BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME

DÜZCE, Ela; ÖZDEMİR, Hande; TAŞTEKİN, Ebru; tuna, hakan; Tuna, Filiz

BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME

Filiz TUNA, (Trakya Üniversitesi, Sağlık Bilimleri Fakültesi, Edirne, Türkiye)

Ebru TAŞTEKİN, (Trakya Üniversitesi, Tıp Fakültesi, Patoloji Anabilim Dalı, Edirne, Türkiye)

Hande ÖZDEMİR, (Trakya Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Edirne, Türkiye)

Ela DÜZCE, (Trakya Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Edirne, Türkiye)

Hakan TUNA (Trakya Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Edirne, Türkiye)

Türk Geriatri Dergisi

9 1

Yıl: 2016 Cilt: 19 Sayı: 4 Sayfa Aralığı: 260 - 263 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME

Öz:

Guillain-Barré sendromu saptanan 72 yaşındaki kadın hasta, rehabilitasyon amacıyla tarafımızayönlendirildi. Rehabilitasyon sürecinde, fonksiyonel düzeyinde bir kazanım elde edildi (Hughesskoru 3'ten 2'ye, Functional Ambulation Classification düzeyi 2'den 4'de, Functional Independence Measure skoru 99'dan 120'ye değişim gösterdi). Bu gelişmeye rağmen, son vizitten bir günönce sol meme ucundan gelen kanlı akıntı şikayeti nedeniyle taburcu işlemi ertelendi. Eksizyonelbiyopsi sonucu nihai tanı apokrin özellik taşıyan invasiv ductal carcinoma olarak tanımlandı. Guillain-Barré sendromu akut, hızlı progresyon gösteren bir inflamatuar polinöropati dir. Bu hastalarda çoğunlukla reflex kaybının eşlik ettiği, simetrik, asendan güçsüzlük saptanır. Güncel literaturde, Guillain-Barré sendromu muhtemel paraneoplastik sendrom ve kanser öncüsü olarak tanımlanır. Bu tür bir Guillain-Barré sendromu, yani paraneoplastik sendrom; tümör veya metastaz infiltrasonunun doğrudan etkisi dışında, immünolojik mekanizmalara bağlı oluşan uzak bir etkidenkaynaklanabilir. Guillain-Barré sendromu; bir paraneoplastik sendrom olabilir, kanserle birlikte tesadüfi olarak veya tedaviye ikincil olarak gelişebilir. Bununla birlikte, paraneoplastik sendromunmetastazlar oluşmadan önce, kanserin erken evresinde ortaya çıkması, Guillain-Barré sendromuolarak değerlendirilen tüm hastalarda paraneoplastik sendromu düşünmeyi elzem kılar

Anahtar Kelime:

Konular: Cerrahi

GUİLLAİN-BARRÉ SENDROMLU BİR KADINDA MEME KANSERİ-PARANEOPLASTİK NÖROLOJİK SENDROMLAR İÇİN BİR HATIRLATMA

Öz:

A72-year-old woman was referred to us for Guillain-Barré syndrome rehabilitation, duringwhich her functional status improved (Hughes score 3-2, Functional AmbulationClassification Scale 2-4, Functional Independence Measure score 99-120). Despite her improvement, discharge was postponed because of a bloody discharge from her left nipple, which started 1 day before the last visit. The final diagnosis, after an excisional biopsy, was invasive ductalcarcinoma with apocrine features. Guillain-Barré syndrome is an acute, rapidly progressinginflammatory polyneuropathy, with patients typically showing symmetrical, ascending weaknesswith a severe loss of reflexes. The current literature describes Guillain-Barré syndrome as a probable paraneoplastic neurological syndrome and cancer precursor. Guillain-Barré syndrome withthis etiology, i.e., paraneoplastic neurological syndrome, may result from remote effects withimmunological mechanisms that are not directly caused by the tumor or metastases infiltration.Guillain-Barré syndrome may develop as a paraneoplastic neurological syndrome, may be secondary to treatment, or may occur coincidentally with cancer. Because paraneoplastic neurological syndrome occurs at an early stage of cancer before metastasis, it is important to considerparaneoplastic neurological syndrome when evaluating Guillain-Barré syndrome patients

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	Tuna F, TAŞTEKİN E, ÖZDEMİR H, DÜZCE E, tuna h (2016). BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. , 260 - 263.
Chicago	Tuna Filiz,TAŞTEKİN Ebru,ÖZDEMİR Hande,DÜZCE Ela,tuna hakan BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. (2016): 260 - 263.
MLA	Tuna Filiz,TAŞTEKİN Ebru,ÖZDEMİR Hande,DÜZCE Ela,tuna hakan BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. , 2016, ss.260 - 263.
AMA	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. . 2016; 260 - 263.
Vancouver	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. . 2016; 260 - 263.
IEEE	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h "BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME." , ss.260 - 263, 2016.
ISNAD	Tuna, Filiz vd. "BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME". (2016), 260-263.

APA	Tuna F, TAŞTEKİN E, ÖZDEMİR H, DÜZCE E, tuna h (2016). BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. Türk Geriatri Dergisi, 19(4), 260 - 263.
Chicago	Tuna Filiz,TAŞTEKİN Ebru,ÖZDEMİR Hande,DÜZCE Ela,tuna hakan BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. Türk Geriatri Dergisi 19, no.4 (2016): 260 - 263.
MLA	Tuna Filiz,TAŞTEKİN Ebru,ÖZDEMİR Hande,DÜZCE Ela,tuna hakan BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. Türk Geriatri Dergisi, vol.19, no.4, 2016, ss.260 - 263.
AMA	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. Türk Geriatri Dergisi. 2016; 19(4): 260 - 263.
Vancouver	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME. Türk Geriatri Dergisi. 2016; 19(4): 260 - 263.
IEEE	Tuna F,TAŞTEKİN E,ÖZDEMİR H,DÜZCE E,tuna h "BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME." Türk Geriatri Dergisi, 19, ss.260 - 263, 2016.
ISNAD	Tuna, Filiz vd. "BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME". Türk Geriatri Dergisi 19/4 (2016), 260-263.