Safra Kesesi Kanserinin Kaviter Akci�er Metastaz�:  Nadir Bir Olgu Sunumu

�al�k, Mustafa; �al�k, Saniye G�knil; Bek�i, Tahir Taha; �nl�, Ya�ar; Esme, H�d�r

Cilt : 5 Say� : 3 Y�l : 2024

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Safra Kesesi Kanserinin Kaviter Akci�er Metastaz�: Nadir Bir Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2016; 5(3): 200-203 | DOI: 10.5505/respircase.2016.85520

Safra Kesesi Kanserinin Kaviter Akci�er Metastaz�: Nadir Bir Olgu Sunumu

Mustafa �al�k¹, Saniye G�knil �al�k², Tahir Taha Bek�i³, Ya�ar �nl�⁴, H�d�r Esme¹
¹Konya E�itim Ve Ara�t�rma Hastanesi G��s Cerrahisi Klini�i, Konya, T�rkiye
²Konya E�itim Ve Ara�t�rma Hastanesi Acil Klini�i, Konya, T�rkiye
³Konya E�itim Ve Ara�t�rma Hastanesi G��s Hastal�klar� Klini�i
⁴Konya E�itim Ve Ara�t�rma Hastanesi Patoloji Klini�i

Safra kesesi kanseri son derece �l�mc�l malign bir t�m�rd�r. Kaviter akci�er metastazlar� �ok nadir ve olgular�n sadece % 4'�nde g�r�l�r. Burada, safra kesesi kanserinin neden oldu�u kaviter akci�er metastaz� olgusunu sunmay� ama�lad�k. Altm�� dokuz ya��nda bayan hasta ola�an kontrolleri i�in hastanemize ba�vurdu. �� y�l �nce, safra kesesi kanseri nedeniyle enblok safra kesesi ve parsiyel karaci�er rezeksiyonu ile b�lgesel lenf nodu diseksiyonu yap�lm��. Buna ba�l� olarak 32 ay boyunca yap�lan takipleri, son toraks bilgisayarl� tomografisinde sa� akci�erde kaviter lezyon ortaya ��kana kadar negatifti. Metastazektomi ve mediastinal lenf nodu diseksiyonu yap�ld�. Hasta komplikasyonsuz olarak ameliyat sonras� 14. g�nde taburcu edildi. G�rece az say�da kaviter metastatik akci�er kanseri bildirilmi�tir. Ay�r�c� tan� neoplastik hastal�k �yk�s� olan hastalarda dikkatle yap�lmal�d�r. Erken tan� ve tedaviyle sa� kal�m�n artaca��na inan�yoruz.

Anahtar Kelimeler: safra kesesi, adenokarsinom, kavitasyon, akci�er metastaz

Cavitary Pulmonary Metastases of Gallbladder Cancer: A Rare Case Report

Mustafa �al�k¹, Saniye G�knil �al�k², Tahir Taha Bek�i³, Ya�ar �nl�⁴, H�d�r Esme¹
¹Department Of Thoracic Surgery, Konya Education And Research Hospital, Konya, Turkey
²Department Of Emergency Medicine, Konya Education And Research Hospital, Konya, Turkey.
³Department Of Pulmonary Medicine, Konya Education And Research Hospital, Konya, Turkey.
⁴Department Of Pathology, Konya Education And Research Hospital, Konya, Turkey

A gallbladder carcinoma is extremely fatal malignant tumor. The occurrence of excavated lung metastases is rarely observed only in 4% of cases. Herein, we describe a case of cavitary pulmonary metastases of gallbladder cancer. A 69 year-old woman was admitted to our hospital for routine controls. Three years before, she underwent partial hepatectomy with enbloc resection of the gallbladder and dissection of regional lymph nodes. The patient was event-free during follow-up. At 32 months, thoracic CT revealed a cavitary lesion in the right lung. Metastasectomy and mediastinal lymph node dissection was performed. Patient was discharged on day 14 after surgery without any complications. To the best of our knowledge, a relatively small number of cases with metastatic lung tumors cavitation have been reported in the literature. The differential diagnosis should be made with caution in patients with a history of neoplastic disease. Early diagnosis and treatment increase survival.

Keywords: gallbladder, adenocarcinoma, cavitation, lung metastases

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Mustafa �al�k, T�rkiye
Makale Dili: �ngilizce

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