{"id":2471,"date":"2023-09-21T15:44:48","date_gmt":"2023-09-21T13:44:48","guid":{"rendered":"https:\/\/angh.net\/abstracts\/?p=2471"},"modified":"2023-09-21T15:44:49","modified_gmt":"2023-09-21T13:44:49","slug":"colite-et-melanome-metastatique-il-ny-a-pas-que-limmunotherapie","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/colite-et-melanome-metastatique-il-ny-a-pas-que-limmunotherapie\/","title":{"rendered":"Colite et m\u00e9lanome m\u00e9tastatique : il n\u2019y a pas que l\u2019immunoth\u00e9rapie"},"content":{"rendered":"<p><b>2023<\/b><\/p>\n<p><em>S Helias (1), S Gaudron (2), H Ayadi (1), V Bodiguel (3), M Bendaoud (3), F Harnois (1), C Locher (1,4)<br \/>\n(1) Service de Gastro ent\u00e9rologie GHEF site de Marne la Vall\u00e9e<br \/>\n(2) Service de Dermatologie GHEF site de Marne la Vall\u00e9e<br \/>\n(3) Service d\u2019Anatomopathologie GHEF site de Marne la Vall\u00e9e<br \/>\n(4) Service de Gastro ent\u00e9rologie GHEF site de Meaux<br \/>\n<\/em><\/p>\n<p><b> Gastroent\u00e9rologie <\/b> &#8211; 01\/05\/2023 &#8211;  Cas clinique<\/p>\n<p>Madame C. 69 ans est suivie dans le cadre d\u2019un m\u00e9lanome initialement localis\u00e9, BRAF mut\u00e9, diagnostiqu\u00e9 en novembre 2020. En novembre 2021, des m\u00e9tastases cutan\u00e9es, gingivales, ganglionnaires et pulmonaires sont diagnostiqu\u00e9es et un traitement par th\u00e9rapie cibl\u00e9e est d\u00e9but\u00e9 en f\u00e9vrier 2022, associant un anti BRAF (Encorafenib) et un anti MEK (Binimetinib).<br \/>\nLe Pet scan de novembre 2022 montrait une r\u00e9ponse m\u00e9tabolique et morphologique mais aussi l\u2019apparition d\u2019une plage digestive mod\u00e9r\u00e9ment hyper-m\u00e9tabolique du tiers moyen du colon droit et des ad\u00e9nopathies iliaques primitives droites et une coloscopie \u00e9tait programm\u00e9e.<br \/>\nUne semaine avant la coloscopie, elle est adress\u00e9e aux urgences pour des rectorragies avec d\u00e9globulisation \u00e0 5.5 g\/dl et syndrome inflammatoire avec hyperleucocytose \u00e0 12 000 et CRP \u00e0 81. Le scanner abdomino pelvien montre un \u00e9paississement pari\u00e9tal \u00e9tendu de l&rsquo;angle droit au caecum, et sur 5 cm de la derni\u00e8re anse il\u00e9ale associ\u00e9e \u00e0 une infiltration et des ad\u00e9nom\u00e9galies du m\u00e9so-colon.<br \/>\nLors de la coloscopie, ce n\u2019est pas une l\u00e9sion tumorale mais\u2026une colite grave.<br \/>\nMais elle n\u2019est pas sous immunoth\u00e9rapie ? Ce n\u2019est pas comme d\u2019habitude\u2026<br \/>\nL\u2019iconographie et la revue de la litt\u00e9rature seront pr\u00e9sent\u00e9es lors du congr\u00e8s<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2023 S Helias (1), S Gaudron (2), H Ayadi (1), V Bodiguel (3), M Bendaoud (3), F Harnois (1), C Locher (1,4) (1) Service de Gastro ent\u00e9rologie GHEF site de Marne la Vall\u00e9e (2) Service de Dermatologie GHEF site de Marne la Vall\u00e9e (3) Service d\u2019Anatomopathologie GHEF site de Marne la Vall\u00e9e (4) Service de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[36],"class_list":["post-2471","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-36"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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