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Laparoscopic Endoscopic Surgical Science Trakeal Tutulum ile Malign Kitle Lezyonunu Taklit Eden ve Video Yardml Mediastinoskopi ile Tan Alan Fibrozan Mediastinit Olgusu [Respir Case Rep]
Respir Case Rep. 2021; 10(2): 114-118 | DOI: 10.5505/respircase.2021.24654

Trakeal Tutulum ile Malign Kitle Lezyonunu Taklit Eden ve Video Yardml Mediastinoskopi ile Tan Alan Fibrozan Mediastinit Olgusu

Seher Susam1, Berna Eren Komurcuoglu2, Kenan Can Ceylan3, Nur Ycel4
1Salk Bilimleri niversitesi, Dr Suat Seren Gs Hastalklar ve Cerrahisi Eitim ve Aratrma Hastanesi, Radyoloji Blm, zmir
2Salk Bilimleri niversitesi, Dr Suat Seren Gs Hastalklar ve Cerrahisi Eitim ve Aratrma Hastanesi, Gs Hastalklar Blm, zmir
3Salk Bilimleri niversitesi, Dr Suat Seren Gs Hastalklar ve Cerrahisi Eitim ve Aratrma Hastanesi, Gs Cerrahisi Blm, zmir
4Salk Bilimleri niversitesi, Dr Suat Seren Gs Hastalklar ve Cerrahisi Eitim ve Aratrma Hastanesi, Patoloji Blm, zmir

ksrk ve dispne ikayeti ile bavuran 27 yandaki kadn hastann, akcier grafisi ve bilgisayarl tomografi tetkikinde, trakeal stenoz oluturan mediastinal kitle lezyonu saptand. Dier sistem muayeneleri normal idi. Transbronial biyopsi sonucu ise benign olarak geldi. Manyetik rezonans grntlemede vaskler yaplara bas ya da invazyon saptanmad. Pozitron Emisyon Tomografisi ile grntlemede lezyon hipermetabolik idi. Kitle lezyonunda grntleme bulgular ile benign ya da malign ayrm yaplamad. Trakeal striktr nedeniyle, tan ve tedavi amacyla olguya video yardml mediastinoskopi yapld, frozen biyopsi sonucunun non-kazeifiye fibrozan mediastinit gelmesi zerine ilem baar ile sonlandrld. Maligniteyi taklit eden, grntleme bulgular ile tans zor nontmral nadir mediastinal bir hastalk olmas nedeniyle olgu sunulmutur.

Anahtar Kelimeler: Mediastinit, fibrozis, bilgisayarl tomografi, manyetik rezonans grntleme, mediasti-noskopi.

A Case of Fibrosing Mediastinitis Mimicking Malignant Mass Lesion with Tracheal Involvement, Diagnosed by Video-assisted Mediastinoscopy

Seher Susam1, Berna Eren Komurcuoglu2, Kenan Can Ceylan3, Nur Ycel4
1Departmant of Radiology, Health Sciences University Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, zmir, Turkey
2Departmant of Chest Disease, Health Sciences University Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, zmir, Turkey
3Departmant of Thoracic Surgery, Health Sciences University Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, zmir, Turkey
4Departmant of Pathology, Health Sciences University Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, zmir, Turkey

A 27-year-old female patient was admitted with a complaint of cough and dyspnea, and was found to have a mediastinal mass lesion and tracheal stenosis on computed tomography. Other system examinations were usual. The transbronchial biopsy result was benign cytology. Magnetic resonance imaging (MRI) revealed no compression or invasion into vascular structures. The lesion was noted to be hypermetabolic in positron emission tomography (PRT) imaging. No benign or malignant differentiation could be based on the imaging findings. Due to a tracheal stricture, the patient underwent video-assisted mediastinoscopy for diagnosis and for the determination of a treatment approach. The procedure was successfully terminated upon the arrival of a frozen biopsy result with non-caseified fibrosing mediastinitis. The case is presented as a rare non-tumoral mediastinal disease that mimics malignancy and that was difficult to diagnose based on imaging findings.

Keywords: Mediastinitis, fibrosis, computed tomography, magnetic resonant imaging, medias-tinoscopy.

Seher Susam, Berna Eren Komurcuoglu, Kenan Can Ceylan, Nur Ycel. A Case of Fibrosing Mediastinitis Mimicking Malignant Mass Lesion with Tracheal Involvement, Diagnosed by Video-assisted Mediastinoscopy. Respir Case Rep. 2021; 10(2): 114-118

Sorumlu Yazar: Seher Susam, Trkiye
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