Timolipoma ve Primer Akciğer Kanseri Birlikteliği

Öz

Timolipoma ve akciğer kanseri birlikteliğinin bir olgusu sunuldu. Kırk iki yaşında erkek hasta 2 yıldır devam eden halsizlik ve göz kapağında güçsüzlük yakınmaları ile Aralık 2003’de doktora başvurmuş. Hastaya Lambert-Eaton Sendromu tanısı ile piridostigmin (mestinon) ve azothiopirin başlanmıştı. Toraks bilgisayarlı tomografisi normal olarak rapor edilmişti. Beş ay sonra, Mayıs 2004’de tomografi sol üst lobda 1 cm çapında bir soliter pulmoner nodül gösteriyordu. Hasta merkezimize sevk edilmişti. Bronkoskopik görünüm normaldi. Torakotomide, ön mediastende 3 cm çaplı kitle ve sol üst lobda 1x1 cm boyutunda nodül görüldü. Mediastinal kitle çıkartıldı ve sol üst lobektomi yapıldı. Mediastinal kitle timolipoma idi ve sol üst lobdaki nodül adenokarsinom olarak rapor edildi. Akciğer kanserinin patolojik evresi T1N1Mx idi. Cerrahiden 3 yıl sonra nüks veya rezidüel tümör bulgusu yoktu. Adnan YILMAZ, , Ebru DAMADOĞLU, Leyla YAĞCI TUNCER, Ebru SULU, Huriye BERK TAKIR, Volkan BAYSUNGUR, Reha BARAN,

Anahtar Kelimeler

• Timolipoma
• primer akciğer kanseri
• birliktelik
• Lambert-Eaton sendromu
• miyastenia gravis

Co-existing Thymolipoma and Primary Lung Cancer: Case Report

Öz

A case with coexisting thymolipoma and primary lung cancer was presented. A 42 year- old-man was referred to a physician on December 2003 complaining of fatigue and eyelid weakness for 2 years. Pyridostigmine (mestinon) and azathioprine treatment was started with the diagnosis of Lambert-Eaton syndrome. Computed tomography of the thorax was reported as normal. Five months later, on May 2004 it showed a solitary pulmonary nodule on left upper lobe which is 1cm in diameter. Bronchoscopic appearance was normal. A mass lesion three centimeter in diameter in anterior mediastinum and a nodule 1x1 cm in diameter in left upper lobe were seen at thoracotomy. Mediastinal mass was removed and left upper lobectomy was performed. Mediastinal mass was a thymolipoma and the nodule on left upper lobe was reported as an adenocarcinoma. The pathological stage of lung cancer was TINI Mx. There was no evidence of recurrence or residual tumor 3 years after surgery.

Anahtar Kelimeler

• Thymolipoma
• primary lung cancer
• coexistence
• Lambert-Eaton Syndrome
• myasthenia gravis

Kaynakça

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