Dr. Tuncer ŞENOL

Dr. Tuncer ŞENOL

OSM ORTADOGU HOSPITALCHEST DİSEASES

R. C. 62 Y MALE R. C. 62 Y MALE

Cough Cough Sputum Sputum Sweat Sweat Weight loss 16 kg last 6 monthsWeight loss 16 kg last 6 months Fever Fever Weakness Weakness 60 box/years smoking60 box/years smoking

CBC

WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7

BIOCHEM:

GLU : 110 mg/dL ALT : 316 IU/L AST : 132 IU/L T BİL : 2.7 mg/dL D BİL : 0.9 mg/dL Na : 135 mmol/L Fe : 23 ug/dL

PFT

FVC 4300 2810 %65 FEV1 3370 2480 %74 PEF 841 590 %70 TİFF % 76 88

AKCİĞER FİLMİ

Nonspecific treatment

Hemoptysis

Bronchoscopy

Right upp ant

post

Left lov

Left lover sup

PATOLOJİ RAPORU BİLGİSAYARDAN KOPYALA

SUVmax

: 11.2

STAGING

Right Upper : EPIDERMOID CA

T3 N0 M0 2B

Left Lover : SMALL CELL CA

LIMITED

Our Suggestions

The right lung ;OPERATION

The left lung ;CHEMOTHERAPY

Patient's Plan

I want to go I want to go homehome..

MULTIPL PRIMER LUNG CANCERS (MPLC)

First 1924 Autopsy J THORAC CARDİOVASC SURG 1964

1931-84 382 Case J SURG ONCOL 1984

%1.6 %0.5-3.9 CHEST 1987 CA 1964

E /K 3/1 6. Decade CHEST 1997

Metachronous and Synchronous (12 Months)

CANCER 1983 THORAX 1993

Synchronous less than %1%

J THORAC CARDİOVASC SURG 1975

MULTIPL PRIMER LUNG CANCERS (MPLC)

1975 Martini and Melamed 1995 Deterback and et all.

A - Tumor far and dissociate. B - Histology

– 1. Different

– 2. The same but different segment, lobe or lung

To have carcinoma in situ origin Lack of a common carcinoma in lymph nodes of

both tumor Absence of extrapulmoner metastases at

diagnosis

CHEST 2003

MULTIPL PRIMER LUNG CANCERS (MPLC)

MPLC Most Frequent Epidermoid Cancer THORAX 1993

J SURG ONCOL 1984

CHEST 1987

Related Histology DNA Studies

Highest-grade tumor CHEST 2000

THANK’S FOR YOUR PATIENCE