{"id":21015,"date":"2021-10-18T07:03:00","date_gmt":"2021-10-18T07:03:00","guid":{"rendered":"https:\/\/haberglobal.com.tr\/saglik\/40-yas-altindaki-meme-kanseri-vakalarinda-yasam-kaybi-orani-artti-138821"},"modified":"2021-10-18T07:03:00","modified_gmt":"2021-10-18T07:03:00","slug":"40-yas-altindaki-meme-kanseri-vakalarinda-yasam-kaybi-orani-artti","status":"publish","type":"post","link":"https:\/\/istanbulchannel.net\/index.php\/2021\/10\/18\/40-yas-altindaki-meme-kanseri-vakalarinda-yasam-kaybi-orani-artti\/","title":{"rendered":"40 ya\u015f alt\u0131ndaki meme kanseri vakalar\u0131nda ya\u015fam kayb\u0131 oran\u0131 artt\u0131"},"content":{"rendered":"

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Yay\u0131nlanma: <\/span>

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\"40 <\/picture> <\/figure>\n

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Kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kanserler aras\u0131nda ilk s\u0131rada yer alan meme kanserine y\u00f6nelik s\u00fcrekli geli\u015fen tedavi yakla\u015f\u0131mlar\u0131 ve erken tan\u0131 imkanlar\u0131 sayesinde ya\u015fam kay\u0131plar\u0131 oran\u0131 g\u00fcn ge\u00e7tik\u00e7e azal\u0131yor. \u201cAd\u0131 ge\u00e7en analiz \u00e7al\u0131\u015fmas\u0131nda meme kanseri ya\u015fam kayb\u0131 oranlar\u0131n\u0131n 40 ila 79 ya\u015f aras\u0131ndaki kad\u0131nlarda, her on y\u0131lda y\u00fczde 1,2 ile y\u00fczde 2,2 aras\u0131nda d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fcn g\u00f6sterildi\u011fini s\u00f6yleyen Genel Cerrahi Uzman\u0131 Prof. Dr. \u00d6zcan G\u00f6k\u00e7e, \u201c40 ya\u015f alt\u0131ndaki kad\u0131nlarda ilgin\u00e7 bir veri dikkat \u00e7ekti. 20 ila 39 ya\u015f aras\u0131 kad\u0131nlarda meme kanserine ba\u011fl\u0131 ya\u015fam kayb\u0131 oran\u0131 y\u00fczde 0,5 artt\u0131\u201d diye konu\u015ftu.<\/p>\n

40 YA\u015e ALTI KADINLARDA YA\u015eAM KAYBI ORANLARI NEDEN ARTIYOR?<\/h2>\n

40 ya\u015f alt\u0131ndaki gen\u00e7 kad\u0131nlarda mortalite olarak tan\u0131mlanan ya\u015fam kayb\u0131n\u0131n azalt\u0131lmas\u0131na y\u00f6nelik \u00e7al\u0131\u015fmalar\u0131n uzun y\u0131llard\u0131r devam etti\u011fini hat\u0131rlatan Yeditepe \u00dcniversitesi Kozyata\u011f\u0131 Hastanesi Genel Cerrahi Uzman\u0131 Prof. Dr. \u00d6zcan G\u00f6k\u00e7e ara\u015ft\u0131rman\u0131n dikkat \u00e7ekti\u011fi sonucu \u015f\u00f6yle de\u011ferlendirdi:<\/strong><\/em><\/p>\n

\u201cUzun y\u0131llar ger\u00e7ekle\u015ftirilen \u00e7al\u0131\u015fmalara ba\u011fl\u0131 olarak 20-40 ya\u015f aras\u0131ndaki gen\u00e7 kad\u0131nlarda da d\u00fczenli kontrollerin artmas\u0131yla can kay\u0131plar\u0131 azald\u0131. Ayr\u0131ca onkolojik y\u00f6ntemlerin geli\u015fmesi, ak\u0131ll\u0131 ila\u00e7lar\u0131n \u00fcretilmesi de gen\u00e7 ya\u015fta meme kanserine yakalanan insanlar\u0131n tedavi edilmesiyle birlikte 40 ya\u015f alt\u0131nda mortalite (ya\u015fam kayb\u0131) oranlar\u0131 da \u00f6nemli oranda d\u00fc\u015ft\u00fc. Ancak bu ara\u015ft\u0131rma bize 40 ya\u015f\u0131n alt\u0131ndaki kad\u0131nlarda mortalitedeki azalma oran\u0131n\u0131n durdu\u011funu g\u00f6steriyor. Bu sonuca g\u00f6t\u00fcrebilecek iki durum var. Ya 20-40 ya\u015f aras\u0131ndaki kad\u0131nlar\u0131n meme kanseri kontrol\u00fc i\u00e7in d\u00fczenli muayeneye olan ilgisi azald\u0131 ya da meme kanseri g\u00f6r\u00fclme oran\u0131 bu ya\u015f grubunda artt\u0131. Bunun hangisinin do\u011fru oldu\u011funu anlayabilmemiz i\u00e7in zamana ihtiya\u00e7 var.\u201d<\/p>\n

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Sonucu anlamak i\u00e7in her ne kadar zamana ihtiya\u00e7 olsa da ki\u015fisel g\u00f6r\u00fc\u015f\u00fcn\u00fcn 20-40 ya\u015f aras\u0131 kad\u0131nlarda ilginin azald\u0131\u011f\u0131 y\u00f6n\u00fcnde oldu\u011funu s\u00f6yleyen Prof. Dr. \u00d6zcan G\u00f6k\u00e7e, \u201cSan\u0131r\u0131m ailesinde ya da yak\u0131n \u00e7evresinde meme kanseri g\u00f6r\u00fclen kad\u0131nlar kontrollerini d\u00fczenli olarak yapt\u0131r\u0131yor, olmayanlar kontrollerini yapt\u0131rm\u0131yor\u201d dedi.<\/p>\n

MEME KANSER\u0130N\u0130N GEN\u00c7LERDE DE G\u00d6R\u00dcLD\u00dcG\u00dc YETER\u0130NCE B\u0130L\u0130NM\u0130YOR<\/h2>\n

Prof. Dr. G\u00f6k\u00e7e\u2019nin verdi\u011fi bilgiye g\u00f6re 40 ya\u015f alt\u0131ndaki meme kanserlerinin b\u00fcy\u00fck \u00e7o\u011funlu\u011fu BRCA-1 BRCA-2 gen mutasyonlar\u0131 ile birlikte kal\u0131n ba\u011f\u0131rsak kanseri, yumurtal\u0131k kanserleri gibi ailesel kanserlerle birlikte g\u00f6r\u00fcl\u00fcyor. Aksi durumda 40 ya\u015f\u0131n alt\u0131nda meme kanseri g\u00f6r\u00fclme riski azal\u0131yor. Ancak genetik fakt\u00f6r olmasa da \u00e7evresel fakt\u00f6rler, sigara kullan\u0131m\u0131, sa\u011fl\u0131ks\u0131z beslenme gibi nedenler meme kanserinin gen\u00e7 ya\u015flarda ortaya \u00e7\u0131kmas\u0131n\u0131 tetikleyebiliyor. <\/p>\n

Kad\u0131nlar\u0131n ge\u00e7 evlenmesi, do\u011furganl\u0131k ya\u015f\u0131n\u0131n 30\u2019lu ya\u015flar\u0131n \u00fcst\u00fcne \u00e7\u0131kmas\u0131n\u0131n da bu durumu etkileyebilece\u011fini hat\u0131rlatan Prof. Dr. G\u00f6k\u00e7e, \u201cAncak yine de meme kontrollerini yapt\u0131rmak i\u00e7in hekime ba\u015fvurmamalar\u0131n\u0131n as\u0131l \u00f6nemli fakt\u00f6r diye d\u00fc\u015f\u00fcn\u00fcyorum. \u00c7\u00fcnk\u00fc hala meme kanseri 40 ya\u015f\u0131n \u00fcst\u00fcnde ba\u015fl\u0131yormu\u015f gibi bir alg\u0131 var. Bu nedenlerle de 40 ya\u015f alt\u0131nda kad\u0131nlarda meme kanseri g\u00f6r\u00fclme oranlar\u0131 art\u0131yor olabilir\u201d ifadelerini kulland\u0131.<\/p>\n

TARAMA PROGRAMLARI NE D\u0130YOR?<\/h2>\n

40 ya\u015f\u0131n \u00fczerinde g\u00f6r\u00fclen bir hastal\u0131kta y\u00fczde 10\u2019luk bir pop\u00fclasyonu gen\u00e7 ya\u015fta mamografi taramas\u0131 yapman\u0131n d\u00fcnya genelinde de bir anlam\u0131 bulunmad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. G\u00f6k\u00e7e, ancak tarama olmasa da d\u00fczenli olarak kontrollerin yap\u0131lmas\u0131 ve ultrason taramalar\u0131n\u0131n yap\u0131lmas\u0131n\u0131n bu ya\u015f aral\u0131\u011f\u0131nda olduk\u00e7a \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na i\u015faret etti.<\/p>\n

40 ya\u015f alt\u0131ndaki gen\u00e7 kad\u0131nlara ultrason kontrol\u00fc ve \u015f\u00fcpheli b\u00f6lgelerden biyopsi al\u0131nmas\u0131yla meme kanserini erken te\u015fhis etmenin m\u00fcmk\u00fcn oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. G\u00f6k\u00e7e, risk gruplar\u0131 ve yap\u0131lmas\u0131 gereken kontrollerle ilgili \u015fu bilgileri verdi:<\/strong><\/em><\/p>\n

\u201c\u0130lk olarak ailesinde 1. derecede akrabalar\u0131nda meme kanseri g\u00f6r\u00fclen ki\u015filerin 40 ya\u015f alt\u0131nda d\u00fczenli kontrollerini yapt\u0131rmalar\u0131n\u0131 \u00f6neriyoruz. \u00c7\u00fcnk\u00fc bu risk grubundaki bireylerde meme kanseri g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 normal pop\u00fclasyona g\u00f6re 17 kat fazlad\u0131r. Bunun d\u0131\u015f\u0131nda sigara kullanan, fastfood a\u011f\u0131rl\u0131kl\u0131 beslenen, obez ve fazla kilolular, do\u011fum kontrol haplar\u0131n\u0131 \u00e7ok uzun s\u00fcre kullanm\u0131\u015f ki\u015filer, PKOS ya da endometriozis hastal\u0131klar\u0131 nedeniyle hormonal tedavi alanlar\u0131n mutlaka 40 ya\u015f\u0131n alt\u0131nda d\u00fczenli kontrollerini ve ultrasonografilerini yapt\u0131rmas\u0131 gerekir. Baba fakt\u00f6r\u00fc daha az etkili olmakla birlikte ailede baba da d\u00e2hil olmak \u00fczere kal\u0131n ba\u011f\u0131rsak kanseri varsa meme kanserine yatk\u0131nl\u0131k daha fazla olabilece\u011fi de unutulmal\u0131d\u0131r.\u201d<\/p>\n

ERKEN EVREDE TAMAMEN \u0130Y\u0130LE\u015eME \u015eANSI \u00c7OK Y\u00dcKSEK<\/h2>\n

Erken evre meme kanserlerinde yani evre-2\u2019yi ge\u00e7memi\u015f meme kanserlerinde tamamen tedavi edilebilme \u015fans\u0131n\u0131n olduk\u00e7a y\u00fcksek oldu\u011funa dikkat \u00e7eken Prof. Dr. \u00d6zcan G\u00f6k\u00e7e, \u201cAncak teorik olarak gen\u00e7 ya\u015fta kar\u015f\u0131la\u015f\u0131lan meme kanserinin 40 ya\u015f hatta 50 ya\u015f\u0131n \u00fcst\u00fcndeki ki\u015filere g\u00f6re h\u0131zl\u0131 seyretme olas\u0131l\u0131\u011f\u0131 daha fazlad\u0131r. 70 ya\u015f\u0131ndaki bir ki\u015fide meme kanserinin ilerlemesi, metastaz yapmas\u0131 30 ya\u015f\u0131ndaki bir insana g\u00f6re daha yava\u015f seyreder. Dolay\u0131s\u0131yla gen\u00e7 ya\u015flarda ortaya \u00e7\u0131kan meme kanserinin erken evrede yakalanmas\u0131 \u00e7ok b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r\u201d diye konu\u015ftu.<\/p>\n

\u201cGEN\u00c7 YA\u015eTAK\u0130 MEME KANSER\u0130 DE MULT\u0130D\u0130S\u0130PL\u0130NER YAKLA\u015eIM GEREKT\u0130R\u0130R\u201d<\/h2>\n

40 ya\u015f alt\u0131 meme kanserli kad\u0131nlara y\u00f6nelik olarak da tedavi se\u00e7eneklerinin bulundu\u011funu hat\u0131rlatan Prof. Dr. G\u00f6k\u00e7e, \u201cErken tespit edildi\u011finde bu kad\u0131nlar\u0131n tam tedavi sonras\u0131nda bebek sahibi olabilmeleri m\u00fcmk\u00fcn olur. Meme derisi-meme ba\u015f\u0131 koruyucu y\u00f6ntemlerle ayn\u0131 seansta protez yerle\u015ftirilmesiyle de estetik g\u00f6r\u00fcn\u00fcm korunabilir\u201d dedi.<\/p>\n

Prof. Dr. G\u00f6k\u00e7e, \u201cBu vakalarda meme klasik meme kanseri tedavisine devam edilir. S\u00f6z konusu ki\u015filerde de taramay\u0131 yapabilmek i\u00e7in radyolo\u011fa, biyopsiyle tan\u0131y\u0131 koyabilmek i\u00e7in patolo\u011fa, tedaviyi tam y\u00f6nlendirebilmek ve takip i\u00e7in onkolo\u011fa, ameliyat\u0131 ger\u00e7ekle\u015ftirebilmek i\u00e7in cerraha gerekirse radyasyon onkolojisi yapabilmek i\u00e7in de radyasyon onkolo\u011funa ve t\u00fcm bu s\u00fcre\u00e7ler boyunca hastan\u0131n psikolojisini sa\u011flam tutabilmek i\u00e7in psikiyatriste ihtiya\u00e7 var. Dolay\u0131s\u0131yla multi disipliner bir yakla\u015f\u0131mla hasta gen\u00e7 ya\u015fta bile olsa tam tedaviyi sa\u011flayarak onu ya\u015famda tutabilmek m\u00fcmk\u00fcnd\u00fcr\u201d diyerek s\u00f6zlerini noktalad\u0131.<\/p>\n

Kaynak: DHA<\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

\u0130statistiklere g\u00f6re, kad\u0131nlarda meme kanseri yakla\u015f\u0131k y\u00fczde 85 oran\u0131nda 40 ya\u015f\u0131ndan sonra ortaya \u00e7\u0131k\u0131yor. Ancak 40 ya\u015f alt\u0131nda g\u00f6r\u00fclen meme…<\/p>\n","protected":false},"author":2,"featured_media":21016,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,188],"tags":[],"class_list":["post-21015","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-yasam"],"_links":{"self":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts\/21015","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/comments?post=21015"}],"version-history":[{"count":0,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts\/21015\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/media\/21016"}],"wp:attachment":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/media?parent=21015"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/categories?post=21015"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/tags?post=21015"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}