Poster électronique

Critères de résécabilité du cancer du pancréas : place du scanner
C. Prost, J. Soussan, T. Bège, V. Moutardier, S. Garcia, M. Panuel, K. Chaumoitre - Marseille - France
Congrès 2011
Résumé
Objectifs pédagogiques
Connaître le protocole d'exploration optimal pré-opératoire d'un cancer du pancréas.
Savoir et comprendre les critères de non résécabilité absolus et relatifs d'une tumeur du pancréas grâce à une mise en perspective par rapport aux différents temps du geste chirurgical.
Connaître les variantes anatomiques vasculaires à signaler avant la chirurgie.
Messages à retenir
Le bilan de résécabilité doit être complet et précis pour planifier au mieux le geste et éviter de tenter une chirurgie qui ne pourra pas être complète.
Les critères de non résécabilité absolus sont : thrombose et/ou cavernome portal, carcinose péritonéale, métastases, envahissement de la lame rétro-portale, envahissement de l'artère mésentérique supérieure, du tronc cœliaque et/ou de l'artère hépatique, adénopathies à distance.
Les critères de non résécabilité relatifs sont l'envahissement des axes veineux.
La tumeur reste résécable : en cas de ganglions suspects (>10 mm de petit axe) au contact du pancréas et d'envahissement de l'artère ou de la veine splénique.
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2017-09-01 00.17 :
Lisa Calabrese

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2017-04-12 10.31 :
Ann Tabares

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