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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 imek Veske1, Glah Gnlolu1, Adalet Demir2, Pelin Karada1, Ekrem Cengiz Seyhan1, Nur rer3, Sedat Altn1
1Yedikule Gs Hastalklar Ve Gs Cerrahisi Eitim Ve Aratrma Hastanesi, Gs Hastalklar Klinii, stanbul
2Yedikule Gs Hastalklar Ve Gs Cerrahisi Eitim Ve Aratrma Hastanesi, Gs Cerrahisi Klinii
3Yedikule Gs Hastalklar Ve Gs Cerrahisi Eitim Ve Aratrma Hastanesi, Patoloji Blm, stanbul

Leiomiyosarkom, sklkla uterus, retroperitoneum ve intraabdominal blgeden kaynaklanan, dz has hcrelerinin tmrdr. Trakeabroniyal aata dz kas hcrelerinin okluuna ramen primer pulmoner kas tmrleri ok nadirdir. Krk sekiz yanda herhangi bir ikayeti olmayan erkek hasta, tesadfen ekilen akcier grafisinde lezyon saptanmas nedeniyle merkezimize ynlendirilmiti. Bilgisayarl Toraks tomografisinde sa akcier alt lobda 4x3 cm apl kitlesel lezyon izlendi. Fluorodeoksiglukoz (FDG) iaretli Bilgisayarl Tomografi Entegrasyonlu Positron Emisyon Tomografi (PET/CT) taramada lezyonun dk FDG tutulumu mevcuttu. Tansal amal tomografi rehberliinde ine aspirasyonlar yapld. Histopatolojik tanya ulalamaynca tan ve tedavi amacyla cerrahi planland. Video yardml toraks cerrahisi (VATS) ile alt lob wedge rezeksiyonu uygulanan hastann postoperatif patoloji sonucu akcierin primer leiomiyosarkomu olarak yorumland.

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

Primary Pulmonary Leiomyosarcoma

Nurdan imek Veske1, Glah Gnlolu1, Adalet Demir2, Pelin Karada1, Ekrem Cengiz Seyhan1, Nur rer3, Sedat Altn1
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.

Nurdan imek Veske, Glah Gnlolu, Adalet Demir, Pelin Karada, Ekrem Cengiz Seyhan, Nur rer, Sedat Altn. Primary Pulmonary Leiomyosarcoma. Respir Case Rep. 2013; 2(1): 35-38

Sorumlu Yazar: Nurdan imek Veske, Trkiye
Makale Dili: Trke
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