Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts

OKUŞ, Ahmet; AY, ABDÜLHALİM SERDEN; Karahan, Ömer; Sevinç, Barış; ER, Cemil; ERYILMAZ, Nehmet Ali

Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts

Ahmet OKUŞ, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Barış SEVİNÇ, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

ABDÜLHALİM SERDEN AY, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Ömer KARAHAN, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Nehmet Ali ERYILMAZ, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Cemil ER (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Türkiye Parazitoloji Dergisi

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Yıl: 2013 Cilt: 37 Sayı: 4 Sayfa Aralığı: 257 - 261 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts

Öz:

Amaç: Hidatik hastalık, sıklıkla Echinococcus granulosus larvalarının sebep olduğu parazitik bir hastalıktır. Bu çalışmada hidatik kistin atipik lokalizasyonu ile seroloji ve kistin büyüme hızı arasındaki ilişkinin araştırılması amaçlanmıştır. Yöntemler: Aralık 2004 ile Mayıs 2012 tarihleri arasında hastanemizde hidatik kist nedeni ile tedavi edilmiş olan tüm hastalar hastanemiz veri tabanından retrospektif olarak tarandı. Hidatik kistin karaciğer ve akciğer dışı yerleşimi atipik lokalizasyon olarak kabul edildi. Bulgular: Bu tarihler arasında hastanemizde hidatik kist nedeni ile 325 hasta tedavi edilmiş idi. En yaygın yerleşim yerleri karaciğer (%72,8) ve akciğerler (%21) idi. Karaciğer ve akciğer dışı yerleşim (atipik lokalizasyonlu hidatik kist) ise %6,4 (n=21) idi. Atipik lokalizasyonlu hidatik kist en sık dalakta (%2,4) gözlenmiştir. Primer kas içi hidatik kist olan 3 olguda, primer subkutan hidatik kisti olan 2 olguda seroloji negatiftir. Sonuç: Hidatik kist ile konakçı savunma sistemi arasındaki ilişki seroloji pozitifliğini ve kist büyüme hızını belirleyen ana unsurdur. Hidatik kist kas dokusu, subkutan doku gibi hücresel immünitenin daha zayıf olduğu dokularda serolojinin negatif olması ve daha hızlı büyüme eğilimindedir. Atipik lokalizasyonlu hidatik kistler için hematojen yol patogenezi izah etmek için yetersiz olup, bu olgularda lenfatik yayılımda söz konusu olabilir. (Turkiye Parazitol Derg 2013; 37: 257-61)

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Parazitoloji

Atipik Lokalizasyonlu Kist Hidatiklerde Büyüme Hızı ve Seroloji İlişkisi

Öz:

Objective: Hydatic cyst is a parasitic disease caused by the larvae of Echinococcus granulosus. In the study, the aim is to evaluate the relation between serology and grow-up time in atypically localized cysts. Methods: Retrospectively, all the patients with hydatic disease between December 2004 and May 2012 were screened from the hospital database. Hydatic cyst localization other than the liver and lungs were accepted as atypical localization. Results: There were 325 patients with a diagnosis of hydatic disease. Most common localizations of the cysts were the liver (72.8%) and lungs (21%). Atypically localized cyst rate was 6.4% (n: 21). The most common atypical localization was the spleen (2.4%). 80.9% of atypically localized cysts were primary cases. In 3 cases with primary intramuscular hydatic cyst and 2 cases with primary subcutaneous hydatic cysts, serology was negative. Conclusion: The relation between the hydatid cyst and the host is the main factor in serological tests and grow-up time. In tissues with a weaker cellular immunity like muscle and subcutaneous tissue, serology tends to be negative and grow-up time to be faster. In atypically localized cysts,hematogenous dissemination cannot explain the pathogenesis fully. Therefore, lymphatic dissemination should be kept in mind. (Turkiye Parazitol Derg 2013; 37: 257-61)

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Parazitoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	OKUŞ A, Sevinç B, AY A, Karahan Ö, ERYILMAZ N, ER C (2013). Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. , 257 - 261.
Chicago	OKUŞ Ahmet,Sevinç Barış,AY ABDÜLHALİM SERDEN,Karahan Ömer,ERYILMAZ Nehmet Ali,ER Cemil Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. (2013): 257 - 261.
MLA	OKUŞ Ahmet,Sevinç Barış,AY ABDÜLHALİM SERDEN,Karahan Ömer,ERYILMAZ Nehmet Ali,ER Cemil Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. , 2013, ss.257 - 261.
AMA	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. . 2013; 257 - 261.
Vancouver	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. . 2013; 257 - 261.
IEEE	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C "Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts." , ss.257 - 261, 2013.
ISNAD	OKUŞ, Ahmet vd. "Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts". (2013), 257-261.

APA	OKUŞ A, Sevinç B, AY A, Karahan Ö, ERYILMAZ N, ER C (2013). Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. Türkiye Parazitoloji Dergisi, 37(4), 257 - 261.
Chicago	OKUŞ Ahmet,Sevinç Barış,AY ABDÜLHALİM SERDEN,Karahan Ömer,ERYILMAZ Nehmet Ali,ER Cemil Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. Türkiye Parazitoloji Dergisi 37, no.4 (2013): 257 - 261.
MLA	OKUŞ Ahmet,Sevinç Barış,AY ABDÜLHALİM SERDEN,Karahan Ömer,ERYILMAZ Nehmet Ali,ER Cemil Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. Türkiye Parazitoloji Dergisi, vol.37, no.4, 2013, ss.257 - 261.
AMA	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. Türkiye Parazitoloji Dergisi. 2013; 37(4): 257 - 261.
Vancouver	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts. Türkiye Parazitoloji Dergisi. 2013; 37(4): 257 - 261.
IEEE	OKUŞ A,Sevinç B,AY A,Karahan Ö,ERYILMAZ N,ER C "Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts." Türkiye Parazitoloji Dergisi, 37, ss.257 - 261, 2013.
ISNAD	OKUŞ, Ahmet vd. "Relation between Serology and Grow-Up Time in Atypically Localized Hydatic Cysts". Türkiye Parazitoloji Dergisi 37/4 (2013), 257-261.