{"id":3995,"date":"2025-12-29T19:28:01","date_gmt":"2025-12-29T18:28:01","guid":{"rendered":"https:\/\/cipad.fr\/?page_id=3995"},"modified":"2026-01-04T17:13:45","modified_gmt":"2026-01-04T16:13:45","slug":"interventions-senologiques","status":"publish","type":"page","link":"https:\/\/cipad.fr\/index.php\/interventions-senologiques\/","title":{"rendered":"Interventions s\u00e9nologiques"},"content":{"rendered":"\t\t
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S\u00e9nologie dans l\u2019Ain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Interventions s\u00e9nologiques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La s\u00e9nologie interventionnelle englobe un ensemble de proc\u00e9dures sp\u00e9cialis\u00e9es qui visent \u00e0 diagnostiquer et traiter les pathologies du sein. Parmi elles, on retrouve la biopsie mammaire, qui permet d\u2019analyser des tissus pour d\u00e9terminer la pr\u00e9sence de cellules anormales.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\"\"<\/figure>

Qu\u2019est-ce que la s\u00e9nologie interventionnelle ?<\/h3>

La s\u00e9nologie interventionnelle joue un r\u00f4le essentiel dans le\u00a0diagnostic\u00a0et la\u00a0prise en charge globale\u00a0des patientes atteintes de diverses pathologies mammaires. Elle permet d\u2019obtenir des\u00a0diagnostics pr\u00e9cis\u00a0(l\u00e9sions mammaires b\u00e9nignes ou malignes) et de proposer des\u00a0options de traitement moins invasives. Ainsi, elle contribue \u00e0 am\u00e9liorer les r\u00e9sultats cliniques tout en r\u00e9duisant les risques et les complications associ\u00e9s aux interventions chirurgicales.\n\nLes radiologues sp\u00e9cialis\u00e9s en s\u00e9nologie interventionnelle utilisent plusieurs modalit\u00e9s d\u2019imagerie telles que la\u00a0mammographie, l\u2019\u00e9chographie\u00a0et parfois l\u2019IRM\u00a0pour guider les interventions.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Dans quels cas avoir recours \u00e0 la s\u00e9nologie interventionnelle ?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Il est possible d\u2019avoir recours \u00e0 la s\u00e9nologie interventionnelle en pr\u00e9sence de\u00a0sympt\u00f4mes mammaires<\/strong>\u00a0tels que :<\/p>

  • \u00c9coulements anormaux au niveau du mamelon,<\/li>
  • Douleurs ou sensations de chaleur localis\u00e9e au niveau du sein,<\/li>
  • Pr\u00e9sence d\u2019une masse dense,<\/li>
  • Changement de l\u2019aspect du sein, de sa forme ou de sa couleur,<\/li>
  • Apparition de plis sur le sein, etc\u2026<\/li><\/ul>

    Elle est indiqu\u00e9e dans les cas suivants :<\/p>

    • D\u00e9pistage et diagnostic des l\u00e9sions<\/strong>\u00a0canc\u00e9reuses mammaires, des tumeurs b\u00e9nignes (ad\u00e9nofibrome), des kystes intramammaires, des anomalies des ganglions axillaires, des microcalcifications\u2026<\/li>
    • Rep\u00e9rage pr\u00e9op\u00e9ratoire<\/strong>\u00a0des l\u00e9sions \u00e0 pr\u00e9lever,<\/li>
    • Traitements minimalement invasifs<\/strong>\u00a0tels que la cryoablation, la radiofr\u00e9quence et l\u2019ablation au laser, etc\u2026<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Quelles proc\u00e9dures sont r\u00e9alis\u00e9es dans le cadre de la s\u00e9nologie interventionnelle ?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Les interventions s\u00e9nologiques comprennent les proc\u00e9dures suivantes :<\/p>

      • Les biopsies mammaires<\/strong>\u00a0sous guidage radiologique, o\u00f9 des \u00e9chantillons de tissu sont pr\u00e9lev\u00e9s pour \u00eatre analys\u00e9s au microscope afin de d\u00e9terminer la pr\u00e9sence de cellules canc\u00e9reuses. Ces biopsies peuvent \u00eatre r\u00e9alis\u00e9es \u00e0 l\u2019aide d\u2019aiguilles fines (microbiopsie<\/strong>) ou \u00e9paisses (macrobiopsie<\/strong>), selon les indications.<\/li>
      • Les cytoponctions<\/strong>\u00a0avec une aiguille fine, sont r\u00e9serv\u00e9es \u00e0 l\u2019\u00e9tude des ganglions (vis\u00e9e diagnostique) ou \u00e0 l\u2019\u00e9vacuation d\u2019un kyste g\u00eanant ou douloureux (vis\u00e9e th\u00e9rapeutique).<\/li>
      • Le rep\u00e9rage pr\u00e9op\u00e9ratoire<\/strong>\u00a0a pour but d\u2019aider le chirurgien \u00e0 pr\u00e9lever une l\u00e9sion non palpable. Le geste est r\u00e9alis\u00e9 en g\u00e9n\u00e9ral dans les 24 heures qui pr\u00e9c\u00e8dent l\u2019acte chirurgical, en introduisant dans le sein, apr\u00e8s d\u00e9sinfection et anesth\u00e9sie locale, un fil de rep\u00e9rage au centre de la l\u00e9sion, sous contr\u00f4le mammographique (en cas de microcalcifications) ou \u00e9chographique (en pr\u00e9sence de masses).<\/li>
      • Les proc\u00e9dures de traitement minimalement invasives<\/strong>\u00a0telles que la cryoablation, la radiofr\u00e9quence et l\u2019ablation au laser. Ces techniques sont utilis\u00e9es pour traiter des l\u00e9sions b\u00e9nignes du sein telles que les fibroad\u00e9nomes, ainsi que certaines tumeurs mammaires pr\u00e9coces.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        Biopsie mammaire\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        l existe\u00a0deux techniques<\/strong>\u00a0de biopsie mammaire fr\u00e9quemment pratiqu\u00e9es :<\/p>

        • Les microbiopsies<\/strong>\u00a0sont g\u00e9n\u00e9ralement effectu\u00e9es\u00a0sous contr\u00f4le \u00e9chographique<\/strong>\u00a0pour explorer une masse suspecte.<\/li>
        • Les macrobiopsies<\/strong>\u00a0sont le plus souvent r\u00e9alis\u00e9es sous guidage st\u00e9r\u00e9otaxique (mammographique) afin d\u2019analyser notamment des microcalcifications d\u00e9tect\u00e9es en mammographie. Les pr\u00e9l\u00e8vements sont r\u00e9alis\u00e9s \u00e0 l\u2019aide d\u2019une aiguille sous aspiration. A la suite de ces pr\u00e9l\u00e8vements un clip (petit rep\u00e8re en titane) est laiss\u00e9 en place \u00e0 l\u2019endroit exact de la zone biopsi\u00e9e qui servira pour le rep\u00e9rage pr\u00e9op\u00e9ratoire en cas d\u2019indication chirurgicale. Dans le cas o\u00f9 la l\u00e9sion est b\u00e9nigne, cette technique permet d\u2019\u00e9viter un geste chirurgical.<\/li><\/ul>

          Les pr\u00e9l\u00e8vements tissulaires sont ensuite adress\u00e9s au\u00a0laboratoire d\u2019anatomopathologie<\/strong>\u00a0pour une analyse microscopique. Les r\u00e9sultats sont communiqu\u00e9s sous 7 \u00e0 10 jours directement au m\u00e9decin r\u00e9f\u00e9rent.<\/p>

          Ces proc\u00e9dures sont r\u00e9alis\u00e9es en\u00a0ambulatoire<\/strong>\u00a0et sous\u00a0anesth\u00e9sie locale<\/strong>. Les complications comprennent essentiellement des h\u00e9matomes et plus rarement des infections.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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          S\u00e9nologie dans l\u2019Ain Interventions s\u00e9nologiques La s\u00e9nologie interventionnelle englobe un ensemble de proc\u00e9dures sp\u00e9cialis\u00e9es qui visent \u00e0 diagnostiquer et traiter les pathologies du sein. Parmi elles, on retrouve la biopsie mammaire, qui permet d\u2019analyser des tissus pour d\u00e9terminer la pr\u00e9sence de cellules anormales. Qu\u2019est-ce que la s\u00e9nologie interventionnelle ? La s\u00e9nologie interventionnelle joue un r\u00f4le […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-3995","page","type-page","status-publish","hentry"],"yoast_head":"\nInterventions s\u00e9nologiques - CIPAD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cipad.fr\/index.php\/interventions-senologiques\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Interventions s\u00e9nologiques - CIPAD\" \/>\n<meta property=\"og:description\" content=\"S\u00e9nologie dans l\u2019Ain Interventions s\u00e9nologiques La s\u00e9nologie interventionnelle englobe un ensemble de proc\u00e9dures sp\u00e9cialis\u00e9es qui visent \u00e0 diagnostiquer et traiter les pathologies du sein. Parmi elles, on retrouve la biopsie mammaire, qui permet d\u2019analyser des tissus pour d\u00e9terminer la pr\u00e9sence de cellules anormales. Qu\u2019est-ce que la s\u00e9nologie interventionnelle ? 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