AKCÝÐER METASTAZLI OPERE TÝROÝD KARSÝNOMU

Tiroid karsinomlarý endokrin sistemin en sýk görülen malignitesidir. Tiroid papiller karsinom %75-85 ile en sýk görülen tipdir, ayný zamanda prognozu en iyi olan tiroid karsinomudur. Kadýnlarda daha fazla görülmesine karþýn erkeklerde mortalitesi daha yüksektir ve en sýk uzak metastazý akciðerlere yapar. Nefes darlýðý, öksürük, kilo kaybý, kanlý balgam çýkarma þikayetleri ve akciðer grafisinde milier-mikronodüler lezyonlarý ile dýþ merkezde milier akciðer tüberkülozu tanýsý alan ve tüberküloz tedavisi baþlanan olgu þikayetlerinin devam etmesi üzerine poliklinik baþvurusu ile yatýrýldý. Yapýlan tetkikler sonucu tiroid karsi-nomunun akciðer metastazý saptandý. Olgu milier akciðer tüberkülozu ile karýþtýrýlmasý, nüks olmadan akciðere yaygýn metastaz yapmasý ve tipik radyolojisi nedeni ile sunulmuþtur.

LUNG METASTASIS OF OPERATED THYROID CARCINOMA

Thyroid carcinomas are the most common malignancies of the endocrine systems. Thyroid papillary carcinoma is the most frequent type of thyroid carcinomas with 75-85% and its prognosis is better than the other types. It presents more frequently at women but it is more mortal at men and the most usual metastasis appears on lungs. A-61 year old man who had diagnosed as miliary tuberculosis with shortness of breath, cough, hemoptisy, weight loss and with the radiology of miliary-micronodular lesions and had been treated with antituberculosis drugs at a different hospital was referred to our clinic, since his complaints have still occured. After the examinations, the lung matastasis of thyroid carcinoma was determinated. We present this case because of thyroid carcinoma has typical radiological images, it can be confused with milier tbc, it can occur with diffuse lung metastases without relaps.