{"id":1999,"date":"2023-05-17T11:33:44","date_gmt":"2023-05-17T16:33:44","guid":{"rendered":"https:\/\/myeloma.ca\/comment-diagnostique-t-on-un-myelome\/"},"modified":"2026-06-02T16:48:49","modified_gmt":"2026-06-02T21:48:49","slug":"comment-diagnostique-t-on-un-myelome","status":"publish","type":"page","link":"https:\/\/myeloma.ca\/fr\/diagnostic-recent\/comprendre-son-diagnostic\/comment-diagnostique-t-on-un-myelome\/","title":{"rendered":"Comment diagnostique-t-on un my\u00e9lome?"},"content":{"rendered":"<div class=\"page-intro-block   block_5a070b773277315a939a04bcda7afa20\">\n    <div class=\"container\">\n        <div class=\"left-content\">\n            <div class=\"content\">\n                <h1>Comment <strong class='second-font-family is-italic is-italic-fw'>diagnostique&#8209;t&#8209;on<\/strong> un my\u00e9lome?<\/h1>\n            <\/div>\n            <div class=\"bottom-content\">\n                <div class=\"actions-btns-wrapper\">\n                    <a class=\"print-btn\" href=\"#\">\n                        <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13.545\" height=\"14.195\" viewBox=\"0 0 13.545 14.195\"><path d=\"M13.786,9.785v-2.6H7.759v2.6H6.743V6H14.8V9.785Zm-8.77,1.183h0Zm10.142,1.873a.457.457,0,0,0,.356-.177.639.639,0,0,0,0-.828.445.445,0,0,0-.711,0,.639.639,0,0,0,0,.828A.457.457,0,0,0,15.158,12.841Zm-1.371,6.171V15.227H7.759v3.785ZM14.8,20.2H6.743v-3.47H4v-4.85a2.2,2.2,0,0,1,.516-1.489,1.619,1.619,0,0,1,1.278-.6H15.75a1.619,1.619,0,0,1,1.278.6,2.2,2.2,0,0,1,.516,1.489v4.85H14.8Zm1.727-4.653V11.875a.963.963,0,0,0-.22-.651.7.7,0,0,0-.559-.256H5.795a.7.7,0,0,0-.559.256.963.963,0,0,0-.22.651v3.667H6.743v-1.5H14.8v1.5Z\" transform=\"translate(-4 -6)\" fill=\"#3e3a3b\"\/><\/svg>\n                        <span>Imprimer<\/span>\n                    <\/a>\n                    <a class=\"share-btn\" href=\"mailto:?subject=I wanted you to see 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<div class=\"page-intro-image-wrapper\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"470\" height=\"550\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/05\/diagnosing_myeloma_hero.jpg\" class=\"attachment-full size-full\" alt=\"Une docteure noire donnant des explications \u00e0 une femme a\u00een\u00e9e\" \/>    <\/div>\n        <div class=\"left-content mobile\">\n            <div class=\"bottom-content\">\n                <div class=\"actions-btns-wrapper\">\n                    <a class=\"print-btn\" href=\"#\">\n                        <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13.545\" height=\"14.195\" viewBox=\"0 0 13.545 14.195\"><path 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96c-17.7 0-32 14.3-32 32v39.9L227.6 311.3c16.9 12.4 39.9 12.4 56.8 0L480 167.9V128c0-17.7-14.3-32-32-32H64zM32 207.6V384c0 17.7 14.3 32 32 32H448c17.7 0 32-14.3 32-32V207.6L303.3 337.1c-28.2 20.6-66.5 20.6-94.6 0L32 207.6zM0 128C0 92.7 28.7 64 64 64H448c35.3 0 64 28.7 64 64V384c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128z\"\/><\/svg>\n                        <span>Partager<\/span>\n                    <\/a>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n\n<div class=\"master-tabs-block   block_c0c71728604ed9daabc04bb152817452  \">\n    <div class=\"container\">\n        <div class=\"tab-selector-wrapper\">\n        <\/div>\n    <\/div>\n    <div class=\"acf-innerblocks-container\">\n<div data-tab-name=\"Comment diagnostique-t-on un my\u00e9lome?\"\n     id=\"comment-diagnostique-t-on-un-myelome\"\n     class=\"master-tab-block   block_c464805f7b1815dec5f226836f7c0b8b\">\n    <div class=\"lm-tab-content\">\n        <div class=\"acf-innerblocks-container\">\n<div class=\" content-1-block m-pt2 m-pb2 block_82f77117a17bec5a51fbc65017a2640f  \" style=\"padding-top: 4rem;padding-bottom: 4rem;text-align: center;\">\n    <div class=\"container\">\n\t\t        <div class=\"content\">\n\t\t\t<h3 style=\"text-align: center;\">Le diagnostic commence g\u00e9n\u00e9ralement par la r\u00e9alisation <strong class='second-font-family is-italic is-italic-fw'>d\u2019examens m\u00e9dicaux<\/strong>.<\/h3>\n<p style=\"text-align: center;\">Le my\u00e9lome est parfois d\u00e9couvert \u00e0 la suite d\u2019une analyse de sang de routine. Cependant, le plus souvent, la plupart des gens (70 %) consultent un professionnel de la sant\u00e9 en raison de douleurs osseuses qui ne sont pas le r\u00e9sultat d\u2019un accident ou d\u2019un incident sp\u00e9cifique. Pour d\u00e9terminer la cause de la douleur, des examens (p. ex., radiographie, tomodensitom\u00e9trie ou IRM) sont effectu\u00e9s. On envisagera la possibilit\u00e9 d\u2019un my\u00e9lome multiple si les examens r\u00e9v\u00e8lent des fractures, des l\u00e9sions osseuses ou des cassures.<\/p>\n<p style=\"text-align: center;\">\u00c9tant donn\u00e9 que les sympt\u00f4mes d\u2019un my\u00e9lome sont souvent vagues et qu\u2019ils peuvent correspondre aux sympt\u00f4mes associ\u00e9s \u00e0 d\u2019autres probl\u00e8mes de sant\u00e9, les personnes que l\u2019on croit possiblement atteintes d\u2019un my\u00e9lome seront g\u00e9n\u00e9ralement dirig\u00e9es vers un h\u00e9matologue (sp\u00e9cialiste du sang) pour passer des examens suppl\u00e9mentaires afin de confirmer ou d\u2019infirmer le diagnostic d\u2019un my\u00e9lome.<\/p>\n<div class=\"lb-button-wrapper\"><a class=\"btn-with-icon \" target=\"_self\" href=\"https:\/\/myeloma.ca\/fr\/diagnostic-recent\/options-et-possibilites-de-traitement\/\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\"> <g transform=\"translate(-406 -2843)\"> <circle cx=\"10\" cy=\"10\" r=\"10\" transform=\"translate(406 2843)\" fill=\"#1c596c\"\/> <g transform=\"translate(412.135 2845)\"> <g transform=\"translate(10.732 7.866) rotate(135)\"> <path d=\"M0,4.968V0H4.968\" transform=\"translate(3.389 2.774)\" fill=\"none\" stroke=\"#fff\" stroke-linecap=\"round\" stroke-miterlimit=\"10\" stroke-width=\"1\"\/> <\/g> <\/g> <\/g> <\/svg><span>Voir les options et les possibilit\u00e9s de traitement<\/span><\/a><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"wp-block-group abcd has-light-grey-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"padding-top:var(--wp--preset--spacing--80);padding-bottom:var(--wp--preset--spacing--60)\">\n<div class=\"wp-block-group container is-layout-flow wp-block-group-is-layout-flow\">\n<figure class=\"wp-block-table is-style-regular overflow-show\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><\/th><th class=\"has-text-align-center\" data-align=\"center\">Test de d\u00e9pistage ou de diagnostic<\/th><th class=\"has-text-align-center\" data-align=\"center\">Test de pronostic<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">Objectifs<\/td><td class=\"has-text-align-center\" data-align=\"center\">D\u00e9terminer si la personne est atteinte d\u2019un my\u00e9lome et, si c\u2019est le cas, \u00e0 quel stade.<\/td><td class=\"has-text-align-center\" data-align=\"center\">\u00c9tablir la s\u00e9v\u00e9rit\u00e9 de la maladie et trouver le meilleur traitement.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Quand l\u2019effectuer<\/td><td class=\"has-text-align-center\" data-align=\"center\">Lorsqu\u2019un my\u00e9lome est soup\u00e7onn\u00e9.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Au besoin, pour \u00e9valuer la progression de la maladie et l\u2019efficacit\u00e9 du traitement.<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\"><br>Vous trouverez ci-dessous un petit \u00e9chantillon des tests et examens qui peuvent \u00eatre utilis\u00e9s pour diagnostiquer un my\u00e9lome. Les tests comprennent g\u00e9n\u00e9ralement ceux effectu\u00e9s sur le sang, l\u2019urine et les os, ainsi que diverses imageries et radiographies. Dans certains cas, des examens cardiaques et une analyse FISH (hybridation in situ par fluorescence) peuvent \u00e9galement \u00eatre effectu\u00e9s.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n<div class=\"cta-1-block   block_45c982a3bbd45de0ed48cea560683b62\" style=\"padding-top: 6rem;padding-bottom: 8rem;background-color: var(--lb--light-grey);\">\n    <div class=\"container\">\n        <div class=\"cta-1-wrapper\">\n            <div class=\"img-wrapper\">\n                <img loading=\"lazy\" decoding=\"async\" width=\"814\" height=\"864\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-MGUS-large.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-MGUS-large.png 814w, https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-MGUS-large-283x300.png 283w, https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-MGUS-large-768x815.png 768w\" sizes=\"auto, (max-width: 814px) 100vw, 814px\" \/>            <\/div>\n            <div class=\"content-wrapper\">\n                <h3>Pour en savoir davantage sur les examens et les tests, t\u00e9l\u00e9chargez l\u2019InfoGuide MGUS et my\u00e9lome multiple indolent de My\u00e9lome Canada. <\/h3>\n                            <\/div>\n                            <div class=\"button-wrapper\">\n                    <a class=\"btn btn-empty\" target=\"_blank\" href=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-MGUS.pdf\">T\u00e9l\u00e9charger un exemplaire<\/a>\n                <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"lb-accordion accordion-block  m-pb3 block_9975450d0eb040b5d8520e133f773d80 \" style=\"padding-bottom: 1rem;background-color: var(--lb--light-grey);\">\n    <div class=\"container\">\n        <div class=\"pre-accordion-content\">\n\t\t\t\t\t\t        <\/div>\n\t\t            <div class=\"accordion-wrapper\">\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Analyses sanguines<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<ul>\n<li><strong>L\u2019h\u00e9mogramme<\/strong> permet de mesurer le nombre des diff\u00e9rents types de globules sanguins tels que les globules rouges les globules blancs et les plaquettes, ainsi que le taux d\u2019h\u00e9moglobine.<\/li>\n<li><strong>Une analyse de la chimie du sang<\/strong> permet de mesurer le nombre total de prot\u00e9ines et le taux de calcium dans le sang, ainsi que les indicateurs de la fonction r\u00e9nale.<\/li>\n<li><strong>D\u2019autres analyses de sang sp\u00e9cialis\u00e9es<\/strong> permettront de confirmer ou d\u2019infirmer le diagnostic d\u2019un my\u00e9lome et d\u2019\u00e9valuer l\u2019\u00e9volution de la maladie.\n<p><div class=\"lb-button-wrapper\"><a class=\"btn btn-filled \" target=\"_blank\" href=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-Blood.pdf\"><span> T\u00e9l\u00e9chargez l\u2019InfoGuide Comprendre votre formule sanguine et vos analyses de sang<\/span><\/a><\/div><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Analyses d\u2019urine<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<ul>\n<li><strong>L\u2019analyse d\u2019urine<\/strong> mesure la quantit\u00e9 de prot\u00e9ines, de cha\u00eenes l\u00e9g\u00e8res libres (provenant des immunoglobulines), de cr\u00e9atinine (un d\u00e9chet excr\u00e9t\u00e9 par les reins) et de bilirubine (un produit de d\u00e9gradation des globules rouges) dans un \u00e9chantillon d\u2019urine.<\/li>\n<li><strong>L\u2019analyse d\u2019urine sur 24 heures<\/strong> mesure la quantit\u00e9 de prot\u00e9ines dans l\u2019urine sur une journ\u00e9e.<\/li>\n<li><strong>D\u2019autres analyses d\u2019urine sp\u00e9cialis\u00e9es<\/strong> permettent de d\u00e9terminer le stade de la maladie et la r\u00e9ponse au traitement.<\/li>\n<\/ul>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Examens de la moelle osseuse<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<p>Des examens de la moelle osseuse (pr\u00e9l\u00e8vement de moelle osseuse ou biopsie de la moelle osseuse) peuvent \u00eatre effectu\u00e9s pour d\u00e9terminer la sant\u00e9 de la moelle osseuse. En g\u00e9n\u00e9ral, un anesth\u00e9sique local est appliqu\u00e9 pour engourdir la zone. On peut \u00e9galement administrer un s\u00e9datif \u00e0 courte dur\u00e9e d\u2019action pour minimiser l\u2019inconfort pendant la proc\u00e9dure.<\/p>\n<p>Dans le cas d\u2019un pr\u00e9l\u00e8vement de moelle osseuse, une aiguille est ins\u00e9r\u00e9e dans l\u2019os, souvent l\u2019os pelvien arri\u00e8re, pour extraire un \u00e9chantillon de moelle liquide. Ensuite, une petite carotte de moelle est pr\u00e9lev\u00e9e dans l\u2019os. C\u2019est la biopsie de la moelle osseuse. L\u2019intervention peut provoquer des ecchymoses et des douleurs pendant quelques jours, mais elles peuvent g\u00e9n\u00e9ralement \u00eatre g\u00e9r\u00e9es \u00e0 l\u2019aide d\u2019analg\u00e9siques l\u00e9gers. La biopsie de la moelle osseuse est g\u00e9n\u00e9ralement une intervention ambulatoire d\u2019une dur\u00e9e d\u2019environ 15 \u00e0 20 minutes.<\/p>\n<p>Pour en savoir plus sur la fa\u00e7on dont un my\u00e9lome affecte les os, consultez l\u2019InfoGuide <em>La maladie osseuse associ\u00e9e au my\u00e9lome multiple<\/em> de My\u00e9lome Canada.<br \/>\n<div class=\"lb-button-wrapper\"><a class=\"btn btn-filled \" target=\"_blank\" href=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Infoguide-FR-Bone.pdf\"><span>T\u00e9l\u00e9charger un exemplaire<\/span><\/a><\/div><\/p>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Imagerie<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<p>Diff\u00e9rents types d\u2019examens par imagerie pourraient \u00eatre n\u00e9cessaires en fonction des r\u00e9sultats d\u2019autres examens. Vous trouverez ci-dessous une explication des diff\u00e9rents types d\u2019examens par imagerie qui pourraient \u00eatre effectu\u00e9s\u00a0:<\/p>\n<ul>\n<li><strong>Examen du squelette\u00a0: <\/strong>s\u00e9rie de radiographies permettant de voir les membres du corps, la colonne vert\u00e9brale, le cr\u00e2ne, les c\u00f4tes et les os du bassin (squelette).<\/li>\n<li><strong>Tomodensitom\u00e9trie du corps entier (\u00e0 faible dose)\u00a0: <\/strong>examen qui prend des images en coupe du corps en utilisant de faibles doses de radiation.<\/li>\n<li><strong>Tomographie par \u00e9mission de positrons (TEP)\u00a0:<\/strong> examen par imagerie qui n\u00e9cessite l\u2019injection d\u2019un sucre liquide avec un marqueur radioactif (les cellules my\u00e9lomateuses absorbent le sucre plus rapidement que les cellules saines). Une cam\u00e9ra sp\u00e9cialis\u00e9e est alors capable de voir o\u00f9 le colorant a \u00e9t\u00e9 le plus absorb\u00e9. La TEP est souvent combin\u00e9e \u00e0 une tomodensitom\u00e9trie.<\/li>\n<li><strong>Imagerie par r\u00e9sonance magn\u00e9tique (IRM)\u00a0: <\/strong>utilise les champs magn\u00e9tiques et les ondes radio pour produire des images en deux ou trois dimensions de parties et de structures du corps. L\u2019IRM peut r\u00e9v\u00e9ler o\u00f9 les cellules my\u00e9lomateuses se sont infiltr\u00e9es avant que toute l\u00e9sion osseuse ne soit visible par radiographie. Elle permet \u00e9galement de d\u00e9celer les d\u00e9p\u00f4ts d\u2019amylo\u00efdes ou de cha\u00eenes l\u00e9g\u00e8res dans le c\u0153ur.<\/li>\n<\/ul>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t            <\/div>\n\t\t    <\/div>\n\n<\/div>\n\n<div class=\" content-1-block  m-pb3 block_94a9a20d13a7ff7840b3c646cdf75eb2  \" style=\"padding-top: 1rem;padding-bottom: 10rem;background-color: var(--lb--light-grey);\">\n    <div class=\"container\">\n\t\t        <div class=\"content\">\n\t\t\t<p>Lorsqu\u2019elles suivent un traitement, certaines personnes peuvent devoir passer des analyses mensuelles, voire hebdomadaires. Dans d\u2019autres cas, il n\u2019est pas n\u00e9cessaire que les analyses soient aussi fr\u00e9quentes.<\/p>\n<p>Il n\u2019existe pas un moment pr\u00e9cis pour les analyses. La situation de chaque personne doit \u00eatre \u00e9valu\u00e9e et trait\u00e9e individuellement en fonction de son \u00e9tat.<\/p>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div class=\" content-2-block m-pt2 m-pb0 block_ff44a5acf1369c59704338154b63775f     bg_blue has-image no-margin-top inverted \" style=\"\">\n    <div class=\"container\">\n        <div class=\"grid-content-2\">\n                            <div class=\"img-wrapper \">\n                    <img loading=\"lazy\" decoding=\"async\" width=\"470\" height=\"550\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/10\/myeloma_bone_disease.jpg\" class=\"content-2-img\" alt=\"Un homme asiatique \u00e2g\u00e9e regarde au loin en souriant\" srcset=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/10\/myeloma_bone_disease.jpg 470w, https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/10\/myeloma_bone_disease-256x300.jpg 256w\" sizes=\"auto, (max-width: 470px) 100vw, 470px\" \/>                <\/div>\n                        <div class=\"content\">\n                <div>\n\t\t\t\t\t\t\t\t\t\t<p>Bien que le my\u00e9lome soit un cancer du sang, il peut \u00e9galement affecter les os.<\/p>\n<div class=\"lb-button-wrapper\"><a class=\"btn btn-empty btn-blue\" target=\"_self\" href=\"https:\/\/myeloma.ca\/fr\/diagnostic-recent\/troubles-et-maladies-associes-a-un-myelome\/#maladie-osseuse-associee-a-un-myelome\"><span>En savoir plus<\/span><\/a><\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\t<div data-anchor-name=\"Cat\u00e9gories et stades d\u2019un my\u00e9lome\"\n         id=\"categories-et-stades-dun-myelome\"\n         class=\"master-anchor-block\"\n    ><\/div>\n<div class=\"list-with-icon-block m-pt2  block_e3a11dc40a023bc9062ace60c7508b17\" style=\"padding-top: 7.7rem;padding-bottom: 0rem;\">\n    <div class=\"container\">\n        <div class=\"pre-content-list\">\n\t\t\t                <h2>Cat\u00e9gories et stades d\u2019un my\u00e9lome <\/h2>\n\t\t\t\t\t\t                <div class=\"list-pre-content\"><p>Une fois qu\u2019un my\u00e9lome multiple actif a \u00e9t\u00e9 diagnostiqu\u00e9, les m\u00e9decins voudront d\u00e9terminer le niveau ou le stade de la maladie.<\/p>\n<p>&nbsp;<\/p>\n<p>Le principal syst\u00e8me utilis\u00e9 pour stadifier un my\u00e9lome actif est le syst\u00e8me international de stadification r\u00e9vis\u00e9 (R-ISS). Ce syst\u00e8me utilise 3&nbsp;analyses de sang\u00a0:<\/p>\n<\/div>\n\t\t\t        <\/div>\n        <div>\n\t\t            <div class=\"single-list-item-block center-icon-txt\">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/05\/Groupe-3134.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"icone\" \/><\/div>\n                <div class=\"content-wrapper\"><p>b\u00eata-2 microglobuline (\u03b22M);<\/p>\n<\/div>\n            <\/div>\n\t\t            <div class=\"single-list-item-block center-icon-txt\">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/05\/Groupe-3135.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"icone\" \/><\/div>\n                <div class=\"content-wrapper\"><p>albumine;<\/p>\n<\/div>\n            <\/div>\n\t\t            <div class=\"single-list-item-block center-icon-txt\">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/05\/Groupe-3134-1.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"icone\" \/><\/div>\n                <div class=\"content-wrapper\"><p>lactate d\u00e9shydrog\u00e9nase (LDH).<\/p>\n<\/div>\n            <\/div>\n\t\t        <\/div>\n    <\/div>\n<\/div>\n\n<div class=\"list-with-icon-block   block_ca998f8440558088cf2665ca264986be\" style=\"\">\n    <div class=\"container\">\n        <div class=\"pre-content-list\">\n\t\t\t\t\t\t                <div class=\"list-pre-content\"><p>Il prend \u00e9galement en compte certaines anomalies chromosomiques \u00e0 haut risque que peut pr\u00e9senter la personne. Les anomalies peuvent \u00eatre d\u00e9tect\u00e9es au moyen d\u2019un test appel\u00e9 hybridation in situ par fluorescence (FISH) sur un \u00e9chantillon de plasmocytes purifi\u00e9s provenant de la moelle osseuse.<\/p>\n<p>Les anomalies chromosomiques \u00e0 haut risque sont associ\u00e9es \u00e0 un my\u00e9lome plus agressif ou plus difficile \u00e0 traiter. Ces anomalies comprennent\u00a0:<\/p>\n<\/div>\n\t\t\t        <\/div>\n        <div>\n\t\t            <div class=\"single-list-item-block \">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/02\/list-icon-1.svg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"list icon\" \/><\/div>\n                <div class=\"content-wrapper\"><p>del(17p)\u00a0: d\u00e9l\u00e9tion du bras court du chromosome 17;<\/p>\n<\/div>\n            <\/div>\n\t\t            <div class=\"single-list-item-block \">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/02\/list-icon-1.svg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"list icon\" \/><\/div>\n                <div class=\"content-wrapper\"><p>t(4;14)\u00a0: translocation des chromosomes 4 et 14;<\/p>\n<\/div>\n            <\/div>\n\t\t            <div class=\"single-list-item-block \">\n                <div class=\"icon-wrapper\"><img loading=\"lazy\" decoding=\"async\" width=\"55\" height=\"55\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/2023\/02\/list-icon-1.svg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"list icon\" \/><\/div>\n                <div class=\"content-wrapper\"><p>t(14;16)\u00a0: translocation des chromosomes 14 et 16.<\/p>\n<\/div>\n            <\/div>\n\t\t        <\/div>\n    <\/div>\n<\/div>\n\n<div class=\" content-1-block   block_dafaa769820c5b09c91bf69a6749cf95  \" style=\"padding-bottom: 4rem;\">\n    <div class=\"container\">\n\t\t        <div class=\"content\">\n\t\t\t<p>Bien que d\u2019autres anomalies chromosomiques \u00e0 haut risque aient \u00e9t\u00e9 identifi\u00e9es, elles ne sont pas utilis\u00e9es pour calculer le stade R-ISS.<\/p>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"lb-accordion accordion-block m-pt2 m-pb1 block_8f1263e3af5717f38c337bf608713f71 \" style=\"padding-top: var(--wp--preset--spacing--70);padding-bottom: var(--wp--preset--spacing--40);background-color: var(--lb--light-grey);\">\n    <div class=\"container\">\n        <div class=\"pre-accordion-content\">\n\t\t\t                <h2>Syst\u00e8me international de stadification r\u00e9vis\u00e9 (R-ISS)<\/h2>\n\t\t\t\t\t\t        <\/div>\n\t\t            <div class=\"accordion-wrapper\">\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Stade R-ISS 1<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<h3><strong>Test R-ISS<\/strong><\/h3>\n<p>La b\u00eata-2 microglobuline (\u03b22 M) est inf\u00e9rieure \u00e0 3,5 mg\/l.<\/p>\n<p><strong>ET<\/strong><\/p>\n<p>L\u2019albumine est \u00e9gale ou sup\u00e9rieure \u00e0 35 g\/l.<\/p>\n<p><strong>ET<\/strong><\/p>\n<p>Aucune anomalie chromosomique \u00e0 haut risque<\/p>\n<p><strong>ET<\/strong><\/p>\n<p>Taux normal de lactate d\u00e9shydrog\u00e9nase (LDH)<\/p>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t                    <div class=\"lb-accordion-single \">\n                        <button class=\"lb-accordion-button\"\n                                type=\"button\">\n                            <span>Stade R-ISS 2<\/span>\n                        <\/button>\n                        <div class=\"lb-accordion-content\" style=\"\">\n                            <div class=\"lb-accordion-inner-wrapper\">\n\t\t\t\t\t\t\t\t<p>Toutes les combinaisons possibles des stades R-ISS 1 et 3<\/p>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t            <\/div>\n\t\t    <\/div>\n\n<\/div>\n\n<div class=\" content-1-block  m-pb3 block_9a19aafe3ec9209b48af56296f257bfd  \" style=\"padding-top: var(--wp--preset--spacing--20);padding-bottom: 7.77rem;background-color: var(--lb--light-grey);\">\n    <div class=\"container\">\n\t\t        <div class=\"content\">\n\t\t\t<p>Un my\u00e9lome actif n\u2019est stadifi\u00e9 qu\u2019au moment du diagnostic et la stadification n\u2019est g\u00e9n\u00e9ralement pas r\u00e9p\u00e9t\u00e9e. Il existe trois stades possibles (stade 1, 2 et 3) qui sont class\u00e9s par ordre croissant de gravit\u00e9 de la maladie.<\/p>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div class=\" content-2-block img-contain m-pt2 m-pb2 block_bccb55a1edded1d6a98e66ba23a60dbc      has-image no-margin-top  \" style=\"background-color: var(--lb--white);color: #3E3A3B;\">\n    <div class=\"container\">\n        <div class=\"grid-content-2\">\n                            <div class=\"img-wrapper \">\n                    <img loading=\"lazy\" decoding=\"async\" width=\"814\" height=\"864\" src=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Handbook-FR-Patient-large.png\" class=\"content-2-img\" alt=\"\" srcset=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Handbook-FR-Patient-large.png 814w, https:\/\/myeloma.ca\/wp-content\/uploads\/Handbook-FR-Patient-large-283x300.png 283w, https:\/\/myeloma.ca\/wp-content\/uploads\/Handbook-FR-Patient-large-768x815.png 768w\" sizes=\"auto, (max-width: 814px) 100vw, 814px\" \/>                <\/div>\n                        <div class=\"content\">\n                <div>\n\t\t\t\t\t\t\t\t\t\t<h2>Pour plus d\u2019information, t\u00e9l\u00e9chargez le <em>Guide destin\u00e9 aux patients atteints d\u2019un my\u00e9lome multiple<\/em><\/h2>\n<p>Con\u00e7u pour offrir un soutien \u00e9ducatif aux personnes atteintes d\u2019un my\u00e9lome, \u00e0 leurs proches aidants, \u00e0 leurs familles et \u00e0 leurs amis, ce guide fournit des informations pr\u00e9cises, fiables et claires au sujet du my\u00e9lome. Il contient des discussions approfondies sur ce qu\u2019est le my\u00e9lome, ses causes et ses effets, les diff\u00e9rents traitements offerts au Canada et la fa\u00e7on de g\u00e9rer votre parcours avec un my\u00e9lome.<\/p>\n<div class=\"lb-inline-buttons\"><div class=\"lb-button-wrapper\"><a class=\"btn btn-filled \" target=\"_blank\" href=\"https:\/\/myeloma.ca\/wp-content\/uploads\/Handbook-FR-Patient.pdf\"><span>T\u00e9l\u00e9charger un exemplaire <\/span><\/a><\/div><div class=\"lb-button-wrapper\"><a class=\"btn btn-empty \" target=\"_self\" href=\"https:\/\/myeloma.ca\/fr\/formulaire-de-commande-de-materiel-pedagogique\/\"><span>Commander un exemplaire imprim\u00e9<\/span><\/a><\/div><\/div>\n<p>&nbsp;<\/p>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n<\/div>\n    <\/div>\n<\/div>\n<\/div>\n\n            <nav class=\"master-page-anchor-wrapper\">\n            <div class=\"master-page-anchor-header\">\n                <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24.054\" height=\"33.63\" viewBox=\"0 0 24.054 33.63\"><path d=\"M195.2,91.649h16a4.033,4.033,0,0,0,4.029-4.029V69.084a.588.588,0,0,0-.106-.348l-.047-.042-.055-.064L204.1,58.185a.594.594,0,0,0-.42-.165H195.2a4.033,4.033,0,0,0-4.029,4.029V87.62A4.033,4.033,0,0,0,195.2,91.65Zm9.088-31.518,8.715,8.316h-7.633a1.06,1.06,0,0,1-1.06-1.06ZM192.448,62.04h0a2.761,2.761,0,0,1,2.756-2.757h7.816v8.1a2.336,2.336,0,0,0,2.332,2.332h8.6v17.9a2.761,2.761,0,0,1-2.756,2.757h-16a2.761,2.761,0,0,1-2.756-2.757Z\" transform=\"translate(-191.175 -58.02)\" fill=\"#fff\"\/><\/svg>\n                <span>Sur cette page<\/span>\n                <button class=\"master-page-anchor-toggler\" type=\"button\"><i class=\"fa-solid fa-chevrons-left\"><\/i><\/button>\n            <\/div>\n            <div class=\"master-page-anchor-hiddable\">\n                <div class=\"master-page-anchor-navigation\">\n\n                <\/div>\n                <div class=\"master-page-anchor-footer\">\n                    <a href=\"#\" class=\"back-to-top\">\n                        <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\"><g transform=\"translate(-2843 426) rotate(-90)\"><circle cx=\"10\" cy=\"10\" r=\"10\" transform=\"translate(406 2843)\" fill=\"#1c596c\"\/><g transform=\"translate(412.135 2845)\"><g transform=\"translate(10.732 7.866) rotate(135)\"><path d=\"M0,4.968V0H4.968\" transform=\"translate(3.389 2.774)\" fill=\"none\" stroke=\"#fff\" stroke-linecap=\"round\" stroke-miterlimit=\"10\" stroke-width=\"1\"\/><\/g><\/g><\/g><\/svg>\n                        <span>Retour en haut<\/span>\n                    <\/a>\n                <\/div>\n            <\/div>\n        <\/nav>\n    \n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":2114,"menu_order":22,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-1999","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/pages\/1999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/comments?post=1999"}],"version-history":[{"count":96,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/pages\/1999\/revisions"}],"predecessor-version":[{"id":35204,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/pages\/1999\/revisions\/35204"}],"up":[{"embeddable":true,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/pages\/2114"}],"wp:attachment":[{"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/media?parent=1999"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myeloma.ca\/fr\/wp-json\/wp\/v2\/tags?post=1999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}