{"id":252133,"date":"2020-01-06T11:17:15","date_gmt":"2020-01-06T08:17:15","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/bobrek-tumorleri-en-sik-50-60-yaslarinda-olusur\/"},"modified":"2020-01-06T11:17:15","modified_gmt":"2020-01-06T08:17:15","slug":"bobrek-tumorleri-en-sik-50-60-yaslarinda-olusur","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/bobrek-tumorleri-en-sik-50-60-yaslarinda-olusur\/","title":{"rendered":"\u201cB\u00f6brek t\u00fcm\u00f6rleri en s\u0131k 50-60 ya\u015flar\u0131nda olu\u015fur\u201d"},"content":{"rendered":"<p>\u00dcroloji Uzman\u0131 Do\u00e7. Dr. Hasbey Hakan Koyuncu, \u201cB\u00f6brek kanseri t\u00fcm \u00fcrolojik kanserler i\u00e7erisinde y\u00fczde 3-4 oran\u0131nda g\u00f6r\u00fcl\u00fcr. B\u00f6brek t\u00fcm\u00f6rleri en s\u0131k 50-60 ya\u015flar\u0131nda olu\u015fur, erkek kad\u0131n oran\u0131 ise yar\u0131 yar\u0131yad\u0131r\u201d dedi.<\/p>\n<p>Medicana International \u0130stanbul Hastanesi \u00dcroloji Uzman\u0131 Do\u00e7. Dr. Hasbey Hakan Koyuncu, b\u00f6brek kanseri hakk\u0131nda bilgi verdi. Koyuncu, ayr\u0131ca risk fakt\u00f6rleri ve tedavi y\u00f6ntemlerine ili\u015fkin de a\u00e7\u0131klamalarda bulundu.<\/p>\n<p>\u201cObezite, y\u00fcksek tansiyon, sigara ve aile \u00f6yk\u00fcs\u00fc olanlar risk grubunda\u201d<\/p>\n<p>B\u00f6brek kanserinin risk grubundan bahseden Koyuncu, \u201cB\u00f6brek t\u00fcm\u00f6rlerinin  nedeni net olarak bilinmemekle birlikte \u00e7evresel fakt\u00f6rler, diyet, kromozomal anomalilerin ve onkojenlerin etkilerini kapsayan \u00e7e\u015fitli etyolojik varsay\u0131mlar mevcuttur. VHL sendromu (serebellar hemanjioblastom, retinal anjiom, bilateral renal h\u00fccreli karsinom), atnal\u0131 b\u00f6brekler, yeti\u015fkin polikistik b\u00f6brek ve kronik b\u00f6brek yetmezli\u011fine ba\u011fl\u0131 edinsel renal kistik hastal\u0131kl\u0131 ki\u015filerde b\u00f6brek t\u00fcm\u00f6r\u00fcn\u00fcn s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131 bilinmektedir. B\u00f6brek kanserleri tedavisiz kald\u0131\u011f\u0131nda y\u00fczde 30 \u00f6l\u00fcmc\u00fcld\u00fcr. B\u00f6brek kanseri i\u00e7in ispatlanm\u0131\u015f risk fakt\u00f6rleri; obezite, y\u00fcksek tansiyon, sigara, aile \u00f6yk\u00fcs\u00fc varl\u0131\u011f\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n<p>\u201c40 ya\u015f itibariyle rutin Check-Up erken tan\u0131 i\u00e7in \u00f6nemli\u201d<\/p>\n<p>Hastal\u0131\u011f\u0131n belirtileri ve erken tan\u0131 ile ilgili de konu\u015fan Koyuncu, \u201cSemptomlar ve belirtilerde makroskopik hemat\u00fcri (idrarda kan g\u00f6r\u00fclmesi), yan a\u011fr\u0131s\u0131, ele gelen kitle \u00fc\u00e7lemesi hastalar\u0131n sadece y\u00fczde 10-15\u2019 inde g\u00f6r\u00fcl\u00fcr ve s\u0131kl\u0131kla ilerlemi\u015f hastal\u0131k belirtisidir\u201d diye konu\u015ftu.<\/p>\n<p>Koyuncu ayn\u0131 zamanda \u201cB\u00f6brek kanseri vakalar\u0131n\u0131n \u00e7o\u011fu ba\u015fka sebeplerle yap\u0131lan radyolojik tetkiklerde (Ultrasonografi\/Bilgisayarl\u0131 Tomografi) b\u00f6brekte kitle saptanmas\u0131 ile yakalanmaktad\u0131r. \u00c7\u00fcnk\u00fc b\u00f6brek kanseri \u00e7ok s\u0131kl\u0131kla erken evrede belirti vermemektedir. Bu sebeple 40 ya\u015f itibariyle rutin check-up erken tan\u0131 i\u00e7in \u00f6nemlidir. B\u00f6brekte kitle saptanan hastalarda tedavi \u00f6ncesi klinik evreleme ama\u00e7l\u0131 bilgisayarl\u0131 tomografi ve manyetik rezonans g\u00f6r\u00fcnt\u00fcleme yap\u0131lmal\u0131d\u0131r. Hastal\u0131\u011f\u0131n yayg\u0131nl\u0131k d\u00fczeyi de\u011ferlendirildikten sonra tedaviye ge\u00e7ilmelidir\u201d \u0130fadelerini kulland\u0131.<\/p>\n<p>\u201cB\u00f6brek kanseri tedavisinde cerrahi y\u00f6ntem\u201d<\/p>\n<p>B\u00f6brek kanseri tedavisinden de bahseden Do\u00e7. Dr. Hasbey Hakan Koyuncu, \u201cLaparoskopik Nefrektomi (Kapal\u0131 kameral\u0131 sistem sayesinde kar\u0131na a\u00e7\u0131lan 3 delikten girilerek b\u00f6bre\u011fin tamam\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131). Laparoskopik Parsiyel Nefrektomi (4 cm ve alt\u0131 b\u00f6brek kitlelerinde kapal\u0131 kameral\u0131 sistem sayesinde kar\u0131na a\u00e7\u0131lan 3 delikten girilerek kanserli b\u00f6brek dokusunun \u00e7\u0131kar\u0131lmas\u0131). Cerrahi tedavi sonras\u0131 hastal\u0131\u011f\u0131n evresine g\u00f6re hedefe y\u00f6nelik tedavilerde gerekebilmektedir\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DO\u00c7. DR. HASBEY HAKAN KOYUNCU<\/p>\n","protected":false},"author":1,"featured_media":252134,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_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}},"categories":[1],"tags":[11267,62412,11304,62413,9087,1319],"class_list":["post-252133","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-sik","tag-50-60","tag-bobrek","tag-olusur","tag-tumorleri","tag-yaslarinda"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/bobrek-tumorleri-en-sik-50-60-yaslarinda-olusur_b864598.jpg?fit=1000%2C714","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-13AF","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/252133","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=252133"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/252133\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/252134"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=252133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=252133"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=252133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}