Halk aras\u0131nda Ben olarak bilinen melanositik nev\u00fcsler\u00a0 melanosit denen pigment h\u00fccrelerin (derinin rengini veren h\u00fccreler) \u00e7o\u011falmas\u0131 sonucu geli\u015firler. Genetik yatk\u0131nl\u0131k ve g\u00fcne\u015fe maruziyet\u00a0 melanositik\u00a0 nev\u00fcslerin tetiklenmesinde bir fakt\u00f6rd\u00fcr.<\/p>\n
Benler erken \u00e7ocukluk d\u00f6neminde ortaya \u00e7\u0131kmaya ba\u015flar ve en fazla say\u0131ya gen\u00e7 eri\u015fkinlik d\u00f6neminde ula\u015f\u0131r. Eri\u015fkin d\u00f6nemde de birka\u00e7 tane \u00e7\u0131kabilmesine ra\u011fmen genellikle kademeli bir \u015fekilde gerileme olarak \u00e7o\u011fu 60 ya\u015f\u0131ndan sonra kaybolur. Benler g\u00fcne\u015fe maruz kal\u0131nd\u0131ktan sonra ve gebelikte koyula\u015f\u0131rlar.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Benler d\u00fcz veya kabar\u0131k olabilirler. Renkleri pembeden kahverengi siyaha kadar de\u011fi\u015febilir. Her hangi bir \u015fikayet vermezler. E\u011fer benler s\u00fcrekli ka\u015f\u0131n\u0131yor veya hassasiyet varsa, s\u00fcrekli ka\u015f\u0131nt\u0131n\u0131n k\u00f6t\u00fc huylu de\u011fi\u015fimin erken g\u00f6stergesi olabilmesinden dolay\u0131 izlenilmesi veya \u00e7\u0131kar\u0131lmas\u0131 gereklidir.<\/p>\n
Ben tipleri<\/p>\n
Geli\u015fim durumlar\u0131na g\u00f6re benler 3 tipte incelenir. Melanositik nev\u00fcsler janksiyonel, bile\u015fik ve dermal olmak \u00fczere evrim ge\u00e7irirler.<\/p>\n
Janksiyonel melanositik nev\u00fcs:\u00a0 Nev\u00fcs h\u00fccreleri derinin \u00fcst tabakas\u0131 (epidermis) ile derinin orta k\u0131sm\u0131 (dermis) aras\u0131ndad\u0131r. Bu benler d\u00fcz ve koyu renklidirler. Yuvarlak veya oval olup, p\u00fcr\u00fczs\u00fcz ve d\u00fczg\u00fcn s\u0131n\u0131rl\u0131d\u0131r. Bile\u015fik (compound) melanositik nev\u00fcs: Nev\u00fcs h\u00fccreleri hem epidermis hem dermiste bulunur. Deriden kabar\u0131kt\u0131r. Koyu kahverengi bazen de siyah olabilir. K\u0131llar bulunabilir. Dermal melanositik nev\u00fcs: Nev\u00fcs h\u00fccrelerinin geli\u015fiminin son evresidir. H\u00fccreler dermistedir. Yuvarlak kubbe \u015feklinde, deri renginde, a\u00e7\u0131k kahverengi veya kahverengi g\u00f6r\u00fcn\u00fcml\u00fcd\u00fcr. K\u0131llar bulunabilir. \u00a0Hangi benler k\u00f6t\u00fc huylu olabilir?<\/p>\n
K\u00f6t\u00fc huylu ben (melanom) d\u00fc\u015f\u00fcnd\u00fcren bulgular \u0130ngilizce kelimelerin ba\u015f harflerinden olu\u015fan ABCDE kriterlerine g\u00f6re asimetrik, d\u00fczensiz s\u0131n\u0131rl\u0131, keskin s\u0131n\u0131rl\u0131 olmayan, belirgin renk \u00e7e\u015fitlili\u011fi olan, \u00e7ap\u0131 6 mm’den b\u00fcy\u00fck olan lezyonlarda melanom d\u00fc\u015f\u00fcn\u00fclmelidir.<\/p>\n
TANI<\/p>\n
Lezyonun klini\u011fine g\u00f6re konur. T\u00fcm melanositik nev\u00fcsler ABCDE kural\u0131 uygulanarak de\u011ferlendirilmelidir. \u015e\u00fcpheli olgularda dermatoskopi denen bir y\u00f6ntemle benlerin g\u00f6r\u00fcnt\u00fcs\u00fc b\u00fcy\u00fct\u00fclerek incelenebilir. Bu y\u00f6ntem ile nev\u00fcs\u00fcn \u00e7\u0131kar\u0131lmadan iyi huylu, \u015f\u00fcpheli veya k\u00f6t\u00fc huylu oldu\u011fu g\u00f6sterilebilir. \u015e\u00fcpheli veya k\u00f6t\u00fc huylu oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen nev\u00fcsler \u00e7\u0131kar\u0131lmal\u0131d\u0131r<\/p>\n
Tedavi<\/p>\n
ABCDE kural\u0131na g\u00f6re nev\u00fcslerin \u00e7\u0131kar\u0131lma durumlar\u0131 \u015funlard\u0131r:<\/p>\n
Yer: Sa\u00e7l\u0131 deri (izlemesi zor oldu\u011fu i\u00e7in), mukoza ve anogenital b\u00f6lgedeki lezyonlar,B\u00fcy\u00fcme: \u00c7apta h\u0131zl\u0131 bir de\u011fi\u015fiklik varsa,S\u0131n\u0131r: D\u00fczensiz s\u0131n\u0131rlar var veya geli\u015fiyorsa,Erozyonlar: B\u00fcy\u00fck bir travma olmadan lezyonun \u00fcst\u00fcndeki deri s\u0131yr\u0131l\u0131yorsa,\u015eikayetler: Lezyonda s\u00fcrekli olarak ka\u015f\u0131nt\u0131, ac\u0131 veya kanama varsa,Dermatoskopi: Melanom (k\u00f6t\u00fc huylu ben) veya belirgin \u015f\u00fcpheli nev\u00fcs kriteri varsa, nev\u00fcs \u00e7\u0131kar\u0131lmal\u0131d\u0131r. \u00a0<\/p>\n
TEDAV\u0130<\/p>\n
1.Tra\u015flama (shave) \u015feklinde biyopsi <\/p>\n
Deriden kabar\u0131k olan benler bu y\u00f6ntem ile tedavi edilebilir. Deri lokal Anestezi ile uyu\u015fturulduktan sonra bir cerrahi b\u0131cak veya koter ile \u00e7\u0131kart\u0131l\u0131r. Yara d\u00fcz beyaz bir leke b\u0131rakarak iyile\u015fir.<\/p>\n
2. Cerrahi olarak \u00e7\u0131kart\u0131lmas\u0131 <\/p>\n
Bu y\u00f6ntem ben d\u00fczse veya melanom dedi\u011fimiz k\u00f6t\u00fc huylu ben \u015f\u00fcphesi varsa kullan\u0131l\u0131r. Derideki ben \u00e7\u0131kar\u0131l\u0131r ve sonra diki\u015f at\u0131l\u0131r. \u00c7\u0131kar\u0131lan ben patolojik incelemeye g\u00f6nderilir. Cerrahi yap\u0131lan yerde ince bir \u00e7izgi \u015feklinde iz kalabilir.<\/p>\n
Nev\u00fcslerin \u00e7\u0131kar\u0131lmas\u0131 ile veya travmadan dolay\u0131 kesinlikle k\u00f6t\u00fc huylu bir d\u00f6n\u00fc\u015f\u00fcm g\u00f6zlenmez. Benlerin \u00fczerinde \u00e7\u0131kan k\u0131llar tra\u015f edilebilir. C\u0131mb\u0131zla al\u0131nmas\u0131 benin alt\u0131nda inflamasyona yol a\u00e7arak a\u011fr\u0131l\u0131 \u015fi\u015fli\u011fe neden olabilir<\/p>\n
KOMPL\u0130KASYONLAR<\/p>\n
\u015e\u00fcpheli nev\u00fcs\u00fc olanlar k\u00f6t\u00fc huylu bir d\u00f6n\u00fc\u015f\u00fcm g\u00f6zlenebilece\u011fi i\u00e7in bir dermatolo\u011fa ba\u015fvurmal\u0131d\u0131r.<\/p>\n
KORUNMA<\/p>\n
Nev\u00fcs geli\u015fimini engellemek ve var olan nev\u00fcs\u00fcn k\u00f6t\u00fc huylu d\u00f6n\u00fc\u015f\u00fcm\u00fcne engel olabilmek amac\u0131yla b\u00fct\u00fcn benler g\u00fcne\u015ften korunmal\u0131d\u0131r. Bunun i\u00e7in koruma fakt\u00f6r\u00fc 30 ve \u00fczerinde olan g\u00fcne\u015ften koruyucular\u0131 s\u0131k olarak g\u00fcne\u015fe maruz kalan alanlara uygulan\u0131lmal\u0131d\u0131r.<\/p>\n
HAZIRLAYAN; Dr. Filiz CANPOLAT<\/p>\n
KAYNAKLAR:Dermatoloji. Y T\u00fcz\u00fcn, MA G\u00fcrer, S Serdaro\u011flu, O O\u011fuz, VL Aksungur. 2008 Fitzpatrick Color Atlas.<\/p>\n","protected":false},"excerpt":{"rendered":"
Halk aras\u0131nda Ben olarak bilinen melanositik nev\u00fcsler\u00a0 melanosit denen pigment h\u00fccrelerin (derinin rengini veren h\u00fccreler) \u00e7o\u011falmas\u0131 sonucu geli\u015firler. Genetik yatk\u0131nl\u0131k ve g\u00fcne\u015fe maruziyet\u00a0 melanositik\u00a0 nev\u00fcslerin tetiklenmesinde bir fakt\u00f6rd\u00fcr. Benler erken \u00e7ocukluk d\u00f6neminde ortaya \u00e7\u0131kmaya ba\u015flar ve en fazla say\u0131ya gen\u00e7 eri\u015fkinlik d\u00f6neminde ula\u015f\u0131r. Eri\u015fkin d\u00f6nemde de birka\u00e7 tane \u00e7\u0131kabilmesine ra\u011fmen genellikle kademeli bir \u015fekilde gerileme olarak \u00e7o\u011fu 60 ya\u015f\u0131ndan sonra[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":[23078],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13200"}],"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=13200"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13200\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13200"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13200"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}