REKÜRREN PNÖMONİNİN NADİR BİR NEDENİ: MUKOEPİDERMOİD KARSİNOM

Yıl 2013, Cilt: 27 Sayı: 1, 49 - 53, 01.05.2013

Bayram Altuntaş Sami Ceran Aslıhan Yalçın Ebru Şener Güven Sadi Sunam

Öz

Bronşial kaynaklı mukoepidermoid karsinom (MEK), malignite potanesiyeli düşük bir tümördür. MEK, bronşial glandlardan köken alırlar. Mukoepidermoid karsinomlar nadir görülürler ve tüm akciğer kanserleri içerisinde %0.1-0.2 oranında görülen nadir tümörlerdir. MEK, histopatolojik olarak düşük veya yüksek grade olarak sınıflandırılır. Radyolojik bulguları soliter nodül, kitle veya pnömonik konsolidasyondur. Daha çok genç yaştaki insanlarda görülür. Tedavide, düşük gradeli tümörler lobektomi ile tedavi edilmelidir. Sleeve rezeksiyon gibi tedaviler, daha konservatif bir seçenektir. Bu makalede biz, pnömoni tedavisi sırasında çekilen bilgisayarlı tomografi ile tesbit edilen 29 yaşında mukoepidermoid kanserli hastayı sunuyoruz. Hastaya sağ sleeve lobektomi uyguladık. Postoperatif dönemi sorunsuzdu. Nadir görülmesi nedeniyle bu olguyu sunmayı amaçladık.

Anahtar Kelimeler

Mucoepidermoid carcinoma, lobectomy, bronchus

A RARE CAUSE OF RECURRENT PNEUMONIA: MUCOEPIDERMOID CARCINOMA

Öz

Mucoepidermoid carcinoma of the bronchus (MEC) is a tumor of low malignant potential. MEC originates from bronchial glands.MECs are rare tumors with an incidence of 0.1%-0.2% of all lung cancers, occurring mostly in young persons. MEC is histopathologically classified as a low or high grade malignancy. Radiologic manifestations are consisted of solitary nodule, mass or pneumonic consolidation. Therapeutically, low-grade tumors should be completely excised with lobectomy. Sleeve resection provides a more conservative option. In this article. we report a histologically proven case of a MEC in a 29-year-old man that was detected by chest computed tomography during medical therapy for pneumonia. The right upper sleeve lobectomy was performed. His postoperative recovery was uneventful. We aimed to present because of the rarity.

Anahtar Kelimeler

Mukoepidermoid karsinom, lobektomi, bronkus

Kaynakça

• 1. Kitada M, Matsuda Y, Sato K, Hayashi S, Ishibashi K, Miyokawa N, Sasajima T. Mucoepidermoid carcinoma of the lung: a case report. Journal of Cardiothoracic Surgery 2011;6:132
• 2. Smetana HF, Iverson L, Swan LL: Bronchogenic carcinoma; an analysis of 100 autopsy cases. Mil Surg 1952;111:335-351
• 3. Klacsmann PG, Olson JL, Eggleston JC: Mucoepidermoid carcinoma of the bronchus: An electron microscopic study of the low grade and the high grade variants. Cancer 1979; 43:1720- 1733.
• 4. Huang HK, Cheng YL, Chang H, Tzao C, Lee SC. Mucoepidermoid Carcinoma of the Lung. J Med Sci 2009; 29(6): 305-308
• 5. Yousem SA, Hochholzer L: Mucoepidermoid tumors of the lung. Cancer 1987, 60:1346-1352.
• 6. Kim TS, Lee KS, Han J, Im JG, Soe JB, Kim JS, Kim HY, Han SW. Mucoepidermoid carcinoma of the tracheobronchial tree: radiographic and CT findings in 12 patients. Radiology 1999: 212; 643-648
• 7. Yousem SA, Hocholzer L. Mucoepidermoid tumors of the lung. Cancer 1987;60:1346-1352
• 8. Heitmiller RF, Mathisen DJ, Ferry JA, Mark EJ, Grillo HC: Mucoepidermoid lung tumors. Ann Thorac Surg 1989; 47: 394-399
• 9. Lack EE, Hams GBC, Erakles AJ, Vawter CF. Primary bronchial tumors in childhood. Cancer 1983; 5 1:494-497.