dr. tuncer Şenol
DESCRIPTION
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 PresentationTRANSCRIPT
![Page 1: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/1.jpg)
Dr. Tuncer ŞENOL
OSM ORTADOGU HOSPITALCHEST DİSEASES
![Page 2: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/2.jpg)
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](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/3.jpg)
CBC
WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7
![Page 4: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/4.jpg)
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
![Page 5: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/5.jpg)
PFT
FVC 4300 2810 %65 FEV1 3370 2480 %74 PEF 841 590 %70 TİFF % 76 88
![Page 6: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/6.jpg)
AKCİĞER FİLMİ
![Page 7: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/7.jpg)
![Page 8: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/8.jpg)
![Page 9: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/9.jpg)
![Page 10: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/10.jpg)
Nonspecific treatment
Hemoptysis
Bronchoscopy
![Page 11: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/11.jpg)
![Page 12: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/12.jpg)
![Page 13: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/13.jpg)
![Page 14: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/14.jpg)
![Page 15: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/15.jpg)
![Page 16: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/16.jpg)
![Page 17: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/17.jpg)
![Page 18: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/18.jpg)
![Page 19: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/19.jpg)
![Page 20: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/20.jpg)
![Page 21: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/21.jpg)
Right upp ant
post
Left lov
Left lover sup
![Page 22: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/22.jpg)
PATOLOJİ RAPORU BİLGİSAYARDAN KOPYALA
![Page 23: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/23.jpg)
SUVmax
: 11.2
![Page 24: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/24.jpg)
STAGING
Right Upper : EPIDERMOID CA
T3 N0 M0 2B
Left Lover : SMALL CELL CA
LIMITED
![Page 25: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/25.jpg)
Our Suggestions
The right lung ;OPERATION
The left lung ;CHEMOTHERAPY
![Page 26: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/26.jpg)
Patient's Plan
I want to go I want to go homehome..
![Page 27: Dr. Tuncer ŞENOL](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/27.jpg)
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](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/28.jpg)
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](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/29.jpg)
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](https://reader035.vdocument.in/reader035/viewer/2022062309/568149b6550346895db6edcb/html5/thumbnails/30.jpg)
THANK’S FOR YOUR PATIENCE