e-ISSN 2147-2475
Cilt : 6 Say : 2 Yl : 2022

Hzl Arama




RESPIRATORY CASE REPORTS - Respir Case Rep: 6 (2)
Cilt: 6  Say: 2 - Haziran 2017

OLGU SUNUMU
1.
lerlemi Primer Pulmoner Karsinosarkom: Olgu sunumu ve Literatrn Gzden Geirilmesi
Advanced primary pulmonary carcinosarcoma: a case report and review of the literature
Rachid Tanz, Iliass Elalami, Mohamed Amine Azami, Mohamed Allaoui, Hassan Errihani, Mohamed Ichou
doi: 10.5505/respircase.2017.35220  Sayfalar 74 - 77
Pulmoner karsinosarkom nadir bir tmr olup tm pulmoner maligniteler ierisinde yaklak 0,2 ile 0,4 arasnda grlmektedir. Pulmoner karsinosarkom Dnya Salk rgt snflamasnda sarkom benzeri element veya sarkomatz komponent ieren az differansiye kk hcreli d akcier kanseri olarak tanmlanmtr. leri evre primer pulmoner karsinosarkom saptanan 46 yandaki erkek olguyu sunuyoruz.
Pulmonary carcinosarcoma (PCS) is a rare tumor, that comprises approximately 0.2% to 0.4% of all pulmonary neoplasms.
PCS was defined in the World Health Organization classification as "poorly differentiated non-small cell lung carcinomas containing a sarcoma-like element or sarcomatous component". Presently, described is case of a 46-year-old male who presented with advanced primary PCS.

2.
Nefes darl ve ses ksklnn ender bir nedeni: tekrarlayc respiratuar papillomatozis
An unusual cause of dyspnea and hoarseness: a recurrent respiratory papillomatosis
Mehmet Akif zgl, Erdoan etinkaya, Mustafa rtk, Derya zden Omaygen
doi: 10.5505/respircase.2017.49389  Sayfalar 78 - 81
Rekkren respiratuar papillomatozis Human Papilloma Virus'n neden olduu nadir bir hastalktr. Hastalk solunum yollarnda siil benzeri squamoz lezyonlarla karakterizedir. Sunduumuz olgu 24 yanda kafkas rkndan bir erkek olup rekkren trakeobronial papillomatozis saptanmtr. Olguya 1,5 yanda iken laringoskopi yaplm ve lezyon eksize edilerek tan konulmutur. Biyopsi materyali squamoz hcreli papilloma olarak raporlanmtr. Olgu daha nce interferon α-2a ve inhaler interferon tedavisi alm fakat semptomlarda duraklama veya gerileme olmamas nedeniyle sonlandrlmt. Hastaya 3 yldr her 3 ile 4 ayda bir papilloma eksizyonu yaplmaktadr.
Recurrent respiratory papillomatosis is a rare respiratory condition associated with human papillomavirus. It is characterized by exophytic, wart-like, squamous lesions within the respiratory tract. Presently described is case of a 24-year-old Caucasian male who presented with recurrent laryngotracheal papillomatosis. Laryngoscopy and excisional biopsy had been performed at approximately 1 years of age. Biopsy specimen was determined to be squamous cell papilloma. The patient received interferon alpha-2a and inhaled interferon, but treatment was discontinued due to lack of regression or delay in reappearance of symptoms. Rigid bronchoscopy has been performed for recurrent papilloma excision approximately every 3 to 4 months for 3 years.

3.
Tm ilk seenek antitberkloz ilalarna kar fiks ila dknts gelien akcier tberklozu
Pulmonary tuberculosis with fixed drug eruption to all first-line anti-tuberculosis drugs
Gina Amanda, Fariz Nurwidya, Fathiyah Isbaniyah
doi: 10.5505/respircase.2017.51423  Sayfalar 82 - 85
Tberkloz tm Dnyada nemli bir mortalite nedeni olmaya devam etmektedir. Antitberkloz tedavi srasnda kullanlan ilalarla, allerjik veya non-allerjik reaksiyonlar eklinde yan etkiler ortaya kmaktadr. Ciddi reaksiyonlar nadir grlmekle beraber, ilaca bal cilt reaksiyonlar antitberkloz ilalarn en sk grlen yan etkileridir. Burada, ilk seenek antitberkloz ilalarn tmne kar fiks ila dknts olan akcier tberklozlu 34 yandaki erkek olguyu sunuyoruz. Antitberkloz ilalarn almndan sonra hastann tm vcudunda ok sayda erozyon ve kabarcklar olutu. Cilt biyopsisi yapld ve sonucu epidermal ve sub-epidermal bller olarak tanmland. Hastann durumu ar hiposemi nedeniyle ktlemeye balad. Ne yazk ki, fiks ila dknts tedavisi srasnda hasta vefat etti.
Tuberculosis (TB) is still one of the leading causes of mortality worldwide. Treatment with anti-TB drugs sometimes results in side effects for patients, including drug reactions, both allergic and non-allergic. Cutaneous adverse drug reaction is the most common side effect of anti-TB drugs, but severe reaction is rare. Here, we report rare case of a 34-year-old male who presented with pulmonary TB and fixed drug eruption to all first-line anti-TB therapies. After ingesting anti-TB regimen, multiple skin erosions and blisters occurred. Skin biopsy was performed and result was epidermis with subepidermal bullous. The patients condition deteriorated, he developed severe hypoxemia, and unfortunately, he died during fixed drug eruption treatment.

4.
Pulmoner tberkloz ve sarkoidoz birliktelii
Coexistence of pulmonary tuberculosis and sarcoidosis
Serap Argun Bar, Adnan Batman, Salih Kk, Sevtap Gmta
doi: 10.5505/respircase.2017.57855  Sayfalar 86 - 89
Sarkoidoz ve tberkloz farkl etyoloji ve tedaviye sahip ancak klinik ve histolojik olarak birbiri ile ska karan hastalklardr. Tberkloz ve sarkoidoz birliktelii nadirdir. Burada mikrobiyolojik ve histopatolojik olarak kantlanm tberkloz ve sarkoidoz birliktelii olan olgu sunulmaktadr.
Tuberculosis (TB) and sarcoidosis are granulomatous diseases with different etiologies and management; however, they have similar clinical and histological characteristics. Coexistence of TB and sarcoidosis is extremely rare. Presently described is a case of coexistence of pulmonary tuberculosis and sarcoidosis confirmed microbiologically and histopathologically.

5.
PET-BT'de Yksek Dzeyde FDG Tutulumu Olan Mediastinal Lenfadenopatilerde Granlamatz Hastalklar Dnlmelidir
Granulomatous Diseases Should be Considered in Mediastinal Lymphadenopathies with High F-18 FDG Uptake on PET-CT Scans
Burin elik, Muhammed Ali Ylmaz, Mehmet Gkhan Pirzirenli, Murathan ahin
doi: 10.5505/respircase.2017.98705  Sayfalar 90 - 95
Granlomatz hastalklar lkemizde olduka sk grlmektedir. Tberkloz ve sarkoidoz bu hastalklar ierisinde en bata gelenlerdir. Tberkloz sklkla akcierleri tutmasna ramen baz olgularda mediastinal lenf tutulumu eklinde de ortaya kmaktadr. Sarkoidoz ise sklkla mediastinal ve hiler lenfadenopatiler eklinde karmza kmaktadr. Bu makalede PET-BT incelemelerinde mediastinal maligniteyi taklit eden, yksek dzeyde F-18 FDG tutulumu olan granlamatz lenfadenit olgularn sunmay amaladk. Kliniimize PET-BT grntlerinde patolojik FDG tutulumu olan mediastinal LAP nedeniyle hasta bavurdu. Hastalarn ikisinde ksrk ve nefes darl ikayeti, birisi meme kanseri, uterus kanseri ve tiroit kanserinden ameliyat edilmiti. ki olgunun videomediastinoskopik lenf nodu biyopsi sonucu kazeifiye granlomatz iltihabi olay olarak rapor edildi. Nefes darl nedeniyle tetkik edilen hastann PET-BT'de subkarinal lenf nodu ve sol interlober lenf nodlarnda patolojik FDG tutulumu izlendi. Bu olgunun videomediastinoskopik lenf nodu biyopsi sonucu non-kazeifiye granlomatz iltihabi olay olarak rapor edildi. lkemizde tberkloz ve sarkoidoz gibi granlamatz hastalklar yanl pozitif FDG PET nedenleri arasnda en sk grlenlerdir. Olgularmzdaki gibi yksek FDG tutulumu olanlarda maligniteyi ekarte edebilmek iin doku biyopsisi gereklidir.
Granulomatous diseases are quite common in our country; tuberculosis (TB) and sarcoidosis are the most common. TB mostly involves the lungs; however, in some cases, it may involve the mediastinal lymph nodes. Sarcoidosis, on the other hand, often reveals itself as mediastinal or hilar lymphadenopathy (LAP). Presently described are cases of granulomatous lymphadenitis that mimicked mediastinal malignancy in positron emission tomography-computed tomography (PET-CT) scanning and had high fludeoxyglucose (FDG) uptake. Three patients whose PET-CT scans revealed pathological FDG uptake due to mediastinal LAP were admitted to our clinic. Two had cough and dyspnea, and third had operated breast cancer, uterine cancer, and thyroid cancer. Videomediastinoscopic biopsies of 2 patients were reported as caseating granulomatous inflammation. In patient who was examined for dyspnea, PET-CT revealed pathological FDG uptake in subcarinal lymph nodes and the left interlobar lymph nodes. Videomediastinoscopic lymph node biopsy of this patient was reported as non-caseating granulomatous inflammation. Granulomatous diseases, such as TB and sarcoidosis, are the most common cause of false-positive FDG PET scans in our country. In cases with high FDG uptake, tissue biopsy can exclude malignancy.

6.
Pnmoni Pnmoniden de fazlas olabilir: Yirmi yanda erkek intralober sekestrasyon olgusu sunumu
Maybe it is More than Pneumonia: Case Report of an Intralobar Sequestration in a 20-Year-Old Male
Eric Paul Borrelli
doi: 10.5505/respircase.2017.92499  Sayfalar 96 - 98
Pulmoner sekestrasyonlar (PS) nadir grlen konjenital malformasyonlar olup ocuklarda fetal ultrason ve erikinlerde bilgisayarl tomografi ile tipik olarak tan almaktadrlar. PSnin potansiyel komplikasyonlar tekrarlayan solunum yolu infeksiyonlar, hemoraji, kalp yetmezlii ve solunumsal yetmezliklerdir. nerilen tedavi cerrahi rezeksiyondur. Bu makalede intralober PS tans konmu 20 yanda erkek olgu tartld.
Pulmonary sequestration (PS) is rare congenital lung malformation typically diagnosed with fetal ultrasound or computed tomography scans. Potential complications of PS include recurrent respiratory infections, hemorrhage, heart failure, and respiratory distress. Recommended treatment is surgical resection. Presently described is case of a 20-year-old male diagnosed with intralobar PS.

7.
Bakl basklanm hastada kedi trmna bal pulmoner nodul
Pulmonary nodule-associated Cat Scratch Disease in an immunocompromised patient
Levent zdemir, Burcu zdemir, Mehtap encan, Suat Durkaya, Ayegl Kaynar, Zulal zbolat, Sema alkan, Ali Ersoy
doi: 10.5505/respircase.2017.94834  Sayfalar 99 - 102
Kedi trm hastal, baklk sistemi normal kiilerde, giri yerinin drene olduu lenf dmlerinde kronik inflamasyonla seyreden bir infeksiyondur. Baklk sistem basklanm olan hastalarda ensefalit, nroretinit, granlomatz konjunktivit, hepatosplenik tutulum, pnmoni ve trombositopenik purpura gibi klinik tablolar eklinde de ortaya kabilir. Elli yanda kadn hasta ksrk, ate, eklem ars nedeni ile deerlendirildi. zgemiinde drt yl nce karacier kist hidatii nedeni ile operasyon ve romatoid artrit nedeni ile bir yldr deltakortil kullanm mevcuttu. Toraks tomografisinde sa alt lob superiyor ve st lobta nodul saptand. Laboratuvar incelemesinde lkositoz dnda anormallik saptanmad. Balgam aerob kltr ve ARB incelemesi negatif olarak saptand. Hastaya tansal VATS uyguland. Patoloji sonucu granlomlar iinde polimorf nveli lokositler, tbc ve sarkoidoz d granlomatz hastalk n planda kedi trm hastal olarak raporland.
Cat-scratch disease (CSD) is an infectious disease, presenting with chronic inflammation of lymph nodes that drain the portal of entry of the causative organism in immunocompetent persons. It may also manifest as encephalitis, neuroretinitis, granulomatous conjunctivitis, hepatosplenic involvement, or pneumonia and thrombocytopenic purpura in immunocompromised patients. A 50-year-old, previously healthy woman was evaluated for symptoms of cough, fever, and arthralgia. She had history of surgery for hydatid cyst (liver) 4 years earlier and 1 year of Deltacortril use for rheumatoid arthritis. Nodular formations were observed in the right anterior upper lobe, right middle lobe, and right inferior posterobasal lobe on chest tomography image. Laboratory analysis revealed no abnormal findings except leukocytosis. Aerobic culture and EZN staining of sputum were negative. The patient underwent diagnostic video-assisted thoracoscopic surgery. Pathological results were reported as granulomatous disease, excluding tuberculosis and sarcoidosis, and indicating likely CSD, presenting with polymorphonuclear leukocytes in the granulomas.

8.
Vertebral Kist Hidatik: Beyaz Kanser
Vertebral Hydatid Disease: White Cancer
Mustafa alk, Saniye Gknil alk, Hdr Esme
doi: 10.5505/respircase.2017.38981  Sayfalar 103 - 106
Kist hidatik (KH), dnya apnda tahminen 1,2 milyon insan etkileyen sestod Echinococcus granulosus'un neden olduu kronik, kompleks ve ihmal edilen zoonotik bir enfeksiyondur. Vertebral tutulum endemik blgelerde bile tm KH hastalarn %1den daha azn etkileyen nadir bir durumdur. Tan ve tedavisi olduka zordur. Bu nedenle Beyaz kanser olarak adlandrlmtr. Btn cerrahi ve medikal tedavilere ramen rekrrens oran %40100 arasnda ve ortalama sreside 30 aydr. Blgenin anatomik ve fizyolojik zelliklerinden kaynaklanan glklerde eklenince hastalarn tedavileri daha da zorlamaktadr. Klinisyen tedavi ve hastalk arasnda ksr bir dngnn iine girmektedir. Hem cerrahi hem de medikal adan rekrrensi engelleyecek; ksr dngy kracak yeni yntemler ve zellikle santral sinir sistemine daha iyi penetre olan ilalara ihtiya duyulmaktadr. Burada spinal kanala uzanm gsteren Vertebral KH olgusunu sunduk.
Hydatid disease (HD), or echinococcosis, is a complex, chronic, neglected zoonotic disease caused by cestodes of the genus Echinococcus. The infection is found worldwide affects an estimated 1.2 million people. Vertebral involvement is rare, affecting less than 1% of all HD patients, even in endemic regions. Diagnosis and treatment of osseous HD is quite challenging; it is also called white cancer. Despite surgical and medical treatment, recurrence ratio for HD is 40% to 100% within average of 30 months. Challenges arising from anatomical and physiological features in cycle of treatment and recurrence can be frustrating for clinicians. New methods, particularly medications that can better penetrate the central nervous system, are needed to prevent recurrence. Presently described is a case of vertebral HD penetrating the spinal canal.

9.
Nadir Bir Plevral Leimiyoma Olgusu
A Rare case of pleural leiomyoma
Menduh Oru, Ahmet Erbey, Didem Arslan
doi: 10.5505/respircase.2017.86548  Sayfalar 107 - 109
Elli alt yanda kadn hasta yldr devam eden gs ars, nefes darl ve gsnn sa tarafnda ilik yaknmalar ile bavurdu. Akcier grafisinde ve bilgisayarl toraks tomografisinde sa akcierde 16X13X12 cm ebadnda kitle lezyonu grld. Hastaya sa torakotomi uyguland. Kitle mediastinal plevradan kaynaklanyordu. Tmr paralanarak karld. Makroskopik olarak tmr sert, dzensiz yzeyli, beyaz-sar renkte bir kitle idi. Histolojik olarak olarak belirgin hcresel nekroz ve mitotik aktivitesi olmayan dz kas liflerinden oluuyordu. Amacmz ok nadir grlen plevral kaynakl leimiyomann malignite potansiyelinden dolay karlmas gerektiini vurgulamaktr.
A 56-year-old female patient presented with chest pain and shortness of breath ongoing for 3 years. Chest X-ray and computed tomography of the thorax revealed mass 16 x 13 x 12 cm in size in the right middle and lower lobes. Right posterolateral thoracotomy was performed. According to frozen biopsy, mass was determined to be degenerative leiomyoma. Histopathologically, tumor consisted of packets and bundles of smooth muscle fibers without significant cellular necrosis or mitotic activity. Macroscopic appearance of the tumor was white-yellow color and texture was very hard. Due to size and location, tumor was removed with 2 incisions. Aim of this report was to emphasize the need for removal of leiomyoma due to malignant potential of pleural origin.

10.
Yeni bir tanm: Kombine pulmoner fibrozis ve amfizem sendromu
A new definition: Combined pulmonary fibrosis and emphysema syndrome
Dildar Duman, Hakan Gnen
doi: 10.5505/respircase.2017.93585  Sayfalar 110 - 113
Kombine pulmoner fibrozis ve amfizem sendromu (KPFA), kendine zg klinik bulgular olan ve radyolojik olarak st lob amfizemi ve alt lob fibrozisi ile karakterize yeni tanmlanan bir sendromdur. Hastalk iyi bilinmedii iin yeterince tan konulamamaktadr. Progresif nefes darl ikayetiyle bavuran, 60 paket/yl sigara yks olan erkek hastann ekilen toraks tomografisinde KPFA sendromuna zg st loblarda amfizem ve alt loblarda fibrozis izlendi. Hastaln bir dier nemli zelii olarak FEV1 ksmen korunmu, DLCO ise olduka dk bulundu. hastada pulmoner hipertansiyon saptand. Tm bulgularyla KPFA sendromu tans konulan olgu, bu sendromuna dikkat ekmek iin literatr eliinde sunuldu.
Combined pulmonary fibrosis and emphysema syndrome (CPFE) is a newly defined syndrome with unique clinical findings, characterized by presence of emphysema and pulmonary fibrosis seen radiologically. Since awareness of the syndrome is insufficient, CPFE is under-recognized. Male patient presented with progressive dyspnea and history of smoking 60 packs per year. Upper lobe emphysema and lower lobe fibrosis, which are specific for CPFE syndrome, were observed in chest computed tomography scans. Forced expiratory volume 1 was relatively well preserved, but diffusing capacity of the lungs for carbon monoxide was very low, and is an important feature of the disease. Pulmonary hypertension has also been determined to be characteristic finding of the syndrome. Patient was diagnosed as CPFE syndrome based on presence of all characteristic features and case is presented with review of the literature to draw attention to this disease.

11.
Miliyer grnm ile bavuran akcier adenokarsinomu
Adenocarcinoma presenting with miliary intrapulmonary carcinoma
Fatih Uzer, Hasan enol Cokun, Aykut illi
doi: 10.5505/respircase.2017.07379  Sayfalar 114 - 117
Akcierler, kk hcreli d akcier kanserlerin sklkla metastaz yapt organlardr. Akcier metastazlar grntleme bulgular, pulmoner nodl, plevral effzyon ve lenf nodu genilemesi eklinde olabilir. Ancak akcier kanserlerinin miliyer dalm ok nadirdir. Erlotinib'e iyi yant veren miliyer dalm ile seyreden bir adenokarsinom olgusu sunuldu.
The lungs are frequently metastatic organs for non-small cell lung cancer, and lung metastasis may present with several different patterns on chest radiography, including multiple pulmonary nodules, pleural effusion, and hilar or mediastinal adenopathy. However, lung cancer with miliary intrapulmonary carcinomatosis is an uncommon phenomenon. Presently described is a case of miliary intrapulmonary carcinoma that responded well to erlotinib treatment.

12.
Gecikmi tanl paraquat intoksikasyonunda ekstrakorporeal membran oksjenasyonu srasnda direnli hipoksemi
Persistent hypoxemia during extracorporeal membrane oxygenation in delayed diagnosed paraquat intoxication
Nermin Kelebek Girgin, Nurdan nl, Ik enkaya Snak, Remzi imen, Ferda Kahveci, Hadi alayan
doi: 10.5505/respircase.2017.08379  Sayfalar 118 - 123
Paraquat, tarmda yaygn kullanlan ve akcierlerde birikimi sonucu ilerleyici pulmoner fibrozise neden olan toksik zellii yksek bir herbisiddir. Paraquat intoksikasyonunda birka gn iinde oklu organ yetmezlii veya birka hafta iinde pulmoner fibrozise bal solunum yetmezlii sonucu lm geliebilir. Veno-venz ekstrakorporeal membran oksijenasyonu(V-V ECMO) gnmzde akut solunum sknts sendromunda(ARDS) yaygn olarak uygulanan bir tedavi stratejisidir. Bu yazda ARDS tans ile yatrlan ve tedavi srecinde V-V ECMO kullanlan bir olguyu sunduk. ECMO desteine ramen yeterli oksijenasyona ulalamayan ve ECMOya bal hipoksi nedenleri dlanan olguda, tekrar sorgulanan tbbi yks sonucu hafta nce paraquata maruziyet olduu saptand. V-V ECMO desteine ramen hipoksi devam eden olgu, youn bakma yatnn 6. gn kaybedildi. Bu olgu aracl ile V-V ECMO srasnda direnli hipoksinin nedenlerini gzden geirmeyi amaladk.
Paraquat is a highly toxic herbicide used in agriculture worldwide that causes progressive pulmonary fibrosis (PF) due to selective accumulation in the lungs. Paraquat intoxication can result in death due to multi-organ failure within a few days or respiratory failure due to PF within a few weeks. Veno-venous extracorporeal membrane oxygenation (V-V ECMO) is currently a widely used therapeutic strategy for acute respiratory distress syndrome (ARDS). Presently described is case of a 46-year-old man who was hospitalized with ARDS and treated with V-V ECMO. Expected oxygenation levels could not be attained despite ECMO support. When excluding causes for hypoxia in this patient on ECMO, detailed medical history revealed exposure to paraquat 3 weeks previously. Severe hypoxemia persisted during V-V ECMO and the patient died on sixth day after admission. The aim of this study was to examine probable causes of persistent hypoxemia during V-V ECMO observed in this case.

13.
Nodler Splenik Sarkoidoz: Nadir Bir Olgu
Nodular Splenic Sarcoidosis: A Rare Case Report
Mustafa alk, Mihrican Yesildag, Saniye Gknil alk, Tahir Taha Bekci, Hdr Esme
doi: 10.5505/respircase.2017.59480  Sayfalar 124 - 127
Sarkoidoz idiyopatik multisistemik granlomatz bir hastalktr. En sk akcierleri tutar. Biz nadir ve genellikle asemptomatik karacier tutulumu olmayan nodler splenik sarkoidozlu bir olguyu sunduk. Otuz bir yandaki erkek hasta; ksrk, balgam ve nefes darl ikyetleriyle kliniimize bavurdu. Sarkoidozun yaygn sistemik bulgularndan hibirine rastlanlmad. Toraks ve batn BT incelenmesinde ok sayda hipodens mediastinal lenf nodlar ve dalak tutulumu vard. Baka intra-abdominal patoloji veya periferik lenfadenopati saptanmad. Mediastinoskopi yapld. Tans histopatolojik olarak doruland. Tbbi tedaviden sonra ikyetleri azald. Nodler splenik tutulumu nadirdir. Sarkoidozun; multiple karacier ve splenik tutulumu olan otuz dokuz olgu rapor edilmesine ramen, sadece izole nodler splenik tutulum literatrde bildirilmitir. Nadirlii nedeniyle ekstrapulmoner sarkoidoz nemli morbidite ve mortaliteye neden olabilir. Bu nedenle, karacier tutulumu olmayan nodler splenik sarkoidozun, belirtileri, tans ve klinik seyrine dikkat ekmek amacyla bu olguyu sunduk.
Sarcoidosis is an idiopathic, multi-systemic, granulomatous disease. It most commonly involves the lungs. Herein, we present a rare and usually asymptomatic case with splenic sarcoidosis without liver involvement. A 31-year-old male patient was admitted to our clinic with cough, sputum, and shortness of breath. He reported no common systemic complaints of sarcoidosis. Thoracic and abdominal computed tomography showed multiple hypodense mediastinal lymph nodes with splenic involvement. No other intra-abdominal pathology or peripheral lymphadenopathy was detected. Mediastinoscopy was performed. Diagnosis was made histopathologically. Following the treatment, his complaints regressed. Nodular splenic involvements are uncommon. Although there have been reported thirty-nine cases of sarcoidosis with multiple nodular hepatic and splenic lesions, only three isolated splenic cases have been reported in the literature to date. Despite its rarity, extra-pulmonary sarcoidosis may cause significant morbidity and mortality. Therefore, we discuss this case to draw attention to splenic sarcoidosis without liver involvement and its manifestations, diagnosis, and clinical course.

KISA RAPOR
14.
Akcier Kanserinde Fotodinamik Tedavi
Photodynamic Therapy for Lung Cancer
Tayfun alkan, Ouzhan Okutan, Dilaver Ta, Zafer Kartalolu
doi: 10.5505/respircase.2017.88942  Sayfalar 128 - 131
Fotodinamik tedavi (FTD), illminasyon iin kullanlan diyot lazer ile aktive edilen fotosensitizr ilacn hastaya verildii bir tedavi yntemidir. Erken evre ve endobroniyal kritik darl olmayan ileri akcier kanserlerinin tedavisinde kullanlmaktadr. FDT uygulamas, etkinlii, komplikasyonlar ve endikasyonlar ksaca anlatlmtr.
Photodynamic therapy (PDT) is a method of treatment in which photosensitizer drug is administered to the patient and activated by diode laser used for illumination. It is used for treatment of advanced lung cancer without endobronchial critical stenosis and for early stage lung cancer. PDT application, efficacy, complications, and indications are briefly explained.

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