e-ISSN 2147-2475

Hzl Arama




Laparoscopic Endoscopic Surgical Science Akcier kanserini taklit eden byk kitle grnml Wegener Granlomatozu olgusu [Respir Case Rep]
Respir Case Rep. 2016; 5(3): 174-177 | DOI: 10.5505/respircase.2016.48343

Akcier kanserini taklit eden byk kitle grnml Wegener Granlomatozu olgusu

Mevlt Karata1, Songl zyurt1, Aziz Gm1, Halit narka1, nal ahin1, Recep Bedir2
1Recep Tayyip Erdoan niversitesi, Gs Hastalklar Klinii, Rize
2Recep Tayyip Erdoan niversitesi, Patoloji Klinii, Rize

Wegener granlomatozu primer olarak, akcier, bbrek ve alt solunum yollarnda hastalk yapan, kk arterleri tutan bir vasklit tipidir. Olgularn %50-90nnda akcier tutulumu grlmektedir. Akcier tutulumu nodl ya da kitle lezyon olarak kendini gsterebilmektedir. Lezyonlar yaklak 30-70 mm byklnde olabilmektedir. Tan aamasnda zellikle kitle lezyonlar yanl deerlendirilip bata akcier kanseri olmak zere gerek hastalk gzden kaabilmektedir. Yirmi sekiz yanda n planda nefes darl, solda gs ars ikayeti olan bayan hastann sigara ve baka hastalk yks yoktu. Akcier tomografisinde solda 92x103 mm ebadnda, kenarlar ksmen spikler kitlesi olan ve n tanda akcier kanserini dndren bir wegener granlomatozu olgusunu ve tan koyma aamasnda karlatmz glkleri tarttk. Wegener granlomatozu akcier tutulumunda tan aamasnda dikkatli olunmas gerektiini vurgulamak istedik.

Anahtar Kelimeler: Wegener granlamatozu, vasklit, akcier kanseri

A Wegener Granulomatosis case with a huge lung lesion mimicking lung cancer

Mevlt Karata1, Songl zyurt1, Aziz Gm1, Halit narka1, nal ahin1, Recep Bedir2
1Recep Tayyip Erdoan University, Division Of Chest Disease, Rize
2Recep Tayyip Erdoan University, Division Of Pathology, Rize

Wegener granulomatosis is a vasculitis of small arteries, primarily causing diseases of lung, kidneys and lower respiratory system. About 50 to 90 % of cases present with pulmonary involvement, sometimes with a nodule (single or multiple) or mass lesion. Lung lesions may range between 30 to 70 mm in size. These lesions can be evaluated false in the initial diagnosis and the main diseases such as lung cancer may be overlooked. A 28-year-old woman complaining of left-sided chest pain, shortness of breath with no history of smoking presented with a quite large and partly spiculated contours mass lesion of 92x103 mm in size on the left side of the lung on computed tomography, mimicking primarily lung cancer. In this case, we discuss the challenges we faced in the stage of diagnosis to emphasize that lung involvement of Wegener granulomatosis should be recognized in the diagnosis.

Keywords: Wegener granulomatosis, vasculitis, lung cancer

Mevlt Karata, Songl zyurt, Aziz Gm, Halit narka, nal ahin, Recep Bedir. A Wegener Granulomatosis case with a huge lung lesion mimicking lung cancer. Respir Case Rep. 2016; 5(3): 174-177

Sorumlu Yazar: Mevlt Karata, Trkiye
Makale Dili: Trke
LookUs & Online Makale