{"id":13605,"date":"2021-10-03T16:41:47","date_gmt":"2021-10-03T13:41:47","guid":{"rendered":"http:\/\/akyildizbilisim.com\/akasya\/?page_id=13605"},"modified":"2022-01-19T11:10:34","modified_gmt":"2022-01-19T08:10:34","slug":"kucuk-hucreli-olmayan-akciger-kanseri","status":"publish","type":"page","link":"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605","title":{"rendered":"K\u00fc\u00e7\u00fck H\u00fccreli Olmayan Akci\u011fer Kanseri"},"content":{"rendered":"\n<p class=\"has-black-color has-text-color wp-block-paragraph\" style=\"font-size:17px\">K\u00fc\u00e7\u00fck h\u00fccreli olmayan akci\u011fer kanseri vakalar\u0131n\u0131n yar\u0131s\u0131nda mediastinal lenf nod metaztazlar\u0131 vard\u0131r. Bu lenf nod metastazlar\u0131ndan \u00f6nemli prognostik bilgiler elde edilebilir. Kanser ipsilateral mediastinal ve subcarinal lenf nodlarini infiltre edebilir, bu durumda N2 ve IIIA olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r ve rezektabl oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. Kontrlateral lenf nodlarinda (N3 veya IIIB) tutulum varsa rezeksiyondan ka\u00e7\u0131n\u0131l\u0131r (44). \u0130nferior ve posterior mediastenumdaki lenf nodlari (8. ve 9. seviye), aortopulmoner pencere (5-6. seviye) ve subcarinal lenf nodlar\u0131na (7. seviye) lineer ekoendoskop arac\u0131l\u0131\u011f\u0131 ile \u0130\u0130AB yap\u0131larak malign yay\u0131l\u0131m do\u011frulanabilir. Endosonografik ince i\u011fne aspirasyon biyopsisinin mediastinal lenf nod metastaz\u0131n\u0131 belirlemede sensitivitesi %90, spesifitesi %83-100 aras\u0131ndad\u0131r; pozitif prediktif de\u011feri %100 ve negatif prediktif de\u011feri %83 \u2018t\u00fcr (45). EUS un %84 olan do\u011frulu\u011fu \u0130\u0130AB ile %96 ya \u00e7\u0131kar; buna kar\u015f\u0131l\u0131k CT\u2019 nin do\u011frulu\u011fu %49\u2019dur.&nbsp;Hastalar\u0131n %58\u2019inde pozitif sitoloji gereksiz cerrahiyi engellemi\u015f olur ve hastalar\u0131n %95\u2019inde de tedavi kararla- r\u0131nda belirgin de\u011fi\u015fiklikler yap\u0131lmas\u0131na sebep olur (46). EUS-\u0130\u0130AB mediastinoskopi, mediastinotomi veya torakoskopi gibi k\u00fc\u00e7\u00fck h\u00fccreli olmaya akci\u011fer kanserlerinin te\u015fhis ve evrelemesinde kullan\u0131lan y\u00f6ntemlerden daha fazla tercih edilebilecek g\u00fcvenilir ve minimal invaziv y\u00f6ntemdir (Resim 10). EUS- \u0130\u0130AB posterior lenf nodlar\u0131n\u0131da de\u011ferlendirebildi\u011fi i\u00e7in mediastinoskopiyi tamamlay\u0131c\u0131 test olarak kullan\u0131labilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"286\" height=\"294\" src=\"https:\/\/akyildizbilisim.com\/akasya\/wp-content\/uploads\/2021\/10\/10.png\" alt=\"\" class=\"wp-image-13642\"\/><\/figure>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>K\u00fc\u00e7\u00fck h\u00fccreli olmayan akci\u011fer kanseri vakalar\u0131n\u0131n yar\u0131s\u0131nda mediastinal lenf nod metaztazlar\u0131 vard\u0131r. Bu lenf nod metastazlar\u0131ndan \u00f6nemli prognostik bilgiler elde edilebilir. Kanser ipsilateral mediastinal ve subcarinal lenf nodlarini infiltre edebilir, bu durumda N2 ve IIIA olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r ve rezektabl oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. Kontrlateral lenf nodlarinda (N3 veya IIIB) tutulum varsa rezeksiyondan ka\u00e7\u0131n\u0131l\u0131r (44). \u0130nferior ve posterior&#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-13605","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>K\u00fc\u00e7\u00fck H\u00fccreli Olmayan Akci\u011fer Kanseri - Endoskopik Ultrasonografi<\/title>\n<meta name=\"description\" content=\"K\u00fc\u00e7\u00fck h\u00fccreli olmayan akci\u011fer kanseri vakalar\u0131n\u0131n yar\u0131s\u0131nda mediastinal lenf nod metaztazlar\u0131 vard\u0131r. Bu lenf nod metastazlar\u0131ndan \u00f6nemli prognostik bilgiler elde edilebilir. Kanser ipsilateral mediastinal ve subcarinal lenf nodlarini infiltre edebilir, bu durumda N2 ve IIIA olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r ve rezektabl oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u00fc\u00e7\u00fck H\u00fccreli Olmayan Akci\u011fer Kanseri - Endoskopik Ultrasonografi\" \/>\n<meta property=\"og:description\" content=\"K\u00fc\u00e7\u00fck h\u00fccreli olmayan akci\u011fer kanseri vakalar\u0131n\u0131n yar\u0131s\u0131nda mediastinal lenf nod metaztazlar\u0131 vard\u0131r. Bu lenf nod metastazlar\u0131ndan \u00f6nemli prognostik bilgiler elde edilebilir. Kanser ipsilateral mediastinal ve subcarinal lenf nodlarini infiltre edebilir, bu durumda N2 ve IIIA olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r ve rezektabl oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605\" \/>\n<meta property=\"og:site_name\" content=\"Endoskopik Ultrasonografi\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoskopi.akasya.5\" \/>\n<meta property=\"article:modified_time\" content=\"2022-01-19T08:10:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/akyildizbilisim.com\/akasya\/wp-content\/uploads\/2021\/10\/10.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#website\",\"url\":\"https:\/\/www.endoskopikultrasonografi.com\/\",\"name\":\"Endoskopik Ultrasonografi\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.endoskopikultrasonografi.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605#primaryimage\",\"inLanguage\":\"tr\",\"url\":\"https:\/\/akyildizbilisim.com\/akasya\/wp-content\/uploads\/2021\/10\/10.png\",\"contentUrl\":\"https:\/\/akyildizbilisim.com\/akasya\/wp-content\/uploads\/2021\/10\/10.png\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605#webpage\",\"url\":\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605\",\"name\":\"K\\u00fc\\u00e7\\u00fck H\\u00fccreli Olmayan Akci\\u011fer Kanseri - Endoskopik Ultrasonografi\",\"isPartOf\":{\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?page_id=13605#primaryimage\"},\"datePublished\":\"2021-10-03T13:41:47+00:00\",\"dateModified\":\"2022-01-19T08:10:34+00:00\",\"description\":\"K\\u00fc\\u00e7\\u00fck h\\u00fccreli olmayan akci\\u011fer kanseri vakalar\\u0131n\\u0131n yar\\u0131s\\u0131nda mediastinal lenf nod metaztazlar\\u0131 vard\\u0131r. Bu lenf nod metastazlar\\u0131ndan \\u00f6nemli prognostik bilgiler elde edilebilir. 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