dr. tuncer Şenol

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Dr. Tuncer ŞENOL OSM ORTADOGU HOSPITAL CHEST DİSEASES

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Dr. Tuncer ŞENOL. OSM ORTADOGU HOSPITAL CHEST DİSEASES. R. C. 62 Y MALE. Cough Sputum Sweat Weight loss 16 kg last 6 months Fever Weakness 60 box / years smoking. CBC. WBC : 24 950 NEU%: 80,4 PLT: 236000 HB: 11.8 HTC: 35.7. BIOCHEM:. GLU: 110 mg/dL - PowerPoint PPT Presentation

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Page 1: Dr. Tuncer ŞENOL

Dr. Tuncer ŞENOL

OSM ORTADOGU HOSPITALCHEST DİSEASES

Page 2: Dr. Tuncer ŞENOL

R. C. 62 Y MALE R. C. 62 Y MALE

Cough Cough Sputum Sputum Sweat Sweat Weight loss 16 kg last 6 monthsWeight loss 16 kg last 6 months Fever Fever Weakness Weakness 60 box/years smoking60 box/years smoking

Page 3: Dr. Tuncer ŞENOL

CBC

WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7

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BIOCHEM:

GLU : 110 mg/dL ALT : 316 IU/L AST : 132 IU/L T BİL : 2.7 mg/dL D BİL : 0.9 mg/dL Na : 135 mmol/L Fe : 23 ug/dL

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PFT

FVC 4300 2810 %65 FEV1 3370 2480 %74 PEF 841 590 %70 TİFF % 76 88

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AKCİĞER FİLMİ

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Nonspecific treatment

Hemoptysis

Bronchoscopy

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Right upp ant

post

Left lov

Left lover sup

Page 22: Dr. Tuncer ŞENOL

PATOLOJİ RAPORU BİLGİSAYARDAN KOPYALA

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SUVmax

: 11.2

Page 24: Dr. Tuncer ŞENOL

STAGING

Right Upper : EPIDERMOID CA

T3 N0 M0 2B

Left Lover : SMALL CELL CA

LIMITED

Page 25: Dr. Tuncer ŞENOL

Our Suggestions

The right lung ;OPERATION

The left lung ;CHEMOTHERAPY

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Patient's Plan

I want to go I want to go homehome..

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MULTIPL PRIMER LUNG CANCERS (MPLC)

First 1924 Autopsy J THORAC CARDİOVASC SURG 1964

1931-84 382 Case J SURG ONCOL 1984

%1.6 %0.5-3.9 CHEST 1987 CA 1964

E /K 3/1 6. Decade CHEST 1997

Metachronous and Synchronous (12 Months)

CANCER 1983 THORAX 1993

Synchronous less than %1%

J THORAC CARDİOVASC SURG 1975

Page 28: Dr. Tuncer ŞENOL

MULTIPL PRIMER LUNG CANCERS (MPLC)

1975 Martini and Melamed 1995 Deterback and et all.

A - Tumor far and dissociate. B - Histology

– 1. Different

– 2. The same but different segment, lobe or lung

To have carcinoma in situ origin Lack of a common carcinoma in lymph nodes of

both tumor Absence of extrapulmoner metastases at

diagnosis

CHEST 2003

Page 29: Dr. Tuncer ŞENOL

MULTIPL PRIMER LUNG CANCERS (MPLC)

MPLC Most Frequent Epidermoid Cancer THORAX 1993

J SURG ONCOL 1984

CHEST 1987

Related Histology DNA Studies

Highest-grade tumor CHEST 2000

Page 30: Dr. Tuncer ŞENOL

THANK’S FOR YOUR PATIENCE