AKCÝÐER HAMARTOMLARI: CERRAHÝ TEDAVÝ SONUÇLARI

Hamartom en sýk izlenen benign akciðer tümörüdür. Bu çalýþmada, kliniðimizde son sekiz yýl içinde akciðer hamartomu nedeniyle cerrahi tedavi uyguladýðýmýz 15 olgunun klinik özelliklerini retrospektif olarak inceledik. Dokuzu erkek, altýsý kadýn olup olgularýn yaþ ortalamasý 49.1±12.5 (30-74) idi. Olgularýn yaþ ve cinsiyeti, hamartomun lokalizasyon ve boyutu, kalsifikasyon varlýðý ve uygulanan operatif iþlemler incelendi. Onbeþ hastanýn 10u (%66.7) asemptomatik iken, beþinde öksürük yakýnmasý bulunmaktaydý. Ha-martomlar sol akciðerde daha fazla (%60) izlenmekte olup ortalama çap 2.3±1.2 (1-6) cm idi. Serimizde rezeksiyon sonrasý hamartom nüksü veya primer akciðer karsinomu geliþimi izlenmemiþtir. Ortalama izlem süresi 55.2±36.0 (9-112) aydý. Akciðer h amartomlarýnýn büyük çoðunluðu soliter nodül olarak izlenmektedir. Kesin taný ve tedavi akciðer tümörünün rezeksiyonuyla saðlanabilmektedir.

PULMONARY HAMARTOMAS: OUTCOMES OF SURGICAL TREATMENT

Pulmonary hamartoma is the most common type of benign lung tumors. In this study, we retrospectively reviewed the clinical features of 15 patients with pulmonary hamartomas undergoing surgical resection in our clinic, during a period of last eight years. Nine were male and six were female. Their mean age 49.1±12.5 (30-74) years. The data regarding age, gender, symptoms, location of hamartoma, size of lesions, state of calcification in the hamartoma, operative procedures are analyzed. Of the 15 patients with pulmonary hamartoma, 10 patients (66.7%) were clinically asemptomatic, five patients had cough. The hamartomas were seen dominant in the left lung (60%) with the mean diameter of 2.3±1.2 (1-6) cm measured. No hamartoma recurrence and primary lung carcinoma appearance developed after resection in our series. The mean follow-up was 55.2±36.0 (9-112) months. The most of pulmonary hamartomas represent as solitary pulmonary nodule. The definitive diagnosis and treatment can be achieved by surgical resection of pulmonary tumor.