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Abstract

Thirthypatientswhoadmittedtoourclinicwithdiagnosis of thymiclesionsbetweenJuly 2002 andMarch 2010 areinvestigated. All of thepatientwereanalysedretrospectivelyforage, gender, complaint, lessionlocalication, surgicalprocedureandhistopathologicaldiagnosis. Wecomparedourresultswithexistingliterature. Themostimportantfeature of thethymictumors is capsulatedor not andshowinginvasiontotheneighbouringtissues. Because of these, themostimportantmatter in treatment of patients is clinicalappearance, accuratestaging of thisandaccuratelyreport of thehistopathologicaltype. Besides, completesurgicalresectionwhich is donetothepatientprovides an importantsurvival. Themostimportantprognosticfactors in thethymomas; theclinicalstaging of thepatients, thehistopathologicalstaging, completeresection, its size andtheinvasion of vasculartissues.

Keywords

• Thymicpathology, stage, surgery

TİMUS PATOLOJİLERİNİN CERRAHİSİNDE KLİNİK DENEYİMİMİZ

Öz

Özet

Bu çalışmada Anabilim Dalımızda Temmuz 2002 – Mart 2010 tarihleri arasında timik lezyon nedeniyle takip edilen 30 olgu incelendi. Olgular  yaş, cinsiyet, şikayet, lezyon lokalizasyonu, girişim yolu, yapılan rezeksiyon ve histopatolojik  tanı açısından retrospektif olarak değerlendirildi ve literatür bilgileri ile karşılaştırıldı. Timik tümörlerin en önemli özelliği tümörün kapsüllü olup olmaması ve komşu yapılara invazyon gösterip göstermemesidir. Dolayısıyla da hastanın tedavisinde en önemli husus klinik görünüm, doğru evrelendirilmesi ve histopatolojik tipinin doğru bildirilmesidir. Bununla birlikte hastaya yapılacak olan komplet bir cerrahi rezeksiyon hastanın yaşam kalitesine önemli katkı yapmaktadır. Timomalardaki en önemli prognostik faktörler; hastanın klinik evrelendirilmesi ve histopatolojik sınıflandırılması, komplet rezeksiyon, büyüklüğü ve damarsal yapılara invazyonudur.

Anahtar kelimeler: Timik patoloji, evrelendirme, cerrahi.

OUR CLINICAL EXPERIMENTATION OF THYMIC PATHOLOGICAL SURGERY

Abstract

Thirthy patients who admitted to our clinic with diagnosis of thymic lesions between July 2002 and March 2010 are investigated.  All of the patient were analysed retrospectively for age, gender, complaint, lession localication, surgical procedure and histopathological diagnosis. We compared our results with existing literature.  The most important feature of the thymic tumors is capsulated or not and showing invasion to the neighbouring tissues. Because of these, the most important matter in treatment of patients is clinical appearance, accurate staging of this and accurately report of the histopathological type. Besides, complete surgical resection which is done to the patient provides an important survival. The most important  prognostic factors in the thymomas; the clinical staging of the patients, the histopathological staging, complete resection, its size and the invasion of vascular tissues.

Keywords: Thymic pathology, stage, surgery

Anahtar Kelimeler

• Timikpatoloji,evrelendirme, cerrahi.

Kaynakça

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