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Amaç: Trakeo-bronşiyal sisteminin primer tükürük bezi tümörleri içerisinde en sık görülen adenoid kistik karsinom ve mukoepidermoid karsinomlardır. Bu çalışmada, bu 2 tümör arasındaki klinikopatolojik farkların değerlendirilmesi amaçlandı. Gereç ve Yöntemler: Retrospektif olarak yapılan çalışmaya kliniğimizde Ocak 2009 ile Aralık 2019 tarihleri arasında Dünya Sağlık Örgütü 2015 sınıflamasında, trakeo-bronşiyal sisteminin primer tükürük bezi tümörlerinden olan ve cerrahi olarak rezeke edilmiş adenoid kistik karsinom ve mukoepidermoid karsinom tanısı alan 14 olgu çalışmamıza dâhil edildi. Bulgular: Çalışmadaki 14 olgunun yaş ortalaması 37’dir. Hastaların 8’i kadın 6’sı erkektir. Olguların 9’u mukoepidermoid karsinom 5’i ise adenoid kistik karsinom idi. Araştırmaya dâhil edilen 14 olgunun 2’si eksitus olurken, 12’sinin takip ve tedavileri devam etmektedir. Eksitus olan 2 olgunun tanısı adenoid kistik karsinom idi.Sonuç: Trakeo-bronşiyal sisteminin primer tükürük bezi tümörleri genellikle olgu sunumları şeklinde nadir bulunmaktadır. Bu grupta yer alan en sık tümörler adenoid kistik karsinom ve mukoepidermoid karsinomdur. Trakeo-bronşiyal sisteminin primer tükürük bezi tümörleri için etkin tedavi yöntemi cerrahi sınırlar negatif olacak şekilde komplet akciğer rezeksiyonudur. Sağ kalım oranlarını en çok etkileyen faktör adenoid kistik karsinom için komplet akciğer rezeksiyonunda cerrahi sınırların negatif olup olmaması iken mukoepidermoid karsinomda ise tümörün derecesidir
Purpose: The most common in the primary sperm gland tumors of the trakeo-bronchial system are adenoid cystic carcinoma and mucoepidermoid carcinoma. This study aimed at evaluating the clinic pathological differences between these 2 tumors. Tools and Methods: Retrospective study in our clinic was included in the World Health Organization’s 2015 class by January 2009 to December 2019 in our study of 14 facts with the diagnosis of adenoid cystic carcinoma and mucoepidermoid carcinoma, which are primary sperm tumors of the trakeo-bronchial system. Results: The average age of 14 incidents in the study is 37. Eight of the patients are female and six are male. 9 of the cases were mukoepidermoid carcinoma 5 and adenoid cystic carcinoma. Two of the 14 incidents included in the study are exitus, while 12 are continuing to follow and treat. The diagnosis of the 2 phenomena of exitus was adenoid cystic carcinoma.Result: Primary spinal gland tumors of the trakeo-bronchial system are usually rare in the form of phenomena presentations. The most common tumors in this group are adenoid cystic carcinoma and mukoepidermoid carcinoma. The effective treatment method for primary sperm gland tumors of the trakeo-bronchial system is complete lungs resection so that the surgical limits will be negative. The factor that affects the right survival rates is the adenoid cystic carcinoma, whereas the surgical limits in the complete lungs resection are negative or not, while the mukoepidermoid carcinoma is the tumor degree.
Objective: Among the primary salivary gland tumors of the tracheo-bronchial system, the most common ones are adenoid cystic carcinoma and mucoepidermoid carcinomas. In this study, it is aimed to evaluate the clinicopathological differences between these 2 tumors. Material and Methods: The study was conducted retrospectively in our clinic between January 2009 and December 2019, according to the World Health Organization 2015 classification 14 cases of primary salivary gland tumors of the tracheo-bronchial system and diagnosed with surgically resected adenoid cystic carcinoma and mucoepidermoid carcinoma were included in the study.Results: In the study the average age of 14 cases is 37. Eight of the patients are female and 6 of them are male. Nine of the cases were mucoepidermoid carcinoma and 5 were adenoid cystic carcinoma. While 2 of the 14 patients included in the study were being died, 12 of them were being followed up and treated. The diagnosis of 2 patients who were died was adenoid cystic carcinoma.Conclusion: Primary salivary gland tumors of the tracheo-bronchial system are rarely seen, usually presented in the literature as case reports. The most common tumors in this group are adenoid cystic carcinoma and mucoepidermoid carcinoma. Complete lung resection with negative surgical margins for the primary salivary gland tumors of the tracheo-bronchial system is an effective treatment method. The most important factor affecting survival rates is whether the surgical margins in complete lung resection for adenoid cystic carcinoma are negative or not, whereas in mucoepidermoid carcinoma case it is the grade of the tumor
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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