{"id":181,"date":"2025-10-29T09:13:24","date_gmt":"2025-10-29T09:13:24","guid":{"rendered":"https:\/\/dr-rahmi.com\/?p=181"},"modified":"2025-10-29T09:13:24","modified_gmt":"2025-10-29T09:13:24","slug":"%d1%80%d0%b0%d0%ba-%d0%bd%d0%b0-%d0%b3%d1%8a%d1%80%d0%b4%d0%b0%d1%82%d0%b0-%d0%ba%d0%b0%d0%ba%d0%b2%d0%be-%d1%82%d1%80%d1%8f%d0%b1%d0%b2%d0%b0-%d0%b4%d0%b0-%d0%b7%d0%bd%d0%b0%d0%b5%d1%82","status":"publish","type":"post","link":"https:\/\/dr-rahmi.com\/tr\/%d1%80%d0%b0%d0%ba-%d0%bd%d0%b0-%d0%b3%d1%8a%d1%80%d0%b4%d0%b0%d1%82%d0%b0-%d0%ba%d0%b0%d0%ba%d0%b2%d0%be-%d1%82%d1%80%d1%8f%d0%b1%d0%b2%d0%b0-%d0%b4%d0%b0-%d0%b7%d0%bd%d0%b0%d0%b5%d1%82\/","title":{"rendered":"Meme kanseri - Patolojik de\u011ferlendirme hakk\u0131nda bilmeniz gerekenler"},"content":{"rendered":"<p>Meme kanseri, ya\u015fam\u0131 boyunca yakla\u015f\u0131k her sekiz kad\u0131ndan birinde g\u00f6r\u00fcl\u00fcr. Her ya\u015ftan kad\u0131n\u0131 etkileyebilir, ancak 50 ya\u015f\u0131ndan sonra daha s\u0131k g\u00f6r\u00fcl\u00fcr. Kad\u0131nlarda g\u00f6r\u00fclen en tehlikeli kanserler aras\u0131nda yer alsa da erken tan\u0131 ve do\u011fru yakla\u015f\u0131mla tamamen tedavi edilebilir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Patoloji raporu neden \u00f6nemlidir?<\/h3>\n\n\n\n<p>Biyopsi veya t\u00fcm\u00f6r dokusu cerrahi olarak al\u0131nd\u0131ktan sonra \u00f6rnekler laboratuvara g\u00f6nderilir ve patologlar taraf\u0131ndan de\u011ferlendirilir. Tedavi planlamas\u0131 i\u00e7in gereken her \u015feyi i\u00e7eren ayr\u0131nt\u0131l\u0131 bir rapor haz\u0131rlarlar.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Rapor neleri i\u00e7eriyor?<\/h3>\n\n\n\n<p>Raporda a\u015fa\u011f\u0131daki temel de\u011ferlendirmeler yer almaktad\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Makroskopik muayene - dokunun g\u00f6rsel ve palpasyonla de\u011ferlendirilmesi.<\/li>\n\n\n\n<li>Mikroskopik inceleme - t\u00fcm\u00f6r\u00fcn tipi, boyutu, mevcut b\u00fcy\u00fcme say\u0131s\u0131, derecesi (s\u0131n\u0131f olarak adland\u0131r\u0131l\u0131r), lenfovask\u00fcler invazyon varl\u0131\u011f\u0131, cerrahi s\u0131n\u0131rlar\u0131n ve aksiller lenf d\u00fc\u011f\u00fcmlerinin durumu.<\/li>\n\n\n\n<li>Hormon resept\u00f6rleri (\u00f6strojen\/progesteron) ve HER2 durumu gibi belirte\u00e7ler - hedeflenen tedaviye duyarl\u0131l\u0131\u011f\u0131 belirler.<\/li>\n\n\n\n<li>Proliferatif indeks Ki-67 - kanser h\u00fccrelerinin ne kadar h\u0131zl\u0131 b\u00f6l\u00fcnd\u00fc\u011f\u00fcn\u00fc g\u00f6sterir.<\/li>\n\n\n\n<li>PD-L1 testi - uygun imm\u00fcnoterapinin belirlenmesinde kullan\u0131l\u0131r.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u0130ntraoperatif (\"dondurulmu\u015f\") kons\u00fcltasyon nedir?<\/h3>\n\n\n\n<p>Ameliyat s\u0131ras\u0131nda bazen t\u00fcm\u00f6r\u00fcn tamamen \u00e7\u0131kar\u0131l\u0131p \u00e7\u0131kar\u0131lmad\u0131\u011f\u0131n\u0131 ve herhangi bir lenf d\u00fc\u011f\u00fcm\u00fcn\u00fcn etkilenip etkilenmedi\u011fini kontrol etmek i\u00e7in dondurulmu\u015f bir prosed\u00fcr uygulan\u0131r. Lenf d\u00fc\u011f\u00fcmlerine yay\u0131lma varsa, cerrah ayn\u0131 anda ek bir prosed\u00fcr ger\u00e7ekle\u015ftirmeye karar verebilir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Hormon resept\u00f6rleri ve HER2 durumu<\/h3>\n\n\n\n<p>Meme kanseri vakalar\u0131n\u0131n yakla\u015f\u0131k 70-80%'sinde kanser h\u00fccreleri hormon resept\u00f6rlerine (ER ve\/veya PR) sahiptir, bu da hormon tedavisinin etkili olabilece\u011fi anlam\u0131na gelir. Hastalar\u0131n yakla\u015f\u0131k 20-25%'sinin HER2-pozitif oldu\u011fu tespit edilmi\u015ftir - bu agresif bir kanser t\u00fcr\u00fcd\u00fcr, ancak hedefe y\u00f6nelik antikor tedavisine de uygundur.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ki-67 proliferatif indeks ve PD-L1 tahlili<\/h3>\n\n\n\n<p>Ki-67 h\u00fccrelerin ne kadar aktif bir \u015fekilde b\u00f6l\u00fcnd\u00fc\u011f\u00fcn\u00fc g\u00f6sterir - y\u00fcksek skorda t\u00fcm\u00f6r\u00fcn daha agresif oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. PD-L1 testi, hormon tedavisi veya HER2 i\u00e7in belirte\u00e7 bulunmayan durumlarda yap\u0131l\u0131r ve imm\u00fcnoterapinin uygun olup olmad\u0131\u011f\u0131n\u0131 de\u011ferlendirmeye yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">T\u00fcm bunlar tedaviniz i\u00e7in ne anlama geliyor?<\/h3>\n\n\n\n<p>Ayr\u0131nt\u0131l\u0131 bir patoloji raporu kilit \u00f6nem ta\u015f\u0131r \u00e7\u00fcnk\u00fc ameliyat, hormon tedavisi, hedefe y\u00f6nelik tedavi veya imm\u00fcnoterapi gibi en uygun tedavinin se\u00e7ilmesinin temelini olu\u015fturur. Erken ve do\u011fru bir te\u015fhisle, ba\u015far\u0131l\u0131 tedavi \u015fans\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde daha y\u00fcksektir.<\/p>\n\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div>","protected":false},"excerpt":{"rendered":"<p>\u0420\u0430\u043a\u044a\u0442 \u043d\u0430 \u0433\u044a\u0440\u0434\u0430\u0442\u0430 \u0441\u0435 \u0441\u0440\u0435\u0449\u0430 \u043f\u0440\u0438 \u043e\u043a\u043e\u043b\u043e \u0435\u0434\u043d\u0430 \u043e\u0442 \u043e\u0441\u0435\u043c \u0436\u0435\u043d\u0438 \u043f\u0440\u0435\u0437 \u0436\u0438\u0432\u043e\u0442\u0430 \u045d. \u0422\u043e\u0439 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0437\u0430\u0441\u0435\u0433\u043d\u0435 \u0436\u0435\u043d\u0438 \u043e\u0442 \u0432\u0441\u044f\u043a\u0430 \u0432\u044a\u0437\u0440\u0430\u0441\u0442, \u0432\u044a\u043f\u0440\u0435\u043a\u0438 \u0447\u0435 \u0441\u0435 \u0441\u0440\u0435\u0449\u0430 \u043f\u043e-\u0447\u0435\u0441\u0442\u043e \u0441\u043b\u0435\u0434 50-\u0433\u043e\u0434\u0438\u0448\u043d\u0430 \u0432\u044a\u0437\u0440\u0430\u0441\u0442. \u041c\u0430\u043a\u0430\u0440 \u0434\u0430 \u0435 \u0441\u0440\u0435\u0434 \u043d\u0430\u0439-\u043e\u043f\u0430\u0441\u043d\u0438\u0442\u0435 \u0432\u0438\u0434\u043e\u0432\u0435 \u0440\u0430\u043a \u043f\u0440\u0438 \u0436\u0435\u043d\u0438\u0442\u0435, \u043f\u0440\u0438 \u0440\u0430\u043d\u043d\u0430 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430 \u0438 \u043f\u0440\u0430\u0432\u0438\u043b\u0435\u043d \u043f\u043e\u0434\u0445\u043e\u0434 \u0435 \u043d\u0430\u043f\u044a\u043b\u043d\u043e \u043b\u0435\u0447\u0438\u043c. \u0417\u0430\u0449\u043e \u0435 \u0432\u0430\u0436\u0435\u043d \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u043d\u0438\u044f\u0442 \u0434\u043e\u043a\u043b\u0430\u0434? \u0421\u043b\u0435\u0434 \u0432\u0437\u0435\u043c\u0430\u043d\u0435\u0442\u043e [&hellip;]<\/p>","protected":false},"author":1,"featured_media":182,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/posts\/181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/comments?post=181"}],"version-history":[{"count":1,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/posts\/181\/revisions"}],"predecessor-version":[{"id":183,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/posts\/181\/revisions\/183"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/media\/182"}],"wp:attachment":[{"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/media?parent=181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/categories?post=181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-rahmi.com\/tr\/wp-json\/wp\/v2\/tags?post=181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}