tiroid kanseri tanı ve tedavisi - boyun diseksiyonları

Boyun Diseksiyonları Cihangir Özaslan Ankara Onkoloji EAH

[object Object],[object Object]

Greb SK. Endocrin Met Clin North Am, 1995; 24: 761-801. 30 24 18 14 14 Hürthle h 6 2 2 1 4 Folliküler 48 10 9 7 38 Papiller Po 30. yıl (%) Po 20. yıl (%) Po 10. yıl (%) Toplam (%) Başlangıçta (%)

Lenfatik drenaj ,[object Object],[object Object],[object Object]

Prelaringeal, Paratracheal, Peritracheal Üst mediastinal Jugular

Hyoid kemik Krikoid kartilaj VAs VAi

Lenf bezi metastazı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

USG ,[object Object],[object Object]

USG’de malignite kriterleri Lebouilex S, JCEM 2007; 92: 3590-4. 82 86 Periferik vaskülarizasyon 100 46 Hiperekoik noktalar 100 11 Kistik görünüm 18 39 Hipoekojenite 29 100 Hipoekoik hiusun olmaması 64 46 Uzun kenar/kısa kenar >2 96 61 Kısa kenar > 5mm 75 68 Uzun kenar >1 cm Spesifite (%) Sensivite(%)

USG ,[object Object],Pacini F. JCEM. 1992; 74: 1401-4.

Lenf bezi metastazı ,[object Object],[object Object],Roh JL, Ann Surg Oncol. 2008; 15: 1177-82. Machens A. Surgery 2009; 145: 176-81. Ito Y. World J Surg 2008; 32: 729-39.

Lateral lenf nodları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sivanandan R. Br J Surg. 2001; 88: 1241-4., Pingpank JF. AONHS 2002; 128: 1275-78., Roh JL. Ann Surg Oncol. 2008; 15: 1177-82., Kupferman ME. Head Neck 2008; 30: 1469-74. Lee J. World J Surg. 2008; 32: 716-21., Lee BJ. AOHNS. 2007; 133: 1028-30. Farrag T. World J Surg. 2009; 33: 1680-83. Koo BS. Ann Surg Oncol 2009; 16: 1344-7.

Lenf bezi metastazı ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],*Harwood J. Am J Surg 1978; 136:107-112. Byar DP. Eur J Cancer 1979; 115: 1033-1041. Mazzaferri EL. Am J Med 1981; 70: 511-518. Schumann GF. World J Surg. 1994; 18: 559-567. **Hay I. Surgery 1992, 112: 1135-1147., Spires JR. Head Neck Surg. 1989; 11: 242-246. ***Zaudfudin V. Surgery 2008; 144: 1070-1078

Evreleme ,[object Object],[object Object],[object Object],[object Object],[object Object]

Evreleme ,[object Object],[object Object]

Evreleme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cerrahi Tedavi ,[object Object],[object Object],[object Object]

Profilaktik santral lenf nodu diseksiyonu ,[object Object],[object Object],[object Object],[object Object]

Sağkalım ,[object Object],[object Object],[object Object],Scheumann GFW. World J Surg. 1994; 18: 559-67. Tisell LE. World J Surg. 1996; 20: 854-9. İto Y. World J Surg. 2006; 30: 1821-8. Machens A. World J Surg 2002; 26: 22-8. Mazzaferri EL. Thyroid 2009; 19: 683-9.

Sağkalım ,[object Object],Shen WT. Clin Thyroidology, 2010; 22: 16-8. Chung YS. J Korean Surg Soc, 2010; 79: 332-9. Moo TA. World J Surg. 2010; 34: 1187-91. Roh JL. Ann Surg. 2007; 204: 604-10. Bonnet S. JCEM, 2009; 94: 1162-7.

Tiroglobulin ,[object Object],[object Object],[object Object],*Sywak M. Surgery, 2006; 140: 1000-5. **Hughes DT. Surgery, 2010; 148: 1100-6. ***Choi SJ. CEO, 2008; 1: 41-5.

RAİ ,[object Object],[object Object],Sywak M. Surgery, 2006; 140: 1000-5. Hughes DT. Surgery, 2010; 148: 1100-6. Moo TA. World J Surg. 2010; 34: 1187-91.

Morbidite ,[object Object],[object Object],Henry JF. Langenbeck’s Arch Surg. 1998; 383: 167-169. Sywak M. Surgery. 2006; 140: 1000-5. Palesteni N. Lang Arch Surg. 2008; 393: 693-8: Roh JL. Ann Surg. 2007; 204: 604-10.

Reoperasyonda komplikasyonlar ,[object Object],[object Object],[object Object],[object Object],[object Object],Shen WT. Clin Thyroidology, 2010; 22: 16-8.

Reoperasyonda komplikasyonlar ,[object Object],[object Object],[object Object],[object Object],[object Object],Alvarado R. Surgery 2009; 145:514-8.

Boyundaki nükslerin yeri ,[object Object],[object Object],[object Object],* Chung YS. J Korean Surg Soc, 2010; 79: 332-9. **Moo TA. World J Surg. 2010; 34: 1187-91. ***Giles Y. Surgery. 2009; 146: 1188-95.

Bilateral x ipsilateral santral diseksiyon ,[object Object],[object Object],[object Object],Moo TA. Ann Surg, 2009; 250: 403-8.

[object Object],[object Object],[object Object],[object Object],Popadich A , Delbridge L, Yeh M. AAES Annual Meeting, Texas, April 2011 ( baskıda, Surgery)

Lateral lenf nodlarının tedavisi ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Koo BS. J Am Coll Surg. 2010; 201: 895-900.

Sentinel lenf nodu ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sentinel lenf nodu ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Balasubranamian SP. Br J Surg 2011; 98: 334-44.

Sentinel lenf nodu ,[object Object],[object Object],Balasubranamian SP. Br J Surg 2011; 98: 334-44.

Profilaktik santral lenf diseksiyonu endikasyonları ,[object Object],[object Object],[object Object],[object Object]

Profilaktik lateral lenf diseksiyonu endikasyonları ,[object Object],[object Object],[object Object],[object Object]

tiroid kanseri tanı ve tedavisi - boyun diseksiyonları

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tiroid kanseri tanı ve tedavisi - boyun diseksiyonları