Çocuklukta Görülen Bir Konjonktival Yassı Epitel Hücreli Karsinom Olgusu+

Öz

Bu çalışmanın amacı olağan olmayan bir yaş ve cinsiyette gözlenen konjonktival yassı epitel hücreli karsinom vakasını ve tedavi yöntemlerini değerlendirip, tartışmaktır. 11 yaşında bir kız çocuğu sol gözünde 5-6 yıldır geçmeyen bir kitle ile polikliniğimize getirildi. Hasta yakınları kitlede herhangi bir büyüme olmadığını, hep aynı büyüklük ve şekilde olduğunu ifade ettiler. Hastanın yapılan muayenesinde sol göz temporalinde limbustan 3 mm lateralde 3×3 mm boyutlarında hafif kabarık, vaskülarize, hareketli, keratinize ve kahverengi kitle mevcuttu. Operasyonda kitle, 3 mm'lik cerrahi sınır dahil edilerek çıkarıldı. Koterizasyon ve bölgeye bir sponç yardımı ile mitomisin C, 0,2 mg/ml 2 dakika süre ile uygulandı. Histopatolojik inceleme sonucu kitlenin konjonktival yassı epitel hücreli karsinom olduğu görüldü. Hasta aylık takibe alındı, 4 aylık takibinde nüks görülmedi. Konjonktival lezyonlarda, olağan dışı bir yaş grubu ve cins olsa dahi yassı hücreli karsinoma akla getirilerek uygun yöntemlerle tedavi edilmelidir. Anahtar kelimeler: Konjonktival yassı epitel hücreli karsinom, Eksizyonel biopsi, Çocukluk çağı.

Anahtar Kelimeler

• Konjonktival yassı epitel hücreli karsinom, Eksizyonel biopsi, Çocukluk çağı.

A Case of Conjunctival Squamous Cell Carsinoma Appeared in Childhood

Abstract

A case of conjunctival squamous cell carcinoma and the treatment methods are discussed with respect to a case with findings arising at an uncommon age and sex. An eleven years old girl applied to our out patient clinic with a mass on the lefte eye. Parents informed that the mass showed enlargement. There was a mass located on the temporal part of the left eye 3 mm lateral from limbus. The dimensions of the lesion was 3×3 mm and it was a vascularized, mobile, keratinizated and brown mass. Excision of the mass with a lateral margin of 3 mm, combined with couterization of the bases was performed. Mitomycin C was locally applied of 0.2 mg/ml for about two minutes use of sponge. The mass was reported as conjunctival squamous cell carsinoma after histopathological examination. Four months after the operation there was no evidence of recurrence. Conjunctival lesions should bring into mind to possibility of conjunctival squamous cell carsinoma even if it apprears at an uncommon age and sex, and should be treated with appropriate methods.. Key words: Conjunctival squamous cell carcinoma, Excisionel biopsy, Childhood.

Keywords

• Conjunctival squamous cell carcinoma, Excisionel biopsy, Childhood.

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