Parotis bezi t\u00fck\u00fcr\u00fck bezlerinin en b\u00fcy\u00fck olan\u0131d\u0131r. T\u00fck\u00fcr\u00fck bezleri; ba\u015f ve boyun b\u00f6lgemize yerle\u015fmi\u015f, \u00fcretti\u011fi sindirime yard\u0131mc\u0131 salg\u0131y\u0131 yani t\u00fck\u00fcr\u00fc\u011f\u00fc \u00f6zel kanallarla ba\u011fl\u0131 oldu\u011fu a\u011f\u0131z, bo\u011faz, yutak, burun, sin\u00fcs gibi b\u00f6lgelere bo\u015faltan organlar ya da organc\u0131klar olarak bilinir. T\u00fck\u00fcr\u00fck bezleri sindirime yard\u0131mc\u0131 olur. Ayn\u0131 zamanda da a\u011f\u0131z, bo\u011faz, burun, g\u0131rtlak bo\u015fluklar\u0131 i\u00e7in gerekli \u0131slakl\u0131\u011f\u0131 ve nemi de sa\u011flar ve buralarda enfeksiyona yol a\u00e7an mikroorganizmalara kar\u015f\u0131 da savunma sa\u011flar. Major ve min\u00f6r olmak \u00fczere v\u00fccudumuzda yer al\u0131rlar. Major olanlar\u0131; Parotis bezi (kulak \u00f6n\u00fc t\u00fck\u00fcr\u00fck bezi), Submandibuler bez (\u00e7ene alt\u0131 t\u00fck\u00fcr\u00fck bezi) ve Sublingual Bez (dil alt\u0131 t\u00fck\u00fcr\u00fck bezi) olarak adland\u0131r\u0131l\u0131r. Bunlar y\u00fcz\u00fcm\u00fczde sa\u011f ve sol tarafta iki\u015fer adet bulunur. Min\u00f6r olanlar\u0131 ise mukoza i\u00e7ine y\u00fczlerce serpi\u015ftirilmi\u015ftir.<\/p>\n
Parotis yani kulak \u00f6n\u00fc t\u00fck\u00fcr\u00fck bezi; y\u00fcz\u00fcm\u00fcz\u00fcn sa\u011f ve sol olacak \u015fekilde iki taraf\u0131nda kulak kep\u00e7emizin \u00f6n\u00fcnden, a\u015fa\u011f\u0131ya \u00e7ene k\u00f6\u015fesinin arkas\u0131na do\u011fru uzanan organlard\u0131r. Y\u00fcz mimik hareketlerinin yap\u0131lmas\u0131n\u0131 sa\u011flayan fasiyal sinir de parotis t\u00fck\u00fcr\u00fck bezlerinin i\u00e7inden ge\u00e7mektedir. Parotis t\u00fck\u00fcr\u00fck bezini fasiyal sinir derin ve y\u00fczeysel olmak \u00fczere ikiye ay\u0131r\u0131r. Fasiyal sinirinin y\u00fczeyinde, cildin alt\u0131nda kalan t\u00fck\u00fcr\u00fck bezi k\u0131sm\u0131na parotis y\u00fczeysel lobu ad\u0131 verilir. Fasiyal sinirin derininde, \u00e7ene kemi\u011finin arka-derin k\u0131sm\u0131nda kalan b\u00f6l\u00fcm\u00fcne ise parotis derin lobu ad\u0131 verilir.<\/p>\n
V\u00fccutta sa\u011fl\u0131kl\u0131 h\u00fccrelerin say\u0131s\u0131n\u0131n azalmas\u0131yla t\u00fck\u00fcr\u00fck bezlerinde t\u00fcm\u00f6rl\u00fc yap\u0131lar olu\u015fmaya ba\u015flar. \u0130yi ve k\u00f6t\u00fc huylu olarak ortaya \u00e7\u0131karlar. \u0130yi huylu t\u00fcm\u00f6rler genellikle zarars\u0131zd\u0131r ancak zaman i\u00e7inde k\u00f6t\u00fc huyluya d\u00f6n\u00fc\u015fme ihtimali nedeniyle tespit edilirse al\u0131nmal\u0131d\u0131r. Ancak k\u00f6t\u00fc huylu olanlar erken te\u015fhis konulmad\u0131\u011f\u0131 zaman v\u00fccutta ba\u015fka b\u00f6lgelere yay\u0131labilir. Parotis bezi t\u00fcm\u00f6rlerinin \u00e7e\u015fitlili\u011fi ise v\u00fccut olu\u015fan di\u011fer t\u00fcm\u00f6rlere g\u00f6re daha fazlad\u0131r. \u0130yi huylu t\u00fcm\u00f6rler genelde 40’l\u0131 ya\u015flardan sonra, k\u00f6t\u00fc huylular ise 50’li ya\u015flardan itibaren g\u00f6r\u00fclmektedir.<\/p>\n
Parotis Bezi T\u00fcm\u00f6rleri<\/strong><\/p>\n En s\u0131k g\u00f6r\u00fclen parotis bezi t\u00fcm\u00f6r\u00fc pleomorfik adenomdur. 20\u2019li ya\u015flardan itibaren ortaya \u00e7\u0131kabilir ancak 40\u2019l\u0131 ya\u015flardan itibaren daha \u00e7ok g\u00f6r\u00fcl\u00fcr. Kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr ve genelde y\u00fczeysel b\u00f6lgede yerle\u015fir. Pleomorfik adenomlar\u0131n kaps\u00fclleri \u00e7ok ince yap\u0131dad\u0131r ve kaps\u00fcl\u00fcn aras\u0131ndan d\u0131\u015far\u0131 t\u00fcm\u00f6r uzan\u0131m\u0131 olabilmektedir.<\/p>\n Di\u011fer parotis bezi t\u00fcm\u00f6r\u00fc ise warthin t\u00fcm\u00f6r\u00fcd\u00fcr. Parotis bezinde ve onun kuyruk k\u0131sm\u0131nda g\u00f6r\u00fclen iyi huylu t\u00fcm\u00f6rd\u00fcr. Bu t\u00fcm\u00f6r, daha \u00e7ok sigara i\u00e7en erkek hastalarda 40\u2019l\u0131 ya\u015flardan sonra g\u00f6r\u00fcl\u00fcr. Sigara ile do\u011frudan bir ili\u015fkisi vard\u0131r.<\/p>\n Monomorfik adenomlar da parotis bezi t\u00fcm\u00f6r\u00fcd\u00fcr. \u00c7ok seyrek g\u00f6r\u00fclmektedir. Bu t\u00fcm\u00f6r\u00fcn, bazal h\u00fccreli adenom, kanalikuler adenom, onkositom ve myoepitelyom gibi t\u00fcrleri bulunmaktad\u0131r.<\/p>\n En s\u0131k g\u00f6r\u00fclen mukoepidermoid karsinomdur ve k\u00f6t\u00fc huylu bir t\u00fcm\u00f6rd\u00fcr. 40\u2019l\u0131 ya\u015flardan itibaren kad\u0131n hastalarda ve \u00e7ocuklarda daha \u00e7ok g\u00f6r\u00fcl\u00fcr. D\u00fc\u015f\u00fck, orta ve y\u00fcksek evreleri vard\u0131r.<\/p>\n Adenoid kistik karsinom ise parotiste az g\u00f6r\u00fcl\u00fcr. Kad\u0131n ve erkeklerde e\u015fit oranlarda g\u00f6r\u00fclen bu t\u00fcm\u00f6r, tedaviden sonra kan yoluyla di\u011fer organlara s\u0131\u00e7rama ihtimali vard\u0131r. Daha \u00e7ok akci\u011ferlere, nadiren kemik ili\u011fi ve karaci\u011fere ula\u015fabilmektedir. T\u00fcm\u00f6r yava\u015f olarak ilerlemektedir.<\/p>\n Bir di\u011fer parotis bezi t\u00fcm\u00f6r\u00fc de asinus h\u00fccreli karsinomdur. Bu da \u00e7ok kar\u015f\u0131la\u015f\u0131lan bir durum de\u011fildir. Kad\u0131nlarda 40\u2019l\u0131 ya\u015flarda ve \u00e7ocuklarda daha \u00e7ok g\u00f6r\u00fcl\u00fcr. <\/p>\n Parotis Bezi T\u00fcm\u00f6r\u00fc Belirtileri<\/strong><\/p>\n \u0130yi huylu t\u00fcm\u00f6rlerin en \u00f6nemli belirtisi a\u011fr\u0131s\u0131z \u015fi\u015flik olu\u015fumudur. Bu \u015fi\u015flik kulak memesi alt\u0131nda, kulak kep\u00e7esi \u00f6n\u00fcnde, \u00e7ene kemi\u011fi veya dil alt\u0131nda olabilir. Bu \u015fi\u015fli\u011fin b\u00fcy\u00fcme h\u0131z\u0131 yava\u015ft\u0131r ve a\u011fr\u0131 g\u00f6r\u00fclmez.<\/p>\n K\u00f6t\u00fc huylu t\u00fcm\u00f6rlerde ise;<\/p>\n – \u015ei\u015fli\u011fin h\u0131zla b\u00fcy\u00fcmesi<\/p>\n – A\u011fr\u0131 olmas\u0131<\/p>\n – Yeni ba\u015flayan y\u00fcz felci<\/p>\n – Deride belirgin renk de\u011fi\u015fikli\u011fi<\/p>\n Parotis Bezi T\u00fcm\u00f6r\u00fc Tedavisi<\/p>\n \u015ei\u015flik oldu\u011funu hisseden ki\u015fi uzman bir KBB doktoruna ba\u015fvurmal\u0131d\u0131r. Doktorunuz \u00f6yk\u00fcn\u00fcz\u00fc dinledikten sonra sizi muayene eder. Yap\u0131lan tam bir muayene sonras\u0131nda ultrason, tomografi ya da MR y\u00f6ntemleri ile kitlenin yap\u0131s\u0131 ve yay\u0131l\u0131m\u0131n\u0131 \u00f6\u011frenmek i\u00e7in bir ara\u015ft\u0131rma yap\u0131l\u0131r. T\u00fcm bunlar\u0131n d\u0131\u015f\u0131nda ince i\u011fne aspirasyon biyopsisi ile t\u00fcm\u00f6r\u00fcn iyi ya da k\u00f6t\u00fc huylu oldu\u011funa bak\u0131l\u0131r. Bazen bu y\u00f6ntemle kesin tan\u0131 konulamayabilir. B\u00f6yle bir durumda ameliyatla t\u00fcm\u00f6r\u00fcn tamamen al\u0131nmas\u0131 ve patoloji uzmanlar\u0131 taraf\u0131ndan incelenmesi gerekmektedir. \u0130yi huylu t\u00fcm\u00f6rlerde cerrahi sonras\u0131 ek tedaviye ihtiya\u00e7 duyulmaz. K\u00f6t\u00fc huylu t\u00fcm\u00f6rlerde ise cerrahi sonras\u0131nda radyoterapi veya kemoterapi uygulanarak tedavi edilir.<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Parotis bezi t\u00fcm\u00f6r\u00fc (t\u00fck\u00fcr\u00fck bezi t\u00fcm\u00f6r\u00fc) Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[545,254,234,279,56],"class_list":["post-3188","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-bas","tag-sag","tag-tumor","tag-tumorler","tag-yuz"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=3188"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3188\/revisions"}],"predecessor-version":[{"id":3189,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3188\/revisions\/3189"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}