{"id":52972,"date":"2022-09-07T16:42:48","date_gmt":"2022-09-07T13:42:48","guid":{"rendered":"https:\/\/serhatdonmezer.com\/?p=52972"},"modified":"2023-09-27T13:54:32","modified_gmt":"2023-09-27T10:54:32","slug":"%d8%a3%d9%88%d8%b1%d8%a7%d9%85-%d8%a7%d9%84%d8%ae%d8%b5%d9%8a%d8%a9-%d9%88%d8%b9%d9%84%d8%a7%d8%ac%d9%87%d8%a7-%d8%ac%d8%b1%d8%a7%d8%ad%d9%8a%d8%a7","status":"publish","type":"post","link":"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/","title":{"rendered":"\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a"},"content":{"rendered":"<p>\u0627\u0644\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062a\u064a \u062a\u062a\u0634\u0643\u0644 \u0641\u064a \u0627\u0644\u062e\u0635\u064a\u062a\u064a\u0646 \u0639\u0646\u062f \u0627\u0644\u0631\u062c\u0627\u0644 \u062a\u062a\u063a\u064a\u0631 \u0628\u0645\u0631\u0648\u0631 \u0627\u0644\u0648\u0642\u062a \u0627\u0639\u062a\u0645\u0627\u062f\u064b\u0627 \u0639\u0644\u0649 \u0628\u0639\u0636 \u0627\u0644\u0639\u0648\u0627\u0645\u0644. \u0647\u0630\u0627 \u0645\u0627 \u064a\u062d\u0635\u0644 <strong>\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629<\/strong> \u0642\u062f \u064a\u0643\u0648\u0646 \u062d\u0645\u064a\u062f\u0627 \u0623\u0648 \u062e\u0628\u064a\u062b\u0627. \u0646\u062a\u064a\u062c\u0629 \u0641\u062d\u0635 \u0648\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u0633\u0627\u0644\u0643 \u0627\u0644\u0628\u0648\u0644\u064a\u0629 \u064a\u062a\u0645 \u062a\u062d\u062f\u064a\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0645\u0648\u062c\u0648\u062f \u0644\u062f\u0649 \u0627\u0644\u0645\u0631\u064a\u0636 \u062d\u0645\u064a\u062f\u0627\u064b \u0623\u0645 \u062e\u0628\u064a\u062b\u0627\u064b. \u0627\u0639\u062a\u0645\u0627\u062f\u064b\u0627 \u0639\u0644\u0649 \u0645\u0633\u0627\u0631 \u0627\u0644\u0645\u0631\u0636\u060c \u064a\u062a\u0645 \u062a\u062d\u062f\u064a\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0633\u064a\u062a\u0645 \u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a \u0623\u0645 \u0644\u0627. \u0639\u0648\u0627\u0645\u0644 \u0645\u062b\u0644 \u062a\u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u062a\u064a\u0646\u060c \u0648\u062a\u0643\u0648\u064a\u0646 \u0627\u0644\u0633\u0648\u0627\u0626\u0644\u060c \u0648\u0627\u0644\u0623\u0644\u0645 \u0641\u064a \u0627\u0644\u0641\u062e\u0630 \u0623\u0648 \u0623\u0633\u0641\u0644 \u0627\u0644\u0628\u0637\u0646 <strong>\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629<\/strong> \u0642\u062f \u064a\u0643\u0648\u0646 \u0645\u0624\u0634\u0631\u0627. \u0648\u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644\u0629 \u0645\u0646 \u0627\u0644\u0636\u0631\u0648\u0631\u064a \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628 \u0627\u0644\u0645\u0633\u0627\u0644\u0643 \u0627\u0644\u0628\u0648\u0644\u064a\u0629.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-52977 aligncenter\" src=\"https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/testis-tumoru-400x211.jpg\" alt=\"\u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u0629\" width=\"627\" height=\"331\" title=\"\" srcset=\"https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/testis-tumoru-400x211.jpg 400w, https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/testis-tumoru-768x404.jpg 768w, https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/testis-tumoru.jpg 870w\" sizes=\"(max-width: 627px) 100vw, 627px\" \/><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"\u062a\u0628\u062f\u064a\u0644 \u062c\u062f\u0648\u0644 \u0627\u0644\u0645\u062d\u062a\u0648\u0649\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">\u062a\u0628\u062f\u064a\u0644<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/#Testis_Tumoru_Olusumu\" >\u062a\u0643\u0648\u064a\u0646 \u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u0629<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/#Testis_Tumorleri_Inguinal_Orsiyektomi\" >\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629. \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0623\u0631\u0628\u064a\u0629<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/#Gecikmis_Inguinal_Orsiyektomi\" >\u062a\u0623\u062e\u0631 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0623\u0631\u0628\u064a\u0629<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/#Organ_Koruyucu_Cerrahi\" >\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u0623\u0639\u0636\u0627\u0621<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serhatdonmezer.com\/ar\/testis-tumorleri-ve-cerrahi-tedavi\/#Kanser_Kontrolu_Fertilite_ve_Endokrin_Fonksiyon\" >\u0645\u0643\u0627\u0641\u062d\u0629 \u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0648\u0627\u0644\u062e\u0635\u0648\u0628\u0629 \u0648\u0648\u0638\u064a\u0641\u0629 \u0627\u0644\u063a\u062f\u062f \u0627\u0644\u0635\u0645\u0627\u0621<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Testis_Tumoru_Olusumu\"><\/span>\u062a\u0643\u0648\u064a\u0646 \u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u0629<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0648\u0647\u0648 \u064a\u0634\u0643\u0644 %1 \u0645\u0646 \u0627\u0644\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0628\u064a\u062b\u0629 \u0627\u0644\u0630\u0643\u0648\u0631\u064a\u0629. \u0625\u0644\u0627 \u0623\u0646\u0647\u0627 \u0623\u0643\u062b\u0631 \u0627\u0644\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u0635\u0644\u0628\u0629 \u0634\u064a\u0648\u0639\u064b\u0627 \u0644\u062f\u0649 \u0627\u0644\u0631\u062c\u0627\u0644 \u0627\u0644\u0630\u064a\u0646 \u062a\u062a\u0631\u0627\u0648\u062d \u0623\u0639\u0645\u0627\u0631\u0647\u0645 \u0628\u064a\u0646 15-35 \u0639\u0627\u0645\u064b\u0627\u060c \u0648\u0642\u062f \u062d\u062f\u062b\u062a \u0632\u064a\u0627\u062f\u0629 \u0643\u0628\u064a\u0631\u0629 \u0641\u064a \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0645\u0631\u0636 \u062e\u0644\u0627\u0644 \u0627\u0644\u062b\u0644\u0627\u062b\u064a\u0646 \u0639\u0627\u0645\u064b\u0627 \u0627\u0644\u0645\u0627\u0636\u064a\u0629. \u062a\u0634\u0643\u0644 \u0627\u0644\u0623\u0645\u0631\u0627\u0636 \u0645\u062b\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u062e\u0641\u064a\u0629 \u0648\u0636\u0645\u0648\u0631 \u0627\u0644\u062e\u0635\u064a\u0629 \u0648\u0627\u0644\u0641\u062a\u0642 \u0627\u0644\u0625\u0631\u0628\u064a \u0648\u0627\u0644\u0639\u0642\u0645 \u0639\u0648\u0627\u0645\u0644 \u062e\u0637\u0631 \u0644\u062a\u0637\u0648\u0631 \u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u0629. <strong>\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629 <\/strong>\u0646\u0638\u0631\u064b\u0627 \u0644\u0623\u0646\u0647 \u064a\u0638\u0647\u0631 \u0628\u0634\u0643\u0644 \u062e\u0627\u0635 \u0641\u064a \u0627\u0644\u0634\u0628\u0627\u0628 \u0627\u0644\u0630\u0643\u0648\u0631\u060c \u0641\u0625\u0646 \u0627\u0644\u062a\u0623\u062e\u064a\u0631 \u0623\u0648 \u0627\u0644\u0642\u0635\u0648\u0631 \u0627\u0644\u0645\u062d\u062a\u0645\u0644 \u0641\u064a \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u0623\u0645\u0631\u0627\u0636 \u0648\u0648\u0641\u064a\u0627\u062a \u063a\u064a\u0631 \u0636\u0631\u0648\u0631\u064a\u0629. \u0627\u0644\u064a\u0648\u0645 \u064a\u062a\u0645 \u0639\u0644\u0627\u062c \u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629 <strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a<\/strong>, kemoterapi, radyoterapi gibi parametrelerin bir ya da birka\u00e7\u0131n\u0131 kombine olarak i\u00e7erdi\u011finden tedavide multidisipliner yakla\u015f\u0131m gerekmektedir. \u00d6zellikle 1960\u2019l\u0131 y\u0131llarda tesis t\u00fcm\u00f6rlerinde %60-65 olan sa\u011fkal\u0131m oran\u0131n\u0131n, 2000\u2019li y\u0131llara gelindi\u011finde %90\u2019lar\u0131n \u00fczerine \u00e7\u0131kmas\u0131 solid t\u00fcm\u00f6rlerde ba\u015far\u0131l\u0131 multidisipliner yakla\u015f\u0131m\u0131n \u00f6nemini bir kez daha ortaya koymu\u015ftur. G\u00fcn\u00fcm\u00fczde testis t\u00fcm\u00f6rlerinin cerrahi tedavisinde inguinal or\u015fiyektomi (alt\u0131n standart), testis korucu cerrahiler, retroperitoneal lenf nodu diseksiyonu (RPLND) gibi prosed\u00fcrler uygulanmaktad\u0131r.<\/p>\n<h3><img decoding=\"async\" class=\"wp-image-52975 size-full alignleft\" src=\"https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/testis-tumorleri.png\" alt=\"\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629\" width=\"270\" height=\"227\" title=\"\"><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"Testis_Tumorleri_Inguinal_Orsiyektomi\"><\/span><strong>\u062a<\/strong><strong style=\"font-size: 16px;\">EST<\/strong><strong style=\"font-size: 16px;\">\u0639\u0645\u0644 \u0623\u0648\u0631\u0627\u0645 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0625\u0631\u0628\u064a\u0629<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u064a\u0639\u062f \u0648\u062c\u0648\u062f \u0643\u062a\u0644\u0629 \u062f\u0627\u062e\u0644 \u0627\u0644\u0635\u0641\u0646 \u0644\u0627 \u064a\u0645\u0643\u0646 \u062a\u062d\u062f\u064a\u062f \u0645\u0648\u0636\u0639\u0647\u0627 \u0641\u064a \u0623\u064a \u0645\u0643\u0627\u0646 \u0622\u062e\u0631 \u063a\u064a\u0631 \u0627\u0644\u062e\u0635\u064a\u0629 \u0645\u0624\u0634\u0631\u064b\u0627 \u0643\u0627\u0641\u064a\u064b\u0627 \u0644\u0644\u062a\u062f\u062e\u0644 \u0627\u0644\u062c\u0631\u0627\u062d\u064a \u0627\u0644\u0630\u064a \u064a\u062a\u0645 \u0625\u062c\u0631\u0627\u0624\u0647 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u0646\u0647\u062c \u0627\u0644\u0625\u0631\u0628\u064a. \u062c\u0645\u064a\u0639 \u0627\u0644\u0643\u062a\u0644 \u0627\u0644\u0645\u0643\u062a\u0634\u0641\u0629 \u062f\u0627\u062e\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u062a\u0639\u062a\u0628\u0631 \u062e\u0628\u064a\u062b\u0629 \u062d\u062a\u0649 \u064a\u062b\u0628\u062a \u0627\u0644\u0639\u0643\u0633 \u0648\u064a\u062c\u0628 \u0639\u0644\u0627\u062c\u0647\u0627 \u062c\u0631\u0627\u062d\u064a\u0627.<\/p>\n<p>\u064a\u0634\u0643\u0644 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u062c\u0630\u0631\u064a \u0645\u0639 \u0627\u0644\u0631\u0628\u0637 \u0627\u0644\u0639\u0627\u0644\u064a \u0644\u0644\u062d\u0628\u0644 \u0627\u0644\u0645\u0646\u0648\u064a \u0639\u0644\u0649 \u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u062d\u0644\u0642\u0629 \u0627\u0644\u0623\u0631\u0628\u064a\u0629 \u0627\u0644\u062f\u0627\u062e\u0644\u064a\u0629 \u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u0623\u0648\u0644\u0649 \u0644\u0644\u0639\u0644\u0627\u062c \u0641\u064a \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u0634\u062a\u0628\u0647 \u0641\u064a \u0625\u0635\u0627\u0628\u062a\u0647\u0645 \u0628\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629. \u0648\u0628\u0647\u0630\u0647 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\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u062c\u0630\u0631\u064a \u062a\u062d\u062a \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0645\u0648\u0636\u0639\u064a\u060c \u0623\u0648 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0646\u0627\u062d\u064a \u0645\u062b\u0644 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0646\u062e\u0627\u0639\u064a\u060c \u0623\u0648 \u062a\u062d\u062a \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0627\u0645. \u0627\u0644\u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u0645\u0648\u0635\u0649 \u0628\u0647\u0627 \u0641\u064a \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u062a\u064a \u0644\u0627 \u064a\u0648\u062c\u062f \u0628\u0647\u0627 \u0645\u0631\u0636 \u0625\u0636\u0627\u0641\u064a \u0647\u064a \u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u062a\u062d\u062a \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0627\u0645. <strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a<\/strong> \u0647\u064a \u0627\u0644\u062a\u0637\u0628\u064a\u0642\u0627\u062a. \u0648\u0628\u0647\u0630\u0647 \u0627\u0644\u0637\u0631\u064a\u0642\u0629\u060c \u064a\u062a\u0645 \u0623\u064a\u0636\u064b\u0627 \u0627\u0644\u062a\u062d\u0643\u0645 \u0641\u064a \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u062d\u0634\u0648\u064a \u0627\u0644\u0630\u064a \u0642\u062f \u064a\u062a\u0637\u0648\u0631 \u0628\u0633\u0628\u0628 \u0627\u0644\u062a\u0644\u0627\u0639\u0628 \u0628\u0627\u0644\u062d\u0628\u0644 \u0627\u0644\u0645\u0646\u0648\u064a.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Gecikmis_Inguinal_Orsiyektomi\"><\/span>\u062a\u0623\u062e\u0631 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0623\u0631\u0628\u064a\u0629<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0647\u0646\u0627\u0643 \u0622\u0631\u0627\u0621 \u0645\u062e\u062a\u0644\u0641\u0629 \u062d\u0648\u0644 \u0625\u062c\u0631\u0627\u0621 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0625\u0631\u0628\u064a\u0629 \u0641\u064a \u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u062e\u0635\u064a\u0629 \u0641\u064a \u0627\u0644\u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0645\u062a\u0642\u062f\u0645\u0629. \u0641\u064a \u062d\u064a\u0646 \u064a\u0631\u0649 \u0628\u0639\u0636 \u0627\u0644\u0628\u0627\u062d\u062b\u064a\u0646 \u0623\u0646 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0625\u0631\u0628\u064a\u0629 \u064a\u062c\u0628 \u0623\u0646 \u064a\u062a\u0645 \u0625\u062c\u0631\u0627\u0624\u0647 \u0628\u0645\u062c\u0631\u062f \u0627\u0643\u062a\u0634\u0627\u0641 \u0648\u0631\u0645 \u0627\u0644\u062e\u0635\u064a\u0629\u060c \u0628\u063a\u0636 \u0627\u0644\u0646\u0638\u0631 \u0639\u0646 \u0645\u0631\u062d\u0644\u062a\u0647\u060c \u064a\u0631\u0649 \u0628\u0639\u0636 \u0627\u0644\u0645\u0624\u0644\u0641\u064a\u0646 \u0623\u0646\u0647 \u064a\u062c\u0628 \u062a\u0623\u062c\u064a\u0644 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u062d\u062a\u0649 \u064a\u0645\u0643\u0646 \u0628\u062f\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a \u0641\u064a \u0623\u0642\u0631\u0628 \u0648\u0642\u062a \u0645\u0645\u0643\u0646.<\/p>\n<p>Or\u015fiyektominin ertelenmesini savunan ara\u015ft\u0131rmac\u0131lar\u0131n temel dayana\u011f\u0131; or\u015fiyektomi sonras\u0131 nadir de olsa geli\u015febilecek komplikasyonlar\u0131n kemoterapi ba\u015flanmas\u0131n\u0131 geciktirebilece\u011fi d\u00fc\u015f\u00fcncesidir. Sistemik kemoterapi sonras\u0131 gecikmi\u015f or\u015fiyektomi yap\u0131lan 160 hastal\u0131k bir seride hastalar\u0131n %25\u2019inin testisinde anlaml\u0131 kanser ve %31\u2019inde ise teratom saptanm\u0131\u015ft\u0131r. Buna kar\u015f\u0131n or\u015fiyektomi yap\u0131lmas\u0131n\u0131 savunan ar\u015ft\u0131rmac\u0131lar; kemoterapi esnas\u0131nda testisin neoplazi kayna\u011f\u0131 olmaya devam edece\u011fi, kemoterap\u00f6tik ajanlar\u0131n (\u00f6zellikle bleomisin) pulmoner toksisiteye neden olarak anesteziye ba\u011fl\u0131 komorbiditeyi art\u0131rabilece\u011fi g\u00f6r\u00fc\u015f\u00fcn\u00fc ileri s\u00fcrmektedirler.<\/p>\n<p><img decoding=\"async\" class=\"size-medium wp-image-52976 alignright\" src=\"https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/cerrahi-tedavi-320x240.jpg\" alt=\"\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a\" width=\"320\" height=\"240\" title=\"\" srcset=\"https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/cerrahi-tedavi-320x240.jpg 320w, https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/cerrahi-tedavi-768x576.jpg 768w, https:\/\/serhatdonmezer.com\/wp-content\/uploads\/2022\/09\/cerrahi-tedavi.jpg 880w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/><br \/>\n\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0623\u0647\u0645 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0641\u064a \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0625\u0631\u0628\u064a\u0629 <strong>\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062c\u0631\u0627\u062d\u064a<\/strong> \u062a\u0637\u0648\u0631 \u0648\u0631\u0645 \u062f\u0645\u0648\u064a \u062f\u0627\u062e\u0644 \u0627\u0644\u0635\u0641\u0646. \u0648\u0645\u0646 \u0623\u062c\u0644 \u0645\u0646\u0639 \u062a\u0637\u0648\u0631 \u0647\u0630\u0647 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a\u060c \u064a\u062c\u0628 \u0627\u0644\u062a\u062d\u0643\u0645 \u0641\u064a \u0627\u0644\u0646\u0632\u064a\u0641 \u0628\u0639\u0646\u0627\u064a\u0629 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629. \u0646\u0638\u0631\u064b\u0627 \u0644\u0623\u0646 \u0643\u064a\u0633 \u0627\u0644\u0635\u0641\u0646 \u0639\u0628\u0627\u0631\u0629 \u0639\u0646 \u0647\u064a\u0643\u0644 \u0642\u0627\u0628\u0644 \u0644\u0644\u062a\u0648\u0633\u064a\u0639\u060c \u0641\u0642\u062f \u0644\u0627 \u064a\u062a\u0648\u0642\u0641 \u0627\u0644\u0646\u0632\u064a\u0641 \u0627\u0644\u0645\u062d\u062a\u0645\u0644 \u0645\u0639 \u062a\u0637\u0648\u0631 \u0627\u0644\u062f\u0643\u0627\u0643 \u0648\u0642\u062f \u064a\u0635\u0644 \u0625\u0644\u0649 \u0623\u062d\u062c\u0627\u0645 \u0643\u0628\u064a\u0631\u0629. \u064a\u0645\u0643\u0646 \u0645\u0646\u0639 \u0646\u0645\u0648 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u062f\u0645\u0648\u064a \u0639\u0646 \u0637\u0631\u064a\u0642 \u0648\u0636\u0639 \u0636\u0645\u0627\u062f\u0629 \u0636\u0627\u063a\u0637\u0629 \u0639\u0644\u0649 \u0643\u064a\u0633 \u0627\u0644\u0635\u0641\u0646\u060c \u0648\u063a\u0627\u0644\u0628\u064b\u0627 \u0645\u0627 \u064a\u062a\u0645 \u0627\u0645\u062a\u0635\u0627\u0635 \u0627\u0644\u0648\u0631\u0645 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\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0643\u064a \u0627\u0644\u0643\u0647\u0631\u0628\u0627\u0626\u064a \u062b\u0646\u0627\u0626\u064a \u0627\u0644\u0642\u0637\u0628 \u0644\u0644\u062a\u062d\u0643\u0645 \u0641\u064a \u0627\u0644\u0646\u0632\u064a\u0641. \u0628\u0639\u062f \u0627\u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644\u060c \u064a\u062a\u0645 \u0625\u0631\u0633\u0627\u0644 \u0627\u0644\u0639\u064a\u0646\u0629 \u0639\u0644\u0649 \u0627\u0644\u0641\u0648\u0631 \u0644\u0644\u0642\u0633\u0645 \u0627\u0644\u0645\u062c\u0645\u062f \u0648\u0625\u0630\u0627 \u0643\u0627\u0646\u062a \u0627\u0644\u0646\u062a\u064a\u062c\u0629 \u062e\u0628\u064a\u062b\u0629\u060c \u064a\u062a\u0645 \u0623\u062e\u0630 4 \u062e\u0632\u0639\u0627\u062a \u0645\u0646 \u0633\u0631\u064a\u0631 \u0627\u0644\u0648\u0631\u0645 \u0648\u0625\u0631\u0633\u0627\u0644\u0647\u0627 \u0644\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0645\u062c\u0645\u062f \u0645\u0631\u0629 \u0623\u062e\u0631\u0649. \u0648\u064a\u0645\u0643\u0646 \u062a\u0645\u062f\u064a\u062f \u0627\u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u062c\u0631\u0627\u062d\u064a \u0648\u0641\u0642\u0627 \u0644\u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0645\u062c\u0645\u062f\u0629. \u064a\u0646\u0628\u063a\u064a \u0623\u062e\u0630 \u0639\u064a\u0646\u0627\u062a \u0645\u0646 \u0627\u0644\u0646\u0633\u064a\u062c \u0627\u0644\u0646\u0633\u064a\u062c\u064a \u0627\u0644\u0633\u0644\u064a\u0645 \u0648\u0648\u0636\u0639\u0647\u0627 \u0641\u064a \u0645\u062d\u0644\u0648\u0644 \u0628\u0648\u0627\u0646 \u0648\u0625\u0631\u0633\u0627\u0644\u0647\u0627 \u0644\u0644\u0641\u062d\u0635 \u0627\u0644\u0645\u0631\u0636\u064a \u0644\u0644\u062a\u062d\u0642\u0642 \u0645\u0646 \u0627\u062d\u062a\u0645\u0627\u0644 \u0648\u062c\u0648\u062f TIN. \u0641\u064a \u0646\u0647\u0627\u064a\u0629 \u0627\u0644\u0625\u062c\u0631\u0627\u0621\u060c \u064a\u062a\u0645 \u0625\u063a\u0644\u0627\u0642 \u0627\u0644\u063a\u0644\u0627\u0644\u0629 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 \u0628\u0634\u0643\u0644 \u0645\u0633\u062a\u0645\u0631 \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u062e\u064a\u0648\u0637 \u0623\u062d\u0627\u062f\u064a\u0629 5\/0.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Kanser_Kontrolu_Fertilite_ve_Endokrin_Fonksiyon\"><\/span>\u0645\u0643\u0627\u0641\u062d\u0629 \u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0648\u0627\u0644\u062e\u0635\u0648\u0628\u0629 \u0648\u0648\u0638\u064a\u0641\u0629 \u0627\u0644\u063a\u062f\u062f \u0627\u0644\u0635\u0645\u0627\u0621<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>T\u00fcm kanser olgular\u0131nda oldu\u011fu gibi testis kanserinde de \u00f6ncelikle uzun sa\u011fkal\u0131m ama\u00e7lanmaktad\u0131r. Testis koruyucu cerrahide temel avantaj endokrin fonksiyonlar\u0131n korunuyor olmas\u0131d\u0131r. Burada en \u00f6nemli sorun t\u00fcm\u00f6re kom\u015fu testis dokusunda % 85\u2019lere varan oranlarda T\u0130N g\u00f6r\u00fclmesi ve bu odaklar\u0131n 5 y\u0131l i\u00e7ersinde %50\u2019ye varan oranlarda invaziv kansere d\u00f6n\u00fc\u015fme riskinin bulunmas\u0131d\u0131r.<\/p>\n<p>\u0644\u0630\u0644\u0643\u060c \u0639\u0646\u062f\u0645\u0627 \u064a\u062a\u0645 \u0627\u0643\u062a\u0634\u0627\u0641 TIN \u0641\u064a \u062d\u0645\u0629 \u0627\u0644\u062e\u0635\u064a\u0629 \u0627\u0644\u0633\u0644\u064a\u0645\u0629 \u0641\u064a \u0627\u0644\u0645\u0645\u0627\u062b\u0644\u060c \u064a\u0648\u0635\u0649 \u0628\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a 18-20 \u063a\u0631\u0627\u064a \u0644\u0645\u0646\u0639 \u062a\u0643\u0631\u0627\u0631 \u0627\u0644\u0645\u0631\u0636 \u0645\u062d\u0644\u064a\u064b\u0627. \u062a\u0645 \u0627\u0644\u0625\u0628\u0644\u0627\u063a \u0639\u0646 \u0645\u0639\u062f\u0644 \u0627\u0644\u062a\u0643\u0631\u0627\u0631 \u0627\u0644\u0645\u062d\u0644\u064a \u0628\u0640 %5.4 \u0645\u0646 \u0642\u0628\u0644 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0639\u0645\u0644 \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a\u0629\u060c \u0648\u062a\u0645 \u0627\u0644\u0625\u0628\u0644\u0627\u063a \u0639\u0646 \u0623\u0646 \u062c\u0645\u064a\u0639 \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0630\u0627\u062a \u0627\u0644\u062a\u0643\u0631\u0627\u0631 \u0627\u0644\u0645\u062d\u0644\u064a \u062a\u0631\u062c\u0639 \u0625\u0644\u0649 \u0648\u062c\u0648\u062f TIN \u0645\u062c\u0627\u0648\u0631 \u0644\u0644\u0648\u0631\u0645 \u0648\u0623\u0646\u0647 \u0644\u0627 \u064a\u0645\u0643\u0646 \u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0625\u0634\u0639\u0627\u0639\u064a \u0644\u0623\u0633\u0628\u0627\u0628 \u0645\u062e\u062a\u0644\u0641\u0629. <strong>\u00a0<\/strong><\/p>\n<p>\u0642\u062f \u064a\u062a\u0637\u0648\u0631 \u062e\u0644\u0644 \u0641\u064a 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\u0627\u0644\u062a\u0633\u0628\u0628 \u0641\u064a \u0646\u0642\u0635 \u0627\u0644\u062a\u0631\u0648\u064a\u0629 \u0627\u0644\u062f\u0627\u0641\u0626. \u0644\u0647\u0630\u0627 \u0627\u0644\u0633\u0628\u0628\u060c \u064a\u062c\u0628 \u0625\u0628\u0644\u0627\u063a \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u0644\u0648\u062d\u0638 \u0623\u0646 \u0645\u0633\u062a\u0648\u064a\u0627\u062a \u0647\u0631\u0645\u0648\u0646 \u0627\u0644\u062a\u0633\u062a\u0648\u0633\u062a\u064a\u0631\u0648\u0646 \u0641\u064a \u0645\u0635\u0644\u0647\u0645 \u0637\u0628\u064a\u0639\u064a\u0629 \u0641\u064a \u0627\u0644\u0634\u0647\u0631 \u0627\u0644\u062b\u0627\u0644\u062b \u0645\u0646 \u0627\u0644\u0645\u062a\u0627\u0628\u0639\u0629 \u0628\u0639\u062f \u0625\u062c\u0631\u0627\u0621 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062e\u0635\u064a\u0629\u060c \u0623\u0646 \u0627\u0644\u0639\u0644\u0627\u062c 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