{"id":862,"date":"2024-04-29T04:12:05","date_gmt":"2024-04-29T01:12:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=862"},"modified":"2024-04-29T04:12:05","modified_gmt":"2024-04-29T01:12:05","slug":"nazofarenks-kanserleri-geniz-kanserleri","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/nazofarenks-kanserleri-geniz-kanserleri\/","title":{"rendered":"Nazofarenks kanserleri ” geniz kanserleri “"},"content":{"rendered":"

Nazofarenks t\u00fcm\u00f6rleri (Geniz T\u00fcm\u00f6rleri)<\/strong><\/p>\n

I) Selim T\u00fcm\u00f6rler: <\/p>\n

Nazal fibroid (Nasofarenjial anjiofibrom- Juvenil anjiofibrom):<\/p>\n

– V\u00fccudun ba\u015fka yerinde g\u00f6r\u00fclmeyen bir t\u00fcm\u00f6rd\u00fcr.
– %100e yak\u0131n erkeklerde g\u00f6r\u00fcl\u00fcr.
– Daima prep\u00fcberte devresinden \u00f6nce ba\u015flar, pubertede geli\u015fir ve b\u00fcy\u00fcr.
– Hasta ya\u015farsa p\u00fcberte tamamlan\u0131nca yava\u015f yava\u015f regresyona u\u011frar.
– Sert bir kaps\u00fcll\u00fc vard\u0131r.
– Ceviz veya elma b\u00fcy\u00fckl\u00fc\u011f\u00fcnde olabilir
– Son derece serttir.
– Selim olmas\u0131na ra\u011fmen etraf\u0131n\u0131 tahrip ederek, kafa i\u00e7ine girerek \u00f6l\u00fcme neden olur
– \u00c7ok \u015fiddetli burun kanamalar\u0131 vard\u0131r.
– S\u0131kl\u0131kla tek tarafl\u0131d\u0131r
– Rek\u00fcrrens g\u00f6r\u00fclebilir
– Damarlar\u0131n media tabakalar\u0131, d\u00fcz kaslardan yoksundur veya adac\u0131klar \u015feklinde da\u011f\u0131lm\u0131\u015flard\u0131r. Dolay\u0131s\u0131 ile damarlar\u0131n vazokonstr\u00fcksiyon kabiliyeti yoktur.
– Burun t\u0131kan\u0131kl\u0131\u011f\u0131 \u00aerinit ve sin\u00fczit hali p\u00fcr\u00fclan burun ak\u0131nt\u0131s\u0131.
– Genizden g\u00f6z i\u00e7ine girerek, g\u00f6z k\u00fcresini sa\u011fa ve sola iterek, hipertelorizm meydana getirir.
– Kafa taban\u0131nda, sellay\u0131 iterek hipofizi destr\u00fckte edebilir.<\/p>\n

Etyoloji (meydana gelmesinde rol oynayan nedenler):<\/p>\n

1. Embryonal kartilajin\u00f6z art\u0131klar\u0131n nazofarinksde kalmas\u0131 ve p\u00fcbertede v\u00fccudun geli\u015fmesine paralel olarak birlikte geli\u015fmesi.
2. Adenoid vejetasyonu olan \u00e7ocuklarda, s\u0131k s\u0131k rinofarenjit meydana gelir. Bu irritasyon nazofarinks periostunu devaml\u0131 irrite eder ve periostal proliferasyona sebep olur
3. Hormonal teori: \u00d6strojen fazlal\u0131\u011f\u0131 ve androjenlerde azl\u0131k, azoospermi vs. bulunur. Ya\u015f ilerledik\u00e7e (20 ya\u015f\u0131nda), bu bozukluklar normale d\u00f6nmektedir ve buna ba\u011fl\u0131 hastal\u0131k s\u0131kl\u0131\u011f\u0131nda azalma oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n

Tedavi: Bu g\u00fcne kadar, t\u00fcm\u00f6re bir \u00e7ok yakla\u015f\u0131m uygulanm\u0131\u015ft\u0131r;<\/p>\n

– T\u00fcm\u00f6r\u00fcn vask\u00fclarizasyonu azaltmak i\u00e7in r\u00f6ntgen \u0131\u015f\u0131nlar\u0131 kullan\u0131lm\u0131\u015f,
– Elektrokoterizasyon uygulanm\u0131\u015f,
– Hipertrofik sklerozon injeksiyonlar\u0131 denemi\u015f bir sonu\u00e7 al\u0131namam\u0131\u015ft\u0131r. <\/p>\n

Cerrahi: Preoperatif A. Carotis Eksternadan girilerek anjiografik g\u00f6zlem alt\u0131nda t\u00fcm\u00f6r\u00fc besleyen damar\u0131n embolizasyonu ve takip eden g\u00fcnlerde lateral rinotomi veya uygun bir endorkopik yakla\u015f\u0131mla t\u00fcm\u00f6r\u00fcn total olarak \u00e7\u0131kar\u0131lmas\u0131d\u0131r. <\/p>\n

II) Habis t\u00fcm\u00f6rler:<\/strong><\/p>\n

– KBB t\u00fcm\u00f6rlerinin %4-6s\u0131n\u0131 te\u015fkil eder
– Erkek \/ Kad\u0131n: 2\/1 s\u0131kl\u0131kta g\u00f6r\u00fcl\u00fcr
– Her ya\u015fta olabilir. En s\u0131k, 40-50 ya\u015flardad\u0131r
– S\u0131kl\u0131kla iki gruba ayr\u0131l\u0131r;
– Mezan\u015fimal: Fibro > retotel > lenfo-sarkom > rhabdomyosarkom
– Epitelyal: Yass\u0131 epitel h\u00fccreli %67 > Adenokarsinom ( en s\u0131k nonkeratinize andiferansiye karsinom g\u00f6r\u00fcl\u00fcr). <\/p>\n

Semptomlar:<\/p>\n

– Rinorhea: Hafif kanl\u0131 intermitten hafif epistaksis
– Burun t\u0131kan\u0131kl\u0131\u011f\u0131
– Orta kulak semptomlar olan a\u011fr\u0131 ve i\u015fitme kayb\u0131
– \u015eiddetli a\u011fr\u0131lar (trigeminus bask\u0131s\u0131 nedeni ile)
– Rinolali (ge\u00e7 d\u00f6nemde)
– Servikal lenfadenopati
– Foramen lacerumdan, k\u0131sa s\u00fcrede kafa i\u00e7ine ge\u00e7er ve sfenoid sin\u00fcs, sin\u00fcs cavernosus hatta sella t\u00fcrsika yay\u0131l\u0131m\u0131 olur. Trigeminus ve di\u011fer sinirlere kafa i\u00e7i ve d\u0131\u015f\u0131nda bas\u0131n\u00e7 yapar. <\/p>\n

Metaztazlar:<\/p>\n

– Lenfojen (yak\u0131n): Retrofaringeal lenf bezleri, parafaringeal bezler (retromandibuler)
– Hematojen (uzak): \u0130skelet, karaci\u011fer, akci\u011fer, dalak (%8 vakada). <\/p>\n

Te\u015fhis:<\/p>\n

– Rinoskopi posterior, endoskopik bak\u0131
– Biopsi
– Radyolojik, bilgisayarl\u0131 tomografik tetkik yap\u0131labilir.<\/p>\n

Tedavi:<\/p>\n

– Ge\u00e7 semptom verdi\u011finden prognoz k\u00f6t\u00fcd\u00fcr
– Be\u015f y\u0131ll\u0131k sa\u011f kal\u0131m s\u00fcresi %15 kadard\u0131r
– Cerrahi tedavi pek ba\u015far\u0131l\u0131 olamamaktad\u0131r
– S\u0131kl\u0131kla tedavi radyokemoterapi \u015feklinde yap\u0131l\u0131r.<\/p>\n

Prof. Dr.Sel\u00e7uk ONART<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Nazofarenks kanserleri ” geniz kanserleri ” 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":[70,37],"class_list":["post-862","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-sik","tag-yas"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/862","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=862"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/862\/revisions"}],"predecessor-version":[{"id":863,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/862\/revisions\/863"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=862"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=862"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}