{"id":128,"date":"2020-12-14T13:21:59","date_gmt":"2020-12-14T12:21:59","guid":{"rendered":"https:\/\/onetech.dev\/covid\/?page_id=128"},"modified":"2026-04-22T14:53:12","modified_gmt":"2026-04-22T13:53:12","slug":"oncologie-medicale","status":"publish","type":"page","link":"https:\/\/onetech.dev\/covid\/oncologie-medicale","title":{"rendered":"Oncologie M\u00e9dicale"},"content":{"rendered":"<section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container type_sticky\"><div class=\"vc_column-inner\" style=\"top:180px\"><div class=\"w-image us_custom_fb33871a us_animate_this has_height align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"900\" height=\"127\" src=\"https:\/\/onetech.dev\/covid\/data\/irc_logo.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/onetech.dev\/covid\/data\/irc_logo.png 900w, https:\/\/onetech.dev\/covid\/data\/irc_logo-300x42.png 300w, https:\/\/onetech.dev\/covid\/data\/irc_logo-150x21.png 150w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/div><\/div><div class=\"ult-spacer spacer-69f4127a2e32d\" data-id=\"69f4127a2e32d\" data-height=\"35\" data-height-mobile=\"35\" data-height-tab=\"35\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><h3 class=\"w-text us_custom_7ccf62ca has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">RECOMMANDATIONS G\u00c9N\u00c9RALES<\/span><\/span><\/h3><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"g-cols wpb_row via_grid cols_2-1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"aio-icon-component    style_2\"><a class=\"aio-icon-box-link\" ><div id=\"Info-box-wrap-6425\" class=\"aio-icon-box left-icon\" style=\"\"  ><div class=\"aio-icon-left\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon-img \" style=\"font-size:50px;background:#03254C;border-style:solid;border-color:#03254C;border-width:1px;padding:20px;border-radius:500px;display:inline-block;\" >\n\t<img decoding=\"async\" class=\"img-icon\" alt=\"null\" src=\"https:\/\/onetech.dev\/covid\/data\/cancer.png\"\/>\n<\/div><\/div><\/div><\/div><div class=\"aio-ibd-block\"><div class=\"aio-icon-header\" ><h6 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-6425 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"font-weight:bold;color:#03254C;\">Oncologie M\u00e9dicale<\/h6><\/div> <!-- header --><\/div> <!-- aio-ibd-block --><\/div> <!-- aio-icon-box --><\/a><\/div> <!-- aio-icon-component --><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_right\"><a class=\"w-btn us-btn-style_1 icon_atleft\" href=\"https:\/\/onetech.dev\/covid\/\"><i class=\"far fa-backward\"><\/i><span class=\"w-btn-label\">Retour<\/span><\/a><\/div><\/div><\/div><\/div><div class=\"ult-spacer spacer-69f4127a2f20a\" data-id=\"69f4127a2f20a\" data-height=\"25\" data-height-mobile=\"25\" data-height-tab=\"25\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"g-cols wpb_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container us_custom_7e20fa79 us_animate_this\"><div class=\"vc_column-inner\"><div class=\"w-tabs us_custom_064d3121 style_default switch_click accordion has_scrolling\" style=\"--sections-title-size:18px\"><div class=\"w-tabs-sections titles-align_none icon_chevron cpos_right\"><div class=\"w-tabs-section active\" id=\"zcac\"><button class=\"w-tabs-section-header active\" aria-controls=\"content-zcac\" aria-expanded=\"true\"><div class=\"w-tabs-section-title\">Recommandations G\u00e9n\u00e9rales<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content us_custom_ea76afbe\" id=\"content-zcac\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: justify;\">Les recommandations principales sont de tenir a\u0300 distance les patients du risque d\u2019infection a\u0300 coronavirus, tout en maintenant leur prise en charge, de telle sorte \u00e0 ne pas compromettre le pronostic li\u00e9 \u00e0 leur maladie, qui peut \u00eatre plus grave que le risque infectieux.<\/p>\n<p style=\"text-align: justify;\">&#8211; Eviter les consultations de surveillance sauf si le patient pr\u00e9sente des sympt\u00f4mes \u00e9voquant une r\u00e9cidive : les reporter et communiquer a\u0300 distance par le moyen le plus accessible : email, WhatsApp, t\u00e9l\u00e9phone&#8230;<\/p>\n<p style=\"text-align: justify;\">&#8211; Privil\u00e9gier les th\u00e9rapies orales (chimioth\u00e9rapie orale tels que cap\u00e9citabine et vinorelbine per os, \u00e9viter le cyclophosphamide per os qui peut avoir un effet lymphop\u00e9niant), l\u2019hormonoth\u00e9rapie et les th\u00e9rapies mol\u00e9culaires cibl\u00e9es per os<\/p>\n<p style=\"text-align: justify;\">&#8211; Remplacer les protocoles \u00e0 base de cisplatine par la carboplatine ou l\u2019oxaliplatine selon l\u2019indication, \u00e0 l\u2019exception des situations curatives (exemple: tumeurs germinales du testicule)<\/p>\n<ul>\n<li style=\"text-align: justify;\">Utiliser les facteurs de croissances granulocytaires d\u00e8s qu\u2019il y a un risque interm\u00e9diaire de neutrop\u00e9nie<\/li>\n<li style=\"text-align: left;\">Utiliser l\u2019\u00c9rythropo\u00ef\u00e9tine dans les cancers m\u00e9tastatiques sous chimioth\u00e9rapie pour r\u00e9duire le recours aux transfusions<\/li>\n<li style=\"text-align: justify;\">Utiliser les bisphosphonates tous les 3 mois au lieu de tous les 28 jours ou recourir aux bisphosphonates oraux.<\/li>\n<li style=\"text-align: justify;\">R\u00e9duire de fa\u00e7on significative l\u2019utilisation des cortico\u00efdes en pr\u00e9m\u00e9dication, les r\u00e9server aux protocoles allergisants tels que les taxanes<\/li>\n<li style=\"text-align: justify;\">Privil\u00e9gier les protocoles de chimioth\u00e9rapie administr\u00e9s toutes les 3 semaines par rapport aux protocoles hebdomadaires<\/li>\n<li style=\"text-align: justify;\">Allonger l\u2019intervalle intercure de l\u2019immunoth\u00e9rapie (pembrolizumab 600 mg toutes les 6 semaines et At\u00e9zolizumab 1680mg toutes les 4 semaines)<\/li>\n<li style=\"text-align: justify;\">En situation curative (n\u00e9o-adjuvante-adjuvante et exclusive) : poursuivre et indiquer toutes les chimioth\u00e9rapies a\u0300 haute valeur ajoute\u0301e, pour lesquelles le b\u00e9n\u00e9fice escompt\u00e9 est important<\/li>\n<li style=\"text-align: justify;\">En situation palliative:<br \/>\n&#8211; D\u00e9cider au cas par cas, selon le b\u00e9n\u00e9fice attendu, l\u2019\u00e2ge et les comorbidit\u00e9s, en d\u2019autres termes initier et poursuivre les protocoles entam\u00e9s chez des patients en 1<sup>\u00e8re<\/sup>ligne, avec un \u00e9tat g\u00e9n\u00e9ral conserv\u00e9 et un b\u00e9n\u00e9fice attendu ou d\u00e9j\u00e0 obtenu\u00a0 et r\u00e9duire les protocoles de 2<sup>\u00e8me<\/sup>, 3<sup>\u00e8me<\/sup>et \u00e9ni\u00e8me ligne chez des patients avec \u00e9tat g\u00e9n\u00e9ral alt\u00e9r\u00e9 et b\u00e9n\u00e9fice escompt\u00e9 faible<br \/>\n&#8211; Faire des pauses th\u00e9rapeutiques, quand cela est possible dans une maladie bien contr\u00f4l\u00e9e<br \/>\n&#8211; Espacer les bilans d\u2019\u00e9valuation et agir selon le b\u00e9n\u00e9fice clinique<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"w-tabs-section\" id=\"sdf0\"><button class=\"w-tabs-section-header\" aria-controls=\"content-sdf0\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">R\u00e9f\u00e9rences<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content us_custom_71d3e3d1\" id=\"content-sdf0\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ult-spacer spacer-69f4127a30184\" data-id=\"69f4127a30184\" data-height=\"35\" data-height-mobile=\"35\" data-height-tab=\"35\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"g-cols wpb_row us_custom_60e9caca us_animate_this via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\" style=\"--columns-gap:3rem;\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-text us_custom_7ccf62ca has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">PARTENAIRES<\/span><\/span><\/div><\/div><\/div><\/div><div class=\"w-image align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"1300\" height=\"231\" src=\"https:\/\/onetech.dev\/covid\/data\/partenaire.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/onetech.dev\/covid\/data\/partenaire.png 1300w, https:\/\/onetech.dev\/covid\/data\/partenaire-300x53.png 300w, https:\/\/onetech.dev\/covid\/data\/partenaire-1024x182.png 1024w, https:\/\/onetech.dev\/covid\/data\/partenaire-150x27.png 150w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"RECOMMANDATIONS G\u00c9N\u00c9RALES Oncologie M\u00e9dicale RetourRecommandations G\u00e9n\u00e9rales Les recommandations principales sont de tenir a\u0300 distance les patients du risque d\u2019infection a\u0300 coronavirus, tout en maintenant leur prise en charge, de telle sorte \u00e0 ne pas compromettre le pronostic li\u00e9 \u00e0 leur maladie, qui peut \u00eatre plus grave que le risque infectieux. &#8211; Eviter les consultations de...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-128","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/comments?post=128"}],"version-history":[{"count":1,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/128\/revisions"}],"predecessor-version":[{"id":129,"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/pages\/128\/revisions\/129"}],"wp:attachment":[{"href":"https:\/\/onetech.dev\/covid\/wp-json\/wp\/v2\/media?parent=128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}