{"id":7009,"date":"2018-02-14T15:12:19","date_gmt":"2018-02-14T14:12:19","guid":{"rendered":"https:\/\/cliniquesmedicaleslacroix.com\/?p=7009"},"modified":"2023-10-16T19:07:26","modified_gmt":"2023-10-16T23:07:26","slug":"keratoses-actiniques-ka-carcinomes","status":"publish","type":"post","link":"https:\/\/cliniquesmedicaleslacroix.com\/fr\/keratoses-actiniques-ka-carcinomes\/","title":{"rendered":"Les k\u00e9ratoses actiniques (KA) et les carcinomes"},"content":{"rendered":"
\n

Il s\u2019agit de l\u00e9sions b\u00e9nignes mais consid\u00e9r\u00e9es comme pr\u00e9 -canc\u00e9reuses vu qu\u2019elles ont le potentiel de pr\u00e9parer le lit d\u2019un cancer de peau (carcinome spino-cellulaire) donc il est important de les traiter.<\/h3>\n<\/header>\n
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<\/figure>\n

Elles se manifestent comme des plaques rouges et rugueuses, plus facilement palp\u00e9es que visibles, apparaissant le plus souvent sur les r\u00e9gions expos\u00e9es au soleil comme le visage, les oreilles, le nez, le cuir chevelu chez les personnes chauves, le dos des mains et les jambes. On peut aussi les trouver\u00a0sur la l\u00e8vre inf\u00e9rieure notamment. Elles sont souvent asymptomatiques mais elles\u00a0peuvent parfois\u00a0d\u00e9manger ou \u00eatre douloureuses.<\/p>\n

La cause essentielle est l\u2019exposition solaire chronique, accumul\u00e9e durant toute la vie. Les patients les plus \u00e0 risque sont les patients ayant un teint p\u00e2le, de plus de 40 ans, et les\u00a0gens qui travaillent\u00a0\u00e0 l\u2019exterieur.<\/p>\n

Des traitements \u00e0 l\u2019azote, des traitements topiques ou par chirurgie sont possibles<\/p>\n

La pr\u00e9vention passe par la protection solaire. Rester le plus possible \u00e0 l\u2019ombre,\u00a0porter un chapeau \u00e0 large rebord, appliquer r\u00e9guli\u00e8rement et journali\u00e8rement une cr\u00e8me solaire efficace, etc..<\/p>\n

Le carcinome baso-cellulaire<\/strong> (CBC)<\/strong> est le\u00a0cancer de peau le plus fr\u00e9quent et heureusement le moins dangereux mais il doit \u00eatre trait\u00e9 pour \u00e9vit\u00e9\u00a0qu\u2019il n\u2019infiltre les tissus locaux et qu’il cause ainsi un d\u00e9figurement. Il appara\u00eet surtout aux r\u00e9gions expos\u00e9es au soleil telles que le visage, les membres et le tronc. Son aspect peut \u00eatre variable\u00a0: soit un nodule couleur chair qui augmente de taille et saigne facilement, ou une plaie qui ne gu\u00e9rit pas ou une cro\u00fbte persistante, ou une plaque rouge qui desquame\u00a0mais qui persiste et ne gu\u00e9rit pas. Ce dernier aspect est le plus fr\u00e9quent au tronc et aux membres.<\/p>\n

La cause essentielle est l\u2019exposition solaire chronique et surtout les coups de soleil dans l\u2019enfance. Il serait plus fr\u00e9quent chez les personnes \u00e0 teint p\u00e2le et \u00e2g\u00e9es.\u00a0 mais on les voit\u00a0de plus en plus chez des personnes plus jeunes. Les patients qui sont immunosupprim\u00e9s ou transplant\u00e9s sont plus \u00e0 risque de les d\u00e9velopper. Apr\u00e8s le premier CBC, le risque d\u2019en d\u00e9velopper d\u2019autres est plus important.<\/p>\n

Le traitement varie en fonction du site, de la taille du CBC. Votre dermatologue pourrait vous expliquer les diff\u00e9rentes options de traitement qui peuvent \u00eatre chirurgicales ou par \u00a0ex\u00e9r\u00e8se avec curetage et \u00e9lectrodessication. De plus en plus des traitements topiques (cr\u00e8me de chimioth\u00e9rapie ou des\u00a0immunomodulateurs) ou par th\u00e9rapie photodynamique sont possibles.<\/p>\n

Pour les CBC de grande taille ou r\u00e9cidivant, une chirurgie de Moh\u2019s est indiqu\u00e9e. C’est une\u00a0technique chirurgicale offerte par des dermatologues sur-sp\u00e9cialis\u00e9s dans des grands centres tertiaires. Cette technique\u00a0a l\u2019avantage d\u2019enlever le moins de tissu sain possible en donnant les meilleurs r\u00e9sultats esth\u00e9tiques, et le risque de r\u00e9cidive le moindre (<1%).<\/p>\n

Le carcinome spino-cellulaire est le 2\u00e8me cancer le plus fr\u00e9quent apr\u00e8s le CBC. C\u2019est important de le diagnostiquer et de le traiter car il peut se propager localement mais aussi dans les ganglions et d\u2019autres r\u00e9gions du corps. Il se pr\u00e9sente comme une l\u00e9sion qui ressemble \u00e0 des verrues ou un nodule crout\u00e9 au centre. Parfois la croissance est tr\u00e8s rapide, en quelques semaines. Il si\u00e8ge surtout aux r\u00e9gions photo-expos\u00e9es avec une affinit\u00e9 particuli\u00e8re pour les \u00a0bords des oreilles ou aux l\u00e8vres o\u00f9 il pourrait \u00eatre plus agressif. La cause de ce carcinome est toujours l\u2019exposition solaire chronique, avec un risque plus important chez les patients transplant\u00e9s ou immunosupprim\u00e9s. Il s\u2019agit alors de type plus agressif ou m\u00eame \u00e0 risque accru de m\u00e9tastases.<\/p>\n

Le traitement sera \u00e0 discuter au cas par cas avec votre dermatologue, mais l\u2019ex\u00e9r\u00e8se chirurgicale\u00a0\u00a0locale, ou la chirurgie de Moh\u2019s ou parfois la radioth\u00e9rapie sont des options de traitement.<\/p>\n

La pr\u00e9vention passe toujours par les m\u00eames consignes de protection solaire.<\/p>\n

Vous avez un probl\u00e8me de peau ? Prenez rendez-vous pour une consultation rapide en dermatologie en composant le 418 871-1911<\/strong> ou de partout au Qu\u00e9bec au 1 855 841-1911<\/strong>.<\/p>\n

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

Il s\u2019agit de l\u00e9sions b\u00e9nignes mais consid\u00e9r\u00e9es comme pr\u00e9 -canc\u00e9reuses vu qu\u2019elles ont le potentiel de pr\u00e9parer le lit d\u2019un…<\/p>\n","protected":false},"author":8,"featured_media":7010,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"om_disable_all_campaigns":false,"footnotes":""},"categories":[90,107,112,75,81],"tags":[],"class_list":["post-7009","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-page-accueil","category-conseils-sante","category-dermatologie","category-chroniques","category-actualites"],"yoast_head":"\nLes k\u00e9ratoses actiniques (KA) et les carcinomes - Cliniques m\u00e9dicales Lacroix<\/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:\/\/cliniquesmedicaleslacroix.com\/fr\/keratoses-actiniques-ka-carcinomes\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les k\u00e9ratoses actiniques (KA) et les carcinomes - 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