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Yaygn kemik metastaz yapm pulmoner karsinoid tmr [Respir Case Rep]
Respir Case Rep. 2012; 1(2): 42-46 | DOI: 10.5505/respircase.2012.87597

Yaygn kemik metastaz yapm pulmoner karsinoid tmr

Ouzhan Okutan, mer Ayten, Ersin Demirer, Necla Ugan, Zafer Kartalolu
GATA Haydarpaa Eitim Hastanesi, Gs Hastalklar, stanbul

Yetmi yedi yanda kadn hasta, hafta nce balayan srt ars ikayeti ile ortopedi servisine yatrld. Toraks tomografisinde T6 korpusunda ve T7, T8, T12 vertebralarda metastatik lezyonlar ile sa akcier alt lobda belirgin volm kaybna neden olan ve intermedier bronu oblitere eden en uzun ap 5.5 cm olan kitlesel lezyon tespit edildi. Fiberoptik bronkoskopide sa intermedier bronu tkayan endobroniyal lezyon izlendi. Kitlenin histopatolojik tans karsinoid tmr olarak raporland. Kanda ve idrarda serotonin ve 5- hidroksi indol asetik asit seviyeleri normaldi. Torakolomber spinal MRda medulla spinalis bass izlendi. Torakal hemilaminektomi-laminotomi operasyonu uyguland. T6 vertebra cerrahi rezeksiyon biopsisinin histopatolojik tans atipik karsinoid tmr infiltrasyonu olarak raporland. Onkoloji servisine refere edilen hastaya kemoradyoterapi uyguland.

Anahtar Kelimeler: pulmoner karsinoid tmr, endobroniyal, metastaz

Pulmonary carcinoid tumor presenting with widespread bone metastasis

Ouzhan Okutan, mer Ayten, Ersin Demirer, Necla Ugan, Zafer Kartalolu
GMMA Haydarpasa Training Hospital, Department Of Pulmonary Medicine, Istanbul

A seventy-seven years old female with a complaining of backache for three weeks was hospitalized in orthopedics clinic. Metastatic lesions at T6 corpus and T7, T8, T12 vertebrae with a mass lesion of 5.5 cm longest diameter obliterating intermediate bronchus leading to volume loss in the right lung lower lobe was observed at thoracal tomography. The endobronchial mass lesion obliterating the right intermediate bronchus was observed in fiberoptic bronchoscopy. The histopathologic diagnosis of the mass was a carcinoid tumor. Levels of serotonin and 5-hydroxy indol acetic acid in blood and urine were normal. Compression to medulla spinalis was observed in MRI of thoracolombar spine. Thoracic hemilaminectomy-laminotomy was performed. The histopathologic diagnosis of surgical resection biopsy of T6 vertebra was reported as the infiltration of atypical carsinoid tumor. The chemoradiotherapy was applied to the patient.

Keywords: pulmonary carcinoid tumor, endobronchial lesion, metastasis

Ouzhan Okutan, mer Ayten, Ersin Demirer, Necla Ugan, Zafer Kartalolu. Pulmonary carcinoid tumor presenting with widespread bone metastasis. Respir Case Rep. 2012; 1(2): 42-46

Sorumlu Yazar: Ouzhan Okutan, Trkiye
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