Göðüs Hastanesi Dergisi. 2020; 34(2): 83-88 | DOI: 10.5222/IGH.2020.43153

Göðüs Hastalýklarý Onkolojik Acillerin Deðerlendirilmesi

Dursun Tatar¹, Ceyda Anar¹, Yasemin Özdoðan¹, Enver Yalnýz¹, Ali Kadri Çýrak¹, Ahmet Emin Erbaycu^2
1Ýzmir Dr Suat Seren Göðüs Hastalýklarý ve Cerrahisi Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý, Ýzmir, Türkiye
²Ýzmir Bakýrçay Üniversitesi Týp Fakültesi, Göðüs Hastalýklarý Anabilim Dalý

GÝRÝÞ ve AMAÇ: Göðüs hastalýklarý hastanesi acil servisine baþvuran onkoloji hastalarýnýn genel özelliklerini ortaya koymak amaçlandý
YÖNTEM ve GEREÇLER: Bir aylýk dönemde acil servise baþvuran malignite tanýlý hastalarýn sosyodemografik verileri ile birlikte baþvuru semptomlarý ve acil tanýlarý retrospektif olarak incelendi.
BULGULAR: Çalýþmaya alýnan 118 hastanýn 105 (%84.7)’si erkek, 13 (%15.3)’ü kadýn ve yaþ ortalamasý 61.2 yýl idi. En sýk baþvuru yapan yaþ aralýðý 50-59 idi. Hastalarýmýzda saptanan en sýk semptomlar nefes darlýðý (%50), aðrý (%27.9), ateþ (%14.4) ve hemoptizi (%10.1) idi. Daha az sýklýkta bulantý (%9.3), öksürük-balgam çýkarma (%7.6) ve halsizlik (%5.9) izlendi. Küçük hücreli dýþý akciðer karsinomlu hastalarýn %87.5’i ve küçük hücreli akciðer karsinomunun %23.5’i ileri evre kansere sahip idi. En sýk rastlanan acil taný 49 (%41.5) hastada solunum yetmezliði, 14 (%11.8) hastada kemik metastazý, 13 (%11) hastada beyin metastazý idi.
TARTIÞMA ve SONUÇ: Göðüs hastalýklarý acil servisine baþvuran hastalarýn en sýk yakýnmalarý nefes darlýðý ve aðrý, en sýk acil tanýlarý solunum yetmezliði ve metastatik hastalýktýr. Genel talep palyatif tedaviler içindir, ölüm oraný düþüktür.

Anahtar Kelimeler: Akciðer kanseri, onkolojik aciller, palyatif tedavi, ölüm.

---

The Assessment of Oncological Emergencies Of Chest Diseases

Dursun Tatar¹, Ceyda Anar¹, Yasemin Özdoðan¹, Enver Yalnýz¹, Ali Kadri Çýrak¹, Ahmet Emin Erbaycu^2
1Health Sciences University School of Medicine, Izmir Suat Seren Thoracic Diseases and Surgery Center, The Department of Thoracic Diseases
²Izmir Bakircay University School of Medicine, The Department of Thoracic Diseases

INTRODUCTION: It was aimed to reveal the general characteristics of oncology patients referred to emergency service of chest diseases training hospital.
METHODS: A retrospective analysis was performed on the socio-demographic data, the referral symptoms and emergency diagnoses of the subjects diagnosed with malignity who referred to emergency service along one month.
RESULTS: Of 118 subjects included in the study, 13 (84.7 %) were women and 105 (84.7 %) were men and the average age was 61.2 years. Frequent age interval was between 50-59. The symptoms most often seen in our cases were dypnea (50 %), pain (27.9 %), fever (14.4 %) and hemoptysis (10.1 %), whereas nausea (9.3%), cough-expectoration (7.6%) and weakness (5.9%) were observed less frequently. 87.5% of non-small cell lung carcinoma and 23.5% of small cell lung carcinoma had advanced stage lung cancer. The most frequent encountered emergency diagnoses were respiratory insufficiency in 49 (41.5%) cases, bone metastasis in 14 (11.8%) and brain metastasis in 13 (11%).
DISCUSSION AND CONCLUSION: It was observed that the most frequent complaints for emergency deferral were dyspnea and pain and the most frequent emergency diagnoses were respiratory insufficiency and metastatic disease. General requirement was for palliative treatments and the mortality was lower.

Keywords: Lung cancer, oncologic emergencies, palliative treatments, mortality.

---

ATIF KOPYALA