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Dr. Tuncer ŞENOL

Dr. Tuncer ŞENOL. OSM ORTADOGU HOSPITAL CHEST DİSEASES. R. C. 62 Y MALE. Cough Sputum Sweat Weight loss 16 kg last 6 months Fever Weakness 60 box / years smoking. CBC. WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7. BIOCHEM:. GLU : 110 mg/dL

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Dr. Tuncer ŞENOL

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  1. Dr. Tuncer ŞENOL OSM ORTADOGU HOSPITAL CHEST DİSEASES

  2. R. C. 62 Y MALE Cough Sputum Sweat Weightloss 16 kg last 6 months Fever Weakness 60 box/yearssmoking

  3. CBC WBC : 24 950 NEU% : 80,4 PLT : 236000 HB : 11.8 HTC : 35.7

  4. BIOCHEM: GLU : 110 mg/dL ALT : 316 IU/L AST : 132 IU/L T BİL : 2.7 mg/dL D BİL : 0.9 mg/dL Na : 135 mmol/L Fe : 23 ug/dL

  5. PFT FVC 4300 2810 %65 FEV1 3370 2480 %74 PEF 841 590 %70 TİFF % 76 88

  6. AKCİĞER FİLMİ

  7. Hemoptysis Bronchoscopy Nonspecific treatment

  8. Left lov Right upp ant post Left lover sup

  9. PATOLOJİ RAPORU BİLGİSAYARDAN KOPYALA

  10. SUVmax : 11.2

  11. STAGING • RightUpper:EPIDERMOID CA T3 N0 M0 2B • LeftLover: SMALL CELL CA LIMITED

  12. Our Suggestions The right lung ;OPERATION The left lung ;CHEMOTHERAPY

  13. Patient's Plan I want to go home.

  14. MULTIPL PRIMER LUNG CANCERS (MPLC) First 1924 Autopsy J THORAC CARDİOVASC SURG 1964 1931-84 382 Case J SURG ONCOL 1984 %1.6 %0.5-3.9 CHEST 1987 CA 1964 E /K 3/1 6. Decade CHEST 1997 MetachronousandSynchronous (12 Months) CANCER 1983 THORAX 1993 Synchronouslessthan%1% J THORAC CARDİOVASC SURG 1975

  15. MULTIPL PRIMER LUNG CANCERS (MPLC) • 1975 Martini and Melamed • 1995 Deterback and et all. • A - Tumor far and dissociate. • B - Histology • 1. Different • 2. The same but different segment, lobe or lung • To have carcinoma in situ origin • Lack of a common carcinoma in lymph nodes of both tumor • Absenceofextrapulmoner metastases at diagnosis CHEST 2003

  16. MULTIPL PRIMER LUNG CANCERS (MPLC) MPLC Most Frequent Epidermoid Cancer THORAX 1993 J SURG ONCOL 1984 CHEST 1987 Related HistologyDNAStudies Highest-grade tumor CHEST 2000

  17. THANK’S FOR YOUR PATIENCE

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