Résumé
Dans le cancer du sein, la chirurgie est la pierre angulaire du traitement. Néanmoins, des traitements adjuvants comme la chimiothérapie ou l’hormonothérapie sont nécessaires pour éradiquer les micrométastases. Ces traitements sont á l’origine de plusieurs effets secondaires. Parmi ces effets secondaires, la ménopause précoce est fréquente, de l’ordre de 53 % á 89 % aprés chimiothérapie (1–3). Chez les femmes non ménopausées avec des tumeurs hormonosensibles, le bénéfice de l’hormonothérapie en termes de survie globale en association aux autres traitements a été démontré. L’hormonothérapie correspond soit á des traitements suppresseurs de la fonction ovarienne par castration (chirurgie, radiothérapie ou agonistes de la luteinizing hormone-releasing hormone [LHRH]), soit aux antioestrogénes ou antiaromatases (4). Ces traitements ont donc comme conséquence d’induire des symptômes de la ménopause précoce: bouffées de chaleur, atrophie génito-urinaire, troubles psychologiques (2, 5, 6). Les bouffées de chaleur sont trés fréquentes chez les femmes non ménopausées traitées pour un cancer du sein et elles sont invalidantes. En effet, elles diminuent la qualité de vie et la qualité du sommeil (7, 8), d’oú l’importance d’informer les patientes sur les traitements pharmacologiques et non pharmacologiques que l’on peut leur proposer.
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Plantade, A. (2010). Bouffées de chaleur. In: Aider á vivre aprés un cancer. Oncologie pratique. Springer, Paris. https://doi.org/10.1007/978-2-287-79501-5_4
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DOI: https://doi.org/10.1007/978-2-287-79501-5_4
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