Ya�l� Hastada Aurikulada G�r�len Arteriyoven�z Malformasyon: Olgu Sunumu

Kucuk, S�r�n; Kucuk, Izzet Goker

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Ankara Medical Journal Ya�l� Hastada Aurikulada G�r�len Arteriyoven�z Malformasyon: Olgu Sunumu [Ankara Med J]

Ankara Med J. 2020; 20(4): 1088-1093 | DOI: 10.5505/amj.2020.43815

Ya�l� Hastada Aurikulada G�r�len Arteriyoven�z Malformasyon: Olgu Sunumu

S�r�n Kucuk¹, Izzet Goker Kucuk²
¹U�ak �niversitesi T�p Fak�ltesi E�itim ve Ara�t�rma Hastanesi, T�bbi Patoloji AD., U�AK
²Kemaloz Aile Sa�l�� Merkezi, U�AK

Arteriyoven�z malformasyon (AVM); arter ile ven aras�nda kapiller ba�lant� olmaks�z�n birbiriyle do�rudan ili�kili oldu�u s�kl�kla intrakraniyal yerle�imli anormal damarsal olu�umlard�r. Lezyon ba� boyun b�lgesinde s�k g�r�lmesine ra�men �zellikle aurikulada nadir g�r�l�r. Aile sa�l�� merkezine kulak kep�esinde kanamal� kitle ve tinnitus �ikayeti ile ba�vuran 64 ya��ndaki erkek hasta bu �ikayetleri �zerine kulak burun bo�az b�l�m�ne y�nlendirildi. Burada kitle eksizyonu yap�ld� ve primer s�t�rle kapat�ld�. Patoloji b�l�m�m�ze polipoid g�r�n�mde 1,7x0,7x0,7 cm boyutlar�nda ince bir sap� bulunan kesit y�zeyi kirli beyaz renkli, kanamal� bir materyal geldi. Histopatolojik incelemede d�zg�n s�n�rl�, kal�n duvarl�, �e�itli b�y�kl�klerde ve �aplarda arter ve ven yap�lar�ndan olu�an bir lezyon izlendi. Olguya yap�lan imm�nhistokimyasal boyamalarda CD31 ve CD34 (+) Podoplanin (-) tespit edildi. Histokimyasal boyamada damar duvarlar�nda MTK (Masson's Trichrome boyamas� ) ile boyanma saptand�. T�m bu bulgularla olguya aurikulaya s�n�rl� bir AVM tan�s� konuldu. Olgu nadir g�r�lmesi nedeniyle literat�r tart��mas� e�li�inde sunuldu.

Anahtar Kelimeler: Arteriyoven�z malformasyon, kulak kep�esi, ya�l� hasta

Arteriovenous Malformation Observed in the Auricula in an Elderly Patient: A Case Report

S�r�n Kucuk¹, Izzet Goker Kucuk²
¹Department of Pathology, Faculty of Medicine, Usak University, Usak, Turkey
²Spec.Dr., Kemal�z Family Health Center, U�ak, Turkey

Arteriovenous malformation (AVM) refers to the abnormal venous formations, which are generally localized to intracranial region and directly related with each other without a capillary connection between artery and vein. The lesion is frequently seen in the head-neck region but rarely in auricula. A 64-year-old male patient, who applied to the family health center with the complaints of tinnitus and hemorrhagic mass in the auricula, was referred to the otolaryngology department. The mass was excised there and then closed using primary suture. A hemorrhagic material with 1.7x0.7x0.7cm dimensions and, having a thin stem and off-white colored surface, and polypoid appearance was brought to our pathology department. In the histopathological examination, a well-circumscribed lesion consisting of arteries and vessels having different sizes and radii and thick walls was observed. In immunohistochemical staining, the case was found to be CD31 and CD34 (+) and Podoplanin (-). In histochemical staining, the staining with MTK (Masson's Trichrome Stain) was observed in vessel walls. In the all these findings, the diagnosis of AVM limited to auricula was made. Since this case is rarely seen, it is presented together with a literature discussion.

Keywords: Arteriovenous malformation, auricula, elderly patient

Sorumlu Yazar: S�r�n Kucuk, T�rkiye
Makale Dili: �ngilizce

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