Résumé
Le cancer colorectal est un cancer fréquent dans nos pays du Nord de l’Europe; la mortalité reste élevée malgré de nombreuses et nouvelles possibilités thérapeutiques.
Le dépistage de masse, dont le but est de réduire la mortalité de ce cancer, devrait être une priorité politique à l’échelon national.
Les techniques de dépistage sont nombreuses, plus ou moins invasives mais aucune ne fait l’objet de recommandations unanimes.
A l’avenir, les progrès de la technologie médicale dans les domaines de l’imagerie, de l’endoscopie et de la biologie moléculaire devraient permettre un dépistage plus efficace tout en restant tolérable par le patient ainsi que sur le plan du coût.
Summary
Colorectal cancer is the second leading cause of death in Northern countries and needs a national screening program to reduce mortality and improve quality of life.
Screening has to be cost-effective and acceptable for patients. Many screening tools, invasive or not, are existing and often debated: FOBT, sigmoidoscopy and complete colonoscopy.
New tools are in development and have to be evaluated in current practice: virtual colonoscopy, new endoscopic technologies, DNA on faeces or proteomics with markers in serum.
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Piront, P., Louis, E., Belaiche, J. et al. Dépistage du cancer colorectal en 2006. Acta Endosc 37, 305–313 (2007). https://doi.org/10.1007/BF02961920
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DOI: https://doi.org/10.1007/BF02961920