Atila EROĞLU, Betül GÜNDOĞDU, Yener AYDIN, Abdülkadir KAYA, Ömer TOPDAĞ, Bayram ALTUNTAŞ

Unusual variants of primary malignant esophageal tumors

Amaç: Bu çalışmada özofagusun nadir görülen malign tümörleri olan bir grup hastanın özellikleri literatür eşliğinde tartışıldı.Ça lış ma pla nı: Atatürk Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Bölümünde Ocak 2000 - Mart 2014 tarihleri arasında özofagus kanseri tanısı konulan 953 hasta içinden nadir primer malign özofagus tümörü olan 37 hasta (14 erkek, 23 kadın; ort. yaş 63.7±12.1 yıl; dağılım 20-87 yıl) çalışmaya dahil edildi. Hastalar yaş, cinsiyet, histopatolojik tip, tümörün yerleşim yeri, uygulanan tedavi, tümör evresi ve sağ kalıma göre retrospektif olarak değerlendirildi. Tanı ve evreleme amacıyla özofagoskopi, tomografi, baryumlu özofagus grafisi, batın ultrasonografisi ve pozitron emisyon tomografisi ve bilgisayarlı tomografi uygulandı.Bul gu lar: Hastaların 19'unda adenoskuamöz hücreli karsinom, dokuzunda nöroendokrin hücreli karsinom, dördünde bazaloid skuamöz hücreli karsinom, ikisinde karsinosarkom, birinde mukoepidermoid karsinom, birinde adenoid kistik karsinom ve birinde leiyomyosarkom vardı. Sınırlı hastalık olmasından dolayı 19 hastaya özofajektomi uygulandı. Özofajektomi uygulanan hastalarda sağkalım oranı daha iyi idi (p

Özofagusun primer malign tümörlerinin nadir varyantları

Background: This study aims to discuss the features of a group of patients with rare malignant tumors of the esophagus in the light of the literature.Methods: Of a total of 953 patients diagnosed with esophageal cancer between January 2000 and March 2014 in Atatürk University, Faculty of Medicine, Department of Thoracic Surgery, 37 patients (14 males, 23 females; mean age 63.7±12.1 years; range 20 to 87 years) with rare primary malignant tumors of the esophagus were included in the study. We assessed the patients retrospectively according to age, sex, histological type, tumor localization, treatment administered, tumor stage, and survival. Esophagoscopy, tomography, esophageal barium X-ray, abdominal ultrasonography, and positron emission tomography and computed tomography were performed for diagnosis and staging purposes.Results: Of the patients, 19 had adenosquamous cell carcinoma, nine had neuroendocrine cell carcinoma, four had basaloid squamous cell carcinoma, two had carcinosarcoma, one had mucoepidermoid carcinoma, one had adenoid cystic carcinoma, and one had leiomyosarcoma. Due to limited disease, esophagectomy was performed to 19 patients. Survival rate was better in patients who were performed esophagectomy (p

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