Dr. Tuncer ŞENOL
OSM ORTADOGU HOSPITALCHEST DİSEASES
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
CBC
WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7
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
PFT
FVC 4300 2810 %65 FEV1 3370 2480 %74 PEF 841 590 %70 TİFF % 76 88
AKCİĞER FİLMİ
Nonspecific treatment
Hemoptysis
Bronchoscopy
Right upp ant
post
Left lov
Left lover sup
PATOLOJİ RAPORU BİLGİSAYARDAN KOPYALA
SUVmax
: 11.2
STAGING
Right Upper : EPIDERMOID CA
T3 N0 M0 2B
Left Lover : SMALL CELL CA
LIMITED
Our Suggestions
The right lung ;OPERATION
The left lung ;CHEMOTHERAPY
Patient's Plan
I want to go I want to go homehome..
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
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
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
THANK’S FOR YOUR PATIENCE