ISSN: 1300-4115
YOĞUN SİGARA İÇİCİSİ BİR KADINDA PET/CT POZİTİF PULMONER KİTLE: BEKLENMEYEN BİR TANI [Göğüs Hastanesi Dergisi]
Göğüs Hastanesi Dergisi. 2011; 25(3): 191-196

YOĞUN SİGARA İÇİCİSİ BİR KADINDA PET/CT POZİTİF PULMONER KİTLE: BEKLENMEYEN BİR TANI

Ahmet ERBAYCU Emin1, İnci ALACACIOĞLU2, Bahriye PAYZIN2, Fevziye TUKSAVUL1, Nur YÜCEL3, Kenan CEYLAN Can4, Sadi BENER5, Engin ÖZBİLEK6, Salih GÜÇLÜ Zeki1
1İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Chest Diseases, İzmir, Turkey
2İzmir Atatürk Training And Research Hospital, The Department of Haematology, İzmir, Turkey
3İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Pathology, İzmir, Turkey
4İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Thoracic Surgery, İzmir, Turkey
5İzmir Atatürk Training And Research Hospital, The Department of Pathology, İzmir, Turkey
6İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Nuclear Medicine, İzmir, Turkey

Torasik lenfomaların hastalığın başladığı dönemdeki akciğer tutulumu nadirdir. Yirmi iki paket yılı sigara öyküsü olan 35 yaşında bir ev hanımı öksürük ve hemoptizi ile başvurdu. Toraks bilgisayarlı tomografisi (BT) multipl mediastinal ve sol hiler lenfadenopati ile birlikte sağ akciğerde geniş bir kaviter kitle lezyonunu ortaya koydu. Trans torasik iğne biyopsisinden patolojik tanı elde edilemeyince, 18 FDG PET/CT hastalığın yaygınlığını belirlemek ve multipl lokalizasyonları olan sistemik bir hastalığı tanımada yardımcı oldu. Pe riferik lenf nodu biyopsisi evre IVB nodüler sklerozan Hodgkin Lenfomayı gösterdi. Hastada kemoterapi ile tam yanıt alındı. Pulmoner lenfomalar benzer klinik ve radyolojik bulguları ile diğer akciğer hastalıklarını taklit edebilirler. 18FDG PET/CT hastalığın yaygınlığını ve tüm lokalizasyonlarını gösterdiğinden bazı hastalarda teşhisin gecikmesini engellemektedir.

Anahtar Kelimeler: Nodüler sclerozan Hodgkin Lenfoma, akciğer kitlesi, lenf nodu, PET/CT

PET/CT POSITIVE PULMONARY MASS IN A HEAVY SMOKER WOMAN: AN UNEXPECTED DIAGNOSIS

Ahmet ERBAYCU Emin1, İnci ALACACIOĞLU2, Bahriye PAYZIN2, Fevziye TUKSAVUL1, Nur YÜCEL3, Kenan CEYLAN Can4, Sadi BENER5, Engin ÖZBİLEK6, Salih GÜÇLÜ Zeki1
1İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Chest Diseases, İzmir, Turkey
2İzmir Atatürk Training And Research Hospital, The Department of Haematology, İzmir, Turkey
3İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Pathology, İzmir, Turkey
4İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Thoracic Surgery, İzmir, Turkey
5İzmir Atatürk Training And Research Hospital, The Department of Pathology, İzmir, Turkey
6İzmir Training And Research Hospital For Thoracic Medicine And Surgery, The Department of Nuclear Medicine, İzmir, Turkey

Lung involvement of thor acic lymphomas at the onset of the disease is relatively uncommon. A 35 years old housewife, with a history of 22 package year cigarette smoking, referred with cough and haemoptysis. Thorax computed tomography (CT) revealed a large cavitary mass lesion on right lung with multiple mediastinal and left hilus lymphoadenopathy. Having no pathological diagnosis after trans thoracic needle biopsy, 18FDG PET/CT helped to exhibit the diffusiveness of the disease and to see a systemic disease with multiple localizations. Peripheral lymph node biopsy revealed a stage IVB nodular sclerosing Hodgkin's Lymphoma. The patient had complete response to chemotherapy. Pulmonary lymphomas may imitate other pulmonary diseases with their similar clinical and radiological signs. 18 FDG PET/CT is helpful to avoid delay in diagnosis in some cases as it reveals all localizations and the dissemination of the disease.

Keywords: Nodular sclerosing Hodgkin's Lymphoma, pulmonary mass, lymph node, PET/CT

Ahmet ERBAYCU Emin, İnci ALACACIOĞLU, Bahriye PAYZIN, Fevziye TUKSAVUL, Nur YÜCEL, Kenan CEYLAN Can, Sadi BENER, Engin ÖZBİLEK, Salih GÜÇLÜ Zeki. PET/CT POSITIVE PULMONARY MASS IN A HEAVY SMOKER WOMAN: AN UNEXPECTED DIAGNOSIS . Göğüs Hastanesi Dergisi. 2011; 25(3): 191-196
Makale Dili: Türkçe
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