=”|10%||10%||true” custom_margin_phone=”” custom_margin_last_edited=”on|tablet” custom_padding=”10px|0px|13px|0px|false|false” module_alignment_tablet=”center” module_alignment_phone=”” module_alignment_last_edited=”on|desktop” locked=”off”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”3.25″ custom_padding=”|||40px” custom_padding_tablet=”|10%||10%||true” custom_padding__hover=”|||”][et_pb_blurb title=”Wanneer ben je genezen?” use_icon=”on” font_icon=”%%190%%” icon_color=”#e29c8d” icon_placement=”left” content_max_width=”1100px” _builder_version=”4.5.8″ header_font=”Montserrat|500|||||||” header_line_height=”1.8em” text_orientation=”center” module_alignment=”left” custom_margin=”||0px|” hover_enabled=”0″][\/et_pb_blurb][et_pb_text _builder_version=”3.27.4″ text_font=”||||||||” text_font_size=”15px” text_line_height=”2em” header_font=”||||||||” custom_margin=”||30px|||”]<\/p>\n

Si l'option d'attendre et de voir a \u00e9t\u00e9 choisie, les difficile \u00e0 pr\u00e9voir<\/strong> quand exactement vous serez gu\u00e9ri. Tant que le\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0se d\u00e9veloppe, vous ferez l'objet d'un suivi plus approfondi. Plus le taux de croissance de la tumeur est \u00e9lev\u00e9, plus les examens seront r\u00e9guliers.\u00a0<\/span>\u00a0<\/span><\/p>\n

La probabilit\u00e9 d'une tumeur \u00e0 cellules g\u00e9antes<\/strong>\u00a0le retour apr\u00e8s le traitement chirurgical est \u00e9lev\u00e9<\/strong>. Par cons\u00e9quent, vous devrez passer une IRM \u00e0 intervalles r\u00e9guliers pour voir \u00e0 temps si la maladie s'est stabilis\u00e9e.\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0se d\u00e9veloppe en arri\u00e8re.\u00a0<\/span>\u00a0<\/span><\/p>\n

Si le\u00a0<\/span>tumeur \u00e0 cellules g\u00e9antes<\/span>\u00a0n'est pas revenu apr\u00e8s une p\u00e9riode de 3 \u00e0 5 ans<\/strong>votre m\u00e9decin vous d\u00e9clarera gu\u00e9ri.<\/span>\u00a0<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=”off|desktop” module_id=”sarcoomteruggekeerd” _builder_version=”3.27.4″ width=”100%” width_tablet=”80%” width_phone=”” width_last_edited=”on|desktop” max_width=”1080px” module_alignment=”center” custom_margin=”||40px||false|false” custom_margin_tablet=”|10%||10%||true” custom_margin_phone=”” custom_margin_last_edited=”on|tablet” custom_padding=”10px|0px|13px|0px|false|false” module_alignment_tablet=”” module_alignment_phone=”” module_alignment_last_edited=”on|tablet”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”3.25.3″ custom_padding=”|||40px”][et_pb_blurb title=”Wat als de reusceltumor is teruggekeerd?” use_icon=”on” font_icon=”%%190%%” icon_color=”#e29c8d” icon_placement=”left” content_max_width=”1100px” _builder_version=”4.5.8″ header_font=”Montserrat|500|||||||” header_line_height=”1.8em” text_orientation=”center” module_alignment=”left” custom_margin=”||0px|” hover_enabled=”0″][\/et_pb_blurb][et_pb_text _builder_version=”3.27.4″ text_font=”||||||||” text_font_size=”15px” text_line_height=”2em” header_font=”||||||||”]<\/p>\n

Votre m\u00e9decin vous indiquera les options th\u00e9rapeutiques qui s'offrent \u00e0 vous, apr\u00e8s avoir consult\u00e9 l'\u00e9quipe multidisciplinaire. En principe, les m\u00eames options restent ouvertes, \u00e0 savoir l'attentisme, la r\u00e9section chirurgicale et les \u00e9ventuelles suites op\u00e9ratoires, ou l'instauration d'un traitement syst\u00e9mique.<\/span><\/span>\u00a0<\/span><\/p>\n

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Comment se passe la r\u00e9\u00e9ducation ?<\/h2>\n

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Apr\u00e8s une op\u00e9ration, vous avez besoin d'une p\u00e9riode de r\u00e9adaptation<\/strong> anticip\u00e9e. Plus l'op\u00e9ration est lourde, plus la p\u00e9riode de r\u00e9\u00e9ducation est g\u00e9n\u00e9ralement longue. Il est important de suivre scrupuleusement les directives du chirurgien pour \u00e9viter les complications. Un physioth\u00e9rapeute ou un kin\u00e9sith\u00e9rapeute peut certainement vous guider et vous soutenir dans le processus de r\u00e9\u00e9ducation.<\/span><\/span>\u00a0<\/span><\/p>\n

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Traitement et suiviComment se d\u00e9roule le traitement ? Une tumeur \u00e0 cellules g\u00e9antes dans l'os est de pr\u00e9f\u00e9rence trait\u00e9e chirurgicalement en grattant la tumeur (curetage) ou en retirant compl\u00e8tement l'os. Lorsque la localisation de la tumeur emp\u00eache le traitement chirurgical, le m\u00e9decin proposera un m\u00e9dicament renfor\u00e7ant l'os appel\u00e9 d\u00e9nosumab. En cas de tumeur \u00e0 cellules g\u00e9antes dans les tissus mous, le traitement n'est pas toujours n\u00e9cessaire. Le m\u00e9decin vous proposera un suivi r\u00e9gulier [...]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/pages\/123"}],"collection":[{"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/comments?post=123"}],"version-history":[{"count":0,"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/pages\/123\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.reusceltumor-cumcura.be\/fr\/wp-json\/wp\/v2\/media?parent=123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}