Tekrarlayan Aksillar Apse ile Gelen Hastada Malign Epitelyal Tümör

Öz

Deri enfeksiyonları genel cerrahi, dermatoloji ve pediatri polikliniklerinde sık karşılaşılan hastalıklar arasında yer almaktadır. Deri apsesi, dermiste veya subkutan dokuda püy birikmesi sonucunda meydana gelir; şiş, kızarık, hassas, fluktuasyon veren ve çoğunlukla çevresinde selülitin eşlik ettiği bir görünüme sahiptir. Tedavi lokal anestezi altında drenaj sonrasında apse kültürü sonucuna göre öncelikle antibiyotik tedavisidir. Erişkinlerde özellikle tekrarlayan apselerde diyabet, bağışıklık sistemini baskılayan durumlar ve kanser gibi bazı hastalıklar göz önünde bulundurulmalıdır. Primer malignitelerde cilt metastazı gelişimi çok nadirdir. Cilt metastazı nedeni olarak akciğer kanseri ilk sırada yer alır. Bu olgu sunumunda, tedaviye dirençli tekrarlayan apse olgularında primer malignitenin cilt metastazının akılda tutulması gerektiğini vurgulamak istedik.

Anahtar Kelimeler

• Apse
• tümör
• cilt metastazı

Malignant Epithelial Tumor in a Patient with Recurrent Axillary Abscess

Abstract

Skin infections are among the common diseases encountered in general surgery, dermatology and pediatrics outpatient clinics. Skin abscess occurs as a result of pus accumulation in the dermis or subcutaneous tissue; it is composed of swollen, red, tender, fluctuating mass and often accompanied by cellulite around them. The treatment is primarily antibiotic therapy according to the abscesses culture result after drainage with local anesthesia. Some of diseases such as diabetes, immunosuppressive conditions and cancer should be considered in adults, especially in recurrent abscesses. Skin metastasis in primary malignancies is very rare. Lung cancer is the most common one with skin metastasis. In this case report, we wanted to emphasize that the skin metastasis of primary malignancy should be kept in mind in cases with recurrent abscess which is resistant to treatment.

Keywords

• Abscess
• tumor
• skin metastasis

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