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L’échoendoscopie peut-elle influencer la prise en charge et l’évolution du cancer pancréatique?

Can endoscopic ultrasonography influence management and outcome of pancreatic cancer?

  • Published:
Acta Endoscopica

Résumé

La prise en charge du cancer pancréatique concerne surtout les patients présentant une tumeur potentiellement résécable. Les informations fournies par l’échoendoscopie permettent une approche thérapeutique multidisciplinaire en fonction de la stadification TNM. Cependant cette approche sélective ne peut modifier l’évolution clinique que si les traitements proposés sont efficaces. Une approche thérapeutique multidisciplinaire dépendant du stade d’envahissement devrait permettre d’améliorer le pronostic des patients présentant un cancer pancréatique.

Puisque l’USE est devenue la technique la plus fiable pour l’évaluation du cancer pancréatique, l’utilisation de la classification TNM basée sur l’USE devrait permettre des nouveaux progrès grâce à l’application de traitements mieux sélectionnés.

Summary

The greatest influence endoscopic ultrasonography (EUS) has on clinical management of pancreatic cancer is on patients with potentially resectable tumors. EUS provides an important link between the TNM staging method and multimodal selective treatment concepts. But, changes in management may not influence clinical outcome unless treatment is effective. With rational, stage dependent application of multi modal selective treatment concepts, clinical outcome of patients with pancreatic cancer will improve. Since the emergence of EUS as the most accurate single test for imaging pancreatic disease, the accurate TNM staging of pancreatic tumors with EUS will allow further advances in selectively applied treatment.

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Références

  1. SNADY H. — The role of endoscopic ultrasonography in diagnosis, staging, and outcomes of gastrointestinal diseases.The Gastroenterologist. 1994,2, 91- 110.

    PubMed  CAS  Google Scholar 

  2. SNADY H., COOPERMAN A., SIEGEL J. — Endoscopic ultrasonography compared with computed tomography with ERCP in patients with obstructive jaundice or small peripancreatic mass.Gastrointest. Endosc., 1992,38, 27–34.

    PubMed  CAS  Google Scholar 

  3. SNADY H. — Clinical utility of endoscopic ultrasonography for pancreatic tumors.Endoscopy, 1993,16, 182–184.

    Google Scholar 

  4. MURR M., SARR M., OISHI A., VAN HEERDEN J. — Pancreatic cancer.CA Cancer J. Clin., 1994,44, 304–318.

    Article  PubMed  CAS  Google Scholar 

  5. BALEN F., LITTLE A., SMITH A., THEIS B., ABRAMS K., HOUGHTON J., HATFIELD A., RUSSEL R., LEES W. — Biopsy of inoperable pancreatic tumors does not adversely influence patient survival time.Radiology, 1994,193, 753–5.

    PubMed  CAS  Google Scholar 

  6. WADE T., RADIORD D., VIRGO K., JOHNSON F. — Complications and outcomes in the treatment of pancreatic adenocarcinoma in the United States veteran.J. Am. Coll. Surg., 1994,179, 38–48.

    PubMed  CAS  Google Scholar 

  7. HERTER F. P., COOPERMAN A.M., AHLBORN T.N., ANTINORI C. — Surgical experience with pancreatic and periampullary cancer.Ann. Surg., 1982,195, 3: 274–281.

    Article  PubMed  CAS  Google Scholar 

  8. SIEGEL J.H., SNADY H. — The significance of endoscopically placed prostheses in the management of biliary obstruction due to carcinoma of the pancreas: Results of non-operative decompression in 227 patients.Am. J. Gastroenterol., 1986,81, 634–41

    PubMed  CAS  Google Scholar 

  9. WARSHAW A.L., FERNANDEZ-DEL CASTILLO C. — Medical progress — pancreatic carcinoma.N. Engl. J. Med., 1992,326, 455–465.

    PubMed  CAS  Google Scholar 

  10. COOPERMAN A. — When is surgery indicated as the inital-treatment for pancreatic neoplasm? In: SNADY H., LAMBROZA A. Clinical endoscopy: practice and opinions. New York Society for Gastrointestinal Endoscopy — postgraduate course. 1994, p. 37.

  11. BRUCKNER H., KALNICKI S., DALTON J., SNADY H., SCHWARTZ G., CHESSER M., LEHRER D., MANDELI J., HARPAZ N., JANUS C. — Survival after combined modality therapy for pancreatic cancer.J. Clin. Gastroenterol., 1993,16, 199–203.

    Article  PubMed  CAS  Google Scholar 

  12. MANABE T., TOBE T. — Progress in the diagnosis and treatment of pancreatic cancer — the Kyoto University experience.Hepatogasroenterology, 1989,36, 431–436.

    CAS  Google Scholar 

  13. RATTNER D. W. — Pancreatic cancer in 1992: Has any progress been noted?Mayo. Clin. Proc., 1992,67, 907–909.

    PubMed  CAS  Google Scholar 

  14. WATANAPA P., WILLIAMSON R.C.N. — Surgical palliation for pancreatic cancer: developments during the past two decades.Brit. J. Surg., 1992,79, 8–20.

    Article  PubMed  CAS  Google Scholar 

  15. SNADY H. — Endoscopic ultrasonography: an effective new tool for diagnosing gastrointestinal tumors.Oncology, 1992,6, 63–74.

    PubMed  CAS  Google Scholar 

  16. NEFF R. — What are the roles of CT, MRI, EUS, endoscopy and angiography in staging pancreatic neoplasm? In: SNADY H., LAMBROZA A. Clinical endoscopy: practice and opinions. New York Society for Gastrointestinal Endoscopy — postgraduate course. 1994, p 37.

  17. ROSCH T., LORENZ R., BRIAG C., FEUERBACH S., SIEWERT J.R., SCHUSDZIARRA V., CLASSEN M. — Endoscopic ultrasound in pancreatic tumor diagnosis.Gastrointest. Endosc., 1991,37, 347–352.

    Article  PubMed  CAS  Google Scholar 

  18. YASUDA K., MUKAI H., FUJIMOTO S., NAKAJIMA M., KAWAI K. — The diagnosis of pancreatic cancer by endoscopic ultrasonography.Gastrointest. Endosc., 1988,34, 1–8.

    PubMed  CAS  Google Scholar 

  19. CALETTI G., ODEGARD S., ROSCK T., SIVAK M.V., TIO T.L., YASUDA K. — Endoscopic ultrasonography (EUS): a summary of the conclusion of the working party for the Tenth World Congress of Gastroenterology Los Angeles, California October, 1994.Am. J. Gasroenterol., 1994,89, S138-S143.

    CAS  Google Scholar 

  20. WATANAPA P., WILLIAMSON R.C.N. — Surgical palliation for pancreatic cancer: Developments during the past two decades.Brit. J. Surg. 1992,79, 8–20

    Article  PubMed  CAS  Google Scholar 

  21. YEO C.J., CAMERON J.L., LILLEMOE K.D., SITMANN J.V., HRUBAN R.H., GOODMAN S.N., DOOLEY W.C., COLEMAN J., PITT H.A. Pancreaticoduodenectomy for cancer of the head of the pancreas.Ann. Surg., 1995,221, 721–733.

    Article  PubMed  CAS  Google Scholar 

  22. SNADY H., BRUCKNER H., SIEGEL J., COOPERMAN A., CHESSER M., KIEFER L. — Influence of combined chemotherapy, radiotherapy and surgery on survival of patients-with unresectable pancreatic carcinoma using computed tomography and endoscopic ultrasound to select treatment.Gastroenterol., 1994,106, A28.

    Google Scholar 

  23. WEESE J., NUSSBAUM M., PAUL A., ENGSTROM P., SOLIN L., KOVWALYSHYN M. — Increased resectability of locally advanced pancreatic and periampullary carcinoma with neoadjuvant chemoradiotherapy.Int. J. Pancreatol., 1990,7, 177–85.

    PubMed  CAS  Google Scholar 

  24. YEUNG R., WEESE J., HOFFMAN J., SOLIN L., PAUL A., ENGSTROM P., LITWIN S. — Neoadjuvant chemoradiotherapy in pancreatic and duodenal carcinoma. A phase II Study.Cancer, 1993,72, 2124–33

    Article  PubMed  CAS  Google Scholar 

  25. HOFFMANN J.P., WOESE J.L., SOLIN L.J., ENGSTROM P., LITWIN S., LISENBERG B.I. — A pilot study of preoperative chemoradiation for patients with advanced, localized adenocarcinoma of the pancreas.Gastroenterol., 1994, 106, p. 74.

    Google Scholar 

  26. EVANS D., RICH T., BYRD D., CLEARY K., CONNELLY J., LEVIN B. — Preoperative chemoradiation and pancreaticoduodenectomy for adenocarcinoma of the pancreas.Arch. Surg., 1992,127, 1335–9.

    PubMed  CAS  Google Scholar 

  27. MERRICK W., DOBELBOWER R. — Aggressive therapy for cancer of the pancreas. Does it help?Gasroenterol. Clin. N. Am., 1990,19, 935–62.

    Google Scholar 

  28. DOUGLASS H. — Current approaches to multimodality management of advanced pancreatic cancer.Hepatogastroenterology, 1993,40, 433–42.

    PubMed  CAS  Google Scholar 

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Author notes

  1. H. Snady M.D., Ph., D.

    Present address: Pancreatobiliary Study Group, 22 East 88th Street, New York, N.Y.

Authors and Affiliations

  1. Pancreatobiliary Study Group, 22 East 88th Street, New York, N.Y.

    A. Cooperman, H. Bruckner & J. Paradiso

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  1. H. Snady M.D., Ph., D.
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  2. A. Cooperman
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  3. H. Bruckner
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  4. J. Paradiso
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Snady, H., Cooperman, A., Bruckner, H. et al. L’échoendoscopie peut-elle influencer la prise en charge et l’évolution du cancer pancréatique?. Acta Endosc 25, 519–529 (1995). https://doi.org/10.1007/BF02966489

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  • DOI: https://doi.org/10.1007/BF02966489

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