AKCİĞERİN PLEOMORFİK KARSİNOMU (OLGU SUNUMU)

Year 2008, Volume: 22 Issue: 1, 13 - 16, 01.05.2008

Günseli Balcı Serhan Olcay Nur Yücel Rıfat Özacar

Abstract

Akciğerin pleomorfik karsinomu nadir görülen bir malign epitelyal tümördür. Erken evrede saptanıp rezeke edilmezse kötü prognozlu akciğer kanseri tipidir. 68 yaşında erkek olgu nefes darlığı, hemoptizi ve öksürük yakınmaları ile başvurdu. Posteroanterior akciğer grafisinde sağ hilusa süperpoze düzensiz sınırlı homojen dansite, bilgisayarlı toraks tomografisinde sağ hiler bölgede sağ pulmoner arter ve vene invaze kitle saptandı. Bronkoskopide sağ ana bronş girişinde lümeni tama yakın tıkayan vejetan tümöral lezyon görüldü. Bu bölgeden alınan biyopsi materyalinin histopatolojik ve immünhistokimyasal incelemesi pleomorfik karsinom olarak rapor edildi. Pleomorfik karsinom akciğerin nadir görülen ve kötü prognoza sahip bir tümörüdür, akciğerde kitle yapan etyolojik nedenler arasında akılda tutulmalıdır. Olgu, nadir görülmesi nedeniyle literatür eşliğinde sunuldu.

Keywords

Pleomorfik karsinom, akciğer

PLEOMORPHIC CARCINOMA OF THE LUNG (CASE REPORT)

Abstract

Pleomorphic carcinoma of the lung is a rare malignant tumour and is type of lung cancer with a poor prognosis when the tumor is not resected in early stages. A 68 years old man applied with complaints of cough, hemoptysis and breathlessness . There was irregular homogenius lesion in right hilus on posterior-anterior chest radiography and a mass lesion located in right hiler region with invasion of right pulmonary artery and vein on thorax computed tomography. In bronchoscopy, vegetan tumoral lesion that obstructs the lumen of right main bronchus was seen. Pleomorphic carcinoma was reported in histopathological and immunohistochemical examination of biopsy that was taken from this region. Pleomorphic carcinoma is a rarely seen tumor with a poor prognosis and should be thought in etiology of pulmonary masses. The case is presented with the review of literature as a rare entity.

Keywords

Pleomorphic carcinoma, lung

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