{"id":1224,"date":"2022-01-15T00:54:24","date_gmt":"2022-01-15T00:54:24","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=1224"},"modified":"2022-02-28T21:13:57","modified_gmt":"2022-02-28T21:13:57","slug":"mesane-kanseri","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/mesane-kanseri\/","title":{"rendered":"Bladder Cancer"},"content":{"rendered":"
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Laparoskopik Cerrahi - Mesane Kanseri<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Bladder Cancer <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesane T\u00fcm\u00f6r\u00fc (Mesane Kanseri) : Mesane t\u00fcm\u00f6r\u00fcn\u00fcn en g\u00fcncel ve modern y\u00f6ntemlerle te\u015fhis tedavisi. Mesane kanseri tedavisinde kapal\u0131 olarak lazer ve TUR, yapay mesane olu\u015fturma, laparoskopik ve robotik cerrahi y\u00f6ntemleri kullan\u0131lmaktad\u0131r.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Mesane Kanseri Nedir?\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesane kanseri d\u00fcnya genelinde bak\u0131ld\u0131\u011f\u0131nda erkeklerde en s\u0131k izlenen 7. kanser t\u00fcr\u00fcn\u00fc, cinsiyetten ba\u011f\u0131ms\u0131z olarak ise en s\u0131k izlenen 11. kanser t\u00fcr\u00fcn\u00fc olu\u015fturmaktad\u0131r. Hastal\u0131k erkeklerde kad\u0131nlara oranla daha s\u0131k izlenmekte ancak kad\u0131nlarda daha agresif seyretti\u011fi bilinmektedir. Mesane kanseri genellikle ileri ya\u015flarda izlenmekte ve g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ya\u015fla orant\u0131l\u0131 olarak artmaktad\u0131r. Ancak \u00e7ocukluk \u00e7a\u011f\u0131 dahil her ya\u015fta g\u00f6r\u00fclebilece\u011fi unutulmamal\u0131d\u0131r.\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHastal\u0131k olgular\u0131n %75\u2019de erken evrede tespit edilmektedir. Ancak tedavi sonras\u0131 tekrarlama riski bulunan bu hastal\u0131\u011f\u0131n, evre atlamamas\u0131 i\u00e7in erken tespit edilse bile s\u0131k\u0131 takip alt\u0131nda tutulmas\u0131 \u00f6nemlidir.\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Mesane Kanseri Risk Fakt\u00f6rleri Nelerdir?\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesane kanseri geli\u015fiminde en \u00f6nemli risk fakt\u00f6r\u00fcn\u00fc sigara ve di\u011fer t\u00fct\u00fcn \u00fcr\u00fcnlerinin kullan\u0131m\u0131 olu\u015fturmaktad\u0131r. Erkeklerde g\u00f6r\u00fclen kanserlerin %55-60\u2019n\u0131n, kad\u0131nlarda ise %20-30\u2019nun direk sigara kullan\u0131m\u0131na ba\u011fl\u0131 olu\u015ftu\u011fu bilinmektedir.\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesleki olarak kimyasal ajanlara maruziyet (\u00f6zellikle boya, deri, tekstil ve petrol \u00fcr\u00fcnleri), kronik iritasyon (ta\u015f, enfeksiyon, sonda vb), baz\u0131 parazitler (\u015fistozoma gibi) ve radyoterapi maruziyeti di\u011fer risk fakt\u00f6rlerini olu\u015fturmaktad\u0131r.\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Mesane T\u00fcm\u00f6r\u00fc Belirtileri\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesane t\u00fcm\u00f6r\u00fcn\u00fcn en s\u0131k bulgusu idrarda a\u011fr\u0131s\u0131z kanamad\u0131r. Kanama ile birlikte idrardan p\u0131ht\u0131 da gelebilmektedir. Bazen idrardaki kanama g\u00f6zle g\u00f6r\u00fclemeyecek d\u00fczeyde olup ancak idrar tahlilinde saptanabilmektedir. \u0130drarda kanama d\u0131\u015f\u0131nda idrar yaparken yanma ve a\u011fr\u0131, idrar yapma g\u00fc\u00e7l\u00fc\u011f\u00fc, s\u0131k idrara \u00e7\u0131kma gibi \u015fikayetler bu hastal\u0131\u011f\u0131n erken d\u00f6nemde g\u00f6r\u00fclebilen di\u011fer belirtileridir. Hastal\u0131k ilerlemi\u015f ve organ metastazlar\u0131 yapm\u0131\u015f ise kilo kayb\u0131, idrar ve d\u0131\u015fk\u0131lama kontrol\u00fcn\u00fcn kayb\u0131, kemik a\u011fr\u0131lar\u0131, \u00f6ks\u00fcr\u00fck, bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131 gibi belirtilere yol a\u00e7abilmektedir.\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Tan\u0131 Y\u00f6ntemleri Nelerdir?\n\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tSistoskopi: Optik bir cihaz yard\u0131m\u0131yla idrar yap\u0131lan kanaldan (\u00fcretra) girilerek mesane i\u00e7erisinin g\u00f6r\u00fcnt\u00fclenmesi i\u015flemidir. Bu i\u015flem \u00f6zellikle fleksibl cihazlarla yap\u0131ld\u0131\u011f\u0131nda lokal anestezi alt\u0131nda da uygulanabilmektedir.\nBiyopsi: \u015e\u00fcpheli durumlarda sistoskopi esnas\u0131nda mesane i\u00e7erisinden biyopsi al\u0131narak patolojik inceleme yap\u0131labilir. Biyopsi i\u015flemi bazen hem tan\u0131sal hem de tedavi ama\u00e7l\u0131 olarak \u201cTUR (trans\u00fcretral rezeksiyon)\u201d \u015feklinde yap\u0131labilmektedir.\n\u0130drar Sitolojisi: Al\u0131nan idrar \u00f6rne\u011finin kanser h\u00fccrelerinin varl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan mikroskop alt\u0131nda incelenmesi i\u015flemidir.\nG\u00f6r\u00fcnt\u00fcleme Y\u00f6ntemleri: Gerek ilk tan\u0131 koyma a\u015famas\u0131nda gerekse mesane kanseri tan\u0131s\u0131 konulduktan sonra evreleme amac\u0131yla radyolojik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine (CT, MRI, PET\/CT vb) ihtiya\u00e7 duyulmaktad\u0131r.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Tedavi Y\u00f6ntemleri Nelerdir?\n\n\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tMesane kanseri tedavisi planlan\u0131rken t\u00fcm\u00f6r\u00fcn tipi, patolojik evresi ve derecesi ile hastan\u0131n ya\u015f\u0131 ve mevcut sa\u011fl\u0131k durumu g\u00f6z \u00f6n\u00fcnde tutularak karar verilmelidir.\n\nSadece mesane epiteline yerle\u015fmi\u015f ve kas tabakas\u0131n\u0131n tutulmad\u0131\u011f\u0131 erken evre hastalarda t\u00fcm\u00f6rl\u00fc dokunun kapal\u0131 olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 TUR ameliyat\u0131 \u00e7o\u011fu zaman yeterli olmaktad\u0131r. Bu hastalarda ek olarak mesane i\u00e7erisine v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131n\u0131 artt\u0131rarak t\u00fcm\u00f6r dokusunda tahribata yol a\u00e7an BCG veya kemoterapi ila\u00e7lar\u0131 verilebilmektedir. Bu ila\u00e7lar t\u00fcm\u00f6r\u00fcn tekrarlama riskini azaltmaktad\u0131r. Yine de hastalar\u0131n t\u00fcm\u00f6r\u00fcn tekrarlama olas\u0131l\u0131\u011f\u0131na kar\u015f\u0131 periyodik olarak sistoskopi ve g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile takip edilmesi gerekmektedir.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Tedavi Y\u00f6ntemleri<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Mesanenin kas tabakas\u0131n\u0131 tutmu\u015f olan t\u00fcm\u00f6rlerinin tedavisinde (Evre 2) alt\u0131n standart yakla\u015f\u0131m mesanenin tamam\u0131n\u0131n \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 \u201cRadikal Sistektomi\u201d ameliyat\u0131d\u0131r. Radikal Sistektomi ameliyat\u0131 s\u0131ras\u0131nda mesane \u00e7\u0131kar\u0131ld\u0131ktan sonra farkl\u0131 y\u00f6ntemlerle hastan\u0131n ince ba\u011f\u0131rsaklar\u0131 kullan\u0131larak yeni yapay mesane veya idrar yollar\u0131n\u0131n kar\u0131na a\u011f\u0131zla\u015ft\u0131r\u0131lmas\u0131 i\u015flemi (ileal kond\u00fcit) yap\u0131labilir. Radikal Sistektomi ameliyat\u0131 klasik olarak a\u00e7\u0131k y\u00f6ntemle yap\u0131labilmekle birlikte geli\u015fen laparoskopik ya da robotik cerrahi ile de ger\u00e7ekle\u015ftirilebilmektedir.<\/p>


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Mesanenin d\u0131\u015f tabakas\u0131n\u0131n (seroza) t\u00fcm\u00f6r taraf\u0131ndan tutuldu\u011fu (Evre 3) veya ba\u015fka organlarda kanserin yay\u0131l\u0131m\u0131n\u0131n saptand\u0131\u011f\u0131 durumlarda (Evre 4) ise \u00f6ncelikle Sistemik Kemoterapi uygulanmakta, al\u0131nacak yan\u0131ta g\u00f6re Radyoterapi ya da Cerrahi (Radikal Sistektomi) se\u00e7enekleri uygulanabilmektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Laparoskopik Cerrahi – Mesane Kanseri Mesane Kanseri Mesane T\u00fcm\u00f6r\u00fc (Mesane Kanseri) : Mesane t\u00fcm\u00f6r\u00fcn\u00fcn en g\u00fcncel ve modern y\u00f6ntemlerle te\u015fhis tedavisi. Mesane kanseri tedavisinde kapal\u0131 olarak lazer ve TUR, yapay mesane olu\u015fturma, laparoskopik ve robotik cerrahi y\u00f6ntemleri kullan\u0131lmaktad\u0131r. Mesane Kanseri Nedir? Mesane kanseri d\u00fcnya genelinde bak\u0131ld\u0131\u011f\u0131nda erkeklerde en s\u0131k izlenen 7. kanser t\u00fcr\u00fcn\u00fc, cinsiyetten ba\u011f\u0131ms\u0131z […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1224","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1224","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/comments?post=1224"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1224\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}