Yenidoğan Dönemindeki Kitlesel Lezyonlarda Ayırıcı Tanı Ve Yönetim: On Yıllık Tek Merkez Deneyimi

Year 2024, Volume: 10 Issue: 2, 289 - 294, 01.05.2024

Elif Habibe Aktekin , Ayşe Erbay , Semire Serin Ezer , Bilin Çetinkaya , Şenay Demir , Bermal Hasbay , Nalan Yazıcı

https://doi.org/10.53394/akd.1258915

Abstract

Giriş: Yenidoğan tümörleri nadirdir ve bu hastalıklara standart bir yaklaşım bulunmamaktadır. Ayrıca kanser, perinatal morbidite ve mortalitenin önemli bir nedenidir. Bu çalışmanın amacı, merkezimizde izlediğimiz bu istisnai tümörlerin insidansını, klinik özelliklerini ve yönetimini analiz etmektir.

Gereç-Yöntem: Hastanemizde 2007-2018 yılları arasında takip ettiğimiz solid kitlesi olan bebekleri retrospektif olarak değerlendirdik. Yaş, cinsiyet dağılımı, doğum ağırlığı ve gebelik yaşı, lezyon tipi, vakaların yönetimi ve sonuçlar incelendi.

Bulgular: 10 yıllık süre içinde toplam 62 vaka tespit edilmiş olup en sık görülen solid neonatal tümör germ hücreli tümör idi (%30.6). Kırk iki lezyon karında yerleşmekteydi. Olguların büyük çoğunluğuna (%48.3) tedavi olarak sadece cerrahi uygulandı.

Sonuç: Tüm dünyada olduğu gibi ülkemizde de yenidoğan tümörleri için sınırlı yönetim deneyimine rağmen, doğum öncesi tanı yöntemlerindeki yenilikler ve yeterli perinatal bakım sayesinde, uzmanlaşmış multidisipliner merkezlerde bu hastaların sağkalımı artırılabilir.

Keywords

antenatal tanı, Neonatal kitleler, Prematür, Sağkalım, Tedavi

Supporting Institution

Başkent Üniversitesi

Project Number

KA21/359

Differential Diagnosis And Management In Neonatal Mass Lesions: Ten Years Experience

Abstract

Introduction: Neonatal tumors are rare and there is no standard approach to these diseases. Besides, cancer is an important cause of perinatal morbidity and mortality. The aim of this study is to analyze the incidence, clinical features and management of these exceptional tumors which were followed up at our center.
Material and Method: We assessed all babies with solid masses admitted to our hospital between 2007-2018 retrospectively. The age, sex distribution, birth weight and gestational age, type of lesion, management and outcome were studied.
Results: Of total; there were 62 cases over 10 years in which the most common solid neonatal tumor was germ cell tumor (30.6%). Forty two lesions were located in the abdomen. The majority of cases (48.3%) underwent only surgery for treatment strategy.
Conclusion: In spite of limited management experience for newborn tumors, thanks to renovations in prenatal diagnostic methods and sufficient perinatal care, survival can be improved in specialised multidisciplinary centers.

Keywords

antenatal diagnosis, neonatal tumors, premature, survival, treatment

Project Number

KA21/359

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