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Sleeve Lobektomi ile Tedavi Edilen Nadir Bir Pulmoner Fibrosarkom Olgusu [Respir Case Rep]
Respir Case Rep. 2020; 9(3): 125-128 | DOI: 10.5505/respircase.2020.04127

Sleeve Lobektomi ile Tedavi Edilen Nadir Bir Pulmoner Fibrosarkom Olgusu

Demet Turan1, Mehmet Akif Ozgul1, Levent Cansever2, Mehmet Ali Bedirhan2
1Yedikule Gs hastalklar hastanesi, Gs klinii
2Yedikule Gs hastalklar hastanesi, Gs cerrahi

Yirmi sekiz yanda erkek hasta, acil servise hemoptizi ikayetiyle mracaat etti. Solunum sistemi muayensinde solda solunum sesleri azalmt ve tomografide alt lobda tkayc polipoid bir lezyon ve distalinde atelektazi vard. Bronkoskopide sol ana brona taan polipoid lezyon grld. Lezyonun grnen ksmndan snare ile biyopsi alnd ve cryo ile hemostaz saland. Patolojisi fibrosarkom gelen hastaya sleeve sol alt lobektomi uyguland. Lenf nodlar ve cerrahi snrlar negatif bulundu. Hastaya kemo/radyoterpi tedavi uygulanmad. Primer pulmoner fibrosarkomlarn polipoid olarak bymesi nadir grlmektedir. Bu hastalarda tercih edilen tedavi ekli cerrahi eksizyondur.

Anahtar Kelimeler: endobronial fibrosarkom, endobronial terapi, hemoptizi, akcier cerrahisi, elektrokoter

A Rare Case of Pulmonary Fibrosarcoma Treated by Sleeve Lobectomy

Demet Turan1, Mehmet Akif Ozgul1, Levent Cansever2, Mehmet Ali Bedirhan2
1Department of Pulmonology, Yedikule Hospital for Chest Disease Istanbul, Turkey
2Department of Thoracic Surgery Yedikule Hospital for Chest Disease Istanbul, Turkey.

A 28-year-old male presented to the emergency department with hemoptysis. A pulmonary examination revealed diminished lung sound on left side, and a CT scan of the chest showed an endobronchial polipoid lesion in the left main bronchus. A rigid bronchoscopy showed a polipoid lesion in left the main left bronchus, while the orifice of the lower lobe was not visible. The lesion was cut into two pieces with a snare and removed with cryotherapy, and hemostasis was achieved. A pathological examination of the lung bronchial biopsy specimen revealed fibrosarcoma. A left lower sleeve lobectomy was performed, and as surgical margins were tumor free, no chemo/radiotherapy was considered necessary. Primary endobronchial pulmonary fibrosarcomas exhibiting polypoid growths are rare. Surgical excision is the preferred treatment option in such patients

Keywords: Endobronchial Fibrosarcoma, Endobronchial Therapy, Hemoptysis, Lung surgery, Snare electrocautery,

Demet Turan, Mehmet Akif Ozgul, Levent Cansever, Mehmet Ali Bedirhan. A Rare Case of Pulmonary Fibrosarcoma Treated by Sleeve Lobectomy. Respir Case Rep. 2020; 9(3): 125-128

Sorumlu Yazar: Mehmet Ali Bedirhan, Trkiye
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