{"id":10273,"date":"2025-10-03T04:12:11","date_gmt":"2025-10-03T02:12:11","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/la-radiotherapie-a-court-terme-apres-une-chirurgie-de-la-prostate-aide-a-empecher-le-cancer\/"},"modified":"2025-10-03T04:12:23","modified_gmt":"2025-10-03T02:12:23","slug":"la-radiotherapie-a-court-terme-apres-une-chirurgie-de-la-prostate-aide-a-empecher-le-cancer","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/la-radiotherapie-a-court-terme-apres-une-chirurgie-de-la-prostate-aide-a-empecher-le-cancer\/","title":{"rendered":"La radioth\u00e9rapie \u00e0 court terme apr\u00e8s une chirurgie de la prostate aide \u00e0 emp\u00eacher le cancer"},"content":{"rendered":"
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Une \u00e9tude dirig\u00e9e par l’UCLA Health Jonsson Comprehensive Cancer Center les chercheurs a r\u00e9v\u00e9l\u00e9 que la radioth\u00e9rapie corporelle st\u00e9r\u00e9otaxique (SBRT), une forme de rayonnement \u00e0 forte dose dispens\u00e9e en cinq s\u00e9ances, apr\u00e8s la chirurgie de la prostate, est s\u00fbre et aussi efficace que les cours traditionnels, de radiation plus longs pour emp\u00eacher le cancer de la prostate de revenir.<\/p>\n

L’\u00e9tude est publi\u00e9e dans la revue Urologie europ\u00e9enne<\/i> et pr\u00e9sent\u00e9 \u00e0 la r\u00e9union annuelle de l’American Society for Radiation Oncology (ASTRO).<\/p>\n

Apr\u00e8s la chirurgie de la prostate, certains hommes restent \u00e0 risque que leur cancer revienne. La radioth\u00e9rapie peut r\u00e9duire ce risque, mais l’approche standard implique g\u00e9n\u00e9ralement des traitements quotidiens pendant plusieurs semaines, ce qui peut \u00eatre contraignant pour les patients. Les chercheurs ont explor\u00e9 si le SBRT, d\u00e9j\u00e0 une option \u00e9prouv\u00e9e pour les hommes qui n’ont pas subi une intervention chirurgicale, pouvaient \u00e9galement \u00eatre s\u00fbrs et efficaces dans le cadre de la chirurgie. Son utilisation a cependant \u00e9t\u00e9 limit\u00e9e en raison des pr\u00e9occupations concernant la s\u00e9curit\u00e9 et la sensibilit\u00e9 des organes voisins.<\/p>\n

L’essai Scimitar Phase 2 a inscrit 100 patients \u00e0 l’UCLA et \u00e0 l’Universit\u00e9 de Californie du Sud qui avaient subi une prostatectomie radicale et ont \u00e9t\u00e9 consid\u00e9r\u00e9s comme un risque plus \u00e9lev\u00e9 de r\u00e9cidive. Les patients ont re\u00e7u du SBRT en cinq s\u00e9ances sur environ 10 jours, certains recevant \u00e9galement une hormonoth\u00e9rapie ou des radiations ganglionnaires bas\u00e9es sur les conseils des m\u00e9decins. Les patients ont ensuite \u00e9t\u00e9 surveill\u00e9s pendant environ 4,5 ans pour la r\u00e9cidive du cancer, les effets secondaires et la qualit\u00e9 de vie.<\/p>\n

Apr\u00e8s plus de quatre ans de suivi, les chercheurs ont d\u00e9couvert:<\/p>\n

    \n
  • 60% des patients sont rest\u00e9s exempts de r\u00e9cidive biochimique, ce qui signifie qu’il n’y avait aucun signe de cancer ou d’augmentation du PSA, et pas besoin d’hormonoth\u00e9rapie suppl\u00e9mentaire<\/li>\n
  • SBRT sans hormonoth\u00e9rapie a abaiss\u00e9 le risque de r\u00e9cidive par rapport aux rayonnements conventionnels<\/li>\n
  • Les effets secondaires \u00e9taient g\u00e9n\u00e9ralement g\u00e9rables. De graves probl\u00e8mes intestinaux se sont produits chez 7% des patients et des probl\u00e8mes urinaires dans 32%. L’utilisation du rayonnement guid\u00e9 par la MRI a permis de r\u00e9duire encore plus les effets secondaires urinaires<\/li>\n
  • La plupart des patients ont maintenu leur qualit\u00e9 de vie, avec un minimum de changements dans la sant\u00e9 urinaire, intestinale et sexuelle.<\/li>\n<\/ul>\n

    Ces r\u00e9sultats s’appuient sur les r\u00e9sultats ant\u00e9rieurs, qui ont montr\u00e9 que le SBRT est s\u00fbr et pratique sur une p\u00e9riode de deux ans. Ensemble, les \u00e9tudes sugg\u00e8rent que le SBRT peut \u00eatre une option plus rapide et plus simple pour les hommes qui ont besoin de radiation apr\u00e8s une chirurgie de la prostate.<\/p>\n

    \u00ab\u00a0Ces r\u00e9sultats sugg\u00e8rent que cette approche de traitement plus rapide pourrait offrir une alternative aux cours de radioth\u00e9rapie conventionnels et plus longs pour les hommes \u00e0 risque de cancer de la prostate r\u00e9current\u00a0\u00bb, a d\u00e9clar\u00e9 le co-prime auteur Dr. Amar Kishan, professeur et vice-pr\u00e9sident ex\u00e9cutif de la radioth\u00e9rapie \u00e0 la David Geffen School of Medicine \u00e0 l’UCLA et codirecteur du Cancer Molececular, de la compr\u00e9hension du cancer du Cancer.<\/p>\n

    \u00ab\u00a0Surtout, les effets secondaires \u00e9taient g\u00e9rables dans la majorit\u00e9 des hommes, en particulier avec un traitement guid\u00e9 par la MRI, et la plupart des hommes ont pu maintenir leur qualit\u00e9 de vie.\u00a0\u00bb<\/p>\n

    <\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

    Une \u00e9tude dirig\u00e9e par l’UCLA Health Jonsson Comprehensive Cancer Center les chercheurs a r\u00e9v\u00e9l\u00e9 que<\/p>\n","protected":false},"author":1,"featured_media":10274,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[311,217,391,357,2060,3775,1358,6925,1637,47],"class_list":["post-10273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-maladies","tag-aide","tag-apres","tag-cancer","tag-chirurgie","tag-court","tag-empecher","tag-prostate","tag-radiotherapie","tag-terme","tag-une","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nLa radioth\u00e9rapie \u00e0 court terme apr\u00e8s une chirurgie de la prostate aide \u00e0 emp\u00eacher le cancer - RVH-Synergie.org<\/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:\/\/rvh-synergie.org\/actualites\/la-radiotherapie-a-court-terme-apres-une-chirurgie-de-la-prostate-aide-a-empecher-le-cancer\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La radioth\u00e9rapie \u00e0 court terme apr\u00e8s une chirurgie de la prostate aide \u00e0 emp\u00eacher le cancer - 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