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Neurotoxicité périphérique des traitements oncologiques: aspects précliniques et cliniques

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Aider á vivre aprés un cancer

Part of the book series: Oncologie pratique ((ONCOLPRAT))

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Résumé

En dehors des toxicités aiguës, souvent transitoires et d’ordre surtout digestif, on retrouve, parmi les principaux effets secondaires entraînant l’arrêt ou le changement d’un traitement anticancéreux, par ordre de fréquence: les toxicités hématologiques, les toxicités rénales et les toxicités neurologiques (1). Si les deux premiéres peuvent être maîtrisées par l’adjonction de facteurs de croissance hématopoïétique et l’hyperhydratation, la toxicité neurologique est diffi cilement contournable, et devient pour certains produits dose-limitante. Le probléme est d’autant plus crucial que les produits concernés sont d’utilisation ancienne avec une effi cacité bien établie (cisplatine, vincristine, etc.) (1) ou d’introduction beaucoup plus récente avec un spectre d’action qui ne cesse de s’élargir (taxanes, oxaliplatine). En outre, les nouveaux produits arrivant sur le marché, démontrent dans les premiéres études un fort potentiel neurotoxique (2).

Cet article a fait l’objet d’une publication dans la revue Oncologie (2006) 8: 895–900, Springer-Verlag France.

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Authier, N., Ling, B., Balayssac, D., Eschalier, A. (2010). Neurotoxicité périphérique des traitements oncologiques: aspects précliniques et cliniques. In: Aider á vivre aprés un cancer. Oncologie pratique. Springer, Paris. https://doi.org/10.1007/978-2-287-79501-5_17

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  • DOI: https://doi.org/10.1007/978-2-287-79501-5_17

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-79500-8

  • Online ISBN: 978-2-287-79501-5

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