Nadir g\u00f6r\u00fclen, genellikle burun t\u0131kan\u0131kl\u0131\u011f\u0131 ya da burun kanamas\u0131 gibi semptomlar ile ortaya \u00e7\u0131kan kitlelerdir<\/p>\n
Burun i\u00e7indeki kitlelerin en s\u0131k g\u00f6r\u00fclen \u015fikayeti burun t\u0131kan\u0131kl\u0131\u011f\u0131d\u0131r. Burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n nedeninin belirlenmesi konusunda en \u00f6nemli bilgiler burnun muayenesi ile elde edilir. Bu muayene endoskopik olarak yap\u0131l\u0131rsa kitle daha net olarak g\u00f6r\u00fclebilir. Bir\u00e7ok kez burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n kesin sebebi muayene ile anla\u015f\u0131l\u0131r. Ancak bazen bilgisayarl\u0131 tomografi, MRI gibi ileri tetkikler de gereklidir.<\/p>\n
\u0130yi huylu t\u00fcm\u00f6rler:<\/p>\n
Sin\u00fcs mukozas\u0131n\u0131n \u00f6demi ile ortaya \u00e7\u0131kan polipler bir yana b\u0131rak\u0131l\u0131rsa, \u015funlar ay\u0131r\u0131c\u0131 tan\u0131ya girer<\/p>\n
Ba\u011f dokusu t\u00fcm\u00f6rleri, damar t\u00fcm\u00f6rleri ve k\u0131k\u0131rdak t\u00fcm\u00f6rleriEmbriyo art\u0131klar\u0131ndan geli\u015fmi\u015f burun b\u00f6lmesi kistleri;Damar b\u00f6lgesinde yerle\u015fen ve tekrarlay\u0131c\u0131 burun kanamalar\u0131yla kendilerini belli eden kanamal\u0131 polipler (tekrarlamalar\u0131n\u0131 \u00f6nlemek i\u00e7in, \u00e7\u0131karma i\u015flemi yaln\u0131zca polipi de\u011fil, alt\u0131ndaki k\u0131k\u0131rdaks\u0131 b\u00f6l\u00fcm\u00fc de kapsamal\u0131d\u0131r).<\/p>\n
K\u00f6t\u00fc huylu t\u00fcm\u00f6rler<\/p>\n
\u00c7ok ender olarak burun d\u00fczeyinde sarkomlara, silindirsi ya da \u00e7ok katl\u0131 epitelyum t\u00fcm\u00f6rlerine ve melanomlara rastlanabilir.\u00a0 Tedavisinde Cerrahi ve RT uygulan\u0131r.<\/p>\n
S\u0130N\u00dcS T\u00dcM\u00d6RLER\u0130<\/p>\n
T\u00fcm\u00f6rler burun bo\u015flu\u011fundan daha s\u0131kl\u0131kla sin\u00fcsler i\u00e7inde g\u00f6r\u00fcl\u00fcrler<\/p>\n
\u0130yi huylu T\u00fcm\u00f6rler<\/p>\n
Kemik t\u00fcm\u00f6r\u00fc (osteom) genellikle, Al\u0131n sin\u00fcs\u00fc ya da kalbur kemik sin\u00fcs\u00fc d\u00fczeyinde yerle\u015fir. Hastalar\u0131n \u00e7o\u011funda te\u015fhis, g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile konur. Genellikle \u00e7ok yava\u015f ilerler; ama baz\u0131 kemik t\u00fcm\u00f6rlerinin boyutlar\u0131,\u00a0 d\u0131\u015far\u0131dan g\u00f6r\u00fclen bir bi\u00e7im bozuklu\u011fu ile g\u00f6z k\u00fcrelerinin d\u0131\u015far\u0131 ya da a\u015fa\u011f\u0131ya itilmesine yol a\u00e7acak kadar b\u00fcy\u00fcyebilir.<\/p>\n
Kistler, \u00f6zellikle \u00fcst \u00e7ene kemi\u011fine yerle\u015firler. Embriyo art\u0131klar\u0131ndan ya da di\u015f kaynakl\u0131 olarak (di\u015f k\u00f6k\u00fc kisti v.b.) geli\u015firler. M\u00fckoseller, al\u0131n sin\u00fcs\u00fc ve kalbur kemik sin\u00fcs\u00fc d\u00fczeyinde yerle\u015firler. Te\u015fhis, bi\u00e7im bozukluklar\u0131 evresinde konur ve g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile do\u011frulan\u0131r. Tedavi cerrahi olarak kitlenin \u00e7\u0131kar\u0131m\u0131d\u0131r.<\/p>\n
K\u00f6t\u00fc Huylu T\u00fcm\u00f6rler<\/p>\n
En s\u0131k rastlananlar\u0131 kalbur kemik(ethmoid) ve \u00fcst \u00e7ene (maksiler)sin\u00fcslerinde yerle\u015firler. Nedenleri hala tam olarak bilinmemektedir; ama s\u00fcre\u011fen enfeksiyonlar\u0131n, travmalar\u0131n ve baz\u0131 tozlar\u0131n (bu Kanser tipine marangozlarda ve mobilyac\u0131larda s\u0131k rastlanmaktad\u0131r) ortaya \u00e7\u0131kmalar\u0131n\u0131 kolayla\u015ft\u0131rd\u0131\u011f\u0131 kesindir.<\/p>\n
Haberci belirtileri \u00e7ok \u00e7e\u015fitlidir. Bir b\u00f6l\u00fcm\u00fc (y\u00fczde bi\u00e7im bozuklu\u011fu ya da kanl\u0131 burun ak\u0131nt\u0131s\u0131 gibi), hastay\u0131 bir burun uzman\u0131na ba\u015fvurmaya y\u00f6neltir. Di\u015flerde oynama, dama\u011f\u0131n \u015fi\u015fmesi, g\u00f6z f\u0131rlakl\u0131\u011f\u0131 (egzoftalmi) ya da \u00e7ift g\u00f6rme (diplopi) gibi bir b\u00f6l\u00fcm\u00fcyse, yanl\u0131\u015f te\u015fhise yol a\u00e7abilir.<\/p>\n
Klinik belirtiler \u00e7ok de\u011fi\u015fiktir. G\u00f6zle g\u00f6r\u00fclen ya da elle muayenede fark edilen bir bi\u00e7im bozuklu\u011fu, geri d\u00f6nd\u00fcr\u00fclemeyen bir g\u00f6z f\u0131rlakl\u0131\u011f\u0131 ya da t\u00fcm\u00f6r\u00fcn bir g\u00f6z \u00e7ukurunu kaplamas\u0131, yanak cildinde duyu azalmas\u0131 ya da yoklu\u011fu, burun muayenesinde yeni bir olu\u015fum (kitle, v.b.) g\u00f6r\u00fclmesi, hastal\u0131\u011f\u0131 akla getirir. Enfeksiyon belirtileri, iyi huylu polipler,\u00a0 te\u015fhisi yan\u0131ltabilir.<\/p>\n
G\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri, \u00f6zellikle de tomografi, te\u015fhisin konulmas\u0131nda (niteleyici belirti kemik y\u0131k\u0131m\u0131d\u0131r) ve yay\u0131l\u0131m\u0131n de\u011ferlendirilmesinde son derece \u00f6nemlidir.<\/p>\n
Kesin te\u015fhis biyopsiyle konulur.\u00a0 Biyopsi, tedaviye ba\u015flanaca\u011f\u0131 zaman ya da cerrahi giri\u015fimde bulunulacaksa haz\u0131rl\u0131k yap\u0131lmadan \u00f6nce uygulanmal\u0131d\u0131r.<\/p>\n
TEDAV\u0130 <\/p>\n
Tedavisi genellikle cerrahidir. T\u00fcm\u00f6r, \u00e7evre yak\u0131n dokularla blok halinde \u00e7\u0131kar\u0131l\u0131r ve Ameliyat \u0131\u015f\u0131n tedavisiyle (t\u00fcm\u00f6r \u00e7\u0131kar\u0131ld\u0131ktan sonra yerinde kalan bo\u015flu\u011fa radyum koyma ya da kobalt tedavisi) tamamlan\u0131r.\u00a0 Lenf d\u00fc\u011f\u00fcm\u00fc b\u00fcy\u00fcmesi varsa, boyundaki lenf bezleri de temizlenir.<\/p>\n
HAZIRLAYAN; Dr. Arif \u015eANLI<\/p>\n","protected":false},"excerpt":{"rendered":"
Nadir g\u00f6r\u00fclen, genellikle burun t\u0131kan\u0131kl\u0131\u011f\u0131 ya da burun kanamas\u0131 gibi semptomlar ile ortaya \u00e7\u0131kan kitlelerdir Burun i\u00e7indeki kitlelerin en s\u0131k g\u00f6r\u00fclen \u015fikayeti burun t\u0131kan\u0131kl\u0131\u011f\u0131d\u0131r. Burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n nedeninin belirlenmesi konusunda en \u00f6nemli bilgiler burnun muayenesi ile elde edilir. Bu muayene endoskopik olarak yap\u0131l\u0131rsa kitle daha net olarak g\u00f6r\u00fclebilir. Bir\u00e7ok kez burun t\u0131kan\u0131kl\u0131\u011f\u0131n\u0131n kesin sebebi muayene ile anla\u015f\u0131l\u0131r. Ancak bazen bilgisayarl\u0131 tomografi,[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23012,23011],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13177"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13177"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13177\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}