Mesut SEZİKLİ(), Züleyha Akkan ÇETİNKAYA(), Fatih GÜZELBULUT(), Hayrünnisa SEZİKLİ(), Selvinaz ÖZKARA(), Göktug ŞİRİN()

Şilöz asitle prezente olan taşlı yüzük hücreli mide kanseri

Şilöz asit siroza bağlı tüm asitlerin %0,5'ini ve tüm malign asitlerin %1'den daha azını oluşturan nadir bir asit şeklidir. Asit tetkikinin ilk basamağı olan görünümde fark edilen süt rengi değişiklik ve mayi trigliserit düzeyi bizi şilöz asit tanısına götürür. Fakat altta yatan nedeni bulmak çoğunlukla zorluk arz edebilir Biz batında şişlik şikayeti ile gelen ve şilöz asit saptanan batın ve toraks tomografisi, gastroskopi ile değil de perikard sıvısında metastatik taşlı yüzük hücreli kanseri tanısı alan ve kontrol gastroskopisinde gastrik patoloji saptanan bir olguyu sunmayı amaçladık.

Anahtar Kelimeler:

ilöz asit, taşlı yüzük hücreli karsinom

Chylous ascites as a form of presentation of signet ring cell carcinoma of the stomach

1% of malignant ascites. Diaggnosis of chylous ascites is revealed by the milky appearance of the fluid on gross examination and high triglyceride le-vels on biochemical analysis. However, identifying the cause of chylous ascites is usually difficult. İn this report, we present a male patient who admitted to the hospital with ascites. Biochemical evaluation of the fluid revealed chylous ascites. The diaggnosis of signet ring cell gastric adenocarcinoma was made by upper gastrointestinal endoscopy and biopsy after establishing me-tastasis to the pericardium, despite normal findings on chest and abdomen tomography.

Keywords:

Chylous ascites, signet ring cell carcinoma of the stomach,

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