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Cancer du rein

Le cancer du rein (carcinome du rein) est une tumeur maligne qui survient dans les cellules d'un organe. Les patients de sexe masculin âgés de 50 à 70 ans sont des sujets présentant un risque plus élevé de développer un cancer du rein.

La tumeur affecte un, beaucoup moins souvent, les deux reins. 50 % des patients ont un cancer du rein . Dans tous les autres cas, une tumeur maligne se développe dans l'uretère et le bassin rénal. Le sarcome rénal est diagnostiqué chez moins de 10 % des patients.

Les carreaux tumoraux se développent dans l'espace rétropéritonéal qui est peu palpable. Les premiers stades de la maladie sont asymptomatiques. La tumeur est souvent détectée lors d’une échographie programmée alors qu’elle est déjà de grande taille.

Symptômes typiques du cancer du rein :

sang dans les urines (hématurie);

douleur lombaire sévère;

induration abdominale palpable à l'examen ;

augmentation de la température et de la pression artérielle;

poedème.

Diagnostic du cancer du rein

L'échographie rénale est la méthode la plus disponible mais elle ne permet pas de poser un diagnostic précis. Par conséquent, le diagnostic du cancer du rein doit inclure un ensemble de procédures :

Stades du cancer du rein : traitement et taux de survie

Étape 1

Au stade précoce du cancer du rein, la tumeur ne mesure pas plus de 7 cm. Il est situé dans le rein et ne se propage pas aux organes ni aux tissus environnants. Le stade 1 est mal diagnostiqué et ne présente aucun symptôme spécifique.

Traitement du cancer du rein de stade 1

Taux de survie. Réhabilitation

  • Ablation de la tumeur avec préservation des reins.
  • Néphrectomie radicale – ablation complète du rein. Elle peut être réalisée de trois manières : opération abdominale, laparoscopique ou chirurgie assistée par robot Da Vinci.

81 — 90 %

Après le traitement, les patients reprennent une vie normale avec quelques restrictions concernant leur alimentation et leurs activités physiques.

Un examen par un néphrologue/urologue est requis tous les 6 mois pendant 2 ans après l'intervention chirurgicale, puis une fois par an.

Étape 2

Le cancer du rein de stade 2 se propage aux surrénales ou à la graisse pararénale. La tumeur mesure plus de 7 cm mais est localisée uniquement dans la région rénale. Il n'y a pas de métastases.

Traitement du cancer du rein de stade 2

Taux de survie. Réhabilitation

Ablation du rein avec tissu adipeux adhérent, parfois avec surrénales, vaisseaux de réglage, ganglions lymphatiques.

74 %

Après la formation du patient, il s'occupe de son régime alimentaire et de son régime.

20 % des patients ont un risque de métastases, c'est pourquoi ils doivent subir un diagnostic tous les 3 à 6 mois, puis — chaque année pendant 5 ans.

Étape 3

Au stade 3, la tumeur du cancer du rein commence à se propager aux ganglions lymphatiques. Il n'y a pas de métastases à distance. Le cancer peut se propager dans la veine rénale ou la veine cave, entraînant ainsi des complications.

Traitement du cancer du rein de stade 3

Taux de survie. Réhabilitation

Ablation du rein avec tissu adipeux adhérent, parfois avec surrénales, vaisseaux de réglage, ganglions lymphatiques.

40 – 65 %

Examen régulier – tous les 3 mois pendant 3 ans après l'intervention chirurgicale. Plus d'une fois par an.

Étape 4

Le cancer du rein de stade 4 est difficile à traiter. Il présente de multiples métastases à distance, la tumeur se développe rapidement et de manière agressive.

Traitement du cancer du rein de stade 4

Taux de survie. Réhabilitation

  • Néphrectomie radicale + métastasectomie chirurgicale – ablation des reins et des tumeurs d'autres organes.
  • Thérapie ciblée et/ou immunitaire
  • Chimiothérapie

10 % – 14 %

Le traitement prolonge considérablement la vie du patient et augmente sa qualité. Un traitement palliatif est appliqué pour soulager les douleurs.

"},"txt_price":{"text":"

Le coût du traitement du cancer du rein peut varier de $10,100 à $14,540 :

Le médecin déterminera le coût total du traitement en fonction de vos besoins et des traitements antérieurs. Vous n'aurez peut-être pas besoin de refaire des tests précédents, ce qui pourrait vous faire économiser de l'argent.

"},"guide_mc":{"text":"

Arrivée

Diagnostique

Élaboration d’un plan de traitement

Traitement

Suivi

Réhabilitation

Veuillez noter que seul un médecin peut déterminer un diagnostic et un plan de traitement car chaque cas est individuel. De plus, certains patients peuvent nécessiter d’autres traitements comme la cryoablation ou l’ablation par radiofréquence. Consultez toujours votre médecin pour connaître les meilleures options de traitement.

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