\u00dcroloji ve \u00dcroonkoloji Uzman\u0131 Prof. Dr. Can \u00d6bek, d\u00fcnya \u00e7ap\u0131nda b\u00f6brek kanserine dikkat \u00e7ekmek i\u00e7in Mart, fark\u0131ndal\u0131k ay\u0131 ve ay\u0131n 14\u2019\u00fc ise D\u00fcnya B\u00f6brek G\u00fcn\u00fc olarak kutland\u0131\u011f\u0131n\u0131 belirterek, gittik\u00e7e artan hastal\u0131\u011fa dair en g\u00fcncel bilgileri payla\u015ft\u0131, uyar\u0131larda bulunuyor.<\/p>\n
B\u00f6brek kanseri konusunda son y\u0131llarda t\u0131p d\u00fcnyas\u0131nda g\u00fcnl\u00fck pratik standartlar\u0131 de\u011fi\u015ftirecek kadar \u00f6nemli yeni geli\u015fmeler oldu\u011funu kaydeden Prof. Dr. Can \u00d6bek, \u201cBunlar\u0131n aras\u0131nda ise en \u00f6nemlisi, hastal\u0131\u011f\u0131n ilerledi\u011fi ve b\u00f6brek d\u0131\u015f\u0131na \u00e7\u0131kt\u0131\u011f\u0131, yani metastaz yapt\u0131\u011f\u0131 evre i\u00e7in ge\u00e7erli. Son iki y\u0131lda tamamlanan ve sonu\u00e7lar\u0131 yay\u0131nlanan uluslararas\u0131 \u00e7al\u0131\u015fmalar, metastaz\u0131 olan b\u00f6brek kanserli hastaya yakla\u015f\u0131m\u0131 de\u011fi\u015ftirdi. \u00d6nce b\u00f6bre\u011fi ameliyatla \u00e7\u0131kart\u0131p sonra ila\u00e7 tedavisi vermek yerine art\u0131k, istisnai durumlar d\u0131\u015f\u0131nda, tedaviye \u00f6nce sistemik ila\u00e7 tedavisi ile ba\u015flan\u0131yor ve al\u0131nacak yan\u0131ta g\u00f6re sonras\u0131nda cerrahi i\u00e7in tekrar bir de\u011ferlendirme yap\u0131l\u0131yor. Bu geli\u015fme, tarihi ve \u00f6nemli bir de\u011fi\u015fimdir\u201d dedi.<\/p>\n
Prof. Dr. Can \u00d6bek, metastazl\u0131 hastalar i\u00e7in bir di\u011fer \u00f6nemli geli\u015fme ise kullan\u0131lan ila\u00e7 tedavilerinde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc dile getirerek, \u201cBirka\u00e7 y\u0131ld\u0131r kullan\u0131lan ve son y\u0131llar\u0131n alt\u0131n standard\u0131 kabul edilen \u2018ak\u0131ll\u0131 ila\u00e7\u2019lar\u0131n art\u0131k tek ba\u015f\u0131na en iyi tercih olmad\u0131\u011f\u0131 \u00f6\u011frenildi. \u015eubat 2019\u2019da ABD\u2019de San Francisco\u2019da yap\u0131lan \u201cAmerikan Kanser Derne\u011fi Genito-\u00dcriner Kanser Toplant\u0131s\u0131\u201dnda iki \u00e7ok de\u011ferli \u00e7al\u0131\u015fman\u0131n verileri a\u00e7\u0131kland\u0131 ve ayn\u0131 g\u00fcn yay\u0131nland\u0131. Buna g\u00f6re, ak\u0131ll\u0131 ila\u00e7 ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemi \u00fczerinden etkili olan imm\u00fcnoterapi ila\u00e7lar\u0131n\u0131n birlikte kullan\u0131m\u0131n\u0131n, tek ba\u015f\u0131na ak\u0131ll\u0131 ila\u00e7tan \u00e7ok daha etkili oldu\u011fu ve ya\u015fam s\u00fcresini ciddi olarak uzatabildi\u011fi g\u00f6sterildi. Bu geli\u015fme, ileri evredeki hastalar i\u00e7in son derece \u00fcmit verici g\u00fczel bir haber olarak de\u011ferlendirilmelidir\u201d diye konu\u015ftu.<\/p>\n
\u00dc\u00e7 bela: Sigara, obezite, y\u00fcksek tansiyon<\/p>\n
Prof. Dr. Can \u00d6bek, b\u00f6brek kanserinin t\u00fcm kanserler i\u00e7inde y\u00fczde 2-3 oran\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve son yirmi y\u0131lda hastal\u0131\u011f\u0131n s\u0131kl\u0131\u011f\u0131nda art\u0131\u015f g\u00f6zlendi\u011fini belirtti. Prof. Dr. Can \u00d6bek, \u201cB\u00f6brek kanseri tedavi edilmedi\u011fi takdirde \u00e7evre doku ve uzak organlara yay\u0131labiliyor. Bu nedenle erken evrede tan\u0131 konmas\u0131, tedavinin ba\u015far\u0131l\u0131 olmas\u0131 ve iyile\u015fme \u015fans\u0131n\u0131n y\u00fckselmesinde de etkili oluyor. Sigara t\u00fcketimi, obezite ve y\u00fcksek tansiyonun b\u00f6brek kanserine yol a\u00e7t\u0131\u011f\u0131 saptanm\u0131\u015f \u00fc\u00e7 \u00e7evresel fakt\u00f6r. Bu fakt\u00f6rlerin d\u0131\u015f\u0131nda baz\u0131 b\u00f6brek kanseri tipleri ailevi ge\u00e7i\u015fli olabilir.<\/p>\n
Hastal\u0131k erkelerde kad\u0131nlara g\u00f6re biraz daha s\u0131k g\u00f6zleniyor (oran olarak 1,5 : 1 ). Hastal\u0131\u011f\u0131n s\u0131kl\u0131k olarak zirve yapt\u0131\u011f\u0131 ya\u015f aral\u0131\u011f\u0131 ise 60-70 aras\u0131, fakat daha gen\u00e7 ve daha ya\u015fl\u0131larda da g\u00f6r\u00fcl\u00fcyor. B\u00f6brek kanserleri genellikle evresi ilerledi\u011fi d\u00f6nemlerde bulgu veriyor. \u0130drarda kanama, bel b\u00f6lgesinde a\u011fr\u0131 ve\/veya \u015fi\u015flik bu hastal\u0131\u011f\u0131n belirtileri olabilir.\u201d diye konu\u015ftu.<\/p>\n
Erken te\u015fhis \u00f6nemli!<\/p>\n
G\u00fcn\u00fcm\u00fczde b\u00f6brek kanserlerinin yar\u0131s\u0131ndan fazlas\u0131n\u0131n te\u015fhis edilmesi, ba\u015fka nedenlerle ger\u00e7ekle\u015ftirilen radyolojik g\u00f6r\u00fcnt\u00fclemelerde (US, tomografi veya MR) tesad\u00fcfen saptanmas\u0131yla oldu\u011funu ifade eden Prof. Dr. Can \u00d6bek, a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc;<\/p>\n
\u201cTesad\u00fcfen saptanan t\u00fcm\u00f6rler genellikle daha erken evrededir ve tedavi edilmesi daha kolayd\u0131r. B\u00f6brek kanserleri bazen v\u00fccutta sistemik baz\u0131 bulgulara da yol a\u00e7abilir (paraneoplastik sendrom). Y\u00fcksek tansiyon, kilo kayb\u0131, ate\u015f, kans\u0131zl\u0131k veya kan say\u0131m\u0131nda y\u00fckseklik, kan kalsiyum seviyesi y\u00fckselmesi bunlardan baz\u0131lar\u0131d\u0131r.<\/p>\n
Di\u011fer taraftan b\u00f6brekte saptanan kitlelerin hepsi kanser de\u011fildir, fakat g\u00fcn\u00fcm\u00fczdeki radyolojik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile de genellikle hangisinin iyi huylu, hangisinin k\u00f6t\u00fc huylu oldu\u011funun ay\u0131r\u0131m\u0131n\u0131 kesin olarak yapabilmek m\u00fcmk\u00fcn de\u011fildir. T\u00fcm\u00f6r kitlesinin \u00e7ap\u0131 b\u00fcy\u00fcd\u00fck\u00e7e, k\u00f6t\u00fc huylu olma olas\u0131l\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131 biliniyor. \u00c7ap\u0131 d\u00f6rt santimin alt\u0131nda olan kitlelerin iyi huylu olma oran\u0131 ise yakla\u015f\u0131k y\u00fczde 30 civar\u0131ndad\u0131r.<\/p>\n
Genel anlamda b\u00f6brekte kitle varl\u0131\u011f\u0131nda biyopsi standart bir uygulama de\u011fildir, fakat ki\u015fisel bazda ve \u00f6zel durumlarda yap\u0131lmas\u0131 gerekebilir.<\/p>\n
Robotik cerrahi ideal tedavidir<\/p>\n
B\u00f6brek kanserinde temel tedavi cerrahidir. M\u00fcmk\u00fcn olan t\u00fcm durumlarda kanserli b\u00f6lgenin \u00e7\u0131kart\u0131l\u0131p, sa\u011flam b\u00f6brek dokusunun korunmas\u0131 esast\u0131r ve bu durum hastan\u0131n uzun vadede kalp hastal\u0131klar\u0131 riskini de azalt\u0131r. Bu ameliyat g\u00fcn\u00fcm\u00fczde robot yard\u0131ml\u0131 ve kapal\u0131 y\u00f6ntemle g\u00fcvenle ger\u00e7ekle\u015ftiriliyor. Robotik cerrahi sonras\u0131 hastan\u0131n iyile\u015fme s\u00fcreci \u00e7ok daha h\u0131zl\u0131 ve kolay olup hasta g\u00fcnl\u00fck aktivitesine h\u0131zla d\u00f6nebiliyor. Kitlenin b\u00fcy\u00fck oldu\u011fu ve sadece kitlenin \u00e7\u0131kart\u0131lmas\u0131n\u0131n m\u00fcmk\u00fcn olamad\u0131\u011f\u0131 durumlarda, hastal\u0131kl\u0131 b\u00f6bre\u011fin tamam\u0131 \u00e7\u0131kart\u0131l\u0131yor. Ki\u015fi tek sa\u011flam b\u00f6brekle her t\u00fcrl\u00fc fonksiyonunu s\u00fcrd\u00fcrebilir. Ya\u015fl\u0131 ve\/veya genel durumu iyi olmayan ki\u015filerde, 4cm alt\u0131ndaki t\u00fcm\u00f6rlerde ameliyat yapmadan belirli aralarla hastal\u0131\u011f\u0131n seyrini izlemek bir se\u00e7enek olabilir.\u201d<\/p>\n
Prof. Dr. Can \u00d6bek b\u00f6brek kanseri konusunda son olarak \u015fu \u00f6neride bulundu;<\/p>\n
\u201cSa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131n\u0131 benimseyin! Temiz su t\u00fcketin, egzersiz yap\u0131n, sa\u011fl\u0131kl\u0131 beslenin, sigara kullanmay\u0131n. Kan \u015fekerinizi ve tansiyonunuzu kontrol alt\u0131nda tutun. D\u00fczenli sa\u011fl\u0131k kontrollerini ihmal etmeyin. E\u011fer do\u011fru \u00f6nlemler al\u0131n\u0131rsa bir\u00e7ok b\u00f6brek hastal\u0131\u011f\u0131 \u00f6ng\u00f6r\u00fclebilir, ertelenebilir veya kontrol alt\u0131na al\u0131nabilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dcROLOJ\u0130 VE \u00dcROONKOLOJ\u0130 UZMANI PROF. DR. CAN \u00d6BEK, D\u00dcNYA \u00c7APINDA B\u00d6BREK KANSER\u0130NE D\u0130KKAT \u00c7EKMEK \u0130\u00c7\u0130N MART, FARKINDALIK AYI VE AYIN 14\u2019\u00dc \u0130SE D\u00dcNYA B\u00d6BREK G\u00dcN\u00dc OLARAK KUTLANDI\u011eINI BEL\u0130RTEREK, G\u0130TT\u0130K\u00c7E ARTAN HASTALI\u011eA DA\u0130R EN G\u00dcNCEL B\u0130LG\u0130LER\u0130 PAYLA\u015eTI, UYARILARDA BULUNUYOR.<\/p>\n","protected":false},"author":1,"featured_media":91219,"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":[11304,19854,21911,332],"class_list":["post-91218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bobrek","tag-gelismeler","tag-kanserinde","tag-onemli"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/bobrek-kanserinde-onemli-gelismeler_15fed5f.jpg?fit=750%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-nJg","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/91218","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=91218"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/91218\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/91219"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=91218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=91218"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=91218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}