L’anuscopie haute résolution (notice n° 1614960)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04474cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260111072549.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Spindler, Lucas |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | L’anuscopie haute résolution |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 13 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le carcinome épidermoïde de l’anus est secondaire à une infection persistante à HPV oncogène, principalement l’HPV16. Il est précédé de l’apparition et du développement de lésions précancéreuses. La Société Nationale Française de Colo-Proctologie a récemment émis des recommandations pour le dépistage et la prise en charge des lésions précancéreuses anales. L’anuscopie haute résolution est l’examen de référence pour le diagnostic de lésions précancéreuses anales. Il s’agit d’un examen de la muqueuse anale par coloration et magnification de l’image à l’aide d’un colposcope ou d’un matériel dédié. Elle nécessite une formation spécifique. L’examen est réalisé en consultation sans préparation préalable. Elle est deux à trois fois plus sensible que l’examen clinique avec anuscopie standard. Le diagnostic de lésion de haut grade est suspecté devant l’association d’anomalies de coloration, de vaisseaux anormaux et d’anomalies architecturales. Il doit être systématiquement confirmé histologiquement. L’anuscopie haute résolution est un outil de deuxième ligne dans le dépistage. Elle est réalisée après un résultat anormal aux tests de triage, le plus souvent une cytologie anale anormale chez des patients à très haut risque de cancer de l’anus, ou une recherche d’HPV 16 positive. Outre le diagnostic, l’anuscopie haute résolution permet le traitement ciblé des lésions précancéreuses. Enfin, elle est indiquée pour le suivi des patients après traitement de lésions de haut grade. La principale limite de l’anuscopie haute résolution est son accessibilité, avec seulement quelques dizaines de praticiens formés en France. Son développement doit être encouragé. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Anal squamous cell carcinoma is primarily caused by persistent infection with oncogenic human papillomavirus (HPV), especially HPV16. This infection leads to the development of precancerous lesions. The French National Society of Colo-Proctology has recently issued guidelines for the screening and management of anal precancerous lesions, emphasizing the central role of high-resolution anoscopy. High-resolution anoscopy is a procedure that examines the anal mucosa using magnification and staining techniques, typically with a colposcope or specialized equipment. It requires specific training and is performed in a consultation setting without prior preparation. High-resolution anoscopy is the gold-standard for detecting high-grade anal precancerous lesions, being two to three times more sensitive than standard clinical examination with conventional anoscopy. The diagnosis of high-grade lesions is suspected when there is an association of color abnormalities, abnormal vessels, and epithelial changes. Histological confirmation is systematically required. High-resolution anoscopy serves as a second-line tool in screening, performed after an abnormal triage test result, most often an abnormal anal cytology in patients at very high risk for anal cancer. In addition to diagnosis, high-resolution anoscopy allows for targeted treatment of precancerous lesions. It is also indicated for the follow-up of patients after treatment of high-grade lesions. The main limitation of high-resolution anoscopy is its limited accessibility, with only a few dozen trained practitioners. Its development should be encouraged. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anuscopie haute résolution |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cancer de l’anus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | frottis anal |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | HPV |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | lésions précancéreuses anales |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anal cancer |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anal pap smear |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anal precancerous lesions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | high-resolution anoscopy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | HPV |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lesage, Anne-Carole |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Laurain, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bouta, Najima |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Merle, Pauline |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Etienney, Isabelle |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 32 | 10 | 2026-01-05 | p. 1060-1069 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-hepato-gastro-oncologie-digestive-2025-10-page-1060?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-hepato-gastro-oncologie-digestive-2025-10-page-1060?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux