Résumé
Au cours de ces dix dernières années la PGEE, technique qui permet par aspiration à l’aiguille fine d’obtenir du matériel pour analyse cytohistologique, a démontré son efficacité et son innocuité dans le diagnostic des masses péridigestives. Sa simplicité et ses performances ont permis à l’EE de s’imposer par rapport aux autres techniques d’imagerie et de devenir incontournable en particulier dans le domaine de la cancérologie. Son application en pathologie médiastinale en est la meilleure illustration, avec un impact démontré sur la prise en charge thérapeutique, à condition de bien connaître les indications et d’optimiser les conditions de prélèvement par une bonne connaissance du matériel à ponction.
Summary
Within the past ten years the efficacy and safety of FNAB, mean of tissue acquisition via fine needle aspiration, have been demonstrated for the diagnosis of peridigestive masses. Its simplicity and performance have allowed the ultrasonography to become indispensable compared to the other imaging modalities particularly in cancerology. Its role in mediastinal disease management is one of the best demonstration of its usefulness, with demonstrated clinical impact when the good indications and optimizing needle technique are known.
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Pujol, B. Ponction guidée sous échoendoscopic (PGEE) et pathologie médiastinale : quelles aiguilles pour quelles cibles?. Acta Endosc 34, 23–26 (2004). https://doi.org/10.1007/BF03008970
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DOI: https://doi.org/10.1007/BF03008970