Makale Arama

The intracaviter mitoxantrone was applied to the 14 patients who was evaluated having grade 1 and 2 transitional cell carcinoma in the pathologic examinations by using transurethral resection for the bladder tumor in our Mean follow-up period was 13 months (range 3-19 months). Any systemic complications and chemic cystitis sings weren't enough to determine the period without tumor,since they didn't cause any chemic cystitis and only one patient had recurrence, they found very hopeful.

A case of very large condyloma acuminatum lo-cated in inguinal region in a 62 years old male 40 years history was treated by surgical excision and split thickness skin graft. Altough it had very Tong his-tory there was no malign transformation in histo-pathological examination. We presented it because of its unusual size and tong history without malign transformation.

Endometriosis is a condition where the functional and morphological endometrial gland and stromal structure are found outside the uterus. It occurs most often in pelvis, peritoneum, ovaries, posterior cul-desac and uterosacral ligaments. Retrograd menstruation, metaplasia, lymphatic and hematogenous outspread, mechanical transplantations in insicional scars during the operations and some else theories are introduced for pathogenesis. Subcutaneous mass, swelling, cyclic pains associated with menstruation, tenderness are likely clinical symptom and signs. Magnetic resonance imaging, computed tomography, ultrasound, fine needle aspiration biopsy are used in diagnosis. Total excision is the considered management of the scar endometriosis. Recurrens is rarely occurs after total excision. Here we present the case of 33 years old woman who had a cyclic painful mass on her p

Melkersson-Rosenthal syndrome is a disease, characterized by recurrent orofacial edema that predominantly involves the lips, recurrent facial nerve paralysis and fissured tongue. It is usually seen in second decade of life. The most common finding is orofacial edema. Facial paralysis, another finding of syndrome, is typically recurrent, can be unilateral or bilateral and may be partial or complete. The fissured tongue is the least common symptom and considered as congenital. Although Melkersson-Rosenthl Syndrome’s etiology is unknown, genetic tendency and environmental factors suspected to play role. The syndrome is diagnosed clinically. Although various medical and surgical methods implemented, there is no consensus for its treatment protocol. In this case report, we presented a Melkersson-Rosenthal Syndrome case which classic triad seen together and taken a late diagnosis.

Aim: We have investigated effect of recurrent laryngeal nerve identification during thyroid surgery on incidence of nerve paralysis. Material and method: Routine intraoperative dissection and identification of recurrent laryngeal nerve was said to have reduced the nerve paralysis at recent reports in the literatüre. This prospective study was conducted between January 2003 and October 2005. The recurrent laryngeal nerve identification was performed during thyroid surgery and incidence of nerve paralysis was recorded in 36 patients. Results: For 30 patients (83.3%) the surgical procedure was bilateral subtotal lobectomy, for 4 patients (11.1%) the surgical procedure was unilateral total lobectomy + isthmusectomy and for 2 patients (5.6%) the surgical procedure was near-total thyroidectomy. There was no permanent recurrent laryngeal nerve paralysis. The temporary recurrent laryngeal nerve paralysis rate was 1.42 percent. Conclusion: The identification of recurrent laryngeal nerve reduced the rate of postoperative recurrent laryngeal nerve paralysis.

\r\n Locally advanced rectal cancer is one of the best example that optimal outcomes are achieved with a multidisciplinary approach. The mainstay of curative treatment remains radical surgery; however, combine with radiotherapy is the optimal treatment to control local recurrence and to improve survival. To date, preoperative radiotherapy is shown to be superior than postoperatif radiotherapy. In this review, we aimed to evaluate the application methods, advantages and disadvantages of preoperative radiotherapy.

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The effect of total parenteral nutrition (TPN) with fat and fat-free solutions in eight patients who had protein-energy malnutrition was investigated. All patients gained weight except one in fat-free group with recurrent bowel obstruction due ta bezoar. Some unirnportant changes in liver functions was observed in fat group. Liver functions returned to normal values, in a short time after TPN.

Sydenham’s Chorea (SC) is a neurological movement disorder that results from antistreptocpccal antibodies cross-reacting with brain tissues, especially basal ganglia and causing to an inflamatory reaction. According to the 1992 modified Jones criteria, acute rheumatic fever is a major criterion and is sufficient evidence on which to base a diagnosis. SC is frequently seen in the 5-15 years of age. It appears approximately 6 months later from the attack of ARF. SC usually continues 4-6 weeks, it may be permanent. Carditis accompanies SC much more frequently than the other signs of ARF. SC is a neuropsychiatric disorder that may present with anxiety, emotional lability, obsessive compulsive symptoms, attention deficit and hyperactivity symptoms or tics. Most of the cases improve spontanously and many treatment are available. Recurence is common. Penisilin prophylaxis should continued to avoid carditis and recurrence. SC is considered to be the most common cause of acquired chorea in devoloping countries. Even though it has been recognized for centuries, it has kept up its importance by periodic exacerbations. SC and ARF are still declining in recent years in our country, together with which is a significant cause of morbidity as a public health problem.

Camptodactyly is a congenital flexion deformity of the proximal interphalangial joint in the anteroposterior plane. Many factors have been claimed for its etiology and, many alternatives have been proposed for treatment. Eleven patients with an average age of 21 were treated between 1993 and 2001 and included in this study. Ali the patients had bilateral camptodactyly in the fifth finger. After releasing the skin contracture by “Z” plasty, dynamic splint was applied for both fingers in extension for approximately 6 months. The mean follow-up time was 20 mounths and there were no recurrences in any patient. Our method of treatment has no surprises tike extensive surgical treat­ ment and has acceptable results in selected cases.

\r\n Objective: Early diagnosis of cutaneous squamous cell carcinomas (CSCC) is the most important factor affecting prognosis and most patients have a good prognosis. Some patients defined as high-risk group have high rates of regional recurrence and distant metastasis, and follow an aggressive course. In addition, recently numerous studies have being performed for determining the importance of sentinel lymph node sampling, and sentinel lymph node (SLN) positivity has been associated with a poor prognosis. In this study, we aimed to determine prognostic importance of SLN outcomes in patients with high-risk patients diagnosed with CSCC.

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\r\n Patients & Methods: A total of 29 patients who underwent excisional operation in various body regions with the diagnosis of CSCC between 2009 and 2017, with available complete clinical and pathologic data were included in the study. At least 9-month clinical follow-up results, high risk factors and sentinel lymph node biopsy outcomes of the patients were recorded and analyzed. Patients with at least one of the American Joint Committee on Cancer (AJCC) criteria were considered as high-risk group.

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\r\n Results: Twenty-five of the 29 CSCC patients were in the high-risk group. SLN positivity rate was 12% (n: 3/25) in the high-risk CSCC patients, all patients in the low-risk group had negative SLNs. All patients with SLN positive underwent local complementary lymphadenectomy, and all of these patients were re-operated due to recurrence. The rate of recurrence was found as 100% (n= 3/3) in high-risk CSCC patients with positive SLN, and 18% (n= 4/22) in high-risk CSCC patients with negative SLN. High recurrence rates (41.6%) and SLN positivity were observed in patients with hand-foot localizations.

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\r\n Conclusion: High rates of local recurrence may be seen during progression of the disease in SLN positive patients. Hand-foot localization of CSCCs can be considered as a high risk factor regardless of a tumor diameter should be above 0.6 cm.

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Breast cancer is the most frequently diagnosed cancer in women and second cancer leading death among cancer deaths in women (after lung cancer). Simultaneous bilateral breast cancer is seen 1-2% and metachronous 5-8%. Bilateral breast cancer has worse prognosis than unilateral breast cancer. Locoregional recurrences after mastectomy is often occure in bone, muscle, skin or subcutaneous tissue of the chest wall, and that was seen approximately until 2 years. In skin metastases; asymmetric nodules, eritematose rash, itching, bleeding, ulceration, symptoms and signs such as necrotic exuda can be seen. Breast cancer treatment should be made by a multidisciplinary team. Radiotherapy in these patients are curative or palliative. In this case, we aimed to show the effectiveness of the electron beam in modern radiotherapy.

Aim: To present a squamous cell metaplasia of bladder which is induced by a rarely seen pathology called recurrent eosinophilic cystitis. Case report: Twenty four years old female patient, admitted to our clinic with frequent urination, suprapubic pain and dysuria. Microscopic hematuria was found in urine analysis. We performed cystoscopy under general anestesia and an edematous, ulcerative lesion located at the trigone was found. The lesion was resected transuretrally. Pathology revealed eosinophilic cystisis. The patient began antihystaminics and aniticholinergics. The symptoms of the patient relapsed 2 months after medical treatment. This time the cystoscopy revealed a similiar lesion in a different area than the first one. The lesion was resected transurethrally. The biopsy revealed squamous cell metaplasia of epithelium and eosinophilic cell infiltration. Patient began steroid and antihistaminic combination postoperstively. The patients has been followed up to 6 months without any symptom. Result: Medical treatment is effective in the control of reccurencies of eosinophilic cystitits. Recurrent eosinophilic cystitis might cause squamous cell metaplasia in the bladder mucosa.

Thrombotic thrombocytopenic purpura (TTP) is a clinical condition characterized by hemolytic anemia and thrombocytopenia. The condition is usually associated with fever, neurological findings and renal failure. When it occurs in pregnancy, it is a serious disease with high mortality rate. It may become confused with some diseases of pregnancy. Early diagnosis is very important for maternal and fetal health. In our article we present 23 years old patient with 23 weeks intrauterine dead fetus presented to our clinic for control. She had her first pregnancy before 2 years and it was terminated on the 19th week because of intrauterine death. She had the diagnosis of TTP in her both pregnancies.

We aimed to propose a management in a patient with thyroidectomized and high thyroglobulin (Tg) level, but negative radioiodine scan, whose lymph nodes detected with PET/CT. PET/CT was done to a patient, 31 years-old, with thyroidectomized and given radioiodine treatment, but not followed for a long time, for high Tg level and negative radioiodine scan. Metabolically active lymph nodes were detected in the cervical region. So, lymph nodes were excised with minimally invasive surgery. Radioiodine treatment was done because of papillary carcinoma metastasis. PET/CT may contribute to diagnosis in cases of high Tg levels, but negative radioiodine treatment in differentiated thyroid carcinoma.

In this article, 692 patients in whom thyroid op-erations were made have been reported. Of these cas-es, 621 were female and 71 mal e. Enucleation was petformed in 19 patients, subtotal excision in 532 cases (157 unilateral, 375 bilateral) and total exci-sion in 141 patients (30 unilateral, 96 total on one side+subtotal on the other side, 15 bilateral). The postoperative mortality rate was %0.0. 508 nerve dissections were carried out in 292 of 692 pa-tients and the relations of the recurrent laryngeal nerves to the inferior thyroid arteries were found in 276 dissection. Only one transient hypoparatiroidism was found in one of 292 patients in whom nerve and artery dis-section were peıformed. Bilateral ligation of the trunk of the inferior thy-roid artery must not be carried out ıf it is not neces-sary, the branches of this vessel should be ligated be-yond the parathyroid glands. If the trunk of the artery is ligated on one side for hemorrhage atention is paid not to ligate it on the other side.

Inthisstudy,theoutcomes of subxiphoid pericardial tube drainage technique were eveluated in patients with pericardial effusion. 39 patients with pericardial effusion admitted toour clinic between January 2007 - December 2010 were treated with subxiphoid pericardial tube drainag etechnique. 16 of patients were femaleand 23 were male and their ages were between 17 to 83 years. The procedure was carried out with local anesthesia and sedation in all patients. There was no mortality in any patients. Average drainag evolume was 1050 ml. Recurrent pericardial effusion requiring repeated surgical in tervention was observed in 2 patients. Subxiphoid pericardial tube drainage is a effective and safetechnique for treatment of pericardial effusion.

Recurrent Laryngeal Nerve injury still remains the major problem in thyroid gland surgery and is influenced both by morphology and function of the goitre and essentially by the resection technique. Therefore, the modifications have been improved in thyroidectomy technique. Fifty-seven goitre patients who underwent bilateral subtotal thyroidectomywere taken into the study in Medicine Faculty of Vie-zancii Yil University, Department of General Sur-gery from October 1994 and March 1996.Recurrent laryngeal nerves were seen in 27 patients and in-ferior thyroid ateries were tied, although int-racapsular thyrodiectorny was performed in 30 pa-tients. The vocal cord examination with indirect laryngoscopy was carried out before the operation and postoperatively. The laryngeal nerve injury was established in 1. grog both bilateral (one patient-3.7%) and unilateral (one patient-3.7%), althought it was established in 2. group unilateral only in one patient (3.3%). Except one patient who was de-termined bilateral nerve inury, others recovered. In conclusion of our preliminary study, it has been seen that decreased the laryngeal nerve injury of int-racapsular technique.

In recent years, a better understanding of the relationship between the recurrent nerve and the thyroid gland has led to a decrease in the rate of vocal cord paralysis, which is a complication of thyroid surgeries. However, the frequently variable anatomical course of the recurrent nerve requires the routine identification of this nerve during thyroid surgery, so the thyroid surgeon must acquire this skill. In order to contribute to the subject, the anatomy suitable for surgical trauma (..) and recommended indentification methods of the recurrent nerve were reviewed. We focused on clinical boards and their precautions due to recurrent nerve trauma.