<p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b> </b><b><span style="font-size:12pt">Onkolojik ve plastik cerrahi prensiplerinin birlikte uygulandığı onkoplastik meme cerrahisi, duygusal iyileşmelerine destek vererek, onlara güven kazandırıyor. </span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b> </b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="background:white"><span style="color:#222222">4 Şubat Dünya Kanser Günü kapsamında son yıllarda artış gösteren kanserlerde 2. Sırada yer alan meme kanserinde duygusal iyileştirmeye destek veren onkoplastik cerrahisi aynı zamanda hastalara güven de veriyor. Sağlık Bilimleri Üniversitesi Genel Cerrahi Anabilim Dalı Öğretim Üyesi Doç. Dr. Bülent Çitgez, Türkiye’deki meme kanseri rakamlarını, hastaların nelere dikkat etmesi gerektiğini ve tedavideki son yenilikleri anlattı.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Geçtiğimiz yıl meme kanseri vakalarıyla ne kadar sık karşılaştık?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Radyoloji ve girişimsel radyolojideki gelişmelere bağlı olarak meme kanseri teşhisinde artış görüyoruz. Bir cerrah olarak meme hastalıkları ve kanseriyle ilgilendiğim için her sene artış gözlemlemekteyim. Bu sene yapılacak bir kongre için hazırladığımız çalışmada, klinik olarak 400’e yakın meme kanseri ameliyatı yaptığımızı saptadık. Bunlar içinde ileri evre nedeniyle onkolojiye yönlendirdiğimiz hastaların da bulunduğunu da söylemek isterim.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Meme kanseri kadınlarda en sık görülen kanser türü. </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">K</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">anser</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> nedeniyle ölümde, akciğer kanserinden sonra ikinci sırad</span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">a gelir. H</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">er</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> yıldünyada 450 bine yakın kadının bu nedenle hayatını kaybettiği sanılmaktadır</span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Türkiye’de</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> meme kanseri insidansı ise giderek artan sıklıkla </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">100 binde </span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">31.9 (2002), 40.6 (2009) ve </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> 43’e (2014) yükselmiştir.</span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Kanser Dairesi Başkanlığı’nın yaptığı araştırmalara göre,</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> Türkiye’de kadınlarda görülenkanserler arasında yüzde 2</span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">4</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">.</span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">7</span></span></span><span lang="EN-US" style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a"> ile ilk sırada yer alır.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Toplumda, meme kanserine yakalanma yaşının 50 ve sonrasına denk geldiği yönünde bir inanış vardı ancak son yıllarda genç yaşlarda da ortaya çıkmaya başladı. Bunu neye bağlıyorsunuz?</span></span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü’nün 2015 yılı kanser istatistiklerine göre, ülkemizde meme kanseri tanısı alan kadınların yüzde 44.5’i 50-69, yüzde 40.6’sı ise 25-49 yaş aralığında yer alıyor.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Yüksek enerjisi olan, yani fast food denilen gıdaları tüketmemek gerekir. Meme kanseri östrojen bağımlı bir tümör olduğu için vücutta bu hormonun salınımını artıracak durumlardan yani kilodan uzak durmak lazım. Kanserojen gıdaların yanı sıra, sigara ve alkol de risk artırır.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Her kadının kendisini meme kanserine aday olarak görmesi gerekir mi?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Yaşamı boyunca her 8 kadından birinde meme kanseri görülür. </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Yaşam boyu risk oranı, yüzde 12.56’dır. </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">Menopoz öncesi kadınların yüzde </span></span></span><span style="font-size:12pt"><span style="line-height:18.4px"><span style="color:#26282a">25-30, menopoz sonrası kadınlarınsa yüzde 70-75’inde ortaya çıkar.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><u><span style="font-size:12pt"><span style="color:#26282a">Yaş </span></span></u><span style="font-size:12pt"><span style="color:#26282a"> <u>100 bin insidans</u></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">0-39 1</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">40-44 126</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">50-54 228</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">60-64 348</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">70-74 450</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">80-84 477</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Dünyaya kıyasla, Türkiye’deki meme kanseri vakalarında dikkat çeken farklılıklar var mı?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Sağlıkta sosyo-kültürel düzey çok önemlidir. Sosyal düzey arttıkça teşhis oranı da artar. Türk hastalar rutin takiplerine gelmediği ya da önemsemediği için maalesef ileri evrelerde sağlık kuruluşlarına başvuruyor. Bu da daha agresif tedavi gerektiriyor. Tedavi, tümörün biyolojisiyle beraber evresine bağlı olduğundan ne kadar erken teşhis edilirse, sağkalım şansı da o kadar artar.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Hangi belirtilere karşı dikkatli olmalıyız?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">En önemli belirti, memede ele gelen kitledir. Meme başında kanlı akıntı, çökme ve pullanma, memede kızarıklık olduğunda doktora başvurmalıyız. Bazı durumlarda muayenede elle bir şey saptanmayabilir, radyolojik görüntüleme istenebilir. Radyolojik olarak şüpheli kitle ve lezyonlara yönelik ileri işlemler yapmak gerekebilir.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Tanı ve tedavide yenilikler var mı?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Teknolojideki gelişmelere bağlı olarak mamografi, MR ve ultrasonografide büyük gelişmeler var. Böylece memede radyolojik olarak saptanan ufak lezyonlara müdahale edilebilmekte, patolojik tanı konabilmekte ve tedavisi düzenlenebilmektedir. Ülkemizde 40 yaşından sonra tarama mamografileri mevcut olduğundan yıllık kontrollerini yapan kadınlarda meme kanseri daha erken saptanıp, tanı konulabilir.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Cerrahi seçenekler hakkında bilgi verebilir misiniz?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Tüm memenin alınması olan mastektomi, meme içinde yaygın bulunan ve kitlesi çok büyük hastalarda yapılabilir. En sık yaptığımız ameliyat meme koruyucu operasyon, yani meme içindeki tümöral kitlenin güvenli cerrahi sınırla çıkarılması ve aynı anda koltuk altının kontrol edildiği müdahaledir.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt"><span style="color:#26282a">Memenin alınması gerektiği durumlarda, onkolojik olarak mümkünse, tüm meme dokusunu çıkarıp, eş zamanlı rekonstrüksiyon meme yapıyoruz. İleri evre tümörlrde ise önce kemoterapi ile başlayıp, evresini küçültüp, meme koruycu cerrahiye uygun hale getirmeye çalışıyoruz.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b> </b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b> </b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="background:white"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><b><span style="font-size:12pt"><span style="color:#26282a">Onkoplastik</span></span></b><b><span style="font-size:12pt"><span style="color:#26282a"> cerrahi nedir?</span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span lang="EN-US" style="font-size:12pt">Meme kanseri ameliyatları </span><span style="font-size:12pt">sonrasında kadınlar, cinsel kimliklerinin önemli bir parçasında ortaya çıkan estetik kaybı nedeniyle psikolojik ve sosyal sorunlar yaşayabilir. Onkoplastik meme cerrahisi, onkolojik cerrahi ile plastik cerrahi prensiplerinin birlikte uygulanmasıdır.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="margin:0px 0px 0.0001pt; text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="line-height:normal"><span style="font-size:12pt">Estetik bir yaklaşımla kanseri ortadan kaldırırken, memenin doğal görünümünü ve hissini koruyup yeniden yapılandıran yenilikçi bir yaklaşımdır.</span><span lang="EN-US" style="font-size:12pt"> Kanserli bölgenin ç</span><span style="font-size:12pt">ıkarılmasından</span><span style="font-size:12pt"> sonra geri kalan memenin yeniden şekillendirilmesi veya yapılandırılması için plastik cerrahi tekniklerinin kullanılmasını kapsar. Bazı kozmetik deformiteleri önlerken, daha geniş eksizyona izin veren bir cerrahidir.</span><span lang="EN-US" style="font-size:12pt">Onkoplastik</span><span lang="EN-US" style="font-size:12pt"> meme cerrahisi, sağlıklı</span><span style="font-size:12pt"> bir fiziksel görünüşe yardımcı olmanın yanı sıra, kanser ameliyatı sonrasında kadınların duygusal iyileşmelerine destek vererek, hastaya güven kazandırabilir.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>