Respir Case Rep. 2015; 4(2): 120-123 | DOI: 10.5505/respircase.2015.75437

Pulmonary Mucoepidermoid Carcinoma: A Case Report

Umut Sabri Kasapoðlu¹, Murat Kavas¹, Sibel Arýnç¹, Volkan Selami Baysungur², Ayçim Þen^3
1Clinic of Chest Diseases, Süreyyapaþa Chest Diseases and Thoracic Surgery Training and Research Hospital, Ýstanbul, Turkey
²Clinic of Thoracic Surgery, Süreyyapaþa Chest Diseases and Thoracic Surgery Training and Research Hospital, Ýstanbul, Turkey
³Department of Pathology, Süreyyapaþa Chest Diseases and Thoracic Surgery Training and Research Hospital, Ýstanbul, Turkey

Mucoepidermoid carcinoma of the tracheabronchial tree is a slow-growing malignant tumor arising from the submucosal glands. Mucoepidermoid carcinoma is an extremely rare tumor of the lung that acounts for 0.3% of thoracic malignancies. Fifty-percent of patients are aged under 30 years. Surgical resection is the mainstay of the treatment and it rarely requires adjuvant treatment. A 33-year-old female patient was admitted to our clinic with complaints of cough and hemoptysis. A mass lesion in right middle lobe was detected in the thorax computed tomography. Although fiberoptic bronchoscopy revealed a polipoid endobronchial lesion occupying the right middle lobe, bronchoscopic biopsy was undiagnosed. The patient underwent thoracotomy with right middle lobectomy and mediastinal lymph node dissection. Histopathological examination revealed a low grade mucoepidermoid carcinoma. The patient did not receive adjuvant treatment and is still alive without evidence of recurrence 29 months after the initial diagnosis.

Keywords: Carcinoma, mucoepidermoid, lung, thoracic surgery.

---

Pulmoner Mukoepidermoid Karsinom: Olgu Sunumu

Umut Sabri Kasapoðlu¹, Murat Kavas¹, Sibel Arýnç¹, Volkan Selami Baysungur², Ayçim Þen^3
1Süreyyapaþa Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði, Ýstanbul
²Süreyyapaþa Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Ýstanbul
³Süreyyapaþa Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim ve Araþtýrma Hastanesi, Patoloji Kliniði, Ýstanbul

Trakeobonþial sistemin mukoepidermoid karsinomlarý submukozal bezlerden köken alan, yavaþ büyüyen malign özellikte tümörlerdir. Çok nadir görülür ve akciðer tümörlerinin %0,3’ünü oluþturmaktadýr. Olgularýn %50’si 30 yaþýn altýndadýr. Cerrahi rezeksiyon tedavinin temelini oluþturur ve nadiren adjuvan tedavi gerekmektedir. Otuz üç yaþýnda kadýn hasta kliniðimize öksürük ve hemoptizi þikâyeti ile baþvurdu. Olgunun toraks bilgisayarlý tomografisinde sað orta lobda düzgün sýnýrlý kitle lezyon tespit edildi. Fiberoptik bronkoskopik incelemede sað orta lobda polipoid lezyon izlenmesine raðmen bronkoskopik biyopsi ile taný elde edilemedi. Orta lobektomi ve lenf nodu diseksiyonu yapýlan hastada histopatolojik inceleme düþük gradeli mukoepidermoid karsinom olarak raporlandý. Adjuvan tedavi verilmeyen hasta tanýdan 29 ay sonra halen hayattadýr ve nüks izlenmemiþtir.

Anahtar Kelimeler: Karsinom, mukoepidermoid, akciðer, torasik cerrahi.

---

CITE