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La cytologie exfoliatrice œsophagienne à I’aveugle par capsule abrasive dans la surveillance des patients à haut risque de cancer œsophagien

Blind brushing oesophageal cytology with abrasive capsule in surveillance of high risk patients of esophageal cancer

  • Published:
Acta Endoscopica

Résumé

Le diagnostic précoce du cancer œsophagien est, à l’heure actuelle, la seule possibilité de traitement efficace de ce néoplasme particulièrement fréquent dans la partie Nord-orientale de l’Italie. Son pronostic est décourageant, mais des résultats très intéressants paraissent possibles grâce au traitement des lésions découvertes à un stade initial. Selon de nombreuses études, la cytologie

exfoliatrice constitue la meilleure méthode de diagnostic précoce du cancer œsophagien. Les auteurs rapportent leur expérience d’une nouvelle technique de cytologie exfoliatrice œsophagienne à l’aveugle et soulignent l’utilité diagnostique de cette é capsule abrasive é.

L’impossibilite ďeffectuer un dépistage de masse dans l’ensemble de la population de la région concernée, conduit à proposer une surveillance sélective dans des groupes que l’épidémiologie considère comme exposés à un haut risque de cancer œsophagien.

Summary

At the moment, early diagnosis of oesophageal cancer is the only chance for an effective therapy of this disease, particulary frequent in North-East Italy. Its prognosis appears generally very poor, but satisfactory results can be achieved in the treatment of lesions at an early stage. In the experience of many authors blind exfoliative cytology appears to be the most useful method in order to detect them. In this paper the authors describe their experience in this field with a new blind brushing oesophageal device and underline the diagnostic usefulness of the blind oesophageai cytological study by means of é abrasive capsule é.

Moreover, because it is impossible to carry out mass-screening among the people of their country area, the authors emphazise the importance of cytological surveillance among the patients who offer a greater probability to develop oesophageal malignancies.

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Authors and Affiliations

  1. Clinica chirurgica, Policlinico universitari, Padova, Italie

    M. Costantini, C. Tremolada, M. Tiozzo, A. Nosadini, G. Zaninotto, L. Norberto & A. Peracchia

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  1. M. Costantini
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  2. C. Tremolada
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  3. M. Tiozzo
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  4. A. Nosadini
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  5. G. Zaninotto
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  6. L. Norberto
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  7. A. Peracchia
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Additional information

Tirés à part: Dr M. Costantini, Department of Surgery, University of Padua, Via N. Giustiniani 2, 35100 Padua (Italy).

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Costantini, M., Tremolada, C., Tiozzo, M. et al. La cytologie exfoliatrice œsophagienne à I’aveugle par capsule abrasive dans la surveillance des patients à haut risque de cancer œsophagien. Acta Endosc 15, 319–326 (1985). https://doi.org/10.1007/BF02966125

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  • DOI: https://doi.org/10.1007/BF02966125

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