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Maligniteyi taklit eden pulmoner arteriyovenöz malformasyon: Olgu sunumu
2017
Journal:  
Dicle Tıp Dergisi
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Abstract:

Pulmoner  arteriyovenöz  malformasyonlar  (PAVM)  anormal  kapiller  gelişiminden  kaynaklanan,  çoğunlukla  alt loblarda görülen konjenital lezyonlardır. Kırk iki yaşında kan tükürme yakınması olan olgu malignite ön tanısı ile kliniğimize refere edildi. Postero-anterior akciğer grafisinde sağda perihiler dansite artışı olması nedeni ile çekilen toraks bilgisayarlı tomografide (BT) sağ akciğer üst lobda lobüle konturlu kistik dansitede kitle lezyonu saptandı. Tanı ve evreleme amaçlı çekilen PET-BT’de sağ akciğer üst lobda 6.5x5x4.5 cm boyutunda kitlede minimal metabolik aktivite tutulumu (SUVmax:2.97) izlendi. Lezyondan sağ pulmoner vene uzanan, 5 mm’lik lümen kontrastlanması gösteren ve drenaj venine ait olabileceği düşünülen vasküler oluşum nedeniyle dev AVM olasılığı akılda tutulmalıdır şeklinde  raporlandı. PAVM  ön  tanısı  ile  çekilen  dinamik  BT  tromboze AVM  olabileceği şeklinde değerlendirildi. Pulmoner anjiografide pulmoner arter ve dalları açık olarak izlendi. PAVM ve/veya arteriovenöz fistül izlenmedi. Tanısal amaçlı sağ torakotomi ile sağ üst lobektomi yapıldı. Postoperatif patolojisi PAVM ile uyumluydu. Olgumuzda üst lob tutulumu olması, pulmoner anjiografinin normal olması ve cerrahi ile tanı almış olması nedeni ile sunuldu.

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Pulmonary arteriovenous malformation that imitates malignity: Case presentation
2017
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

Pulmonary arteriovenous malformations (PAVMs) are congenital lesions caused by abnormal capillary development, mostly seen in the lower lobes. In the age of fourteen and two, the case of blood sputum was referred to our clinic with a pre-diagnosis of malignity. In the Postero-anterior lungs graph, the thorax computer tomography (BT) that was drawn with the cause of increased dancitis of the perihil on the right side of the lungs on the upper lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule of the lobule. In the PET-BT taken for the purpose of diagnosis and evolution, a minimum metabolic activity retention (SUVmax:2.97) in the mass of 6.5x5x4.5 cm in the upper rectum was observed. The major possibility of AVM should be taken into account due to the vascular formation of the right pulmonary vein, which shows a 5 mm lumen contrast and is believed to belong to the drainage vein. The dynamic BT thrombosis taken with PAVM pre-diagnosis was assessed as AVM. In the pulmonary anjiography, the pulmonary artery and branches were observed openly. PAVM and/or arteriovenous fistles have not been observed. The top right lobectomy was performed with the right toracotomy for the diagnostic purpose. The postoperative pathology was compatible with PAVM. In our case, it was presented with the reason that the upper lob constipation, pulmonary angiography was normal and was diagnosed with surgery.

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Dicle Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Dicle Tıp Dergisi