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Akciğer tümörünü taklit eden toraks yerleşimli nörofibroma: olgu sunumu

Neurofibroma in the thorax mimicking lung tumor: case report

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Neurofibroma is a neurogenic tumor in the peripheral nerve tumor group. A 25-year-old male patient without any complaints hospitalized due to a probable peripheral lung tumor is presented in this article. Thorax computed tomography was performed to identify a 4 cm round mass lesion in the posterior mediastinal compartment detected on chest radiograms and revealed a peripheral lung tumor causing vertebral destruction. The patient had no pathologic signs on physical examination, and bronchoscopic examination and computed tomography guided transthoracic needle aspiration revealed no specific diagnosis. Further investigation by magnetic resonance imaging demonstrated a nerve sheath tumor. Lateral thoracotomy was performed, the paraspinal mass at the level of T4-T7 vertebra was removed surgically, and histopathological diagnosis was neurofibroma. Neurofibroma should be considered in the differential diagnosis when a tumor is detected in the posterior mediastinal location. Surgery is the main therapeutic approach in this type of tumors.
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Abstract (Original Language): 
Nörofibroma periferal sinir tümörleri grubu içinde yer alan nörojenik bir tümördür. Bu makalede herhangi bir yakınması olmayan, akciğer radyogramında arka mediyastinal kompartmanda 4 cm çaplı yuvarlak kitle lezyonu görülmesi üzerine gerçekleştirilen toraks bilgisayarlı tomografi incelemesinde, vertebra harabiyetine sebep olduğu düşünülen periferik akciğer tümörü ön tanısı ile ileri tetkik için hastanemize yatırılan 25 yaşında bir erkek hasta sunulmuştur. Fizik muayenesinde patolojik bulgu olmayan, bronkoskopik inceleme ve transtorakal iğne aspirasyonu ile tanı konulamayan hastanın, manyetik rezonans görüntüleme incelemesi sonucunda, sinir kılıfı tümörü olduğu düşünüldü. Lateral torakotomi ile çıkarılan T6-T7 vertebra seviyesindeki paraspinal kitlenin histopatolojik incelemesi sonucu nörofibroma tanısı kondu. Arka mediyasten yerleşimli bir tümör tespit edildiğinde, nörofibroma ayırıcı tanıda düşünülmelidir. Bu tür tümörlerde asıl tedavi cerrahidir.
FULL TEXT (PDF): 
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  • 3
199-203
  • Turkish

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