Skapulada yerleşen tümör ve tümör benzeri lezyonlara genel bakış; Bir üniversite hastanesinin deneyimi
Loading...
Date
2021-11-18
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Çalışmamızda skapula yerleşimli ve histopatolojik olarak tanısı kesinleşmiş tümör veya tümör benzeri lezyonları, bunların tedavi ve takip sonuçlarını inceledik. Böylece nadir görülen bu lezyonların tanı dağılımını ve tedavi sonuçlarını değerlendirerek literatüre katkı sağlamayı amaçladık. 2015-2020 yılları arasında histopatolojik tanı alan skapula yerleşimli lezyonu olan olguları ve bu olguların yaş, cinsiyet, semptom, semptom süresi, kitle lokalizasyonu patolojik kırk olup olmaması (tanı esnasında), tedavi şekli (biyopsi, cerrahi, kemoterapi, radyoterapi), tedavi sonrası komplikasyon ve tanı anından itibaren takip süreleri incelendi. Çalışmaya 21 erkek, 8 kadın olmak üzere 29 olg u katıldı. Yaş ortalaması 50 (11-84) idi. 17 olguda sol skapulada lezyon var iken 12 olguda sağ skapulada lezyon vardı. 21 olgu ağrı şikayeti ile, 5 olgu şişlik şikayeti ile ve 3 olguda ağrı+şişlik şikayeti ile başvurmuştu. Olgulardan tanı öncesi semptom bulunma süresi ortalama 6 ay (1-15)’dı. 12 olguda benign lezyon var iken 17 olguda malign lezyon vardı. 9 olguda metastaz nedenli malignite var iken 8 olguda primer malignite vardı. Lezyon yerleşimleri 4 olguda sadece S1, 12 olguda sadece S2 ve 13 olguda S1+S2 bölgelerinde idi. Ortalama takip süresi 33 ay (6-64) olup, takip esnasında 5 olgu ex olmuştur. Skapulada tümör ve tümör benzeri lezyonlara baktığımızda malignitelerin fazla olduğu görülme k- tedir. Olgu yaşı arttıkça benignden maligne doğru da bir artış var. Radyolojik olarak detaylı araştırılması gereken bu lezyonlar histopatolojik inceleme sonrası başarılı şekilde tedavi edilebilmektedir.
In our study, we examined tumors or tumor-like lesions located in the scapula and diagnosed them histopathologically, and their treatment and follow-up results. Thus, we aimed to contribute to the literature by evaluating the diagnosis distribution and treatment results of these rare lesions. Cases with scapula-located lesion who were diagnosed histopathologically between 2015-2020 were determined. The age, gender, symptoms, duration of symptoms, mass localization, pathological 40 (during diagnosis), treatment type (biopsy, surgery, chemother- apy, radiotherapy), post-treatment complications and follow-up times from the diagnosis were examined. Of the 29 cases included in the study, 21 were male and 8 were female. The mean age was 50 (11 -84). While 17 patients had a lesion in the left scapula, 12 patients had a lesion in the right scapula. 21 cases presented with the complaint of pain, 5 cases with the complaint of swelling, and 3 cases with the co m- plaint of pain+swelling. The mean duration of symptoms before diagnosis was 6 months (1-15). While 12 cases had benign lesions, 17 cases had malignant lesions. While 9 cases had malignancy due to metastasis, 8 cases had primary malignancy. The lesion localizatio ns were only S1 in 4 cases, S2 only in 12 cases, and S1+S2 in 13 case s. The mean follow-up period was 33 months (6-64), and 5 cases died during the follow-up. When we look at tumors and tumor-like lesions in the scapula, it is seen that malignancies are high. As the age of the case in- creases, there is an increase from benign to malignant. These lesions, which need to be investigated in detail radiologically, can be success- fully treated after histopathological examination.
In our study, we examined tumors or tumor-like lesions located in the scapula and diagnosed them histopathologically, and their treatment and follow-up results. Thus, we aimed to contribute to the literature by evaluating the diagnosis distribution and treatment results of these rare lesions. Cases with scapula-located lesion who were diagnosed histopathologically between 2015-2020 were determined. The age, gender, symptoms, duration of symptoms, mass localization, pathological 40 (during diagnosis), treatment type (biopsy, surgery, chemother- apy, radiotherapy), post-treatment complications and follow-up times from the diagnosis were examined. Of the 29 cases included in the study, 21 were male and 8 were female. The mean age was 50 (11 -84). While 17 patients had a lesion in the left scapula, 12 patients had a lesion in the right scapula. 21 cases presented with the complaint of pain, 5 cases with the complaint of swelling, and 3 cases with the co m- plaint of pain+swelling. The mean duration of symptoms before diagnosis was 6 months (1-15). While 12 cases had benign lesions, 17 cases had malignant lesions. While 9 cases had malignancy due to metastasis, 8 cases had primary malignancy. The lesion localizatio ns were only S1 in 4 cases, S2 only in 12 cases, and S1+S2 in 13 case s. The mean follow-up period was 33 months (6-64), and 5 cases died during the follow-up. When we look at tumors and tumor-like lesions in the scapula, it is seen that malignancies are high. As the age of the case in- creases, there is an increase from benign to malignant. These lesions, which need to be investigated in detail radiologically, can be success- fully treated after histopathological examination.
Description
Keywords
Skapula, Histopatoloji, Tümör, Tümör benzeri, Scapula, Histopathologically, Tumor, Tumor-like
Citation
Yenigül, A. E. ve Bilgen, M. S. (2021). "Skapulada yerleşen tümör ve tümör benzeri lezyonlara genel bakış; bir üniversite hastanesinin deneyimi". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 47(3), 389-392.