Ender izlenen bir akut apandisit nedeni olarak sesil serrated lezyon: bir olgu sunumu ve derleme
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Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
DergiPark
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Akut apandisit nedeniyle yapılan apendektomilerin %0,2-0,3’ünde epitelyal neoplaziler görülebilir ve bunların az bir kısmı ise serrated görünümde olabilir. Serrated polipler arasında yer alan sesil serrated lezyon ve geleneksel serrated adenom, prekanseröz özellikleri nedeni ile önemlidir. Akut batın tablosu ile başvuran ve apendektomi yapılan 57 yaşındaki kadın hastada abseleşme ve perforasyon gösteren akut apandisite ek olarak apekse yakın yerleşimli bir kitle saptanmış ve histopatolojik inceleme sonucunda sesil serrated lezyon tanısı konmuştur. Apendiks kökenli sesil serrated lezyonların makroskopik saptanması zor olmakta ve atlanabilmektedirler. Oysa, bu tümörler prekanseröz potansiyelleri, malignite ve displazi ile birlikte olabilmeleri, agresif seyredebilmeleri ve polipozis sendromlarına eşlik edebilmeleri nedeni ile kesinlikle atlanmamalıdır. Akut apandisit tanısıyla yapılan apendektomiden sonra iyi örnekleme ve gerekirse tüm parçanın takibe alınması yanı sıra, tanı halinde, ayrıntılı ve periyodik endoskopik inceleme şarttır.
Epithelial neoplasms can be seen in 0.2-0.3% of appendectomies performed due to acute appendicitis and a few of them might have a serrated appearence. The sessile serrated lesion and traditional serrated adenoma, which are types of serrated polyps, are significant because of their precancerous nature. A 57 year old female patient was admitted hospital with an acute abdominal symptoms, due to acute appendicitis with abscess and perforation. After appendectomy, a mass located close to the apex was found, histopathological diagnosis of which was sessile serrated lesion. Macroscopic detection of sessile serrated lesions of appendix is difficult and they can be missed. However, these tumors should definitely not be missed because of their precancerous potential, coexistence with malignancy and dysplasia, aggressive progression rate and accompanying polyposis syndromes. After an appendectomy due to acute appendicitis, detailed, if needed, whole-organ sampling, and a periodic endoscopic examination is crucial.
Epithelial neoplasms can be seen in 0.2-0.3% of appendectomies performed due to acute appendicitis and a few of them might have a serrated appearence. The sessile serrated lesion and traditional serrated adenoma, which are types of serrated polyps, are significant because of their precancerous nature. A 57 year old female patient was admitted hospital with an acute abdominal symptoms, due to acute appendicitis with abscess and perforation. After appendectomy, a mass located close to the apex was found, histopathological diagnosis of which was sessile serrated lesion. Macroscopic detection of sessile serrated lesions of appendix is difficult and they can be missed. However, these tumors should definitely not be missed because of their precancerous potential, coexistence with malignancy and dysplasia, aggressive progression rate and accompanying polyposis syndromes. After an appendectomy due to acute appendicitis, detailed, if needed, whole-organ sampling, and a periodic endoscopic examination is crucial.
Açıklama
Anahtar Kelimeler
Sesil Serrated Lezyon, Apendiks, Apendektomi, Akut Apandisit
Kaynak
Cerrahpaşa Med.
WoS Q Değeri
Scopus Q Değeri
Cilt
44
Sayı
3
Künye
Barut SG, Şensu S, Kutlu S, Gürbüz SY. A Rarely Observed Cause of Acute Appendicitis, Sessile Serrated
Lesion: A Case Report and Review. Cerrahpaşa Med J 2020; 44(3): 157-160.
