Conclusion
Sur le plan clinique, les ponctions pancréatiques ont un grand intérêt diagnostique. Le développement des ponctions sous échoendoscopie est lié à la mise en place de protocoles de radio-chimiothérapie pour les patients opérables ou non, porteurs d’un adénocarcinome et le développement de chimiothérapies spécifiques des tumeurs endocrines. Le matériel de ponction est précieux et le pathologiste doit tirer le maximum de renseignements, les résultats sont à discuter avec le clinicien. Un diagnostic est souvent possible, mais nécessite une interprétation rigoureuse. Les échecs sont liés à la non représentativité et aux altérations cellulaires.
Conclusion
Clinically, fine-needle biopsy of the pancreas is an important diagnostic tool. The development of EUS-guided biopsy is related to the development of radio-chemotherapy protocols for patients with operable or non-operable adenocarcinomas and to the development of specific chemotherapy regimens for endocrine tumors. The aspiration product provides precious pathological information for the clinician. The diagnosis is often possible, but is not necessarily perfectly rigorous. Diagnostic failures result from non-representative biopsies and cellular alterations.
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Monges, G. Ponction guidée sous échoendoscopie. Acta Endosc 31, 31–36 (2001). https://doi.org/10.1007/BF03023649
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DOI: https://doi.org/10.1007/BF03023649