{"id":221,"date":"2013-02-01T07:50:55","date_gmt":"2013-02-01T05:50:55","guid":{"rendered":"http:\/\/localhost\/vozmenyeniweb\/?p=221"},"modified":"2013-12-20T13:05:51","modified_gmt":"2013-12-20T11:05:51","slug":"evrelendirme","status":"publish","type":"post","link":"https:\/\/vahitozmen.com\/t\/hastalar-icin-bilgiler\/tani\/evrelendirme\/","title":{"rendered":"Evrelendirme"},"content":{"rendered":"<h2>Meme Kanseri A\u015famalar\u0131 (Evreleri)<\/h2>\n<p>Kanser tedavisini belirleyebilmek i\u00e7in, hastal\u0131\u011f\u0131n evresininin bilinmesi gerekir. Hastal\u0131\u011f\u0131n evresi, t\u00fcm\u00f6r\u00fcn boyutu ve ne kadar yay\u0131ld\u0131\u011f\u0131yla ilgilidir. Evrelendirmede, kanserin yay\u0131l\u0131p yay\u0131lmad\u0131\u011f\u0131n\u0131, yay\u0131ld\u0131ysa v\u00fccudun hangi b\u00f6lgelerine yay\u0131ld\u0131\u011f\u0131n\u0131 \u00f6\u011frenmek i\u00e7in r\u00f6ntgen ve laboratuvar testlerinden yararlan\u0131l\u0131r. Meme kanseri  genellikle ilk olarak koltuk alt\u0131 lenf bezlerine  (axillary lymph nodes) yay\u0131l\u0131r. Kanserin boyutu, \u00e7o\u011funlukla, memedeki t\u00fcm\u00f6r\u00fcn ve koltukalt\u0131ndaki lenf bezlerinin ameliyatla al\u0131nmas\u0131na kadar bilinmez.<\/p>\n<blockquote>\n<p>Meme kanseri tan\u0131s\u0131 konan hasta doktorunun \u015fu sorular\u0131 yan\u0131tlamas\u0131n\u0131 isteyebilir.<\/p>\n<ul>\n<li>Benimki ne t\u00fcr bir meme kanseri?<\/li>\n<li>Hormon resept\u00f6r testi ne g\u00f6sterdi? T\u00fcm\u00f6r dokusunda ba\u015fka hangi laboratuvar testleri yap\u0131ld\u0131 ve ne g\u00f6z\u00fckt\u00fc?<\/li>\n<li>Hastal\u0131k hangi safhada? Kanser yay\u0131lm\u0131\u015f m\u0131?<\/li>\n<li>Bu bilgi tedavimi nas\u0131l y\u00f6nlendirecek?<\/li>\n<\/ul>\n<\/blockquote>\n<p>Doktorlar meme kanserini a\u015fa\u011f\u0131daki evrelerle tarif eder:<\/p>\n<p><strong>Evre 0 &#8216;a carcinoma in situ<\/strong> denir.<\/p>\n<ul>\n<li><span class=\"mavifont\">Lob\u00fcler carcinoma in situ (LCIS)<\/span> lob\u00fcldeki anormal h\u00fccrelere kar\u015f\u0131l\u0131k gelir. ( Lob\u00fcl\u00fcn arka plan b\u00f6l\u00fcm\u00fcnde resmini g\u00f6rebilirsiniz.) Bu anormal h\u00fccreler, y\u00fcksek riskin i\u015faret\u00e7isidir. ve LCIS olan hastan\u0131n, ilerde her iki memesinde de yay\u0131labilen kanser olma riskinin y\u00fcksek oldu\u011fu anlam\u0131na gelir (\u0130ki meme de risk alt\u0131ndad\u0131r).<\/li>\n<li><span class=\"mavifont\">Ductal carcinoma in situ (DCIS) <\/span>kanaldaki kanser \u00f6ncesi durumdur. DCIS ayn\u0131 zamanda intraductal carcinoma olarak da adland\u0131r\u0131l\u0131r. Anormal h\u00fccreler, kanal\u0131n d\u0131\u015f\u0131na \u00e7\u0131k\u0131p etraf\u0131ndaki meme dokusuna yay\u0131lmam\u0131\u015ft\u0131r. Fakat bazen, DCIS tedavi edilmezse, yay\u0131labilen kanser olu\u015fabilir. Bu resim, erken evre meme kanserini <span class=\"mavifont\">ductal carcinoma in situ<\/span> g\u00f6steriyor.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.vahitozmen.com\/t\/wp-content\/uploads\/2013\/02\/evre01.jpg\"><img loading=\"lazy\" src=\"https:\/\/www.vahitozmen.com\/t\/wp-content\/uploads\/2013\/02\/evre01.jpg\" alt=\"evre0\" width=\"250\" height=\"177\" class=\"aligncenter size-full wp-image-991\" \/><\/a><\/p>\n<p><strong>Evre I<\/strong>, yay\u0131labilen meme kanserinin ba\u015flang\u0131\u00e7 safhas\u0131d\u0131r. Bu evrede  t\u00fcm\u00f6r boyutu 2 cm. den geni\u015f de\u011fildir ve kanser h\u00fccreleri memeden ba\u015fka yere (lenf bezlerine) yay\u0131lmam\u0131\u015ft\u0131r.<\/p>\n<p><a href=\"https:\/\/www.vahitozmen.com\/t\/wp-content\/uploads\/2013\/02\/evre11.jpg\"><img loading=\"lazy\" src=\"https:\/\/www.vahitozmen.com\/t\/wp-content\/uploads\/2013\/02\/evre11.jpg\" alt=\"evre1\" width=\"291\" height=\"188\" class=\"aligncenter size-full wp-image-992\" \/><\/a><\/p>\n<p>Bu resim, kanserin kanal\u0131n d\u0131\u015f\u0131na s\u0131\u00e7rad\u0131\u011f\u0131 ve yak\u0131ndaki meme dokusuna yay\u0131ld\u0131\u011f\u0131n\u0131 g\u00f6steriyor.<\/p>\n<p>A\u015fa\u011f\u0131daki durumlar\u0131n her biri <strong>Evre II<\/strong> safhas\u0131d\u0131r.<\/p>\n<ul>\n<li>Memedeki t\u00fcm\u00f6r\u00fcn \u00e7ap\u0131 2 cm. den k\u00fc\u00e7\u00fck ancak kanser koltuk alt\u0131ndaki lenf bezlerine s\u0131\u00e7ram\u0131\u015f.<\/li>\n<li>T\u00fcm\u00f6r\u00fcn \u00e7ap\u0131 2- 5 cm. aras\u0131nda ve kanser koltukalt\u0131na s\u0131\u00e7ram\u0131\u015f.yada s\u0131\u00e7ramam\u0131\u015f.<\/li>\n<li>T\u00fcm\u00f6r 5 cm.den b\u00fcy\u00fck ama koltukalt\u0131ndaki lenf bezlerine s\u0131\u00e7ramam\u0131\u015f.<\/li>\n<\/ul>\n<p><strong>Evre III   A ve B olarak ayr\u0131l\u0131r: <\/strong><\/p>\n<ul>\n<li>Evre III A, memedeki kanserin \u00e7ap\u0131n\u0131n 5 cm.den k\u00fc\u00e7\u00fck oldu\u011fu ve koltukalt\u0131ndaki lenf bezlerine ve \u00e7evredeki dokuya yap\u0131\u015ft\u0131\u011f\u0131 ya da t\u00fcm\u00f6r \u00e7ap\u0131n\u0131n 5cm. den fazla ve koltuk alt\u0131ndaki lenf bezlerine yay\u0131lm\u0131\u015f oldu\u011fu durumdur.<\/li>\n<li>III B evresi, t\u00fcm\u00f6r\u00fcn g\u00f6\u011f\u00fcs duvar\u0131na veya meme derisine do\u011fru b\u00fcy\u00fcm\u00fc\u015f veya g\u00f6\u011f\u00fcs kemi\u011finin (sternum) alt\u0131ndaki lenf bezlerine yay\u0131lm\u0131\u015f oldu\u011fu durumdur.<\/li>\n<\/ul>\n<p><strong>Inflamatuvar meme kanseri<\/strong>, III B evresindeki meme kanserinin bir tipidir. \u00c7ok nadir g\u00f6r\u00fcl\u00fcr. Meme derisi k\u0131zar\u0131r ve \u015fi\u015fer, \u00e7\u00fcnk\u00fc kanser h\u00fccreleri meme derisinin lenf kanallar\u0131n\u0131 t\u0131kam\u0131\u015ft\u0131r.<\/p>\n<ul>\n<li>Evre III C: Kanserin g\u00f6\u011f\u00fcs kemi\u011finin alt\u0131ndaki ve koltukalt\u0131ndaki lenf bezlerine, ya da k\u00f6pr\u00fcc\u00fck kemi\u011finin alt\u0131ndaki veya \u00fcst\u00fcndeki lenf bezlerine yay\u0131ld\u0131\u011f\u0131 durumdur. Bu evrede ilk meme t\u00fcm\u00f6r\u00fcn\u00fcn  \u00e7ap\u0131 \u00f6nemli de\u011fildir .<\/li>\n<\/ul>\n<p><strong>Evre  IV<\/strong> : Uzak metastatik kanserdir. Kanser v\u00fccudun di\u011fer b\u00f6lgelerine s\u0131\u00e7ram\u0131\u015ft\u0131r.<\/p>\n<p><strong>Tekrarlayan kanser<\/strong>, tedaviden sonra tekrar olu\u015fan kanserdir. Kanser, lokal (meme veya g\u00f6\u011f\u00fcs duvar\u0131nda) olarak veya v\u00fccudun herhangi bir b\u00f6lgesinde (kemik,karaci\u011fer,akci\u011fer gibi) tekrarlayabilir.<\/p>\n<p><strong>Evrelere g\u00f6re tedavide ba\u015far\u0131 oran\u0131 <\/strong><\/p>\n<table width=\"50%\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\"><strong>Evrelere g\u00f6re oran<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Evre 0<\/td>\n<td>%100<\/td>\n<\/tr>\n<tr>\n<td>Evre I<\/td>\n<td>%98<\/td>\n<\/tr>\n<tr>\n<td>Evre II<\/td>\n<td>%88<\/td>\n<\/tr>\n<tr>\n<td>Evre III A<\/td>\n<td>%56<\/td>\n<\/tr>\n<tr>\n<td>Evre III B<\/td>\n<td>%49<\/td>\n<\/tr>\n<tr>\n<td>Evre III C<\/td>\n<td>%16<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Meme Kanseri A\u015famalar\u0131 (Evreleri) Kanser tedavisini belirleyebilmek i\u00e7in, hastal\u0131\u011f\u0131n evresininin bilinmesi gerekir. Hastal\u0131\u011f\u0131n evresi, t\u00fcm\u00f6r\u00fcn boyutu ve ne kadar yay\u0131ld\u0131\u011f\u0131yla ilgilidir. Evrelendirmede, kanserin yay\u0131l\u0131p yay\u0131lmad\u0131\u011f\u0131n\u0131, yay\u0131ld\u0131ysa v\u00fccudun hangi b\u00f6lgelerine yay\u0131ld\u0131\u011f\u0131n\u0131 \u00f6\u011frenmek i\u00e7in r\u00f6ntgen ve laboratuvar testlerinden yararlan\u0131l\u0131r. Meme kanseri genellikle<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/vahitozmen.com\/t\/hastalar-icin-bilgiler\/tani\/evrelendirme\/\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[21],"tags":[],"_links":{"self":[{"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/posts\/221"}],"collection":[{"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/comments?post=221"}],"version-history":[{"count":31,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/posts\/221\/revisions"}],"predecessor-version":[{"id":1472,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/posts\/221\/revisions\/1472"}],"wp:attachment":[{"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/media?parent=221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/categories?post=221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vahitozmen.com\/t\/wp-json\/wp\/v2\/tags?post=221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}