Ramazan GÜNDOĞDU, Hakan YABANOĞLU, Serkan ERKAN, Murat KUŞ

Nadir Görülen Malign Mide Tümörlerinde Cerrahi Tedavi Sonuçlarımız

Mide kanserleri yaygın görülme oranı ve yüksek mortalitesi nedeniyle halen önemini koruyan bir hastalıktır. En sık görülen histopatolojik alt tipi adenokanserlerdir. Nadir görülen mide kanserlerinin saptanması klinik şüphe ve ek tetkikler gerektirebilmektedir. Bu çalışmada gastrektomi yapılan; nadir görülen histopatolojik tanılı 22 mide kanseri hastasının klinik ve cerrahi tedavi sonuçlarının literatür eşliğinde sunulması amaçlanmıştır. Merkezimizde Ocak 2011-Ekim 2020 tarihleri arasında malign nedenle gastrektomi uyguladığımız hastaların dosyaları geriye dönük incelendi. Nadir gözlenen histopatolojik tanılı ve verilerine ulaşılabilen 22 hasta çalışmaya alındı. Hastaların dosyaları geriye dönük incelenerek yaş, cinsiyet, gastroskopi bulguları, gastroskopik biyopsi, uygulanan cerrahi prosedür, ek tetkik, patoloji raporları, tümör çapı, takip süresi, nüks ve mortalite bilgileri kaydedildi. Çalışmaya 11’i erkek, 11’i kadın 22 hasta dahil edildi. Hastaların yaş ortalaması 53 (18-77) idi. Biyopsilerinde malignite saptanmayan dört hastanın ikisi EUS, biri PET-CT, biri MR bulgularında maligniteden şüphelenilmesi sonrasında opere edildi. Hastaların 12’si GİST, beşi nöroendokrin tümör, ikisi Non Hodkin Lenfoma, ikisi leiomyosarkom, biri skuamoz hücreli karsinomdu. Ortalama takip süresi 36 (0.3-108) aydı. Mide lezyonlarında olası nadir görülen mide kanserlerinin atlanmaması için ek görüntüleme yapılması ve deneyimi yüksek merkezlerce yönetimi önem taşımaktadır.

Anahtar Kelimeler:

Gastrointestinal Stromal Tümör, Leiomyosarkom, Mide Kanseri, Mide Nöroendokrin Tümör

Our Surgical Treatment Results in Rare Malign Stomach Tumors

Stomach cancers are still an important disease due to their prevalence and high mortality. The most common histopathological subtype is adenocancers. Detection of rare gastric cancers may require clinical suspicion and additional tests. In this study, gastrectomy was performed; It is aimed to present the clinical and surgical treatment results of 22 gastric cancer patients with a rare histopathological diagnosis in the light of literature. The files of patients, who underwent gastrectomy for malignant reasons between January 2011-October 2020 in our center, were retrospectively reviewed. Twenty-two patients with rare histopathological diagnosis and available data were included in the study. The files of the patients were examined retrospectively, and information on age, gender, gastroscopy findings, gastroscopic biopsy, surgical procedure, additional examination, pathology reports, tumor diameter, follow-up time, recurrence and mortality information were recorded. Twenty-two patients, 11 males, 11 females, were included in the study. The mean age of the patients was 53 (0.3-108). Of the four patients who had no malignancy in their biopsies, two were operated after EUS, one PET-CT, one after suspected malignancy in MR findings. Of the patients, 12 were GIST, five were neuroendocrine tumors, two were non-Hodkin lymphoma, two were leiomyosarcoma, and one were squamous cell carcinoma. The mean follow-up time was 36 (0.3-108) months. Additional imaging and management by centers with high experience are important in order not to miss possible rare gastric cancers in gastric lesions.

Keywords:

Gastrointestinal Stromal Tumor, Leiomyosarcoma Gastric Cancer, Gastric Neuroendocrine Tumor,

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