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Laparoscopic Endoscopic Surgical Science Akcier Kanseri ile likili Paraneoplastik Pemfigus: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2016; 5(3): 192-194 | DOI: 10.5505/respircase.2016.29484

Akcier Kanseri ile likili Paraneoplastik Pemfigus: Olgu Sunumu

Hseyin Ula nar1, Burin elik2, Celalettin Kocatrk3, Hale Kefeli elik4
1Samsun Medicana Hastanesi, Samsun, Trkiye
2Ondokuz Mays niversitesi Tp Fakltesi, Gs Cerrahisi Ad, Samsun, Trkiye
3Yedikule Gs Hastalklar Ve Gs Cerrahisi Eah, Gs Cerrahisi Klinii, stanbul, Trkiye
4Samsun Eitim Ve Aratrma Hastanesi, Anestezi Ve Reanimasyon Klinii, Samsun, Trkiye

Akcier kanseri ile ilikili deri lezyonlar paraneoplastik sendrom olarak grlebilmektedir. Buna karn, akcier kanseri ile paraneoplastik pemfigus birliktelii olduka nadirdir. Az iinde yara ikayeti ile i hastalklar polikliniine bavuran hastann ekilen akcier grafisinde sa akcierde kitle grlmesi zerine toraks bilgisayarl tomografi ekildi. Bilgisayarl tomografidede sa akcier orta lobda yaklak 6x4 cm ebadnda, dzensiz, spikle konturlu malign grnml kitle lezyonu saptand. Transtorasik ine biyopsisi sonucu negatif gelmesi zerine eksploratris torakotomi uyguland. Kitleden alnan biyopsi sonucu kk hcreli d karsinom gelince hastaya sa pnmonektomi yapld. Az iinde, srtnda ve gs n blgesindeki yaygn deri lezyonlarndan alnan biyopsi sonucu pemfigusla uyumlu bulundu. Postoperatif dnemde dermatoloji tarafndan steroid ve immnoterapi uyguland. Hastann poliklinik kontrol postoperatif 6. aynda yapld. Bu olguyu nadir grlmesi ve deri lezyonlarnn akcier kanserinin bir gstergesi olabileceini vurgulamak amacyla sunduk.

Anahtar Kelimeler: akcier, kanser, paraneoplastik, pemfigus, tedavi

Paraneoplastic Pemphigus Associated With Lung Cancer: A Case Report

Hseyin Ula nar1, Burin elik2, Celalettin Kocatrk3, Hale Kefeli elik4
1nternational Medicana Hospital, Samsun, Turkey
2Ondokuz Mayis University Medical School, Department Of Thoracic Surgery, Samsun, Turkey
3Yedikule Chest Disaease And Thoracic Surgery Research Hospital, Clinic Of Thoracic Surgery, stanbul, Turkey
4Samsun Research Hospital, Clinic Of Anesthesiology And Reanimation, Samsun, Turkey

Skin lesions related to the lung cancer can be encountered as a paraneoplastic syndrome. However, paraneoplastic pemphigus is a very rare comorbidity in lung cancer. The patient applied to the internal diseases department with complaint of mouth sore. His chest x-ray revealed a mass in the right lung, and, then, he underwent thoracic computed tomography. A 5x6 cm, irregular, spicule-contoured and seemingly malignant mass lesion was observed in computed tomography. Since the transthoracic needle biopsy result was negative, exploratris thoracotomy was performed. The biopsy result was squamous-cell carcinoma, and the patient underwent right pneumonectomy. The result of the biopsies taken from the skin lesions in the mouth, on the back, and on the front chest area was compatible with pemphigus. Postoperatively, dermatology clinic treated the patient with steroid and immunotherapy. At six months of treatment, he was alive. This rare case is being presented to emphasize that skin lesions can be the indicator of lung cancer.

Keywords: lung, cancer, paraneoplastic, pemphigus, treatment

Olgunun Grnt Kesitleri




Hseyin Ula nar, Burin elik, Celalettin Kocatrk, Hale Kefeli elik. Paraneoplastic Pemphigus Associated With Lung Cancer: A Case Report. Respir Case Rep. 2016; 5(3): 192-194

Sorumlu Yazar: Burin elik, Trkiye
Makale Dili: Trke
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