Primer Kolorektal Lenfoma Deneyimlerimiz
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Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada primer kolon lenfoması nedeniyle opere edilen on hastadaki, kliniğimizin cerrahi yaklaşımını, tümörlerin özelliklerini ve klinik prezentasyonlarını ortaya koymayı amaçladık.Yöntemler: Ocak 2006-Aralık 2012 yılları arasında kliniğimizde opere edilen primer kolorektal lenfomalı on hastanın verileri geriye yönelik incelendi. Bulgular: Tanı esnasında median yaş 66 idi. Başvuru esnasında en sık raslanılan şikayetler karın ağrısı ve bağırsak alışkanlığında değişme idi. Muayenelerinde en sık abdominal distansiyon ve batında yaygın hassasiyet tespit edildi. Akut karın tanısı ile üç hasta acil şartlarda opere edildi. Operasyonda bir hastada ileoçekal invajinasyon, bir hastada çekumda perforasyonuna neden olan kitle ve bir hastada ise sigmoid kolonda obstrüktif kitle tespit edildi. En sık görülen lokalizasyon çekum (%60), bunu takiben sigmoid kolon (%30) ve rektum (%10) geliyordu. B hücreli lenfoma en sık görülen tip idi (n8).Sonuç: Primer kolon lenfoması nadir bir hastalıktır. Öncelikle cerrahinin mi kemoterapinin mi önerileceği hala bilinmemektedir
Aim: In this paper, we aimed to present our surgical approach to ten patients who underwent surgery for primary colonic lymphoma and the features and clinical presentations of the tumors. Methods: We retrospectively analyzed the data of ten patients who underwent surgery in our clinic for primary colorectal lymphoma between January 2006 and December 2012. Results: The median age of the patients at the time of diagnosis was 66 years. The most frequent presenting complaints were abdominal pain and change in bowel habits. The most frequent physical examination findings were abdominal distention and widespread tenderness. Three patients underwent emergency surgery subsequent to acute abdomen diagnosis. During the surgery, it was observed that one patient had ileocecal invagination, one patient had a mass that caused cecal perforation, and one other had an obstructive mass in the sigmoid colon. The most common localizations were the cecum (60%), sigmoid colon (30%), and the rectum (10%), respectively. The most frequent type was B-cell lymphoma (n8). Conclusion: Primary colonic lymphoma is a rare condition. It is still yet uncertain whether surgery or chemotherapy should be advised first
Aim: In this paper, we aimed to present our surgical approach to ten patients who underwent surgery for primary colonic lymphoma and the features and clinical presentations of the tumors. Methods: We retrospectively analyzed the data of ten patients who underwent surgery in our clinic for primary colorectal lymphoma between January 2006 and December 2012. Results: The median age of the patients at the time of diagnosis was 66 years. The most frequent presenting complaints were abdominal pain and change in bowel habits. The most frequent physical examination findings were abdominal distention and widespread tenderness. Three patients underwent emergency surgery subsequent to acute abdomen diagnosis. During the surgery, it was observed that one patient had ileocecal invagination, one patient had a mass that caused cecal perforation, and one other had an obstructive mass in the sigmoid colon. The most common localizations were the cecum (60%), sigmoid colon (30%), and the rectum (10%), respectively. The most frequent type was B-cell lymphoma (n8). Conclusion: Primary colonic lymphoma is a rare condition. It is still yet uncertain whether surgery or chemotherapy should be advised first
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Lenfoma, Diffüz Büyük B-Hücreli Lenfoma, Akut Karın, Lymphoma, Diffuse Large B-Cell Lymphoma, Acute Abdomen
Kaynak
Haseki Tıp Bülteni
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
52
Sayı
2
Künye
Gündeş, E., Çakır, M., Küçükkartallar, T., Taşcı, H. I., Tekin, A., Tekin, S. (2014). Primer kolorektal lenfoma deneyimlerimiz. Haseki Tip Bulteni, 52, 2, 89-92.
