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Laparoscopic Endoscopic Surgical Science E Zamanl Pulmoner Hamartom ve Akcier Kanseri Olgusu [Respir Case Rep]
Respir Case Rep. 2017; 6(1): 48-51 | DOI: 10.5505/respircase.2017.58561

E Zamanl Pulmoner Hamartom ve Akcier Kanseri Olgusu

Osman Hacmerolu, Glbanu Horzum Ekinci, Abdurrahman Ylmaz, Elif Ylmaz, Sinem Aca Altunbey, Adnan Ylmaz
Sreyyapaa Gs Hastalklar ve Gs Cerrahisi Eitim ve Aratrma Hastanesi, Gs Hastalklar Klinii, stanbul, Trkiye

Elli dokuz yanda, solunum sistemi yaknmas olmayan erkek hasta, baka nedenle ekilen akcier grafisinde lezyon saptanmas zerine merkezimize sevk edilmi. Arka-n akcier grafisinde sa st zonda ve sol alt zonda nodl saptand. Bilgisayarl toraks tomografisinde sa st lob posterior segmentte 25x20 mm, sol alt lob posterior segmentte 25x25 mm boyutlarnda nodller grld. Fiberoptik bronkoskopi incelemesinde endobroniyal sistem normal olarak deerlendirildi. Sa st lobdaki lezyona transtorasik ine aspirasyonu ile kk hcreli d akcier kanseri tans konuldu. PET-BT incelemesinde SUVmax deeri sadaki lezyon iin 14, soldaki lezyon iin ametabolik olarak rapor edildi. Sol mini torakotomi ile nodl ekstirpasyonu yapld. Patolojik tan hamartom olarak rapor edildi. Daha sonra sa torakotomi ile sa st lobektomi uyguland. Patolojik tan adenokarsinom olarak bildirildi. Be yl sonra yaplan kontrolnde patolojik bulgu saptanmad.

Anahtar Kelimeler: Multipl pulmoner nodl, pulmoner hamartom, akcier kanseri

A Case of Concomitant Pulmonary Hamartoma and Lung Cancer

Osman Hacmerolu, Glbanu Horzum Ekinci, Abdurrahman Ylmaz, Elif Ylmaz, Sinem Aca Altunbey, Adnan Ylmaz
Sreyyapaa Gs Hastalklar ve Gs Cerrahisi Eitim ve Aratrma Hastanesi, Gs Hastalklar Klinii, stanbul

A 59-year-old male without respiratory symptoms was referred to our hospital because of an abnormal shadow that had been detected by chest x-ray during a medical examination for other reason. Chest x-ray showed nodules in the right upper zone and left lower zone. Computed tomography of the thorax showed a 25x20 mm in size nodule in the right upper lobe posterior segment and a 25x25 mm in size nodule in the left lower lobe posterior segment. Fiberoptic bronchoscopy revealed a normal endobronchial appearance. The diagnosis of nonsmall cell carcinoma was established with the examination of the transthoracic fine needle aspiration biopsy taken from the lesion in the right upper lobe. On FDG-PET, SUV max values of the right and left side lesions were 14 and ametabolic, respectively. A left mini thoracotomy was performed and the nodule in the left lower lobe was removed. Pathological diagnosis of this nodule was hamartoma. Later, the right upper lobectomy was performed via a right thoracotomy. Pathological diagnosis of this lesion was adenocarcinoma. Five years after operation, the patient remained disease-free without any progression.

Keywords: Multiple pulmonary nodule, pulmonary hamartoma, lung cancer

Osman Hacmerolu, Glbanu Horzum Ekinci, Abdurrahman Ylmaz, Elif Ylmaz, Sinem Aca Altunbey, Adnan Ylmaz. A Case of Concomitant Pulmonary Hamartoma and Lung Cancer. Respir Case Rep. 2017; 6(1): 48-51

Sorumlu Yazar: Glbanu Horzum Ekinci, Trkiye
Makale Dili: Trke
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