LENFOMA NEDENİYLE UYGULANAN RADYOTERAPİ SONRASI SEKONDER MALİGNİTELER-OLGU SUNUMU

Abstract

Bu olgu sunumunda Hodgkin lenfoma tanısıyla baş-boyun bölgesine radyoterapi uygulanmasını takiben ortaya çıkan akciğer ve çoklu cilt kanserleri tespit edilen bir olgu sunulmuştur. Elli yaşında, Evre IA Hodgkin lenfoma nedeniyle mantle alanına radyoterapi verilen erkek hastada, 6 yıl sonra burun üzerinde bazal hücreli karsinom, sağ kulak üzerinde invaziv epidermoid karsinom ve sol infraorbital bölgede in-situ epidermoid karsinom tespit edildi. Cerrahi tedavi sonrası sağ aurikuler alana ve sol infraorbital sahaya lateral cerrahi sınırın yakın olması ve hastanın re-eksizyonu kabul etmemesi nedeniyle radyoterapi verilen olgu bir yıl sonra nefes darlığı şikayeti ile başvurdu. Sağ akciğer üst ve orta zonları tutan kitle tespit edilen olgunun bronkoskobik biyopsi sonucu Epidermoid karsinom olarak rapor edildi. Vena cava superior sendromu tespit edilen hastaya tekrar radyoterapi ve medikal tedavi uygulandı. Genel durumu giderek bozulan hasta 15 gün sonra öldü.

Keywords

• Hodgkin lenfoma, radyoterapi, ikincil kanser

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