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bağlı sarılık, iştahsızlık ve sağ üst kadranda aġn
meydana gelir. Küçük hücreli tümörler perikar
da kadar ilerlediğinde perikardiyal efüzyon ve
tamponad gelişebilir (Smeltzer ve ark., 2008
gunluk ve halsizlik; el ve ayaklarda çomak par-
mak; endokrin, nöromusküler, kardiyovasküler
ve hemotolojik değişiklikler, beyin metastazi
belirtisi olabilir.
Tümör perivasküler alana yayılım gösterdi-
ğinde, göğüs, omuz, kol ve sırtta ağrı belirtileri
gözlenir. Kemik metastazları, kemik ağrısı, pato-
lojik kırık ve spinal kord kompresyonuna neden
olabilir, eğer kemik iliğini kapsayan bir yayılım
söz konusu ise, trombositopeni ve anemi görü-
lür. Karaciğer etkilendiğinde, karaciğerde işlev-
York, 2009; LeMone ve ark., 2015).
Tanı Yöntemleri
Akciğer kanseri ve yayılımını belirlemede ço
sayıda test kullanılabilir. İlk olarak balgam ke
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