Lazer rekanalizasyon tedavisi uygulanan trakeobronşiyal timoma: Olgu sunumu
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bayçınar Tıbbi Yayıncılık
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Endobronşiyal lazer tedavisi güvenilir ve iyi tolere edilebilir bir yöntem olup gerektiğinde tekrarlanabilir. Elli yaşındaki erkek hasta üç yıl önce endobronşiyal timomaya bağlı şiddetli nefes darlığı ve hemoptizi ile başvurdu. Hastanın sol ana bronşunu tamamen oblitere eden tümöral lezyonu “Nd-YAG” lazer ile rezeke edilerek sol ana bronşa silikon stent yerleştirildi. Takip eden iki yıl içerisinde sol ana bronş ve distal trakeada yeniden tümör gelişimi nedeniyle altı kez daha lazer rezeksiyonu uygulandı. Sol akciğerinde iki yılda total atelektazi gelişen hasta tek akciğer ile sorunsuz olarak halen hayattadır. Akciğer malignitelerinde endoskopik lazer rezeksiyonu diğer metodlara kıyasla hızlı, rahat tolere edilebilen ve tekrarlanabilir palyatif bir tedavi yöntemidir.
Endobronchial laser therapy is generally safe and well tolerated. Fifty year-old male patient was referred to our clinic because of severe dyspnea and massive hemoptysis related to endobronchial thymoma three years ago. Rigid bronchoscopy was performed under general anesthesia, Nd-YAG laser resection and silicone stent insertion were applied to an endobronchial tumoral mass that was found in his bronchoscopy as almost completely obliterating the left main bronchus. In the next two years the same procedure was repeated six times to prevent distal tracheal obliteration with endoluminal tumoral mass. Although the left lung has been totally collapsed at the and of the second year the patient is still alive. Endoscopic laser resection of lung malignancies is rapid, effective, repeatable, and complementary to other treatments.
Endobronchial laser therapy is generally safe and well tolerated. Fifty year-old male patient was referred to our clinic because of severe dyspnea and massive hemoptysis related to endobronchial thymoma three years ago. Rigid bronchoscopy was performed under general anesthesia, Nd-YAG laser resection and silicone stent insertion were applied to an endobronchial tumoral mass that was found in his bronchoscopy as almost completely obliterating the left main bronchus. In the next two years the same procedure was repeated six times to prevent distal tracheal obliteration with endoluminal tumoral mass. Although the left lung has been totally collapsed at the and of the second year the patient is still alive. Endoscopic laser resection of lung malignancies is rapid, effective, repeatable, and complementary to other treatments.
Açıklama
Anahtar Kelimeler
Lazerler, Timoma, Bronkoskopi, Thymoma, Bronchoscopy, Lasers
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
4
Künye
Karaağaç, G., Karakoca, Y. Karaağaç, Sarıman, N. vd. (2004). Lazer rekanalizasyon tedavisi uygulanan trakeobronşiyal timoma: Olgu sunumu / Tracheobronchial timoma treated by laser recanalization therapy: Case report. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Bayçınar Tıbbi Yayıncılık. 12(4), s. 274-276.
