{"id":28477,"date":"2024-09-20T13:40:15","date_gmt":"2024-09-20T13:40:15","guid":{"rendered":"https:\/\/be-accepted.com\/meme-sagligi-merkezi\/"},"modified":"2025-01-07T16:49:31","modified_gmt":"2025-01-07T16:49:31","slug":"meme-sagligi-merkezi","status":"publish","type":"post","link":"https:\/\/be-accepted.com\/tr\/meme-sagligi-merkezi\/","title":{"rendered":"Meme Sa\u011fl\u0131\u011f\u0131 Merkezi"},"content":{"rendered":"\t\t
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Univ. ile Soru\u015fturma
\nProf Dr Christian Singer <\/span><\/p>\n

Poliklinik ve laboratuvar y\u00f6netimi; Ailesel Meme ve Yumurtal\u0131k Kanseri Merkezi Ba\u015fkan\u0131 <\/span><\/p>\n

AKH, Viyana <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Meme sa\u011fl\u0131\u011f\u0131 merkezi nedir?<\/strong><\/p>

Meme sa\u011fl\u0131\u011f\u0131 merkezi, meme kanseri tedavisine adanm\u0131\u015f farkl\u0131 t\u0131bbi b\u00f6lu\u0308mlerden olu\u015fan disiplinler aras\u0131 \u00e7al\u0131\u015fan bir kurumdur. Meme sa\u011fl\u0131\u011f\u0131 merkezleri, net sorumluluk alanlar\u0131 ve ara birimleri ile \u00e7ok iyi organize olmu\u015ftur.<\/p>

Ancak, meme sa\u011fl\u0131\u011f\u0131 merkezi terimi korunan bir terim de\u011fildir. Bununla birlikte, kaliteli bir bak\u0131m ve kapsaml\u0131 bir hizmet yelpazesinin sunulmas\u0131n\u0131 sa\u011flayan sertifikal\u0131 merkezler mevcuttur. Sertifikal\u0131 meme sa\u011fl\u0131\u011f\u0131 merkezleri hastalar\u0131na her zaman mu\u0308mku\u0308n olan en iyi bak\u0131m\u0131 sunar. Her zaman gu\u0308nceldirler, hastalar klinik ara\u015ft\u0131rmalara eri\u015febilir, meme sa\u011fl\u0131\u011f\u0131 alan\u0131nda uzman hem\u015fireler ve \u00e7ok daha fazlas\u0131 mevcuttur.<\/p>

Avusturya’da bu sertifikal\u0131 meme sa\u011fl\u0131\u011f\u0131 merkezlerinden 28 adet bulunmaktad\u0131r.<\/p>

Hastalar bu merkezlerde ne kadar su\u0308re tedavi g\u00f6ru\u0308rler?<\/strong><\/p>

Tedavi te\u015fhisle, bir di\u011fer deyi\u015fle hastan\u0131n resm\u00ee bir radyoloji kurumunda tan\u0131mland\u0131\u011f\u0131 andan itibaren ba\u015flar ve tedavi sonras\u0131nda hastan\u0131n iyile\u015fmesiyle sona erer.<\/p>

Hastaya metastaz tan\u0131s\u0131 konmu\u015fsa, metastaz evresi boyunca meme sa\u011fl\u0131\u011f\u0131 merkezinde t\u0131bben izlenir.<\/p>

Asl\u0131nda hastalar\u0131n gerekti\u011finde ve gerekti\u011fi \u00f6l\u00e7u\u0308de bir muhatap bulmas\u0131, ya\u015fam boyu devam eden bir su\u0308re\u00e7tir.<\/p>

Takip bak\u0131m\u0131 i\u00e7in hastalar\u0131 y\u0131lda bir kez g\u00f6rmek isteriz. \u00dc\u00e7 ayda bir veya alt\u0131 ayda bir ger\u00e7ekle\u015ftirilen tetkikler kurum doktorlar\u0131 taraf\u0131ndan yap\u0131lmaktad\u0131r.<\/p>

Hastalar, tedavi su\u0308recinde mi sevk edildikleri doktora geri d\u00f6nu\u0308yorlar, yoksa tedavi tamamland\u0131ktan sonra m\u0131?<\/strong><\/p>

Bu her zaman doktorla ne kadar iyi anla\u015ft\u0131\u011f\u0131n\u0131zla ilgili bir meseledir, \u00e7u\u0308nku\u0308 kimyan\u0131z\u0131n uyu\u015fmas\u0131 \u00e7ok \u00f6nemlidir. Prensip olarak, meme sa\u011fl\u0131\u011f\u0131 merkezindeki ekibin tamam\u0131 vaka hakk\u0131nda bilgi sahibidir. Hastan\u0131n tu\u0308m ge\u00e7mi\u015fini, \u00f6rne\u011fin tedavilerin ne kadar su\u0308reyle verildi\u011fini, ne kadar iyi tolere edildi\u011fini, uyarlama gerekip gerekmedi\u011fini, hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131nda tu\u0308m\u00f6ru\u0308n yap\u0131s\u0131n\u0131, geli\u015fmeleri ve \u00e7ok daha fazlas\u0131n\u0131 bilirler. Dolay\u0131s\u0131yla, su\u0308rece bu ekiple devam etmek ak\u0131ll\u0131ca olacakt\u0131r.<\/p>

Baz\u0131 hastalar bir\u00e7ok doktor de\u011fi\u015ftirirler, bu da farkl\u0131 g\u00f6ru\u0308\u015flere yol a\u00e7ar, \u00e7u\u0308nku\u0308 yeni doktorlar hik\u00e2yenin tamam\u0131n\u0131 bilmezler. Ayr\u0131ca hastalar, her \u015feyi ba\u015ftan almak zorunda kald\u0131klar\u0131 i\u00e7in genellikle mutsuz olurlar. Bence bu tedirginlik vermekten ba\u015fka bir i\u015fe yaramaz. Ama tabii ki kimyan\u0131n uyu\u015fmad\u0131\u011f\u0131 durumlar olabilir, b\u00f6yle durumlarda doktoru de\u011fi\u015ftirmeniz gerekir.<\/p>

Hastalar meme sa\u011fl\u0131\u011f\u0131 merkezine nas\u0131l gelirler?<\/strong><\/p>

Radyolog hastay\u0131 en yak\u0131n meme sa\u011fl\u0131\u011f\u0131 merkezine y\u00f6nlendirir veya hasta bir merkezi se\u00e7er ve oraya y\u00f6nlendirilir. Meme sa\u011fl\u0131\u011f\u0131 merkezi listeleri genellikle radyoloji enstitu\u0308lerinden temin edilebilir.<\/p>

Bazen hastan\u0131n tedavisini yapan cerrah da hastay\u0131 sevk edebilir.<\/p>

Meme sa\u011fl\u0131\u011f\u0131 merkezleri olarak, du\u0308zenli sevk etkinlikleri arac\u0131l\u0131\u011f\u0131yla sevk eden doktorlarla ileti\u015fimi su\u0308rdu\u0308ru\u0308yoruz. Burada ayr\u0131ca hangi iyile\u015ftirmelerin veya de\u011fi\u015fikliklerin istenildi\u011fini ve faydal\u0131 oldu\u011funu de\u011ferlendiriyoruz. Meme sa\u011fl\u0131\u011f\u0131 merkezleri hastalar i\u00e7in etkinlikler de du\u0308zenlerler. Covid \u00f6ncesi bunu y\u0131lda bir kez yap\u0131yorduk.<\/p>

Meme kanseri i\u00e7in farkl\u0131 tedavi tu\u0308rlerini a\u00e7\u0131klayabilir misiniz?<\/strong><\/p>

Temel olarak lokal ve sistemik tedaviler aras\u0131nda bir ayr\u0131m yap\u0131lmaktad\u0131r.<\/p>

Lokal tedavilerde cerrahi ve radyoterapi yer al\u0131r.<\/p>

Sistemik tedavi tipi tu\u0308m vu\u0308cuda, yani kan hu\u0308crelerinin gitti\u011fi her yere uygulan\u0131r. \u00dc\u00e7 bu\u0308yu\u0308k sistemik tedavi grubu vard\u0131r:<\/p>

KEMOTERAP\u0130:<\/strong><\/p>

Biraz av tu\u0308fe\u011fine benzer ve t\u0131pk\u0131 kanser hu\u0308creleri gibi h\u0131zla b\u00f6lu\u0308nen tu\u0308m hu\u0308creleri yok eder. Baz\u0131 yan etkilere de neden olur, \u00e7u\u0308nku\u0308 sa\u00e7 hu\u0308creleri, t\u0131rnak hu\u0308creleri ve ba\u011f\u0131rsak hu\u0308creleri de h\u0131zla b\u00f6lu\u0308nu\u0308r.<\/p>

HORMON D\u00dcZENLEY\u0130C\u0130 TEDAV\u0130:<\/strong><\/p>

Resept\u00f6rler hormonlar i\u00e7in kenetlenme b\u00f6lgeleridir ve hormonlar bu kenetlenme b\u00f6lgelerine ba\u011fland\u0131klar\u0131nda hu\u0308cre \u00e7ekirde\u011fine bir sinyal iletirler.<\/p>

Bu da belirli hu\u0308cre i\u015flevlerinin etkinle\u015ftirilmesine veya kapat\u0131lmas\u0131na yol a\u00e7ar.<\/p>

Hormon resept\u00f6ru\u0308 bir anahtar deli\u011fi olarak du\u0308\u015fu\u0308nu\u0308lebilir; anahtar da hormondur. E\u015fle\u015fen anahtar, anahtar deli\u011fine girdi\u011finde, bir kap\u0131n\u0131n kilidi a\u00e7\u0131l\u0131r. Anahtar olmad\u0131\u011f\u0131nda kap\u0131 kapal\u0131 kal\u0131r ve sinyaller hu\u0308cre \u00e7ekirde\u011fine iletilemez.<\/p>

Kap\u0131da \u00e7ok say\u0131da anahtar olursa birinin kap\u0131n\u0131n kilidini a\u00e7ma olas\u0131l\u0131\u011f\u0131 \u00e7ok yu\u0308ksektir. Bu, resept\u00f6rlerinde \u00e7ok say\u0131da hormon olu\u015ftu\u011funda ve sinyaller iletildi\u011finde kap\u0131n\u0131n a\u00e7\u0131ld\u0131\u011f\u0131 anlam\u0131na gelir.<\/p>

Kulland\u0131\u011f\u0131m\u0131z hormon tedavilerinden baz\u0131lar\u0131 anahtar deli\u011fine yap\u0131\u015fan bir sak\u0131z gibi davran\u0131r. Sonu\u00e7 olarak, hormonlar art\u0131k resept\u00f6rlerine ba\u011flanamaz ve kap\u0131 \u00f6rne\u011finde oldu\u011fu gibi kap\u0131 kapal\u0131 kal\u0131r. B\u00f6ylece hu\u0308cre bu\u0308yu\u0308mesi inhibe olur ve engellenir.<\/p>

\u00dc\u00e7u\u0308ncu\u0308 bu\u0308yu\u0308k grup antikor tedavileridir.<\/p>

Tu\u0308m\u00f6rlerin su\u0308rekli geli\u015fen s\u0131n\u0131fland\u0131rmas\u0131 sayesinde, hangi tu\u0308m\u00f6rler i\u00e7in anti-hormonal tedavi kullanabilece\u011fimizi ve ne zaman antikor tedavisi sunabilece\u011fimizi ay\u0131rt ederek belirleyebiliyoruz. Ayr\u0131ca bir hastal\u0131\u011f\u0131n immu\u0308noterapi ile tedavi edilip edilemeyece\u011fini de belirleyebiliyoruz. Bu nedenle tu\u0308m\u00f6r biyolojisine dayal\u0131 tedaviler son derece bireyseldir.<\/p>

Tu\u0308m tedavilerin amac\u0131 her zaman su\u00e7luyu, yani kanserin nedenini ortadan kald\u0131rmakt\u0131r.<\/p>

Adjuvan ve neoadjuvan tedavi ne anlama gelir?<\/strong><\/p>

Adjuvan \u201cdestekleyici\u201d, neoadjuvan ise \u201cadjuvan tedaviyi \u00f6ne alan\u201d anlam\u0131na gelir. Hastan\u0131n erken evre meme kanseri varsa yani henu\u0308z metastaz yoksa tu\u0308m\u00f6ru\u0308n al\u0131nmas\u0131 \u00f6nem ta\u015f\u0131r. Bununla birlikte zaten serbest kalm\u0131\u015f tu\u0308m\u00f6r hu\u0308crelerinin, \u00f6rne\u011fin karaci\u011fer, akci\u011fer veya beyinde uyuyan ve uyand\u0131r\u0131lmay\u0131 bekleyen hu\u0308crelerin de yok edilmesi sa\u011flanmal\u0131d\u0131r.<\/p>

Adjuvan tedavinin amac\u0131 budur.<\/p>

Bu nedenle hasta ameliyat edilir ve kanser evresi erken oldu\u011fu i\u00e7in asl\u0131nda sa\u011fl\u0131kl\u0131d\u0131r, yani vu\u0308cudunda art\u0131k tu\u0308m\u00f6r hu\u0308cresi yoktur. Ancak, sa\u011fl\u0131kl\u0131 oldu\u011funu du\u0308\u015fu\u0308ndu\u0308\u011fu\u0308mu\u0308z kad\u0131nlar\u0131n belirli bir yu\u0308zdesinde asl\u0131nda h\u00e2l\u00e2 uykuda olan tu\u0308m\u00f6r hu\u0308crelerinin bulundu\u011funu kapsaml\u0131 \u00e7al\u0131\u015fmalardan biliyoruz. Bu hu\u0308creleri yok etmek i\u00e7in ki\u015finin bundan ger\u00e7ekten yararlan\u0131p yararlanmad\u0131\u011f\u0131n\u0131 bilmeden adjuvan tedavi uyguluyoruz.<\/p>

Bunun nedeni, uykuda olan hu\u0308crelerin henu\u0308z tespit edilememesi ve vu\u0308cutta olduklar\u0131n\u0131n fark\u0131na bile var\u0131lmadan tedavinin onlar\u0131 yok etmesidir. Bu, hayat kurtarabilir.<\/p>

Yumurtal\u0131klar nas\u0131l al\u0131n\u0131r? Bu ne zaman ve neden gerekli olabilir?<\/strong><\/p>

Yumurtal\u0131klar, kad\u0131n cinsiyet hormonu olan \u00f6strojenin u\u0308retim yeridir.<\/p>

Bunu \u015fu \u015fekilde du\u0308\u015fu\u0308nebilirsiniz:<\/strong><\/p>

\u00d6strojen, kap\u0131y\u0131 \u00e7evirip a\u00e7abilen anahtard\u0131r. Kap\u0131da ne kadar \u00e7ok anahtar olursa bunlardan birinin kap\u0131n\u0131n kilidini a\u00e7ma veya bir hu\u0308cre sinyalini iletmesi ihtimali o kadar artar. Anahtar deli\u011fi de olan hormon resept\u00f6ru\u0308 pozitif kanserlerde stratejilerden biri de; tu\u0308m\u00f6ru\u0308n bu\u0308yu\u0308mesini engellemektir. Y\u00f6ntem, hormonlar\u0131 u\u0308retim yerlerinde kapatmakt\u0131r. \u00dcretim yeri de menopoz \u00f6ncesi d\u00f6nemde yumurtal\u0131klard\u0131r.<\/p>

Ge\u00e7mi\u015fte, cinsiyet hormonlar\u0131n\u0131n ana u\u0308retim merkezi olan yumurtal\u0131klar bu nedenle al\u0131n\u0131yordu. Bugu\u0308n yumurtal\u0131klar\u0131 t\u0131bben kapatma imk\u00e2n\u0131m\u0131z var. Bunun i\u00e7in; yumurtal\u0131klar\u0131n i\u015flevini ge\u00e7ici olarak durduran bir i\u011fneyi du\u0308zenli aral\u0131klarla enjekte ediyoruz. Bu enjeksiyonu b\u0131rakt\u0131\u011f\u0131n\u0131zda, yumurtal\u0131klar tekrar \u00f6strojen u\u0308retmeye ba\u015flar.<\/p>

Lenf bezlerinin kanserdeki rolu\u0308 nedir?<\/strong><\/p>

Tu\u0308m\u00f6r hu\u0308creleri genellikle tu\u0308p benzeri yap\u0131lar olan glandu\u0308ler kanallarda olu\u015fur. Bunlar\u0131n d\u0131\u015f\u0131na \u00e7\u0131kabilirlerse genellikle lenf kanallar\u0131na bir ba\u011flant\u0131 bulurlar. Lenf kanallar\u0131 hu\u0308cre bozunma u\u0308ru\u0308nleri i\u00e7in toplama noktalar\u0131d\u0131r, yani bir \u015fehirdeki kanalizasyon sistemine benzerler ve \u201chu\u0308cre at\u0131klat\u0131n\u0131\u201d filtre istasyonlar\u0131na do\u011fru pompalarlar. Bu filtre istasyonlar\u0131, \u201ckiri\u201d az ya da \u00e7ok toplayan ve filtreleyen lenf du\u0308\u011fu\u0308mleridir. Tu\u0308m\u00f6r hu\u0308creleri de prensipte bir kahve filtresindeki kahve gibi lenf du\u0308\u011fu\u0308mlerinde toplan\u0131r. Oradan daha ileri gidemezler. Bu birikmi\u015f tu\u0308m\u00f6r hu\u0308creleri, bir lenf du\u0308\u011fu\u0308mu\u0308nu\u0308n (\u201cfiltre\u201d) \u00e7\u0131kar\u0131lmas\u0131yla tespit edilebilir. Bir lenf du\u0308\u011fu\u0308mu\u0308nu\u0308n etkilendi\u011fini g\u00f6rdu\u0308\u011fu\u0308nu\u0308zde, tu\u0308m\u00f6ru\u0308n tu\u0308p sisteminin d\u0131\u015f\u0131na \u00e7\u0131kmay\u0131 ba\u015fard\u0131\u011f\u0131n\u0131 anlars\u0131n\u0131z. Sonra tu\u0308m\u00f6r hu\u0308cresi orada s\u0131k\u0131\u015f\u0131r, ancak baz\u0131 filtreler y\u0131rt\u0131l\u0131r. Bu durumda, bir sonraki lenf du\u0308\u011fu\u0308mu\u0308 tu\u0308m\u00f6r<\/p>

hu\u0308crelerini yeniden yakalar. Tedavi, ka\u00e7 du\u0308\u011fu\u0308mu\u0308n etkilendi\u011fine ba\u011fl\u0131 olarak de\u011fi\u015fir. Bu nedenle, bir kanserin metastaz olu\u015fturma potansiyelinin olup olmamas\u0131 \u00f6nemli bir kriterdir.<\/p>

\u0130lk filtrede, yani koltuk alt\u0131ndaki lenf du\u0308\u011fu\u0308mlerinde bir tu\u0308m\u00f6r hu\u0308cresi bulunmuyorsa a\u015fa\u011f\u0131daki lenflerin de etkilenmedi\u011fi varsay\u0131labilir.<\/p>

\u00a0<\/p>

Sizce hastalar tedavinin ba\u015far\u0131s\u0131na nas\u0131l katk\u0131da bulunabilirler?<\/strong><\/p>

Hastal\u0131kla yu\u0308zle\u015fmek ve tedaviyi yu\u0308ru\u0308ten doktorla birlikte \u00e7al\u0131\u015fmak \u00e7ok \u00f6nemlidir. Bu, pasif bir \u015fekilde her \u015feye katlanmak anlam\u0131na gelmez. Hasta da s\u00f6z s\u00f6yleyebilmelidir. Hastan\u0131n \u015fu\u0308pheleri varsa veya farkl\u0131 bir g\u00f6ru\u0308\u015fu\u0308 benimsemi\u015fse bunu a\u00e7\u0131k\u00e7a ifade etmelidir \u00e7u\u0308nku\u0308 doktorla iyi ileti\u015fim kurabilmek \u00e7ok \u00f6nemlidir!<\/p>

Bunun d\u0131\u015f\u0131nda, sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131, sa\u011fl\u0131kl\u0131 beslenme ve egzersiz tedavi ba\u015far\u0131s\u0131na katk\u0131da bulunman\u0131n di\u011fer yollar\u0131d\u0131r. Hastalar\u0131n psikoterapi yard\u0131m\u0131 almas\u0131 gerekti\u011fine de inan\u0131yorum.<\/p>

Ayr\u0131ca, ya\u015fam kalitesinin iyi olmas\u0131 \u00e7ok \u00f6nemlidir. Bu nedenle hastalar tedaviye ara verme ihtiyac\u0131 duyuyorlarsa bunu mutlaka s\u00f6ylemelidirler.<\/p>

Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini gu\u0308\u00e7lendirmek ne \u00f6l\u00e7u\u0308de mant\u0131kl\u0131d\u0131r?<\/strong><\/p>

San\u0131r\u0131m iyi bir ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin aniden ortaya \u00e7\u0131kan k\u00f6tu\u0308 huylu hu\u0308creleri ortadan kald\u0131rabilece\u011fini varsayabiliriz. Maalesef tu\u0308m\u00f6rlerin ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bloke etme \u00f6zelli\u011fi mevcuttur.<\/p>

Genel olarak, \u00e7ok gu\u0308\u00e7lu\u0308 bir ba\u011f\u0131\u015f\u0131kl\u0131k sistemimizin olmas\u0131 \u00e7ok iyi bir \u015feydir.<\/p>

Kanserin sevmeyece\u011fi bir ortam yaratmak da kesinlikle faydal\u0131d\u0131r.<\/p>

Meme kanseri sonras\u0131 bak\u0131m nedir?<\/p>

Prensipte kanser sonras\u0131 bak\u0131m, belirli bir programa g\u00f6re ger\u00e7ekle\u015ftirilen muayeneleri i\u00e7erir. Bak\u0131m muayeneleri y\u0131lda bir kez meme sa\u011fl\u0131\u011f\u0131 merkezinde yap\u0131lmal\u0131d\u0131r, geri kalan muayeneler genellikle di\u011fer \u00f6zel doktorlar taraf\u0131ndan u\u0308\u00e7 ayda bir ger\u00e7ekle\u015ftirilir.<\/p>

Meme kanserinin, \u00e7ocuk sahibi olma arzusu u\u0308zerinde ne gibi etkileri olabilir?<\/p>

\u00c7ocuk isteyen bir kad\u0131na \u00e7ocuk sahibi olmamas\u0131n\u0131 asla tavsiye etmem. Hamilelik (istenmesi h\u00e2linde) \u00f6zellikle erken evre kanser durumunda kesinlikle arzu edilen bir durumdur. Prognozu hi\u00e7bir \u015fekilde k\u00f6tu\u0308 etkilemez.<\/p>

Hastal\u0131\u011f\u0131n do\u011fmam\u0131\u015f \u00e7ocuk u\u0308zerinde de hi\u00e7bir etkisi yoktur. Belirli ko\u015fullar alt\u0131nda hamilelik s\u0131ras\u0131nda kemoterapi bile veriyoruz.<\/p>

Siz, ailesel meme ve yumurtal\u0131k kanseri alan\u0131nda uzmans\u0131n\u0131z. Genetik yatk\u0131nl\u0131k test edilebilir. Bu test hangi kriterlere sahip kad\u0131nlara \u00f6nerilir?<\/p>

Kad\u0131nlara genetik yatk\u0131nl\u0131k a\u00e7\u0131s\u0131ndan u\u0308cretsiz olarak test uygulan\u0131p uygulanmayaca\u011f\u0131na karar vermede kullan\u0131lan bir dizi kriter vard\u0131r. \u00d6rne\u011fin, ailede meme kanseri olan 3 kad\u0131n olmas\u0131 veya 35 ya\u015f\u0131n alt\u0131nda bir meme kanseri hastas\u0131 olmas\u0131 kriterler aras\u0131ndad\u0131r.<\/p>

Buna ek olarak, meme ve yumurtal\u0131k kanseri olan kad\u0131nlara zaten test uyguluyoruz. Mutasyonu olan kad\u0131nlar\u0131n tekrar kansere yakalanma ihtimalinin %36 oldu\u011funu biliyoruz. Ancak buna kar\u015f\u0131 koyulabilir. Profilaktik bir operasyon uygulanabilir, yani \u00f6nleyici olarak meme tamamen al\u0131nabilir. Alternatif olarak ise mutasyon durumunda kulland\u0131\u011f\u0131m\u0131z inan\u0131lmaz derecede etkili (PARP ila\u00e7lar\u0131 olarak adland\u0131r\u0131lan) ila\u00e7lar\u0131m\u0131z mevcuttur. Bu ila\u00e7lar ayr\u0131ca ilerlemi\u015f meme kanseri olan kad\u0131nlarda ve yumurtal\u0131k kanseri veya \u00e7ok erken meme kanseri olan ve yu\u0308ksek risk ta\u015f\u0131yan tu\u0308m kad\u0131nlarda kullan\u0131l\u0131r.<\/p>

A\u015fa\u011f\u0131daki terimlerin anlam\u0131n\u0131 k\u0131saca sorduk<\/p>

EVRELEME :<\/strong><\/p>

Kanserin boyutunu tahmin etmek i\u00e7in operasyondan \u00f6nce klinik evreleme yap\u0131l\u0131r. Karaci\u011fer, akci\u011ferler veya kemikler gibi di\u011fer organlara yay\u0131lma da buna d\u00e2hildir.<\/p>

Patolojik evreleme i\u00e7in tu\u0308m\u00f6r \u00e7ap\u0131na, lenf du\u0308\u011fu\u0308mlerinin tu\u0308m\u00f6r hu\u0308crelerinden etkilenip etkilenmedi\u011fine ve metastaz olup olmad\u0131\u011f\u0131na bak\u0131l\u0131r. Patolojik evreleme bu nedenle tu\u0308m\u00f6ru\u0308n te\u015fhis edilmesini sa\u011flar.<\/p>

TNM SINIFLANDIRMA<\/strong><\/p>

Bu s\u0131n\u0131fland\u0131rma ile tu\u0308m\u00f6ru\u0308n ne \u00f6l\u00e7u\u0308de yay\u0131ld\u0131\u011f\u0131 klinik bir \u015fekilde de\u011ferlendirilir. Tu\u0308m\u00f6ru\u0308n evresine ba\u011fl\u0131 oldu\u011fu i\u00e7in prognozla ilgilidir. Ayr\u0131ca, tedavi TNM s\u0131n\u0131fland\u0131rmas\u0131na g\u00f6re belirlenir. Genel olarak, erken evreden ileri evreye kadar 4 evre aras\u0131nda bir ayr\u0131m yap\u0131l\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Univ. ile Soru\u015fturma
\nDr. Christian Singer: Meme sa\u011fl\u0131\u011f\u0131 merkezi nedir?
\nMeme sa\u011fl\u0131\u011f\u0131 merkezi, meme kanseri tedavisine adanm\u0131\u015f farkl\u0131 t\u0131bbi b\u00f6l\u00fcmlerden olu\u015fan disiplinler aras\u0131 bir organizasyondur. <\/p>\n","protected":false},"author":14,"featured_media":29942,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[342],"tags":[],"class_list":["post-28477","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-konvansiyonel-tip"],"acf":[],"yoast_head":"\nMeme Sa\u011fl\u0131\u011f\u0131 Merkezi - Be accepted<\/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:\/\/be-accepted.com\/tr\/meme-sagligi-merkezi\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Meme Sa\u011fl\u0131\u011f\u0131 Merkezi - Be accepted\" \/>\n<meta property=\"og:description\" content=\"Univ. ile Soru\u015fturma Dr. Christian Singer: Meme sa\u011fl\u0131\u011f\u0131 merkezi nedir? 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