{"id":13596,"date":"2021-10-03T16:20:26","date_gmt":"2021-10-03T13:20:26","guid":{"rendered":"http:\/\/akyildizbilisim.com\/akasya\/?page_id=13596"},"modified":"2022-01-19T11:11:10","modified_gmt":"2022-01-19T08:11:10","slug":"mide-kanserleri-ve-endoskopik-ultrason","status":"publish","type":"page","link":"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13596","title":{"rendered":"Mide Kanserleri ve Endoskopik Ultrason"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Mide kanserleri<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\"><strong>Erken Mide Kanseri: <\/strong>Erken evre mide kanseri mukozaya (T1m) ya da submukozaya (T1sm) s\u0131n\u0131rl\u0131d\u0131r ve hastan\u0131n be\u015f y\u0131ll\u0131k s\u00fcrede sa\u011f kal\u0131m oran\u0131 %95 dir. EUS erken evre kanserlerin tedavi kararlar\u0131nda \u00f6nemli rol oynar. T1m kanserlerin lenf nodlar\u0131na metastaz ihtimali yaln\u0131zca %5 dir ve endoskopik olarak rezeke edilebilir. Tersi olarak T1sm kanserlerin %10-20 oran\u0131nda metastaz riski vard\u0131r cerrahi tedaviyi gerektirir. Konvansiyonel radyal ekoen- doskoplar bu vakalar\u0131n %25 inde olmas\u0131 gerekenin alt\u0131nda veya \u00fcst\u00fcnde evreleme yapmaktad\u0131r (20). Y\u00fcksek frekansl\u0131 miniproblar (20 mHz) ise erken evre gastrik kanserin evrelemesinde bu hatalar\u0131 kapatarak b\u00fcy\u00fck oranda do\u011fru evreleme yapmaktad\u0131rlar. Miniprob ultrasonlar 2 cm den k\u00fc\u00e7\u00fck kanserlerde b\u00fcy\u00fck ba\u015far\u0131 g\u00f6stermelerine ra\u011fmen 2 cm\u2019den daha b\u00fcy\u00fck kanserlerde do\u011fruluk oranlar\u0131 %86\u2019dan %50\u2019lere d\u00fc\u015fmektedir. Miniproblarin di- \u011fer bir avantaj\u0131, i\u015flem esnas\u0131nda al\u0131nan endoskopik g\u00f6r\u00fcnt\u00fc bilgileriyle endoskopik ultrason bilgileri birle\u015ftirildi\u011finde do\u011fruluk oran\u0131n\u0131n %92\u2019 ye \u00e7\u0131kmas\u0131d\u0131r (21).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\"><strong>\u0130leri Evre Mide Kanseri: <\/strong>\u0130leri evre gastrik kanserli hastalarda EUS\u2019un kullan\u0131m \u015fekli merkezin tedavi se\u00e7eneklerine ba\u011fl\u0131d\u0131r. E\u011fer cerrahi \u00f6nde gelen tedavi y\u00f6ntemi ise ise EUS rezektabilite ve prognoz konusunda yard\u0131mc\u0131d\u0131r. E\u011fer merkez multimodal tedavi vermekte ise EUS kanseri tedavi \u00f6ncesi evrelemekte kullan\u0131labilir. Hasta tedavi protokollerine al\u0131nmadan endoskopik ultrason uygulanmas\u0131 \u00f6nemlidir. Gastrik kanserlerin T s\u0131n\u0131fland\u0131rmas\u0131nda EUS\u2019un do\u011frulu\u011fu %80\u2019dir (22-24). Do\u011fruluk T1 kanserler i\u00e7in %80, T3-4 kanserler i\u00e7in %90\u2019d\u0131r. Fakat T2 kanserlerde %63\u2019e inmektedir. \u00c7\u00fcnk\u00fc EUS muskularis&nbsp; proprian\u0131n&nbsp; ilerisine&nbsp; invasyonu&nbsp; tam olarak g\u00f6sterememektedir.&nbsp; Bu&nbsp; problem&nbsp; T2 kanserlerin %20-30 oran\u0131nda daha ileri evre olarak evrelendirilmesine sebep olmaktad\u0131r. EUS gastrik kanserlerin s\u0131n\u0131fland\u0131r\u0131lmas\u0131nda CT den daha \u00fcst\u00fcnd\u00fcr (T s\u0131n\u0131fland\u0131rmas\u0131nda %92\u2019ye %42; N s\u0131n\u0131fland\u0131rmas\u0131nda ise %78\u2019 e %48 oran\u0131nda \u00fcst\u00fcnl\u00fck g\u00f6sterir) (23). Uzak metastazlar\u0131n de\u011ferlendirilmesinde ise CT daha \u00fcst\u00fcnd\u00fcr ve gastrik kanserin de\u011ferlendirilmesinde en \u00f6nemli tetkiklerden biridir. Endoskopik US\u2019nun gastrik kanserin rezektabilitesinin (T1-T3) de\u011ferlendirilmesindeki&nbsp; do\u011frulu\u011fu&nbsp; %85&nbsp; dir (25).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\">%30 vakada tedaviyi de\u011fi\u015ftirmekte ve genelde daha s\u0131n\u0131rl\u0131 rezeksiyonlar yap\u0131lmaktad\u0131r (26).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\"><strong>Anastomotik Rek\u00fcrrens: <\/strong>EUS kanser cerrahisinden sonra gastrik adenocarsinoma anastomoz rek\u00fcrrensinin de\u011ferlendirilmesinde faydal\u0131d\u0131r. T1 ve T2 kanserler %15, T3 ve T4 kanserler ise %77 oran\u0131nda n\u00fcks g\u00f6stermektedir. EUS\u2019un postoperatif evrelendirmede sensitivitesi %95, spesifitesi %80\u2019dir. Duvar kal\u0131nl\u0131\u011f\u0131n\u0131n artarak 7 mm\u2019yi ge\u00e7mesi d\u0131\u015f kenar\u0131n\u0131n nod\u00fclarite ve d\u00fczensizli\u011fi anostomoz hatt\u0131nda n\u00fcks olarak d\u00fc\u015f\u00fcn\u00fclmelidir. Ek olarak lenf nod tutulumu ve invazyonu de\u011ferlendirilebilir (27).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\"><strong>MALT Lenfoma: <\/strong>MALToma s\u0131kl\u0131kla midede <em>Helikobakter pilori <\/em>enfeksiyonu ile ili\u015fkili g\u00f6r\u00fclen d\u00fc\u015f\u00fck dereceli bir lenfomad\u0131r. Te\u015fhis endoskopik biyopsilerin patolojik muayenesi ile konulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:17px\">Endoskopik ultrasonografi t\u00fcm\u00f6r\u00fcn horizontal yay\u0131l\u0131m\u0131n\u0131, duvar invazyonunu ve perigastrik lenf nod tutulumunu g\u00f6sterir. Ba\u015far\u0131l\u0131 bir eradikasyondan sonra bu d\u00fc\u015f\u00fck dereceli lenfomalar\u0131n %60-75\u2019i gerilemektedir. Rezol\u00fcsyona kadar EUS ile takip edilmesi ve daha sonra y\u0131ll\u0131k takiplere ge\u00e7ilmesi \u00f6nerilmektedir (28). Midede mukozal kal\u0131nla\u015fma g\u00f6r\u00fcld\u00fc\u011f\u00fcnde; MALToma\u2019dan ba\u015fka benign hastal\u0131klarda da benzer bulgular\u0131n olabilmesine ra\u011f- men; patolog mutlaka uyar\u0131lmal\u0131d\u0131r (29).<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Mide kanserleri Erken Mide Kanseri: Erken evre mide kanseri mukozaya (T1m) ya da submukozaya (T1sm) s\u0131n\u0131rl\u0131d\u0131r ve hastan\u0131n be\u015f y\u0131ll\u0131k s\u00fcrede sa\u011f kal\u0131m oran\u0131 %95 dir. EUS erken evre kanserlerin tedavi kararlar\u0131nda \u00f6nemli rol oynar. T1m kanserlerin lenf nodlar\u0131na metastaz ihtimali yaln\u0131zca %5 dir ve endoskopik olarak rezeke edilebilir. Tersi olarak T1sm kanserlerin %10-20 oran\u0131nda&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13596","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Mide Kanserleri ve Endoskopik Ultrason - Endoskopik Ultrasonografi<\/title>\n<meta name=\"description\" content=\"Erken Mide Kanseri: Erken evre mide kanseri mukozaya (T1m) ya da submukozaya (T1sm) s\u0131n\u0131rl\u0131d\u0131r ve hastan\u0131n be\u015f y\u0131ll\u0131k s\u00fcrede sa\u011f kal\u0131m oran\u0131 dir. 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