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La surveillance pour cancer colique dans la colite ulcéreuse

Colon cancer surveillance in ulcerative colitis

  • Published:
Acta Endoscopica

Résumé

La prise en charge du patient porteur d’une pancolite ulcéreuse de longue durée est principalement orientée vers la prévention du cancer dans cette catégorie de malades à haut risque. La colectomie prophylactique, fondée seulement sur la durée de la maladie, n’est pas une attitude acceptable puisqu’un sous-groupe de patients à risque plus élevé peut être déterminé par l’étude histologique des biopsies obtenues par voie coloscopique. L’indication de la colectomie est basée sur la mise en évidence d’un cancer colique ou d’une dysplasie confirmée, lésion connue comme étant un précurseur du carcinome.

Summary

Modem management of the patient with long- standing universal ulcerative colitis is mainly directed toward the prevention of cancer in this high- risk population group. Prophylactic colectomy based on naught but the duration of disease is not a currently acceptable approach since a sub group of patients at greater risk can be identified by histologic study of colonoscopically obtained tissue specimens. The need for colectomy should be based on the endoscopic discovery of colon cancer or a confirmed diagnosis of dysplasia, a known precursor lesion to carcinoma.

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  1. J. D. Waye

    Present address: Gastrointestinal Endoscopy Unit, Lenox Hill Hospital, New York, NY, USA

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  1. Clinical Professor of Medicine, Mount Sinai School of Medicine, CUNY, USA

    J. D. Waye

  2. Gastrointestinal Endoscopy Unit, Mount Sinai Hospital, USA

    J. D. Waye

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Waye, J.D. La surveillance pour cancer colique dans la colite ulcéreuse. Acta Endosc 17, 129–136 (1987). https://doi.org/10.1007/BF02968598

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