{"id":72779782,"date":"2025-08-21T15:59:32","date_gmt":"2025-08-21T13:59:32","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=72779782"},"modified":"2025-08-21T16:10:27","modified_gmt":"2025-08-21T14:10:27","slug":"cryotherapie-le-chu-de-poitiers-innove-pour-traiter-le-cancer-du-sein","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/cryotherapie-le-chu-de-poitiers-innove-pour-traiter-le-cancer-du-sein\/","title":{"rendered":"Cryoth\u00e9rapie : le CHU de Poitiers innove pour traiter le cancer du sein"},"content":{"rendered":"\n

Le 19 juin, une femme \u00e2g\u00e9e de 90 ans a \u00e9t\u00e9 la premi\u00e8re patiente du CHU \u00e0 b\u00e9n\u00e9ficier d\u2019une proc\u00e9dure de cryoth\u00e9rapie dans le cadre du traitement d\u2019un cancer du sein. Utilis\u00e9e depuis plusieurs ann\u00e9es pour traiter d\u2019autres formes de cancer, cette proc\u00e9dure a \u00e9t\u00e9 depuis peu \u00e9tendue \u00e0 celui du sein. Des \u00e9tudes am\u00e9ricaines en ont prouv\u00e9 l\u2019efficacit\u00e9 en soulignant l\u2019absence de r\u00e9cidive.<\/p>\n

Cette premi\u00e8re application de la cryoth\u00e9rapie pour le traitement du cancer du sein a \u00e9t\u00e9 r\u00e9alis\u00e9 par le Dr Julie Vibert, en collaboration avec des professionnels du service de radiologie interventionnelle, qui utilisent couramment la technique dans le traitement d\u2019autres types de cancer comme ceux du rein, et dans le traitement de l\u2019endom\u00e9triose pari\u00e9tale. Le CHU de Poitiers dispose des \u00e9quipements n\u00e9cessaires \u00e0 sa mise en \u0153uvre. Le geste technique se fait sous anesth\u00e9sie locale. Il consiste \u00e0 ins\u00e9rer une aiguille, contenant de l’azote liquide, directement dans la tumeur, sous contr\u00f4le \u00e9chographique. L’azote liquide g\u00e8le et d\u00e9truit les cellules canc\u00e9reuses par l’effet du froid. \u00ab La proc\u00e9dure se fait en ambulatoire. Elle est rapide, simple et mini invasive. Nous r\u00e9alisons deux phases de refroidissement, avec un intervalle d\u2019environ 10 minutes pour nous assurer que toutes les cellules canc\u00e9reuses soient bien d\u00e9truites. La patiente reste sous surveillance pendant une heure au terme de laquelle elle peut quitter l\u2019h\u00f4pital s\u2019il n\u2019y a pas de complications \u00bb<\/em>, explique le Dr Julie Vibert qui doit revoir la patiente en consultation pour contr\u00f4ler l\u2019efficacit\u00e9 et d\u2019\u00e9ventuels effets secondaires. \u00ab\u00a0Nous sommes ravies de pouvoir proposer une nouvelle technique aux patientes et d\u2019en voir les b\u00e9n\u00e9fices directs\u00a0\u00bb,<\/em> ajoute-t-elle.<\/p>\n

Pour le Dr Nathalie Bourneton, cette technique vient enrichir l’\u00e9ventail des alternatives \u00e0 la chirurgie conventionnelle d\u00e9velopp\u00e9es pour le traitement du cancer du sein au CHU de Poitiers, parmi lesquelles figure d\u00e9j\u00e0 la chirurgie sous anesth\u00e9sie locale et hypnose.<\/p>\n

\u00a0\u00ab\u00a0Ce traitement permet d’agrandir les traitements th\u00e9rapeutiques contre un cancer de plus en plus fr\u00e9quent[1]<\/strong><\/a>avec des th\u00e9rapies qui permettent de proposer un programme personnalis\u00e9 \u00e0 chaque patiente <\/em>\u00bb, explique le Dr Nathalie Bourneton. \u00ab\u00a0De plus, il r\u00e9pond \u00e0 une probl\u00e9matique li\u00e9e aux patientes \u00e2g\u00e9es et aux risques anesth\u00e9siques\u00a0\u00bb. <\/em>Pour l’heure, la cryoth\u00e9rapie pour le cancer du sein est r\u00e9serv\u00e9e aux patientes \u00e2g\u00e9es qui ne souhaitent pas \u00eatre op\u00e9r\u00e9es ou qui pr\u00e9sentent des contre-indications \u00e0 l’anesth\u00e9sie g\u00e9n\u00e9rale, et dont la tumeur est de petite taille et peu agressive.<\/p>\n

Le service de s\u00e9nologie du CHU de Poitiers s\u2019est engag\u00e9 \u00e0 participer \u00e0 un programme hospitalier de recherche clinique en canc\u00e9rologie, men\u00e9 par l’institut Marie-Curie \u00e0 Paris. Cette \u00e9tude\u00a0vise \u00e0 \u00e9valuer\u00a0la non inf\u00e9riorit\u00e9 de la cryoth\u00e9rapie par rapport au traitement chirurgical de r\u00e9f\u00e9rence\u00a0dans le traitement de certains\u00a0cancers du sein peu agressifs, dans un objectif de d\u00e9sescalade th\u00e9rapeutique.\u00a0 \u00ab Cette \u00e9tude multicentrique sera mise en place en 2026<\/em> \u00bb, explique le Dr Margaux Court, investigatrice locale de l’\u00e9tude. \u00ab\u00a0 Les patientes seront incluables \u00e0 partir de 60 ans dans le cadre de ce protocole <\/em>\u00bb. Le Dr Margaux Court souligne l\u2019une des sp\u00e9cificit\u00e9s int\u00e9ressantes de la cryoth\u00e9rapie pour la recherche\u00a0: \u00ab L’un des autres\u00a0atouts de la cryoth\u00e9rapie est de conserver in situ les d\u00e9bris cellulaires de la tumeur\u00a0qui seront ensuite\u00a0\u00e9limin\u00e9s par le syst\u00e8me immunitaire. Plusieurs \u00e9tudes sugg\u00e8rent\u00a0que cela participerait \u00e0 \u00e9duquer le syst\u00e8me immunitaire contre elles<\/em> \u00bb.<\/p>\n

\u00a0<\/p>\n

[1]<\/a> Cinq \u00e0 dix patientes sont diagnostiqu\u00e9es chaque semaine au CHU de Poitiers<\/p>\n","protected":false},"excerpt":{"rendered":"

Le 19 juin, le CHU de Poitiers a utilis\u00e9 pour la premi\u00e8re fois la cryoth\u00e9rapie pour traiter le cancer du sein. Le Dr Julie Vibert, radiologue et\u2026","protected":false},"author":12,"featured_media":72779812,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-72779782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nCryoth\u00e9rapie : le CHU de Poitiers innove pour traiter le cancer du sein - Site du CHU de Poitiers<\/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.chu-poitiers.fr\/cryotherapie-le-chu-de-poitiers-innove-pour-traiter-le-cancer-du-sein\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cryoth\u00e9rapie : le CHU de Poitiers innove pour traiter le cancer du sein - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le 19 juin, le CHU de Poitiers a utilis\u00e9 pour la premi\u00e8re fois la cryoth\u00e9rapie pour traiter le cancer du sein. 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