{"id":472,"date":"2004-12-04T05:35:55","date_gmt":"2004-12-04T03:35:55","guid":{"rendered":"http:\/\/www.havacihaber.com\/taslakx\/ct\/?p=472"},"modified":"2014-08-29T15:36:32","modified_gmt":"2014-08-29T12:36:32","slug":"soru-cevap-105","status":"publish","type":"post","link":"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-105","title":{"rendered":"Soru Cevap 105"},"content":{"rendered":"<p>Soru<br \/>\nAnnemde b\u00f6brek kanseri te\u015fhis edildi. PET \u00e7ekildi. Akci\u011fere de yay\u0131lm\u0131\u015f. Doktorlar b\u00f6bre\u011fin al\u0131nmas\u0131 konusunda farkl\u0131 d\u00fc\u015f\u00fcn\u00fcyorlar. Sizce tedavi nas\u0131l planlanmal\u0131d\u0131r? <\/p>\n<p>Yan\u0131t<br \/>\nMetastaz yapmam\u0131\u015f, b\u00f6brek kaps\u00fcl\u00fcn\u00fc ge\u00e7memi\u015f kanserlerde t\u00fcm\u00f6r\u00fcn cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 tart\u0131\u015fmas\u0131z kabul edilen tedavi \u015feklidir. Ancak metastaz yapm\u0131\u015f b\u00f6brek kanserlerinde b\u00f6brekteki orijinal t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 tart\u0131\u015fmal\u0131d\u0131r. Baz\u0131 g\u00f6zlemler, t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 sonras\u0131 metastazlar\u0131n da k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcn\u00fc g\u00f6stermi\u015ftir. Muhtemelen orijinal t\u00fcm\u00f6rden sal\u0131nan baz\u0131 b\u00fcy\u00fcme fakt\u00f6rleri metastazlar\u0131n artmas\u0131na neden olmaktad\u0131r. T\u00fcm\u00f6r \u00e7\u0131kar\u0131l\u0131nca b\u00fcy\u00fcme fakt\u00f6rleri ortadan kalkt\u0131\u011f\u0131ndan metastazlarda k\u00fc\u00e7\u00fclme olabilmektedir. Ancak bu durum her zaman ger\u00e7ekle\u015fmemektedir. Bu y\u00fczden b\u00f6brek t\u00fcm\u00f6r\u00fcn\u00fcn \u00e7\u0131kar\u0131lmas\u0131n\u0131 onaylamayan bilim adamlar\u0131 da vard\u0131r.<\/p>\n<p>\u00dczerinde daha rahat uzla\u015faca\u011f\u0131m\u0131z bir konu, az say\u0131da metastaz var ve \u00e7\u0131kar\u0131labilecek durumda ise o zaman hem orijinal t\u00fcm\u00f6r\u00fc, hem de t\u00fcm metastazlar\u0131 \u00e7\u0131karmak olabilir. Hastan\u0131zda ka\u00e7 adet metastaz oldu\u011funu bilmiyoruz. Bu nedenle tedaviye karar vermeden \u00f6nce metastazlar\u0131n say\u0131s\u0131, yerleri ve tamam\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131n\u0131n m\u00fcmk\u00fcn olup olmad\u0131\u011f\u0131n\u0131n bilinmesi gerekir.<\/p>\n<p>B\u00f6brek h\u00fccreli kanserler yava\u015f seyirli kanserlerdendir. Kanser h\u00fccrelerinin metabolik h\u0131z\u0131 yava\u015ft\u0131r. PET tetkiki ise h\u00fccrelerin \u015fekeri kullanma prensibine g\u00f6re \u00e7al\u0131\u015ft\u0131\u011f\u0131ndan b\u00f6brek kanserlerinde her zaman do\u011fru sonu\u00e7 vermeyebilir. Akci\u011ferdeki metastazlar d\u0131\u015f\u0131nda v\u00fccudun ba\u015fka yerlerinde de kanser oldu\u011fu halde bunlar\u0131 g\u00f6stermeyebilir. Hatta akci\u011ferdeki metastazlar\u0131n da hepsini g\u00f6stermemi\u015f olabilir. Bu nedenle PET yerine akci\u011fer i\u00e7in tomografi, kar\u0131n i\u00e7in MR \u00e7ekilmesini \u00f6neririm. Metastaz say\u0131s\u0131 az ise ve \u00e7\u0131kar\u0131labilecek durumda ise t\u00fcm kitlelere operasyon \u00f6nerilebilir. Aksi takdirde interferon ve interl\u00f6kin gibi ba\u011f\u0131\u015f\u0131kl\u0131k sistemini d\u00fczenleyici ila\u00e7lar, bunlara yan\u0131t al\u0131namad\u0131\u011f\u0131nda a\u011f\u0131zdan hap olarak kullan\u0131lan sunitinib, sorafenib gibi ila\u00e7lar kullan\u0131labilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Soru Annemde b\u00f6brek kanseri te\u015fhis edildi. PET \u00e7ekildi. Akci\u011fere de yay\u0131lm\u0131\u015f. Doktorlar b\u00f6bre\u011fin al\u0131nmas\u0131 konusunda farkl\u0131 d\u00fc\u015f\u00fcn\u00fcyorlar. Sizce tedavi nas\u0131l planlanmal\u0131d\u0131r? Yan\u0131t Metastaz yapmam\u0131\u015f, b\u00f6brek kaps\u00fcl\u00fcn\u00fc ge\u00e7memi\u015f kanserlerde t\u00fcm\u00f6r\u00fcn cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 tart\u0131\u015fmas\u0131z kabul edilen tedavi \u015feklidir. Ancak metastaz yapm\u0131\u015f b\u00f6brek kanserlerinde b\u00f6brekteki orijinal t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 tart\u0131\u015fmal\u0131d\u0131r. Baz\u0131 g\u00f6zlemler, t\u00fcm\u00f6r\u00fcn \u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/coskuntecimer.com\/t\/soru-cevaplar\/soru-cevap-105\">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\/472"}],"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=472"}],"version-history":[{"count":1,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/472\/revisions"}],"predecessor-version":[{"id":473,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/posts\/472\/revisions\/473"}],"wp:attachment":[{"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/media?parent=472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/categories?post=472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coskuntecimer.com\/t\/wp-json\/wp\/v2\/tags?post=472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}