{"id":26226,"date":"2024-03-12T15:50:07","date_gmt":"2024-03-12T14:50:07","guid":{"rendered":"https:\/\/www.mylav.net\/?p=26226"},"modified":"2025-04-29T16:21:52","modified_gmt":"2025-04-29T14:21:52","slug":"prelevement-de-ganglions-lymphatiques-mandibulaires-mode-demploi","status":"publish","type":"post","link":"https:\/\/www.mylav.net\/fr\/pratique-clinique\/prelevement-de-ganglions-lymphatiques-mandibulaires-mode-demploi\/","title":{"rendered":"Pr\u00e9l\u00e8vement de ganglions lymphatiques mandibulaires: mode d’emploi"},"content":{"rendered":"

Chers confr\u00e8res, l’une des erreurs les plus fr\u00e9quemment commises par les cliniciens est le pr\u00e9l\u00e8vement de ganglions lymphatiques mandibulaires. Et ce, pour deux raisons principales:<\/p>\n

\"Pr\u00e9l\u00e8vement<\/p>\n

1) Le clinicien per\u00e7oit souvent une augmentation apparente du volume des ganglions lymphatiques dans cette r\u00e9gion, mais le mat\u00e9riel pr\u00e9lev\u00e9 s’av\u00e8re \u00eatre de l’\u00e9pith\u00e9lium glandulaire salivaire. Les deux structures anatomiques \u00e9tant tr\u00e8s proches et similaires, il est facile de confondre une glande salivaire particuli\u00e8rement bien palpable avec une lymphad\u00e9nom\u00e9galie localis\u00e9e.<\/p>\n

2) La seconde erreur est extr\u00eamement fr\u00e9quente lorsqu’un patient pr\u00e9sente une lymphad\u00e9nom\u00e9galie g\u00e9n\u00e9ralis\u00e9e et que le seul ganglion lymphatique pr\u00e9lev\u00e9 par le clinicien est le ganglion mandibulaire. Ces ganglions lymphatiques peuvent en effet pr\u00e9senter des formes tr\u00e8s intenses ou atypiques de lymphad\u00e9nom\u00e9galie r\u00e9active, capables d’imiter un lymphome \u00e0 l’examen cytologique, ce qui pose de s\u00e9rieux probl\u00e8mes d’interpr\u00e9tation.<\/p>\n

Par cons\u00e9quent, dans tous les cas de lymphad\u00e9nom\u00e9galie g\u00e9n\u00e9ralis\u00e9e, les ganglions lymphatiques de cette r\u00e9gion doivent \u00eatre \u00e9vit\u00e9s ou des \u00e9chantillons doivent \u00eatre pr\u00e9lev\u00e9s sur les autres ganglions lymphatiques explorables.<\/p>\n

Il est \u00e9vident que si le seul ganglion m\u00e9galique est un ganglion mandibulaire (comme dans le cas du lymphome T de bas grade sur les photos ci-contre), on ne peut \u00e9viter de le pr\u00e9lever par aspiration \u00e0 l’aiguille.<\/p>\n

Walter Bertazzolo<\/strong>, EBVS European Specialist in Veterinary Clinical Pathology (Dipl. ECVCP); Directeur Scientifique de MYLAV.<\/div>\n","protected":false},"excerpt":{"rendered":"

Chers confr\u00e8res, l’une des erreurs les plus fr\u00e9quemment commises par les cliniciens est le pr\u00e9l\u00e8vement […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1150],"tags":[951],"class_list":["post-26226","post","type-post","status-publish","format-standard","hentry","category-pratique-clinique","tag-ganglions-lymphatiques-mandibulaires"],"acf":[],"yoast_head":"\nPr\u00e9l\u00e8vement de ganglions lymphatiques mandibulaires: mode d'emploi - MyLav<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mylav.net\/fr\/pratique-clinique\/prelevement-de-ganglions-lymphatiques-mandibulaires-mode-demploi\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pr\u00e9l\u00e8vement de ganglions lymphatiques mandibulaires: mode d'emploi - 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