HANGİ HASTAYA BİYOPSİ YAPALIM?
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HANGİ HASTAYA BİYOPSİ YAPALIM?
Prof. Dr. Abdurrahman ŞENYİĞİTDicle Üniversitesi Tıp Fakültesi
Göğüs Hastalıkları ve Tüberküloz A.D.
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VAKA 1.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
İrregüler bir plevral kalınlaşma var. Yapılmalı
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
![Page 7: HANGİ HASTAYA BİYOPSİ YAPALIM?](https://reader036.fdocuments.net/reader036/viewer/2022081506/568134b8550346895d9bd774/html5/thumbnails/7.jpg)
• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
Nodüler görünümlü plevral plak. Yapılmamalı.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
![Page 10: HANGİ HASTAYA BİYOPSİ YAPALIM?](https://reader036.fdocuments.net/reader036/viewer/2022081506/568134b8550346895d9bd774/html5/thumbnails/10.jpg)
• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
Nodüler görünümlü ve yer yer kalsifik plevral plak. Yapılmamalı.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
![Page 13: HANGİ HASTAYA BİYOPSİ YAPALIM?](https://reader036.fdocuments.net/reader036/viewer/2022081506/568134b8550346895d9bd774/html5/thumbnails/13.jpg)
• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
Ama olay karışık. Ciddi takip gerekir.
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Önceki vakanın 7 ay sonraki filmi
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
![Page 16: HANGİ HASTAYA BİYOPSİ YAPALIM?](https://reader036.fdocuments.net/reader036/viewer/2022081506/568134b8550346895d9bd774/html5/thumbnails/16.jpg)
• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
Tipik mezotelyoma. Yapılmalı.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
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• Evet. Plevral biyopsi yapılsın.
• Hayır. Plevral biyopsi yapılmasın.
Lokalize kalsifik lezyonu var. Ancak yi ne detipik mezotelyoma. Yapılmalı.
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Fig. 2.A 73-year-old man with known history of prior asbestosexposure presented with recent onset of right-sided scapula pain. Noncontrast CT of the thorax demonstrated focal plaque-like pleural thickening (arrow). Video-assisted thoracoscopic biopsy was performed on this lesion and revealed malignant pleural mesothelioma. Furthercaudal sections of the contrast-enhanced scan showed scattered calcified pleural plaques. Lung window image showed round atelectasis with central calcification in the same patient.
Au VW. Australasian Radiology. 2003
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• 2 yıllık süreçte plevral plakta şüpheli gelişim.
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2006 NİSAN
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• Sunum bitti.