PULMONER TROMBOEMBOLİ İLE KOMPLİKE AKCİĞER KANSERİ OLGUSU

Year 2007, Volume: 21 Issue: 1, 17 - 20, 01.05.2007

Gülru Polat Melih Büyükşirin Zehra Aşuk Gültekin Tibet

Abstract

Malign hastalık ile tromboz arasındaki ilişki yıllardır bilinmektedir. Ancak kansere bağlı klinik olarak önemli trombotik komplikasyonun gerçek insidansı hala bilinmemektedir. Daha önce KHAK tanısı alarak 2 kür KT alan 59 yaşında erkek olgu sağ yan ağrısı ve halsizlik yakınmaları ile 3. kür açısından değerlendirilmek üzere başvurdu. Toraks BT'de; santral yerleşimli kitlenin küçüldüğü ancak sağ hemitoraksta plevral efüzyonla birlikte sağ ana pulmoner arterde trombus izlendi. Olgu pulmoner emboli ile komplike KHAK olarak değerlendirildi. Olguyu; pulmoner embolinin gelişebileceği düşünülmediği takdirde yanlış değerlendirmelere neden olabileceği ve tedavi kararını değiştirebileceğini göstermesi açısından sunmayı uygun gördük.

Keywords

Pulmoner emboli, akciğer kanseri

A CASE OF LUNG CANCER COMPLICATED WITH PULMONARY THROMBOEMBOLI

Abstract

The association between malignancy and clinical thrombosis has been recognised for several years. However true incidence of clinically significant thrombotic complications due to cancer stil unknown. 59 years old male admitted to hospital with the complaints of pain on the right side and fatigue who had the diagnosis of small cell lung cancer and got 2 cyclus of chemotherapy applied for the 3rd cyclus. Computed tomography performed. Thrombus observed in the right pulmonary artery. We evaluated the case as small cell lung cancer complicated with pulmonary embolus. We presented the case, because occurence of pulmonary embolism made us to evaluate the disease as progressive erroneously according to chest radiography at first.

Keywords

Pulmonary embolism, lung cancer

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