Résumé
L’apparition de la ponction dirigée sous échoendoscopie, a complètement transformé la prise en charge des maladies néoplasiques et en particulier la prise en charge des tumeurs du pancréas. En effet, le pancréas est un organe difficile à prélever sur un plan histologique. Le risque d’essaimage sur le trajet de l’aiguille, au cours des ponctions guidées sous échographie ou sous scanner, a également contribué au développement des ponctions sous échoendoscopie.
Si l’on veut répondre à la question «faut-il toujours ponctionner ?», il faut d’abord évaluer les raisons qui doivent conduire à la ponction et les éléments décisionnels de la ponction sous échoendoscopie.
Summary
The development of ultrasound guided fine needle aspiration (EUS-FNA) thoroughly modified the management of neoplastic pathology and particularly the management of pancreatic tumours. As a matter of fact, samples for histology are difficult to obtain on pancreas. The risk of tumour seeding on the pathway of the needle, during US or scanner guided biopsies largely contributed to the development of EUS FNA.
Before answering the question “is EUS-FNA always required?” it is first of all necessary to evaluate the reasons which should lead to perform EUS-FNA and the decisionmaking elements related to this technique.
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Barthet, M., Gasmi, M. Masses solides pancréatiques: faut-il toujours ponctionner?. Acta Endosc 35, 17–24 (2005). https://doi.org/10.1007/BF03002643
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DOI: https://doi.org/10.1007/BF03002643