Place de l’échoendoscopie pancréatique dans la prise en charge des tumeurs intracanalaires papillaires et mucineuses du pancréas (TIPMP) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-12

AUTHORS

M. Barraud-Blanc, P. Grandval, C. Boustière, R. Laugier, A. Laquière

ABSTRACT

Environ 10 % de la population de plus de 70 ans est atteinte d’une lésion kystique du pancréas. Les tumeurs intracanalaires papillaires et mucineuses du pancréas (TIPMP) et les cystadénomes mucineux font partie des tumeurs kystiques pancréatiques qui ont un risque de dégénérescence. l’échoendoscopie (EE) est au moins aussi sensible que l’IRM pour diagnostiquer une communication entre un kyste et un canal pancréatique. En cas de doute diagnostique, le dosage de l’ACE dans le liquide de ponction du kyste permet d’orienter vers une origine mucineuse. l’analyse cytologique est utile pour rechercher des cellules en dysplasie dans les TIPMP des canaux secondaires avec un kyste de 20–30 mm. Il est recommandé de réaliser une ponction après une antibioprophylaxie et arrêt des antiagrégants plaquettaires et anticoagulants. Grâce à sa haute résolution, l’EE est l’examen le plus performant pour rechercher des critères morphologiques de mauvais pronostic (taille des kystes, nodules muraux, épaississement pariétal). l’utilisation du contraste en EE permettrait de mieux différencier le mucus d’un nodule mural. La microscopie confocale et l’EE endocanalaire sont en cours d’évaluation. Des protocoles de surveillance des TIPMP ont été établis, mais leur rationnel scientifique est encore faible, c’est pourquoi une étude nationale est en cours. More... »

PAGES

367-377

References to SciGraph publications

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  • Journal

    TITLE

    Acta Endoscopica

    ISSUE

    6

    VOLUME

    44

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10190-014-0394-9

    DOI

    http://dx.doi.org/10.1007/s10190-014-0394-9

    DIMENSIONS

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