AMPUTASYON
Pankreas Kanserli Olguda Artrit; Romatoid Artrit mi, Paraneoplastik Sendrom Mu?: Bir Olgu Sunumu
Arthritis In a Patient with Pancreatic Carcinoma; Is Rheumatoid Arthritis or Paraneoplastic Syndrome?: A Case Report
Received Date : 16 Apr 2013
Accepted Date : 24 Jan 2014
Ayşe Banu Sarıfakıoğlu1, Aliye Yıldırım Güzelant1, Sibel Özkan Gürdal2, Arda Kayhan3, Elife Kımıloğlu Şahan4, Gürsel Remzi Soybir2
1Namik Kemal University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Tekirdağ, Turkey
2Namik Kemal University, Faculty of Medicine, Department of General Surgery, Tekirdağ, Turkey
3Namik Kemal University, Faculty of Medicine, Department of Radiology, Tekirdağ, Turkey
4Taksim Training and Research Hospital, Department of Pathology, İstanbul, Turkey
Makale Dili: EN
ÖZET
Atipik seyir gösteren romatoid artrit (RA) altta yatan kanser hastalığının erken bulgusu olabilir. Artritin
geç yaşta başlaması, semptomların abartılı seyretmesi ve asimetrik eklem tutulumu şüphe uyandırmalıdır.
Burada iki yıl boyunca RA olarak takip ve tedavi edilen ve detaylı incelemesinde pankreas gövde ve kuyruk
kanseri tanısı alan 58 yaşında bir kadın hasta sunulmuştur. Atipik seyreden RA gibi enflamatuvar hastalıklar
varlığında paraneoplastik sendromlar da akla getirilmelidir.
Anahtar Kelimeler: Paraneoplastik sendrom, romatoid artrit, pankreas kanseri, rehabilitasyon
ABSTRACT
An atypic Rheumatiod Arthritis (RA) may be early manifestation of an occult malignancy. A late age onset of
arthritis, exaggerated nature of symptoms and asymmetric joint involment are suggestive. Herein, a 58-year
old woman who was followed-up as RA for two years and was later diagnosed to have pancreatic (tail and
corpus) cancer is presented. Atypic symptoms in a patient diagnosed with inflammatory diseases such as
RA, should also remind paraneoplastic conditions.
Keywords: Paraneoplastic syndrome, rheumatiod arthritis, pancreatic cancer, rehabilitation
