Primer Pulmoner Leiomiyosarkom

�im�ek Veske, Nurdan; G�nl�o�lu, G�l�ah; Demir, Adalet; Karada�, Pelin; Seyhan, Ekrem Cengiz; �rer, Nur; Alt�n, Sedat

Cilt : 13 Say� : 3 Y�l : 2024

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Primer Pulmoner Leiomiyosarkom [Respir Case Rep]

Respir Case Rep. 2013; 2(1): 35-38 | DOI: 10.5505/respircase.2013.35744

Primer Pulmoner Leiomiyosarkom

Nurdan �im�ek Veske¹, G�l�ah G�nl�o�lu¹, Adalet Demir², Pelin Karada�¹, Ekrem Cengiz Seyhan¹, Nur �rer³, Sedat Alt�n¹
¹Yedikule G��s Hastal�klar� Ve G��s Cerrahisi E�itim Ve Ara�t�rma Hastanesi, G��s Hastal�klar� Klini�i, �stanbul
²Yedikule G��s Hastal�klar� Ve G��s Cerrahisi E�itim Ve Ara�t�rma Hastanesi, G��s Cerrahisi Klini�i
³Yedikule G��s Hastal�klar� Ve G��s Cerrahisi E�itim Ve Ara�t�rma Hastanesi, Patoloji B�l�m�, �stanbul

Leiomiyosarkom, s�kl�kla uterus, retroperitoneum ve intraabdominal b�lgeden kaynaklanan, d�z has h�crelerinin t�m�r�d�r. Trakeabron�iyal a�a�ta d�z kas h�crelerinin �oklu�una ra�men primer pulmoner kas t�m�rleri �ok nadirdir. K�rk sekiz ya��nda herhangi bir �ikayeti olmayan erkek hasta, tesad�fen �ekilen akci�er grafisinde lezyon saptanmas� nedeniyle merkezimize y�nlendirilmi�ti. Bilgisayarl� Toraks tomografisinde sa� akci�er alt lobda 4x3 cm �apl� kitlesel lezyon izlendi. Fluorodeoksiglukoz (FDG) i�aretli Bilgisayarl� Tomografi Entegrasyonlu Positron Emisyon Tomografi (PET/CT) taramada lezyonun d��k FDG tutulumu mevcuttu. Tan�sal ama�l� tomografi rehberli�inde i�ne aspirasyonlar� yap�ld�. Histopatolojik tan�ya ula��lamay�nca tan� ve tedavi amac�yla cerrahi planland�. Video yard�ml� toraks cerrahisi (VATS) ile alt lob wedge rezeksiyonu uygulanan hastan�n postoperatif patoloji sonucu akci�erin primer leiomiyosarkomu olarak yorumland�.

Anahtar Kelimeler: Pulmoner sarkom, leiomiyosarkom, PET/CT.

Primary Pulmonary Leiomyosarcoma

Nurdan �im�ek Veske¹, G�l�ah G�nl�o�lu¹, Adalet Demir², Pelin Karada�¹, Ekrem Cengiz Seyhan¹, Nur �rer³, Sedat Alt�n¹
¹Yedikule Chest Diseases And Thoracic Surgery Education And Research Hospital, Departman Of Chest Diseases, �stanbul
²Yedikule Chest Diseases And Thoracic Surgery Education And Research Hospital, Departman Of Thoracic Surgery, �stanbul
³Yedikule Chest Diseases And Thoracic Surgery Education And Research Hospital, Departman Of Pathology, �stanbul

Leiomyosarcoma is a tumor of the smooth muscle cells which frequently originates in the uterus, retro-peritoneum, and within the abdomen. Although there are a large number of smooth muscle cells in the tracheobronchial tree, primary pulmonary muscle tumors rarely occur. A 48-year-old male patient with no symptoms was admitted to our department following the inadvertent detection of a lesion in his chest x-ray. Through thoracic computerized tomography, a 4x3 cm diameter mass lesion was located in the lower right lobe. In the positron emission tomography-computed tomography (PET/CT) scan with a fluorodeoxyglucose (FDG) tracer, low FDG uptake was observed in the lesion. Computer tomography-guided needle aspirations were carried out. In the absence of a histopathological diagnosis, surgery was planned for diagnosis and treatment. A lower lobe wedge resection was completed using video-assisted thoracic surgery (VATS). A diagnosis of primary pulmonary leiomyosarcoma was made based on postoperative pathology results.

Keywords: Pulmonary sarcoma, leiomyosarcoma, PET/CT.

Sorumlu Yazar: Nurdan �im�ek Veske, T�rkiye
Makale Dili: T�rk�e

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