T\u0131bbi Onkoloji Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi Mustafa Kemal G\u00fcl, pankreas kanseri olan \u0130brahim Onat\u2019\u0131n (65) t\u0131p literat\u00fcr\u00fcnde az rastlan\u0131r bir iyile\u015fme \u00f6rne\u011fi g\u00f6stererek sa\u011fl\u0131\u011f\u0131na kavu\u015ftu\u011funu s\u00f6yledi.<\/p>\n
Samsun\u2019da, \u0130brahim Onat isimli bir ya\u015fl\u0131 adam noroendokrin (pankreas organ\u0131n\u0131n i\u00e7 salg\u0131 bezinden k\u00f6ken alan t\u00fcm\u00f6r) tan\u0131s\u0131yla hastaneye tedavi i\u00e7in ba\u015fvururken yap\u0131lan incelemelerde hastan\u0131n hormonoterapiye uygun oldu\u011fu g\u00f6r\u00fcld\u00fc. Ancak hasta, di\u011fer hastalar\u0131n aksine literat\u00fcrde az rastlan\u0131r bir \u00f6rnek g\u00f6stererek bu tedaviye yan\u0131t vermedi ve durumu daha da k\u00f6t\u00fcye gitti.<\/p>\n
VM Medical Park Samsun Hastanesi T\u0131bbi Onkoloji Uzman\u0131 Dr. \u00d6\u011fretim \u00dcyesi Mustafa Kemal G\u00fcl, hastaya oral olarak kullan\u0131lan klasik bir kemoterapi ajan\u0131 kullan\u0131lmas\u0131n\u0131 kararla\u015ft\u0131rd\u0131. Hasta yap\u0131lan son tedaviye yan\u0131t vererek sa\u011fl\u0131\u011f\u0131na kavu\u015ftu. \u0130brahim Onat, tedavi \u00f6ncesinde a\u011fr\u0131lar\u0131ndan dolay\u0131 g\u00f6be\u011fine bile dokunamaz haldeyken, yap\u0131lan tedavi sonras\u0131nda h\u0131zla sa\u011fl\u0131\u011f\u0131na kavu\u015farak torunlar\u0131n\u0131 kuca\u011f\u0131nda z\u0131platmaya ba\u015flad\u0131.<\/p>\n
Hasta \u0130brahim Onat\u2019\u0131n tedavisi hakk\u0131nda bilgiler veren Dr. \u00d6\u011fretim \u00dcyesi Mustafa Kemal G\u00fcl, \u201cHastam\u0131z bize 2017 tarihinde ba\u015fvurdu\u011funda pankreas t\u00fcm\u00f6r\u00fc tan\u0131s\u0131 alm\u0131\u015ft\u0131. Bu, pankreas organ\u0131m\u0131z\u0131n i\u00e7 salg\u0131 bezinden k\u00f6ken alan nispeten iyi seyirli bir t\u00fcm\u00f6rd\u00fcr. Pankreas\u0131n enzim \u00fcreten d\u0131\u015f salg\u0131 sisteminden k\u00f6ken alan kanser t\u00fcr\u00fc ise \u00e7ok sert ve \u00f6l\u00fcmc\u00fcl seyreder. T\u00fcm\u00f6r\u00fcn i\u00e7 salg\u0131 bezinden geldi\u011fini \u00f6\u011frendi\u011fimizde k\u0131smen rahatlam\u0131\u015ft\u0131k. Tedavi i\u00e7in \u2018hormonoterapiye\u2019 uygun oldu\u011funu g\u00f6rm\u00fc\u015ft\u00fck. Ancak hormonoterapiye ba\u015flay\u0131nca \u0130brahim Bey\u2019in hastal\u0131\u011f\u0131 s\u00fcratle ilerlemeye ba\u015flad\u0131. Karaci\u011ferde yayg\u0131n metastazlar (kanserli h\u00fccrelerin bulunduklar\u0131 doku d\u0131\u015f\u0131na do\u011frudan ya da kan-lenf damarlar\u0131 yoluyla ba\u015fka b\u00f6lgelere s\u0131\u00e7ramas\u0131) da olu\u015ftu. Ayn\u0131 zamanda kemik metastazlar\u0131 da yapm\u0131\u015ft\u0131. Bu nedenle kendisine kemoterapi uygulama karar\u0131 verdik. Hastam\u0131z da o zaman damardan \u00e7ok sert kemoterapileri istemedi. Biz de bunun \u00fczerine hastaya a\u011f\u0131zdan uygulanan klasik bir kemoterapi ajan\u0131 kullanmay\u0131 se\u00e7tik. Bu tedavinin ard\u0131ndan hastam\u0131z s\u00fcratle iyile\u015fmeye ba\u015flad\u0131. Hastam\u0131z\u0131n hem g\u00fcc\u00fc yerine geldi hem de karaci\u011fer ve kemiklerindeki metastazik lezyonlar\u0131 h\u0131zl\u0131 bir \u015fekilde geriledi\u201d dedi.<\/p>\n
\u201cLiterat\u00fcrde b\u00f6yle \u00e7ok vaka yok\u201d<\/p>\n
Hastan\u0131n iyile\u015fme s\u00fcreci ve tedaviye yan\u0131t verme bi\u00e7iminin literat\u00fcrde az rastlan\u0131r bir durum oldu\u011funu vurgulayan Dr. \u00d6\u011fr. \u00dcyesi Mustafa Kemal G\u00fcl, \u201c1 y\u0131l sonra yap\u0131lan g\u00f6r\u00fcnt\u00fcl\u00fc k\u0131yaslama tekniklerinde hastan\u0131n karaci\u011ferindeki metastazlar\u0131n boyutunda ve say\u0131s\u0131nda azalma oldu\u011funu, klini\u011finin d\u00fczeldi\u011fini ve i\u015fine g\u00fcc\u00fcne devam etti\u011fini g\u00f6rd\u00fck. Normal bir insan\u0131n s\u00fcrd\u00fcrmesi gereken hayat \u015fartlar\u0131na kavu\u015ftu. Ayn\u0131 tedavi y\u00f6ntemiyle 2. y\u0131l\u0131m\u0131z\u0131 doldurduk. Hastam\u0131z k\u00f6t\u00fc al\u0131\u015fkanl\u0131klar\u0131n\u0131 da kesti. Son g\u00f6r\u00fcnt\u00fclenme tetkiklerinde hastal\u0131k o kadar azald\u0131 ki, geri kalanlara bir cerrahi yapabilir miyiz diye birka\u00e7 \u00fcniversiteden g\u00f6r\u00fc\u015fler bile ald\u0131k. Belki ilerleyen aylarda yapaca\u011f\u0131m\u0131z yeni tetkiklerle cerrahiye aday bir evreye gelmi\u015fse, o zaman geri kalan t\u00fcm\u00f6rler i\u00e7in cerrahi uygulayarak tam olarak bir \u015fifa sa\u011flamak gibi bir d\u00fc\u015f\u00fcncemiz var. Konu, literat\u00fcrde \u00e7ok fazla bu \u015fekilde bir yan\u0131t g\u00f6steren \u2018metastazik noroendokrin t\u00fcm\u00f6r\u2019 olmay\u0131nca hastam\u0131z \u0130brahim Bey\u2019in iyile\u015fme s\u00fcrecine dikkat \u00e7ekmek istedik\u201d diye konu\u015ftu.<\/p>\n
\u201cG\u00f6be\u011fime dokunam\u0131yordum \u015fimdi torunlar\u0131mla g\u00fcre\u015f tutuyorum\u201d<\/p>\n
\u00c7ok iyi bir iyile\u015fme s\u00fcreci ya\u015fad\u0131\u011f\u0131n\u0131 ifade eden \u0130brahim Onat, \u201cOndokuz May\u0131s \u00dcniversitesinde tan\u0131 konulduktan sonra k\u00f6t\u00fc al\u0131\u015fkanl\u0131klar\u0131m\u0131 b\u0131rakt\u0131m. B\u00f6reklerim ile karaci\u011ferimin aras\u0131nda yaralar oldu\u011fu i\u00e7in ameliyat\u0131m riskliydi. Yapt\u0131\u011f\u0131m ara\u015ft\u0131rmalar sonucunda VM Medical Park Samsun Hastanesinde hocam\u0131z Mustafa Kemal G\u00fcl ile g\u00f6r\u00fc\u015ft\u00fcm. Kendisi bana ayakta tedavi olabilece\u011fimi s\u00f6yledi. 2 y\u0131ld\u0131r ayakta tedavi g\u00f6r\u00fcyorum. Sa\u011fl\u0131\u011f\u0131ma kavu\u015ftum. K\u00f6yde \u00e7al\u0131\u015f\u0131yorum, arabay\u0131 rahat s\u00fcr\u00fcyorum, torunlar\u0131m\u0131 kuca\u011f\u0131mda z\u0131plat\u0131p onlarla oyunlar oynuyorum. 1-2 y\u0131l \u00f6nce karaci\u011ferimdeki a\u011fr\u0131lar y\u00fcz\u00fcnden g\u00f6be\u011fimi tutamazken \u015fimdi torunlar\u0131mla g\u00fcre\u015f bile yap\u0131yorum. Hastal\u0131k s\u0131ras\u0131nda 25 kilo vermi\u015ftim, kaybetti\u011fim kilolar\u0131 geri ald\u0131m. Bu s\u00fcre\u00e7te doktorum ne derse onu yap\u0131yorum. Tedavi s\u00fcrecinden olduk\u00e7a memnunum\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
TIBB\u0130 ONKOLOJ\u0130 UZMANI DR. \u00d6\u011eRET\u0130M \u00dcYES\u0130 MUSTAFA KEMAL G\u00dcL, PANKREAS KANSER\u0130 OLAN \u0130BRAH\u0130M ONAT\u2019IN (65) TIP L\u0130TERAT\u00dcR\u00dcNDE AZ RASTLANIR B\u0130R \u0130Y\u0130LE\u015eME \u00d6RNE\u011e\u0130 G\u00d6STEREREK, SA\u011eLI\u011eINA KAVU\u015eTU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":246943,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[61399,1077,61400,5460,10860,24772,294],"class_list":["post-246942","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-azminin","tag-bile","tag-duramadi","tag-kanseri","tag-karsisinda","tag-pankreas","tag-yasam"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/yasam-azminin-karsisinda-pankreas-kanseri-bile-duramadi_8eb3105.jpg?fit=1000%2C587","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-12eW","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/246942","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=246942"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/246942\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/246943"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=246942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=246942"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=246942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}