{"id":13595,"date":"2021-10-03T16:17:15","date_gmt":"2021-10-03T13:17:15","guid":{"rendered":"https:\/\/akyildizbilisim.com\/akasya\/?p=13595"},"modified":"2021-10-03T16:17:17","modified_gmt":"2021-10-03T13:17:17","slug":"mide-kanserleri-ve-endoskopik-ultrason-2","status":"publish","type":"post","link":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595","title":{"rendered":"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Mide kanserleri<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Erken Mide Kanseri: <\/strong>Erken evre mide kanseri mu- kozaya (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 kanserle- rin %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 ev- re gastrik kanserin evrelemesinde bu hatalar\u0131 ka- patarak b\u00fcy\u00fck oranda do\u011fru evreleme yapmak- tad\u0131rlar. Miniprob ultrasonlar 2 cm den k\u00fc\u00e7\u00fck kan- serlerde b\u00fcy\u00fck ba\u015far\u0131 g\u00f6stermelerine ra\u011fmen 2 cm\u2019den daha b\u00fcy\u00fck kanserlerde do\u011fruluk oranla- r\u0131 %86\u2019dan %50\u2019lere d\u00fc\u015fmektedir. Miniproblarin di- \u011fer bir avantaj\u0131, i\u015flem esnas\u0131nda al\u0131nan endosko- pik g\u00f6r\u00fcnt\u00fc bilgileriyle endoskopik ultrason bilgile- ri birle\u015ftirildi\u011finde do\u011fruluk oran\u0131n\u0131n %92\u2019 ye \u00e7\u0131k- mas\u0131d\u0131r (21).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><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 te- davi y\u00f6ntemi ise ise EUS rezektabilite ve prognoz konusunda yard\u0131mc\u0131d\u0131r. E\u011fer merkez multimodal tedavi vermekte ise EUS kanseri tedavi \u00f6ncesi ev- relemekte kullan\u0131labilir. Hasta tedavi protokolleri- ne 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 kan- serler i\u00e7in %80, T3-4 kanserler i\u00e7in %90\u2019d\u0131r. Fakat T2 kanserlerde %63\u2019e inmektedir. \u00c7\u00fcnk\u00fc EUS musku- laris&nbsp; proprian\u0131n&nbsp; ilerisine&nbsp; invasyonu&nbsp; tam olarak<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">g\u00f6sterememektedir.&nbsp; Bu&nbsp; problem&nbsp; T2 kanserlerin<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">%20-30 oran\u0131nda daha ileri evre olarak evrelendi- rilmesine sebep olmaktad\u0131r. EUS gastrik kanserlerin s\u0131n\u0131fland\u0131r\u0131lmas\u0131nda CT den daha \u00fcst\u00fcnd\u00fcr (T s\u0131n\u0131f- land\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\u011ferlendiril- mesinde 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\">%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\"><strong>Anastomotik Rek\u00fcrrens: <\/strong>EUS kanser cerrahisinden sonra gastrik adenocarsinoma anastomoz rek\u00fcr- rensinin 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 evrelen- dirmede 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 tu- tulumu ve invazyonu de\u011ferlendirilebilir (27).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>MALT Lenfoma: <\/strong>MALToma s\u0131kl\u0131kla midede <em>Heliko- bakter pilori <\/em>enfeksiyonu ile ili\u015fkili g\u00f6r\u00fclen d\u00fc\u015f\u00fck dereceli bir lenfomad\u0131r. Te\u015fhis endoskopik biyopsi- lerin patolojik muayenesi ile konulur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Endoskopik ultrasonografi t\u00fcm\u00f6r\u00fcn horizontal ya- y\u0131l\u0131m\u0131n\u0131, duvar invazyonunu ve perigastrik lenf nod tutulumunu g\u00f6sterir. Ba\u015far\u0131l\u0131 bir eradikasyon- dan 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 has- tal\u0131klarda da benzer bulgular\u0131n olabilmesine ra\u011f- men; patolog mutlaka uyar\u0131lmal\u0131d\u0131r (29).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mide kanserleri Erken Mide Kanseri: Erken evre mide kanseri mu- kozaya (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 kanserle- rin&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-13595","post","type-post","status-publish","format-standard","hentry","category-genel"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON - Endoskopik Ultrasonografi<\/title>\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\/?p=13595\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON - Endoskopik Ultrasonografi\" \/>\n<meta property=\"og:description\" content=\"Mide kanserleri Erken Mide Kanseri: Erken evre mide kanseri mu- kozaya (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 kanserle- rin...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595\" \/>\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:published_time\" content=\"2021-10-03T13:17:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-03T13:17:17+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"Akasya\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 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\":\"WebPage\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#webpage\",\"url\":\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595\",\"name\":\"M\\u0130DE KANSERLER\\u0130 VE ENDOSKOP\\u0130K ULTRASON - Endoskopik Ultrasonografi\",\"isPartOf\":{\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#website\"},\"datePublished\":\"2021-10-03T13:17:15+00:00\",\"dateModified\":\"2021-10-03T13:17:17+00:00\",\"author\":{\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#\/schema\/person\/cbbdecaebff321fe21f8ee2849222b12\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Anasayfa\",\"item\":\"https:\/\/www.endoskopikultrasonografi.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"M\\u0130DE KANSERLER\\u0130 VE ENDOSKOP\\u0130K ULTRASON\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#\/schema\/person\/cbbdecaebff321fe21f8ee2849222b12\",\"name\":\"Akasya\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/www.endoskopikultrasonografi.com\/#personlogo\",\"inLanguage\":\"tr\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/36e1a2f910f74b19f8a3793a1e8c56a2efd6c402e4af4bd631c4d99442a28657?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/36e1a2f910f74b19f8a3793a1e8c56a2efd6c402e4af4bd631c4d99442a28657?s=96&d=mm&r=g\",\"caption\":\"Akasya\"},\"sameAs\":[\"http:\/\/localhost\/klinik\"],\"url\":\"https:\/\/www.endoskopikultrasonografi.com\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON - Endoskopik Ultrasonografi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595","og_locale":"tr_TR","og_type":"article","og_title":"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON - Endoskopik Ultrasonografi","og_description":"Mide kanserleri Erken Mide Kanseri: Erken evre mide kanseri mu- kozaya (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 kanserle- rin...","og_url":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595","og_site_name":"Endoskopik Ultrasonografi","article_publisher":"https:\/\/www.facebook.com\/endoskopi.akasya.5","article_published_time":"2021-10-03T13:17:15+00:00","article_modified_time":"2021-10-03T13:17:17+00:00","twitter_card":"summary_large_image","twitter_misc":{"Yazan:":"Akasya","Tahmini okuma s\u00fcresi":"2 dakika"},"schema":{"@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":"WebPage","@id":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#webpage","url":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595","name":"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON - Endoskopik Ultrasonografi","isPartOf":{"@id":"https:\/\/www.endoskopikultrasonografi.com\/#website"},"datePublished":"2021-10-03T13:17:15+00:00","dateModified":"2021-10-03T13:17:17+00:00","author":{"@id":"https:\/\/www.endoskopikultrasonografi.com\/#\/schema\/person\/cbbdecaebff321fe21f8ee2849222b12"},"breadcrumb":{"@id":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#breadcrumb"},"inLanguage":"tr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.endoskopikultrasonografi.com\/?p=13595"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.endoskopikultrasonografi.com\/?p=13595#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Anasayfa","item":"https:\/\/www.endoskopikultrasonografi.com\/"},{"@type":"ListItem","position":2,"name":"M\u0130DE KANSERLER\u0130 VE ENDOSKOP\u0130K ULTRASON"}]},{"@type":"Person","@id":"https:\/\/www.endoskopikultrasonografi.com\/#\/schema\/person\/cbbdecaebff321fe21f8ee2849222b12","name":"Akasya","image":{"@type":"ImageObject","@id":"https:\/\/www.endoskopikultrasonografi.com\/#personlogo","inLanguage":"tr","url":"https:\/\/secure.gravatar.com\/avatar\/36e1a2f910f74b19f8a3793a1e8c56a2efd6c402e4af4bd631c4d99442a28657?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/36e1a2f910f74b19f8a3793a1e8c56a2efd6c402e4af4bd631c4d99442a28657?s=96&d=mm&r=g","caption":"Akasya"},"sameAs":["http:\/\/localhost\/klinik"],"url":"https:\/\/www.endoskopikultrasonografi.com\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=\/wp\/v2\/posts\/13595","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13595"}],"version-history":[{"count":0,"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=\/wp\/v2\/posts\/13595\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13595"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoskopikultrasonografi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}