Uyuşuk Çene Sendromu: Akciğer Adenokarsinomunun Bir İşareti

Amaç: Duyusal bir nöropati olan ve kaybı zamanda mental nöropati olarak da bilinen uyuşuk çene sendromu (UÇS), alt dudak, diş eti ve ağız mukozasında parestezi ya da his kaybı ile karakterizedir. Bu durum, malignitelerle ilişkili olabileceğinden endişe verici olarak kabul edilmektedir. Olgu:34 yaşında kadın hasta sağ alt dudakta parestezi şikayeti ile kliniğe başvurdu. Radyografik incelemede inferior alveolar siniri içine alan bir litik lezyon tespit edildi. Lokal anestezi altında biyopsi yapıldı. Örneğin histopatolojik incelemesinin ardından adenokarsinom tanısı konuldu. Hasta daha sonra onkoloji bölümüne yönlendirildi. İncelemeler sonucunda birincil nedenin akciğer adenokarsinomu olduğu tespit edildi. Sonuç: Bu vaka raporu UÇS’li hastaların çok dikkatli değerlendirilmesi gerektiğini vurgulamaktır çünkü bu durum bir sistemik malignitenin belirtisi olabilmektedir.

Anahtar Kelimeler:

akciğer adenokarsinomu, kanser, malignite, tümörler, uyuşukluk

Numb Chin Syndrome: A Sign of Lung Adenocarcinoma

Objective: Numb chin syndrome (NCS), which is a sensory neuropathy and also known as mental neuropathy, is characterized by paresthesia or decreased sensation in lower lip, gingiva and oral mucosa. This condition is regarded as worrisome because it may be associated with malignancies. Case: A 34-year-old female patient referred to the clinic with complaint of paresthesia in right lower lip. A lytic lesion involving the inferior alveolar nerve was detected on radiographic examination. Biopsy was done under local anesthesia. After the histopathological examination of the sample the diagnosis of adenocarcinoma was made. The patient was then referred to the department of oncology. As a result of the examinations, it was found that the primary cause was lung adenocarcinoma. Conclusion: This case report emphasizes that patients with NCS should be evaluated very carefully because this condition may be a symptom of a systemic malignancy.

Keywords:

adenocarcinoma of lung, cancer, malignancy, numbness, tumors,

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