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Bilan de résécabilité des cancers pancréatiques par échoendoscopie: critères d’évaluation et performances

Assessing resectability of pancreatic cancers by endoscopic ultrasonography: criteria for evaluation and performances

  • Published:
Acta Endoscopica

Résumé

Une revue de la littérature est faite sur les performances de l’échoendoscopie pour le bilan d’extension local du cancer pancréatique, ces performances sont comparées à celles des autres techniques d’imagerie. L’échoendoscopie s’avère être la méthode la plus précise en ce qui concerne les petites tumeurs, le bilan d’extension des lésions dont la taille est supérieure à 4 cm étant correctement assuré par échographie externe et tomodensitométrie. Cette haute performance, permettant un bilan d’extension fiable, est obtenue au prix d’une expérience en échoendoscopie devant faire face à certaines nécessités techniques. Tous ces problèmes théoriques et pratiques rencontrés en échoendoscopie par le praticien pour le bilan local d’extension des cancers pancréatiques, notamment en fonction de leur localisation, sont abordés dans cet article. L’échoendoscopie devrait donc aider à améliorer la prise en charge des patients atteints de cancer pancréatique: une meilleure sélection des patients devrait être effectuée afin de détecter les tumeurs potentiellement résécables et d’orienter le traitement, soit vers une chirurgie d’exérèse à visée curative, soit d’emblée vers un traitement palliatif associé ou non à des traitements adjuvants.

Summary

A review of literature is made concerning the performances of endoscopic ultrasonography, for the local staging of pancreatic cancer, these performances are compared to those of other imaging procedures. Endoscopic ultrasonography appeared to be the most precise method for the staging of small tumors, staging of tumors more than 4 cm in size being correctly performed by external ultrasonography and Cf scan. This high performance is obtained pending an experience in endoscopic ultrasonography and its specific technical requirements. All the theoretical and practical problems met with endoscopic ultrasonography by the practitioner for local staging of pancreatic cancer, especially in its different localizations, are detailed in the present paper. Finally, endoscopic ultrasonography should help to improve the management of patients with pancreatic cancer: a better selection of patients should be done in order to detect potentially resectable tumors and then to propose either a surgical resection in a curative way, or a first line palliative treatment associated or not with adjuvant therapy.

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Références

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

    CAS  Google Scholar 

  2. SNADY H., COOPERMAN A., BRUCKNER H., PARADISO J. — L’échoendoscopie peut-elle influencer la prise en charge et l’évolution du cancer pancréatique?Acta Endoscopica, 1995,25, 519–529.

    Google Scholar 

  3. BUSCAIL L. — Endoscopic ultrasonography in pancreatobiliary disease using radial instruments.Gastrointestinal Endoscopy Clinics of North America, 1995,5, 781–787.

    PubMed  CAS  Google Scholar 

  4. GIOVANINNI M., SEITZ J.F. — Endoscopic ultrasonography with a linear-type echoendoscope in the evaluation of 94 patients with pancreatobiliary disease.Endoscopy, 1994,26, 579–591.

    Google Scholar 

  5. RÖSCH T., LORENZ R., BRAIG C., FEUERBACH S., SIEWERT J.R., SCHUDZIARRA V.et al. — Endoscopic ultrasound in pancreatic tumor diagnosis.Gastrointest. Endosc., 1991,11, 654–658.

    Google Scholar 

  6. PALAZZO L., ROSEAU G, GAYET B., VILGRAIN V., BELGHITI J., FEKETE F. — Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Comparison to ultra sound and CT scan.Endoscopy, 1993,25, 143–150.

    PubMed  CAS  Google Scholar 

  7. YASUDA K., MUKAI H., NAKAJIMA M., KAWAI K. — Staging of pancreatic carcinoma by endoscopic ultrasonography.Endoscopy, 1993,25, 151–155.

    PubMed  CAS  Google Scholar 

  8. BUSCAIL L., ESCOURROU J., MOREAU J., DELVAUX M., LOUVEL D., LAPEYRE F., TREGANT P., FREXINOS J. — Endoscopic ultrasonography in chronic pancreatitis: a comparative prospective study with conventional ultrasonography, computed tomography and ERCP.Pancreas, 1995,10, 251–256.

    Article  PubMed  CAS  Google Scholar 

  9. GIOVANINNI M., SEITZ J.F., MONGES G, PERRIER H. — Fine needle aspiration cytology guided by endoscopic ultrasonography. Result in 141 patients.Endoscopy, 1995,27, 171–177.

    Article  Google Scholar 

  10. MÜLLER M.F., MEYENBERGER C., BERTSCHINGER P., CHAER R., MARINCEK B. — Pancreatic tumors: evaluation with endoscopic US, CT, and MR imaging.Radiology, 1994,190, 745–751.

    PubMed  Google Scholar 

  11. NAKAIZUMI A., UEHARA H., IISHI H., TATSUTA M., KITAMURA T., KURODA C., OHIGASHI H., ISHIKAWA O., OKUDA S. — Endoscopic ultrasonography in diagnosis and staging of pancreatic cancer.Dig. Dis. Sci., 1995,40, 696–700.

    Article  PubMed  CAS  Google Scholar 

  12. MARTY O., AUBERTIN J.M., BOUILLOT J.L., HERNIGOU A., BLOCH F., PETITE J.P. — Comparaison prospective de l’échoendoscopie et de la tomodensitométrie dans le bilan d’extension loco-régionale de tumeurs malignes ampullaires et pancréatiques vérifiées chirurgicalement.Gastroenterol. Clin. Biol., 1995,19, 197–203.

    PubMed  CAS  Google Scholar 

  13. BRUGGE W.R. — Pancreatic cancer staging — Endoscopic ultrasonography criteria for vascular invasion.Gastrointestinal Endoscopy Clinics of North America, 1995,5, 741–753.

    PubMed  CAS  Google Scholar 

  14. RÖSCH T., CLASSEN M. — Pancreatic carcinoma —In: T. Rösch and M. Classen (ed) Gastroenterologic endosonography (textbook and atlas). Stuttgart, Georg Thieme Verlag, 1992, 114–133.

    Google Scholar 

  15. PAGES P., BUSCAIL L., BERTHELEMY P., FREXINOS J., ESCOURROU J. — Evaluation of endoscopic ultrasonography for prediction of pancreatic carcinoma resectability.Gastrointest. Endosc., 1996 A,

  16. BURTIN P., NAPOLÉON B. et le Club francais d’échoendoscopie digestive. — Standardisation des examens échoendoscopiques en cancérologie digestive.Gastroenterol. Clin. Biol., 1995,19, 7–14.

    PubMed  CAS  Google Scholar 

  17. GRIMM H., MAYDEO A., SOHENDRA N. — Endoluminal ultrasound for the diagnosis and staging of pancreatic cancer.Baillere’s Clin Gastroenterol, 1990,4, 869–887.

    Article  CAS  Google Scholar 

  18. TIO T.L., TYTGAT G.N.J., CIKOT R.J.L.M.et al. — Ampullopancreatic carcinoma: preoperative TNM classification with endosonography.Radiology, 1990,175, 455–461.

    PubMed  CAS  Google Scholar 

  19. KALLIMANIS G., ANXIOTIS E., PAPANTONIOU P.et al. — Endoscopic ultrasonography in preoperative TNM classification of pancreatic cancer.Endoscopy, 1992,24, 656 (abstract)

    Google Scholar 

  20. RÖSCH T., DITTLER H.J., LORENZ R.et al. — Endsonographisches Staging des pankreaskarzinoms.Dtsch med Wschr 1992,117, 563–569.

    PubMed  Google Scholar 

  21. WIERSEMA M., CHAK A., HAWES R.H.et al. — Evaluation of endosonography in distinguishing malignant from inflammatory pancreatic masses.Gastrointest Endosc., 1993,39, A336 (abstract).

  22. MÜLLER M.F., MEYENBERGER C., BERTSCHINGER P.et al. — Pancreatic tumors: Evaluation with endoscopic US, CT and MR imaging.Radiology, 1994,190, 745–751.

    PubMed  Google Scholar 

  23. AKASHOSHI K., CHIJIIWA Y., NAKANO I.et al. — Role of endosonography in diagnosis and staging of pancreatic cancer.Endoscopy, 1995,8, 612–615.

    Google Scholar 

  24. RÖSCH T., DITTLER H.J., STROBEL K.et al. — Local staging of pancreatic head cancer by endoscopic ultrasonography: A reevaluation using blind video-tape assessment. Endoscopy, 1995,27, 768 (abstract).

    Google Scholar 

  25. RÖSCH T. — Staging of pancreatic cancer. Analysis of literature Results.Gastrointest Endosc Clinics of North America, 1995,4, 735–739.

    Google Scholar 

  26. SUGIYAMA S., ASADA M., FJUITA R.et al. — Endoscopic ultrasonography in the diagnosis of pancreatic carcinoma.Endoscopy, 1990,36, 197 (abstract).

    Google Scholar 

  27. AMOUYAL P., PALAZZO L., AMOUYAL G.,et al. — Endosonography: promising method for diagnosis of extrahepatic cholestasis.Lancet 11, 1989, 1195–1198.

    Article  Google Scholar 

  28. SNADY H., COOPERMAN A., SIEGEL J.H. — Assessment of vascular involvement by pancreatic disease- a comparison of endoscopic ultrasonography to computerized tomography and angiography.Gastrointest Endosc, 1990,36, 197 (abstract).

    Google Scholar 

  29. RÖSCH T., BRAIG C., CAIN T.et al. — Staging of pancreatic and ampullary carcinoma by endoscopic ultrasonography.Gastroenterology, 1992,102, 188–199.

    PubMed  Google Scholar 

  30. KOBAYASHI G., FJUITA N., NODA Y.et al. — The evaluation of portal venous invasion of pancreatic cancer by endoscopic ultrasonography.Japanese J. of Gastroenterol, 1993,90, 49–56.

    CAS  Google Scholar 

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Author notes

  1. L. Buscail

    Present address: Service de Gastroentérologie et Nutrition, CHU Rangueil, Toulouse, France

Authors and Affiliations

  1. Service d’Hépato-gastroentérologie, Hôpital Beaujon, Clichy et Unité hépato-gastroentérologie Hôpital Laënnec, Paris, France

    L. Palazzo

  2. Service de Gastroentérologie Oncologique, Institut Paoli-Calmettes, Marseille, France

    M. Giovannini

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  1. L. Palazzo
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  2. M. Giovannini
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  3. L. Buscail
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Palazzo, L., Giovannini, M. & Buscail, L. Bilan de résécabilité des cancers pancréatiques par échoendoscopie: critères d’évaluation et performances. Acta Endosc 26, 331–343 (1996). https://doi.org/10.1007/BF02968846

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