Yıl: 2014 Cilt: 36 Sayı: 1 Sayfa Aralığı: 19 - 23 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A retrospective evaluation of the patients with rhabdomyoma

Öz:
Amaç: Rabdomyomların kalpte yerleşimini ve spontan regresyonu, klinik ve ekokardiyografik bulguları ve tuberosklerozun rabdomyomlar ile ilişkisini değerlendirmek Materyal ve Metot: Pediatrik Kardiyoloji Departmanı polikliniğinde 2005 ve 2011 arasında rabdomiyom tanılı 12 olgunun tıbbi dosyaları retrospektif olarak değerlendirildi. Rabdomiyom tanısı transtorasik ekokardiyografi (TTE)ye dayandı ve tuberoskleroz tanısı klinik özellikler ve görüntüleme metotlarına göre konuldu. Bulgular: Sekizi (%66.6) erkek, dördü (%33.3) kadın, erkek/kadın oranı 2 olan 12 olgunun tanı sırasındaki ortalama yaşı, 3.3+ 4.3 yıl (3 ay-13 yıl) idi. Yedi olgu (%58.3) kesin tuberoskleroz tanısı aldı. Rabdomiyomların yerleşimi şöyle idi; yedi olgu (%58.3) sol ventrikülde, iki olgu (%16.6) sağ ventrikülde, iki olgu (%16.6) her iki ventrikülde ve bir olgu (%8.3) sağ atriumda. Olgularımızın dördünde (%33.3) kitle spontan gerileme gösterdi. Sol ventriküler boyutu ve sistolik fonksiyonlar tüm olgularda normaldi. Olguların çoğunluğu asemptomatik iken, üç olgu konjestif kalp yetmezliği bulgularına sahipti ve bir olguda aritmi vardı. Konjestif kalp yetmezliği olan olgularda tümörler cerrahi olarak eksize edildi. Sonuç: Literatürle uyumlu olarak kesin tuberoskleroz sıklığı %58.3 idi. Rabdomyomların çoğu sol ventrikülde yerleşik iken, 4 (%33.3) olguda spontan gerileme oldu.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Rabdomiyomlu hastaların retrospektif değerlendirilmesi

Öz:
Objective: To evaluate the location of rhabdomyomas in the heart, and the spontaneous regression, clinical and echocardio- graphic findings and association of rhabdomyomas with tuberous sclerosis. Materials and Methods: The medical files of 12 rhabdomyoma cases diagnosed between 2005 and 2011 in the outpatient clinic of Paediatric Cardiology Department were retrospectively evaluated. Rhabdomyoma diagnosis was based on transthoracic echocardiography (TTE) and tuberous sclerosis was diagnosed according to clinical characteristics and imaging methods. Results: The mean age at diagnosis of 12 cases, eight (66.6%) male, four (33.3%) female, male/female ratio 2, was 3.3+4.3 years (3 months-13 years). Seven cases (58.3%) were diagnosed to have definite tuberous sclerosis. Location of rhabdomyomas was as follows, seven cases (58.3%) in the left ventricle, two cases (16.6%) in the right ventricle, two cases (16.6%) in both ventricles and one case (8.3%) in the right atrium. The mass showed spontaneous regression in four of our cases (33.3%). Left ventricular size and systolic functions were normal in all cases. While the majority of the cases were asymptomatic, three cases had signs of congestive heart failure and one case had arrhythmia. The tumours of the cases with congestive heart failure were surgically excised. Conclusion: Consistent with the literature, the frequency of definite tuberous sclerosis was 58.3%. While most of the rhabdo- myomas were located in the left ventricle, 4 (33.3%) cases had spontaneous regression.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA İRDEM A, BAŞPINAR O, KERVANCIOĞLU M, KILINÇ M, AYDIN ŞAHİN D, Işıkay S, YILMAZ K (2014). A retrospective evaluation of the patients with rhabdomyoma. , 19 - 23.
Chicago İRDEM AHMET,BAŞPINAR OSMAN,KERVANCIOĞLU Mehmet,KILINÇ Metin,AYDIN ŞAHİN Derya,Işıkay Sedat,YILMAZ Kutluhan A retrospective evaluation of the patients with rhabdomyoma. (2014): 19 - 23.
MLA İRDEM AHMET,BAŞPINAR OSMAN,KERVANCIOĞLU Mehmet,KILINÇ Metin,AYDIN ŞAHİN Derya,Işıkay Sedat,YILMAZ Kutluhan A retrospective evaluation of the patients with rhabdomyoma. , 2014, ss.19 - 23.
AMA İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K A retrospective evaluation of the patients with rhabdomyoma. . 2014; 19 - 23.
Vancouver İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K A retrospective evaluation of the patients with rhabdomyoma. . 2014; 19 - 23.
IEEE İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K "A retrospective evaluation of the patients with rhabdomyoma." , ss.19 - 23, 2014.
ISNAD İRDEM, AHMET vd. "A retrospective evaluation of the patients with rhabdomyoma". (2014), 19-23.
APA İRDEM A, BAŞPINAR O, KERVANCIOĞLU M, KILINÇ M, AYDIN ŞAHİN D, Işıkay S, YILMAZ K (2014). A retrospective evaluation of the patients with rhabdomyoma. Erciyes Tıp Dergisi, 36(1), 19 - 23.
Chicago İRDEM AHMET,BAŞPINAR OSMAN,KERVANCIOĞLU Mehmet,KILINÇ Metin,AYDIN ŞAHİN Derya,Işıkay Sedat,YILMAZ Kutluhan A retrospective evaluation of the patients with rhabdomyoma. Erciyes Tıp Dergisi 36, no.1 (2014): 19 - 23.
MLA İRDEM AHMET,BAŞPINAR OSMAN,KERVANCIOĞLU Mehmet,KILINÇ Metin,AYDIN ŞAHİN Derya,Işıkay Sedat,YILMAZ Kutluhan A retrospective evaluation of the patients with rhabdomyoma. Erciyes Tıp Dergisi, vol.36, no.1, 2014, ss.19 - 23.
AMA İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K A retrospective evaluation of the patients with rhabdomyoma. Erciyes Tıp Dergisi. 2014; 36(1): 19 - 23.
Vancouver İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K A retrospective evaluation of the patients with rhabdomyoma. Erciyes Tıp Dergisi. 2014; 36(1): 19 - 23.
IEEE İRDEM A,BAŞPINAR O,KERVANCIOĞLU M,KILINÇ M,AYDIN ŞAHİN D,Işıkay S,YILMAZ K "A retrospective evaluation of the patients with rhabdomyoma." Erciyes Tıp Dergisi, 36, ss.19 - 23, 2014.
ISNAD İRDEM, AHMET vd. "A retrospective evaluation of the patients with rhabdomyoma". Erciyes Tıp Dergisi 36/1 (2014), 19-23.