{"id":160,"date":"2004-12-24T09:15:23","date_gmt":"2004-12-24T07:15:23","guid":{"rendered":"http:\/\/localhost\/tecimer\/?p=160"},"modified":"2014-08-28T17:36:20","modified_gmt":"2014-08-28T14:36:20","slug":"soru-cevap-9","status":"publish","type":"post","link":"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-9","title":{"rendered":"Soru Cevap 9"},"content":{"rendered":"<p>Soru : 30 ya\u015f\u0131nday\u0131m. Sol g\u00f6\u011fs\u00fcmde kanser tespit edildi. T\u00fcm\u00f6r \u00e7\u0131kar\u0131ld\u0131. Hastal\u0131k koltuk alt\u0131nda lenf lere gitmi\u015f. Bana hem kemoterapi, hem \u0131\u015f\u0131n tedavisi, hem de hormon tedavisi \u00f6nerildi. Halbuki ameliyattan sonra yaln\u0131zca hormon tedavisi alan hastalar tan\u0131yorum. Hangisi do\u011fru, tedavideki farkl\u0131l\u0131klar\u0131n sebebi nedir? Hastal\u0131\u011f\u0131n tamamen tedavisi m\u00fcmk\u00fcn m\u00fc?<\/p>\n<p>Yan\u0131t : Meme kanseri koltuk alt\u0131n\u0131n \u00f6tesine ge\u00e7memi\u015fse, yani uzak metastaz yapmam\u0131\u015fsa bu hastal\u0131ktan tamamen kurtulmak m\u00fcmk\u00fcnd\u00fcr. Tedavinin esas\u0131 cerrahidir. Cerrahi; ya memenin tamamen al\u0131nmas\u0131 ya da  yaln\u0131zca t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 \u015feklinde uygulan\u0131r. Koltuk alt\u0131na yay\u0131lm\u0131\u015fsa buradaki lenf bezleri de al\u0131n\u0131r. Genellikle b\u00fcy\u00fck ya da lenf bezlerine yay\u0131lm\u0131\u015f t\u00fcm\u00f6rlerde kemoterapi yap\u0131l\u0131r. Memenin tamamen al\u0131nmad\u0131\u011f\u0131 durumlarda \u0131\u015f\u0131n tedavisi \u015fartt\u0131r. Meme tamamen al\u0131nm\u0131\u015fsa bile baz\u0131 durumlarda yine \u0131\u015f\u0131n verilebilir. B\u00fcy\u00fck ve koltuk alt\u0131na yay\u0131lm\u0131\u015f t\u00fcm\u00f6rler, bunun tipik \u00f6rne\u011fidir.  Hormon resept\u00f6rleri bulunan t\u00fcm\u00f6rlerde ek olarak \u00f6strojeni bask\u0131lay\u0131c\u0131 anti-hormon tedavisi en az 5 y\u0131l s\u00fcreyle uygulan\u0131r. Son y\u0131llarda artm\u0131\u015f antikor resept\u00f6r\u00fc ta\u015f\u0131yan kanserlerde trastuzumab ad\u0131 verilen antikor tedavisi de uygulanmaktad\u0131r. <\/p>\n<p>Soru : 55 ya\u015f\u0131nday\u0131m. Karaci\u011ferde kanser tespit edildi. Ancak karaci\u011ferden kaynaklanm\u0131yormu\u015f, yani karaci\u011fer kanseri de\u011filmi\u015f. Hangi organdan kaynakland\u0131\u011f\u0131 nas\u0131l tespit edilir? Bunun  tedavisi var m\u0131d\u0131r?<\/p>\n<p>Yan\u0131t : Bir ki\u015fide herhangibir organda kanser tespit edilmi\u015fse bunun mutlaka o organ\u0131n kanseri olmas\u0131 gerekmez. Ba\u015fka bir yerden yay\u0131lm\u0131\u015f da olabilir. Kanserler orijin ald\u0131\u011f\u0131 organla isimlendirilirler. Patolojik inceleme ile bunun hangi organdan kaynakland\u0131\u011f\u0131 tespit edilebilir. Ay\u0131r\u0131m yap\u0131lamayan durumlarda di\u011fer organlar tomografi, MR, PET-BT, endoskopi gibi de\u011fi\u015fik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleriyle ara\u015ft\u0131r\u0131l\u0131r. Karaci\u011fer, bir\u00e7ok kanserin metastaz yapt\u0131\u011f\u0131 bir organd\u0131r. Ba\u015fta kal\u0131n barsak kanserleri olmak \u00fczere, genellikle kar\u0131n i\u00e7i organlar\u0131n t\u00fcm\u00f6rleri, akci\u011fer ve meme kanseri karaci\u011fere yay\u0131labilir. Tedavisi de orijin ald\u0131\u011f\u0131 organ\u0131n kanseri gibi yap\u0131l\u0131r. Hastal\u0131\u011f\u0131n gidi\u015fini de belirleyen kaynakland\u0131\u011f\u0131 organd\u0131r.          <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Soru : 30 ya\u015f\u0131nday\u0131m. Sol g\u00f6\u011fs\u00fcmde kanser tespit edildi. T\u00fcm\u00f6r \u00e7\u0131kar\u0131ld\u0131. Hastal\u0131k koltuk alt\u0131nda lenf lere gitmi\u015f. Bana hem kemoterapi, hem \u0131\u015f\u0131n tedavisi, hem de hormon tedavisi \u00f6nerildi. Halbuki ameliyattan sonra yaln\u0131zca hormon tedavisi alan hastalar tan\u0131yorum. Hangisi do\u011fru, tedavideki farkl\u0131l\u0131klar\u0131n sebebi nedir? Hastal\u0131\u011f\u0131n tamamen tedavisi m\u00fcmk\u00fcn m\u00fc? Yan\u0131t : \u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-9\">Devam\u0131n\u0131 Oku<i class=\"icon-right-dir\"><\/i><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"_links":{"self":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/160"}],"collection":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/comments?post=160"}],"version-history":[{"count":1,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/160\/revisions"}],"predecessor-version":[{"id":161,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/160\/revisions\/161"}],"wp:attachment":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/media?parent=160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/categories?post=160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/tags?post=160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}