{"id":37157,"date":"2024-04-05T09:54:12","date_gmt":"2024-04-05T09:54:12","guid":{"rendered":"https:\/\/kibrisdakik.com\/index.php\/2024\/04\/05\/kibris-turk-tabipleri-odasi-meme-kanserinde-tarama-yontemleri-ile-ilgili-aciklama-yapti\/"},"modified":"2024-04-05T09:54:12","modified_gmt":"2024-04-05T09:54:12","slug":"kibris-turk-tabipleri-odasi-meme-kanserinde-tarama-yontemleri-ile-ilgili-aciklama-yapti","status":"publish","type":"post","link":"https:\/\/kibrisdakik.com\/?p=37157","title":{"rendered":"K\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131, meme kanserinde tarama y\u00f6ntemleri ile ilgili a\u00e7\u0131klama yapt\u0131"},"content":{"rendered":"

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K\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131 Y\u00f6netim Kurulu \u00dcyesi ve E\u011fitim Sorumlusu Radyoloji Uzman\u0131 Dr. Sinem \u015e\u0131\u011f\u0131t \u0130kiz taraf\u0131ndan yap\u0131lan yaz\u0131l\u0131 a\u00e7\u0131klamada, meme kanserinin kansere ba\u011fl\u0131 \u00f6l\u00fcmlerde akci\u011fer kanserinin ard\u0131ndan geldi\u011fi ve kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanserler aras\u0131nda ilk s\u0131rada yer ald\u0131\u011f\u0131 kaydedildi. Meme kanserinin erken evrede tedavi edilebilir oldu\u011fu belirtilerek tarama programlar\u0131 ve y\u00f6ntemlerinin \u00f6nemine vurgu yap\u0131lan a\u00e7\u0131klamada, Kuzey K\u0131br\u0131s\u2019ta kolorektal kanser, meme kanseri ve serviks kanseri olmak \u00fczere D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fcn\u00fcn \u00f6nerdi\u011fi \u00fc\u00e7 kanser t\u00fcr\u00fcnde tarama yap\u0131ld\u0131\u011f\u0131 bildirildi.<\/span><\/span><\/span><\/span><\/p>\n

Meme kanseri i\u00e7in kullan\u0131lacak tarama y\u00f6ntemine hastan\u0131n ya\u015f\u0131, meme yap\u0131s\u0131 ve fizik muayene bulgular\u0131na g\u00f6re karar verildi\u011finin anlat\u0131ld\u0131\u011f\u0131 a\u00e7\u0131klamada, ki\u015finin kendini muayene etmesinin ve 40 ya\u015f\u0131ndan sonra d\u00fczenli olarak hekime ba\u015fvurarak y\u0131lda bir kez mamografi yapt\u0131rmas\u0131n\u0131n meme kanserinin erken tan\u0131s\u0131nda \u00e7ok etkili oldu\u011fu vurguland\u0131.<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada, \u201c\u00dclkemizde kad\u0131nlarda meme kanseri tarama program\u0131 kapsam\u0131nda; 20 ya\u015f\u0131ndan sonra her kad\u0131na ayda bir kendi kendine meme muayenesi yapmas\u0131 i\u00e7in dan\u0131\u015fmanl\u0131\u011f\u0131n verilmesi, 40 ya\u015f\u0131ndan b\u00fcy\u00fck kad\u0131nlarda y\u0131lda bir doktor taraf\u0131ndan klinik meme muayenesi, 40-69 ya\u015f aras\u0131 kad\u0131nlara 2 y\u0131lda bir mamografi \u00e7ekimi \u00f6nerilmektedir.\u201d denildi.<\/span><\/span><\/span><\/span><\/p>\n

-Meme kanseri tarama protokol\u00fc\u2026<\/span><\/span><\/span><\/span><\/p>\n

Kuzey K\u0131br\u0131s\u2019ta Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan y\u00fcr\u00fct\u00fclen ulusal meme kanseri tarama program\u0131 dahilinde 40-69 ya\u015f aras\u0131ndaki kad\u0131nlara iki y\u0131lda bir mamografik tarama yap\u0131ld\u0131\u011f\u0131n\u0131n belirtildi\u011fi a\u00e7\u0131klamada, meme kanseri a\u00e7\u0131s\u0131ndan y\u00fcksek riskli olan ki\u015filerde mamografi taramas\u0131na 40 ya\u015f\u0131ndan \u00f6nce ba\u015fland\u0131\u011f\u0131 aktar\u0131ld\u0131.<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada \u015fu ifadelere yer verildi:<\/span><\/span><\/span><\/span><\/p>\n

\u201cBirinci derece akrabas\u0131nda menopoz \u00f6ncesi meme kanseri olanlar, 10-30 ya\u015flar\u0131 aras\u0131nda g\u00f6\u011f\u00fcs b\u00f6lgesine y\u00fcksek doz radyasyon tedavisi alm\u0131\u015f olanlar, BRCA 1-2 gen mutasyonu ta\u015f\u0131y\u0131c\u0131s\u0131 olanlar ve test edilmese de bu mutasyon ta\u015f\u0131yan hastalar\u0131n birinci derece akrabalar\u0131, ki\u015fisel meme kanseri hikayesi olanlar ve daha \u00f6nce yap\u0131lan meme biyopsilerinde \u2018atipi\u2019 gibi y\u00fcksek riskli lezyon saptanan kad\u0131nlar y\u00fcksek riskli hasta grubunda kabul edilir.<\/span><\/span><\/span><\/span><\/p>\n

Tan\u0131mlanan bu grupta mamografik tarama ba\u015flama ya\u015f\u0131 i\u00e7in di\u011fer hastalara \u00f6nerilenden farkl\u0131 belli kurallar uygulanmaktad\u0131r. \u00d6rnek olarak; annesine menopoz \u00f6ncesi meme kanseri tan\u0131s\u0131 konulan k\u0131z \u00e7ocuklar\u0131na mamografi taramas\u0131na annenin tan\u0131 ald\u0131\u011f\u0131 ya\u015f\u0131n 10 y\u0131l \u00f6ncesi taramaya ba\u015flan\u0131r. BRCA 1-2 gen mutasyonu olanlarda taramaya 30 ya\u015f\u0131nda, erken ya\u015flarda g\u00f6\u011f\u00fcs b\u00f6lgesine \u0131\u015f\u0131n tedavisi alanlarda, \u0131\u015f\u0131n tedavisinin bitiminden 8 y\u0131l sonra mamografi taramas\u0131na ba\u015flanmaktad\u0131r. Bununla birlikte, y\u00fcksek riskli hasta grubunda bile mamografi taramas\u0131 \u00f6nerilen ba\u015flanma ya\u015f\u0131 en erken 25 ya\u015ft\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

Meme ile ilgili \u015fik\u00e2yeti ve muayene bulgular\u0131 olan 30-35 ya\u015f\u0131ndan b\u00fcy\u00fck kad\u0131nlarda, 40 ya\u015f\u0131ndan gen\u00e7 olmalar\u0131na ra\u011fmen mamografi \u00e7ekilebilmektedir. 40 ya\u015f\u0131ndan gen\u00e7 hastalarda ise meme ile ilgili \u015fik\u00e2yet ve klinik muayene bulgular\u0131nda ilk ba\u015fvurulan g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi ultrasonografidir. Ultrasonografiden sonra kanseri i\u015faret eden bulgular varsa, radyolog mamografik incelemeyi de isteyebilmektedir.\u201d<\/span><\/span><\/span><\/span><\/p>\n

-Kendi kendine meme muayenesi\u2026<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada, \u201cKendi kendine meme muayenesi\u201dnin (KKMM) erken tan\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemli bir a\u015fama oldu\u011fu belirtilerek, ki\u015finin kendi kendine meme muayenesini nas\u0131l yapaca\u011f\u0131 \u015f\u00f6yle tarif edildi:<\/span><\/span><\/span><\/span><\/p>\n

\u201cAdet g\u00f6ren kad\u0131nlar, \u00f6zellikle adetin bitmesinin ard\u0131ndan ilk 10 g\u00fcn i\u00e7erisinde bu muayeneyi yapabilir. Adet g\u00f6rmeyen kad\u0131nlar ise ay\u0131n belirli bir g\u00fcn\u00fcn\u00fc se\u00e7ebilir. G\u00f6zle muayene bir aynan\u0131n kar\u015f\u0131s\u0131na ge\u00e7erek yap\u0131l\u0131r. Eller bele konularak memelerin orant\u0131l\u0131 g\u00f6r\u00fcn\u00fcp g\u00f6r\u00fcnmedi\u011fi kontrol edilmelidir. \u00d6te yandan memede \u00e7\u00f6k\u00fcnt\u00fc, renk de\u011fi\u015fikli\u011fi veya g\u00f6zle g\u00f6r\u00fclebilecek bir kitle olup olmad\u0131\u011f\u0131 bak\u0131lmal\u0131d\u0131r. Ayn\u0131 i\u015flem eller yukar\u0131ya kald\u0131r\u0131larak tekrarlanmal\u0131d\u0131r. Daha sonra elle muayeneye ge\u00e7ilmelidir. Meme ba\u015f\u0131n\u0131n etraf\u0131nda ba\u015flayarak hafif\u00e7e dokunup dairesel hareketlerle meme dokusu kontrol edilir. Bu i\u015flem iki memeye de yap\u0131lmal\u0131d\u0131r. Muayene hangi memeye yap\u0131l\u0131yorsa ters elle kontrol sa\u011flanmal\u0131d\u0131r.\u201d<\/span><\/span><\/span><\/span><\/p>\n

-Klinik meme muayenesi\u2026<\/span><\/span><\/span><\/span><\/p>\n

Klinik meme muayenesinin (KMM) ise 40 ya\u015f\u0131nda \u00fcst\u00fcndeki her kad\u0131n\u0131n meme ile ilgili \u015fikayeti olmasa bile y\u0131lda bir kez genel cerrahi uzman\u0131 taraf\u0131ndan muayene edilmesi olarak tarif edildi\u011fi a\u00e7\u0131klamada, burada muayene s\u0131kl\u0131\u011f\u0131n\u0131n risk fakt\u00f6rlerinin bulunmas\u0131 ve memede saptanan belirtilere g\u00f6re doktor taraf\u0131ndan belirlenece\u011fi kaydedildi.<\/span><\/span><\/span><\/span><\/p>\n

– Mamografi\u2026<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada, memenin radyografisi ya da r\u00f6ntgeni olarak tan\u0131mlanan mamografide, d\u00fc\u015f\u00fck dozda X \u0131\u015f\u0131nlar\u0131 (radyasyon) yard\u0131m\u0131yla memenin iki plak aras\u0131nda hafif\u00e7e s\u0131k\u0131\u015ft\u0131r\u0131larak i\u00e7 yap\u0131s\u0131n\u0131n g\u00f6r\u00fcnt\u00fclendi\u011fi belirtilerek, \u201cMamografi te\u015fhis ve tarama amac\u0131yla kullan\u0131lan bir g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. En yayg\u0131n kullan\u0131lan radyolojik tarama testi olan mamografik tarama; meme kanserini erken evrede yakalamakta ve meme kanserine ba\u011fl\u0131 \u00f6l\u00fcm oranlar\u0131n\u0131 azaltmaktad\u0131r. Mamografi erken tan\u0131da kullan\u0131lan en \u00f6nemli g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir.  Mamografi s\u0131ras\u0131nda her iki meme i\u00e7in iki\u015fer plan olmak \u00fczere d\u00f6rt temel poz al\u0131nmaktad\u0131r. Radyolo\u011fun bu grafileri de\u011ferlendirmesinin ard\u0131ndan gerekli g\u00f6r\u00fcl\u00fcr ise ek \u00e7ekimler istenebilmektedir. Mamografinin tan\u0131sal ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan adet \u00f6ncesi ve sonras\u0131nda meme dokusu daha hassas oldu\u011fundan mamografinin adet bitiminden sonra \u00e7ekilmesi tavsiye edilmektedir. \u00c7ekim s\u0131ras\u0131nda bel \u00fcst\u00fc \u00e7\u0131plakt\u0131r. G\u00f6r\u00fcnt\u00fcy\u00fc etkilememesi a\u00e7\u0131s\u0131ndan i\u015flem \u00f6ncesi meme ve koltuk alt\u0131 b\u00f6lgesine deodorant, talk pudras\u0131 ve losyon s\u00fcr\u00fclmemesi gerekmektedir.  Mamografi incelemesine gelirken hastalar\u0131n varsa \u00f6nceki mamografi filmlerini ve sonu\u00e7lar\u0131n\u0131 de yanlar\u0131nda getirmeleri eski sonu\u00e7larla yeni sonucu kar\u015f\u0131la\u015ft\u0131rmak a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir.\u201d ifadeleri kullan\u0131ld\u0131. A\u00e7\u0131klamada, 40 ya\u015f\u0131nda \u00fcst\u00fcndeki her kad\u0131n\u0131n \u015fik\u00e2yeti olmasa bile y\u0131lda bir kez mamografi yapt\u0131rmas\u0131 gerekti\u011fi de eklendi.<\/span><\/span><\/span><\/span><\/p>\n

-Ultrasonografi\u2026<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada, ultrasonografi y\u00f6ntemi \u015f\u00f6yle anlat\u0131ld\u0131:<\/span><\/span><\/span><\/span><\/p>\n

\u201cMeme ultrasonunda ses dalgalar\u0131 sayesinde meme i\u00e7indeki olu\u015fumlar kar\u015f\u0131daki monit\u00f6re aktar\u0131l\u0131r. Ultrasonografi; X \u0131\u015f\u0131n\u0131 ile \u00e7al\u0131\u015fmad\u0131\u011f\u0131ndan radyasyon i\u00e7eren bir g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi de\u011fildir. Her ne kadar kolay uygulanan bir y\u00f6ntem de olsa i\u015flemi yapan hekimin bu konuda deneyimli olmas\u0131 \u00f6nemlidir.<\/span><\/span><\/span><\/span><\/p>\n

Ultrasonografi meme kanseri taramas\u0131nda tek ba\u015f\u0131na kullan\u0131lan bir y\u00f6ntem de\u011fildir. Meme dokusu yo\u011fun olan hastalarda mamografik duyarl\u0131l\u0131k azalmakta ve mamografiye ek ultrasonografi incelemesi taramaya eklenmektedir. Ayr\u0131ca ultrasonografi, mamografide saptanan bir kitlenin yap\u0131s\u0131n\u0131n solid ya da kistik oldu\u011funun belirlenmesinde kullan\u0131lmaktad\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

35 ya\u015f\u0131n alt\u0131ndaki gen\u00e7 hastalarda fizik muayene bulgusu veya \u015fik\u00e2yetin olmas\u0131 durumunda ilk ba\u015fvurulan g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi ultrasonografidir. Bunun d\u0131\u015f\u0131nda; \u00e7ocuklarda, gebelerde ve emzirme d\u00f6nemindeki kad\u0131nlarda \u015fik\u00e2yet olmas\u0131 durumunda, radyasyon i\u00e7ermedi\u011finden \u00f6ncelikle ultrasonografiye ba\u015fvurulmaktad\u0131r. Ultrasonografi ayr\u0131ca, biyopsi y\u00f6ntemlerini uygulama s\u0131ras\u0131nda k\u0131lavuz olarak da kullan\u0131lmaktad\u0131r. Meme dokusu yo\u011fun olan kad\u0131nlarda mamografiye ek olarak meme ultrasonu da istenebilir.\u201d<\/span><\/span><\/span><\/span><\/p>\n

-MRG\u2026<\/span><\/span><\/span><\/span><\/p>\n

Manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG) y\u00f6nteminin \u201cb\u00fcy\u00fck m\u0131knat\u0131slarla olu\u015fturulan g\u00fc\u00e7l\u00fc manyetik alan i\u00e7inde radyo dalgalar\u0131 kullan\u0131larak g\u00f6r\u00fcnt\u00fc elde edilmesi\u201d olarak anlat\u0131ld\u0131\u011f\u0131 a\u00e7\u0131klamada, bunun radyasyon i\u00e7ermedi\u011fi, v\u00fccudun do\u011fal yap\u0131s\u0131nda bulunmayan olu\u015fumlar\u0131 ve farkl\u0131l\u0131klar\u0131 tespit etmek i\u00e7in kullan\u0131ld\u0131\u011f\u0131 ve yumu\u015fak dokular\u0131n g\u00f6r\u00fcnt\u00fclenmesinde \u00e7ok ba\u015far\u0131l\u0131 sonu\u00e7lar verdi\u011fi kaydedildi.<\/span><\/span><\/span><\/span><\/p>\n

A\u00e7\u0131klamada, MRG\u2019nin genellikle ilk ad\u0131m olarak kullan\u0131lmad\u0131\u011f\u0131, baz\u0131 durumlarda di\u011fer g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine destek ama\u00e7l\u0131 kullan\u0131ld\u0131\u011f\u0131 ve y\u00fcksek riskli hasta grubunda taramada mamografiye ek olarak istenebilece\u011fi de belirtilerek, \u201cMRG incelemesi meme g\u00f6r\u00fcnt\u00fclemede; baz\u0131 meme kanserlerinde ameliyat \u00f6ncesinde lokal evreleme (boyut, yerle\u015fim, ek odak, cilt ve kas tutulumu de\u011ferlendirilmesi) amac\u0131yla, y\u00fcksek riskli hastalar\u0131n baz\u0131 alt gruplar\u0131nda meme kanseri taramas\u0131nda mamografiye ek olarak, mamografi ve ultrasondan sonra problem \u00e7\u00f6z\u00fcc\u00fc olarak, mamografi ve ultrasonda g\u00f6sterilemeyen gizli meme kanserlerinde as\u0131l oda\u011f\u0131n g\u00f6sterilebilmesi amac\u0131yla, ameliyat \u00f6ncesi kemoterapi alan hastalarda kemoterapinin etkilili\u011fini takip etmek amac\u0131yla ultrasona ek olarak, silikon implant\u0131 olan hastalarda implant sorunlar\u0131nda (y\u0131rt\u0131lma \u015f\u00fcphesi gibi\u2026) problem \u00e7\u00f6z\u00fcc\u00fc ve meme kanseri tedavisi sonras\u0131nda kontrol ama\u00e7l\u0131 kullan\u0131labilir.\u201d ifadeleri kullan\u0131ld\u0131.<\/span><\/span><\/span><\/span><\/p>\n

\u201cYukar\u0131daki tarama ve tan\u0131 y\u00f6ntemleri sonucunda kanser \u015f\u00fcphesi varl\u0131\u011f\u0131nda biyopsiye ba\u015fvurulur.\u201d denilen a\u00e7\u0131klamada, biyopsinin memeden h\u00fccre ve doku \u00f6rne\u011fi al\u0131narak patolojik inceleme yap\u0131lmas\u0131 oldu\u011fu aktar\u0131ld\u0131. Radyoloji uzman\u0131n\u0131n biyopsi al\u0131nacak uygun tekni\u011fe ve alaca\u011f\u0131 \u00f6rne\u011fin miktar\u0131na, meme yap\u0131s\u0131 ve lezyonun durumuna g\u00f6re karar verdi\u011finin belirtildi\u011fi a\u00e7\u0131klamada \u201cBiyopsi ile \u00f6rnek alma sonras\u0131, inceleme i\u015flemini patologlar laboratuvar ortam\u0131nda ve mikroskoplarla yapar. Yukar\u0131da bahsetti\u011fimiz di\u011fer tan\u0131 y\u00f6ntemleriyle saptanan kanserlere biyopsi a\u015famas\u0131na gelene kadar \u2018kesin\u2019 g\u00f6z\u00fcyle bak\u0131lmaz. Biyopsi hem kanserin kesin tan\u0131s\u0131n\u0131 koyar hem de kanserin detaylar\u0131n\u0131n \u00f6\u011frenilmesini sa\u011flar.\u201d ifadelerine yer verildi.<\/span><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131 Y\u00f6netim Kurulu \u00dcyesi ve E\u011fitim Sorumlusu Radyoloji Uzman\u0131 Dr. Sinem \u015e\u0131\u011f\u0131t \u0130kiz taraf\u0131ndan yap\u0131lan yaz\u0131l\u0131 a\u00e7\u0131klamada, meme kanserinin kansere ba\u011fl\u0131 \u00f6l\u00fcmlerde akci\u011fer kanserinin ard\u0131ndan geldi\u011fi ve kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanserler aras\u0131nda ilk s\u0131rada yer ald\u0131\u011f\u0131 kaydedildi. Meme kanserinin erken evrede tedavi edilebilir oldu\u011fu belirtilerek tarama programlar\u0131 ve y\u00f6ntemlerinin \u00f6nemine vurgu<\/p>\n","protected":false},"author":1,"featured_media":37158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-37157","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ekonomi"],"yoast_head":"\nK\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131, meme kanserinde tarama y\u00f6ntemleri ile ilgili a\u00e7\u0131klama yapt\u0131 -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kibrisdakik.com\/?p=37157\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131, meme kanserinde tarama y\u00f6ntemleri ile ilgili a\u00e7\u0131klama yapt\u0131 -\" \/>\n<meta property=\"og:description\" content=\"K\u0131br\u0131s T\u00fcrk Tabipleri Odas\u0131 Y\u00f6netim Kurulu \u00dcyesi ve E\u011fitim Sorumlusu Radyoloji Uzman\u0131 Dr. Sinem \u015e\u0131\u011f\u0131t \u0130kiz taraf\u0131ndan yap\u0131lan yaz\u0131l\u0131 a\u00e7\u0131klamada, meme kanserinin kansere ba\u011fl\u0131 \u00f6l\u00fcmlerde akci\u011fer kanserinin ard\u0131ndan geldi\u011fi ve kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanserler aras\u0131nda ilk s\u0131rada yer ald\u0131\u011f\u0131 kaydedildi. 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