Kenan Can CEYLAN, Onur AKÇAY, Ozan USLUER, Şaban ÜNSAL, Örs Şeyda KAYA, Özgür BİLEN, Deniz AKPINAR

Soliter pulmoner nodüllerde cerrahi

Soliter pulmoner nodül (SPN); yuvarlak, 1-3 cm boyutlu, atelektazi veya lenfadenopati bulunmayan soliter lezyonlar için kullanılır. Olguların %30-80Õinde malignite olması ve sık görülmesi nedeniyle erken tanı ve tedavi çok önemlidir.1999-2009 yılları arasında klinik ve radyolojik olarak SPN tanısı ile opere edilen 107 olguyu kapsayan bu çalışmada, hastalar klinik ve operatif yöntemler açısından retrospektif olarak incelendi.Olguların 74'ü erkek (%69), 33'ü kadın (%31) idi. En sık uygulanan cerrahi yöntem wedge rezeksiyon olup malign olgu sayısı 55 (%51.4) idi (39 bronş karsinomu, 16 metastaz). Çalışmamızda mortalite yoktu.SPN'de cerrahi, tanı ve tedavi amaçlı uygun bir seçenektir.

Surgery in solitary pulmonary nodules

A solitary pulmonary nodule (SPN) is defined as a round, intraparenchimal lesion 1 cm to 3 cm in size, not associated with atelectasis or lymphadenopathy. SPN are frequent lesions which have malignancy rate of 30-80% and its early diagnosis and treatment are very important.We have reviewed surgically treated 107 cases of clinical and radiological SPN, between 1999-2009 years, in view to their clinic and surgical technique used in this retrospective study.There were 74 male (69%) and 33 female (31%) patients. Most frequently operative procedure was wedge resection. Fifty five lesions (51.4%) were malignant (39 bronchial carcinoma and 16 cases metastases). There was no mortality.Surgery represent the approach of choise for both diagnosis and treatment of SPN's.

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