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Qu’apporte l’échoendoscopie dans le cancer du pancréas?

What is the contribution of endoscopic ultrasonography to the management of pancreatic cancer?

  • Published:
Acta Endoscopica

Conclusion

L’EE est actuellement l’examen le plus précis pour le diagnostic de petites lésions pancréatiques (<25 mm), le développement de la ponction guidée a permis d’augmenter la spécificité de l’EE. Néanmoins, l’EE reste très opérateur dépendante et son résultat doit toujours être intégré dans une prise en charge thérapeutique multidisciplinaire, surtout depuis l’apparition de nouvelles armes thérapeutiques comme la radio-chimiothérapie préopératoire [30], l’utilisation de nouvelles drogues chimiques comme la Gemcitabine [31] et la thérapie cellulaire guidée par échoendoscopie [32].

Conclusion

Endoscopic ultrasonography is the most precise exploration for the diagnosis of small pancreatic lesions measuring less than 25 mm. The development of EUS-guided biopsy has further improved the diagnostic specificity. Nevertheless, EUS remains highly operator-dependent and the result must always be integrated into a multidisciplinary approach to therapeutic management, particularly since the advent of new therapeutic methods such as preoperative radiochemotherapy [30] and the use of new drugs such as gemcitabine [31] and EUS-guided cell therapy [32].

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  1. Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009, Marseille, France

    M. Giovannini

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Giovannini, M. Qu’apporte l’échoendoscopie dans le cancer du pancréas?. Acta Endosc 31, 43–55 (2001). https://doi.org/10.1007/BF03023651

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