Intramammary lymph node metastasis in a patient with ovarian carcinoma and a brief review of the literature.

Metastasis from serous carcinoma of the ovary usually occurs in the subdiaphragmatic region. Metastasis to the breast and/or axillary-intramammary lymph node is very rare. It usually occurs in advanced disease, and it is important to distinguish a primary breast cancer from an ovarian cancer metastasis since the management of these two entities is totally different.

The diagnostic value of the Doppler ultrasonography in distinguishing the endometrial malignancies in women with postmenopausal bleeding.

Purpose: To investigate the diagnostic value of blood flow measurements in endometrial, myometrial and uterine vasculature by transvaginal Doppler ultrasonography in the differentiation of the neoplastic endometrial pathologies in women with postmenopausal bleeding.

Methods: 106 women who presented with postmenopausal bleeding were enrolled in a prospective cohort study. Endometrial thickness, pulsatility and resistance indices of the uterine, myometrial and endometrial vasculature, endometrial histopathology were measured by transvaginal Doppler sonography.

Comparison of multidetector CT and endoscopic ultrasonography in malignant pancreatic mass lesions.

Background/aims: Endoscopic ultrasonography (EUS) has been shown to be superior to conventional CT in detecting and staging pancreatic cancer. We conducted a prospective trial to compare EUS and MDCT, in discriminating benign/malignant, in determining local and vascular invasion of a suspected pancreatic cancer and deciding its resectability.

Methodology: The study was performed at the Gastroenterology Department of Izmir Ataturk Training and Research Hospital, from June 2009 to June 2010, all patients with suspected pancreatic and periampullary tumors referred to our department were enrolled.

[Comparison of proportion method in Löwenstein-Jensen medium with the BACTEC 460 TB system for antimycobacterial susceptibility testing of Mycobacterium tuberculosis isolates].

This study was conducted to compare BACTEC 460 TB system and the proportion method in commercially available and ready to use antibiotic added Löweinstein-Jensen (LJ) medium for susceptibility testing of first line drugs in Mycobacterium tuberculosis complex isolates. A total 238 M.tuberculosis strains isolated from clinical samples in our laboratory between 2006-2010 period were included in the study.

Relationship between clinical and electrophysiological results in surgically treated carpal tunnel syndrome.

Objectives: In this study, relationship between clinical and electrophysiological results of decompression via mini incision technique was investigated.

Patients And Methods: Thirty-nine hands of 38 patients (35 females, 3 males; mean age 54.8 years; range 33 to 81 years) with carpal tunnel syndrome who were treated surgically in our clinic between April 2004 and February 2009 were included into the study.

Comparision of Burch colposuspension and colporraphy anterior-Kelly plication operations for effectiveness and influence on life quality.

Objective: Our aim was to compare the effectivenesses and influences on life quality rates of patients who underwent Burch Colposuspension or Colporaphy Anterior-Kelly Plication for the surgical treatment of stress urinary incontinence (SUI).

Materials And Methods: 81 patients who applied to Izmir Ataturk Training and Research Hospital 3rd Obstetrics and Gynecology Department between the dates of January 2006 and June 2007 with complaints of urinary leakage and were diagnosed as SUI were included to our study. 41 patients (50.

Anxiety sensitivity and its importance in psychiatric disorders.

Anxiety sensitivity refers to the extent of beliefs that anxiety symptoms or arousal can have harmful consequences. There is growing evidence for anxiety sensitivity as a risk factor for anxiety disorders. Anxiety sensitivity is elevated in panic disorder as well as other anxiety disorders.

Cofactors in human papillomavirus infection and cervical carcinogenesis.

Objective: This study aimed to identify the effect of various risk factors as the promoters of HPV infection, and to identify which HPV-positive women may have an increased risk of developing cervical cancer.

Methods: Smear preparations were examined and classified according to the Bethesda system. HPV-DNA detection and genotyping was carried out using polymerase chain reaction combined with reverse hybridization line-probe assays.

Comparison of nasal cytology and symptom scores in patients with seasonal allergic rhinitis, before and after treatment.

Objective: To evaluate symptom scores and nasal smear cytology findings in seasonal allergic rhinitis patients, before and after treatment.

Methods: Twenty-nine consecutive adult patients with seasonal allergic rhinitis were evaluated prospectively. They received mometasone furoate nasal spray and cetirizine for 21 days.

Comparison of Helicobacter pylori antibody detection in stool with other diagnostic tests for infection.

For detection of Helicobacter pylori, bacterial culture and histopathological examination are invasive in nature, whereas the fast urease test and urea breath test are non-invasive and indirect methods of detection. Stool antibody tests and polymerase chain reaction (PCR) to detect genomic DNA are serological methods, which are preferred to invasive examinations. Our aim was to assess diagnostic specifity and sensitivity of stool antibody tests, with histopathological examination as the golden standard and to compare results with fast urease test findings.

Prevalence and risk factors for human papillomavirus DNA in cervical cytology.

Objectives: This study aimed to detect the presence and prevalence of HPV-DNA in the cervical swab samples obtained from patients with cervical cancer, premalignant cervical lesions and benign cervical smear results, and to identify the potential risk factors influencing this prevalence.

Study Design: Smear preparations were examined and classified according to the Bethesda system. HPV-DNA detection and genotyping was carried out using polymerase chain reaction combined with reverse hybridization line-probe assays.

Atypical presentations of retroperitoneal giant schwannomas.

Schwannomas are usually benign rare tumors that originating from Schwann cells of peripheral nerve sheaths. Presentation is generally varied and changed in a non-specific range from abdominal mass, flank pain to incidental findings. Herein we report 2 cases of retroperitoneal giant schwannomas with different clinical presentations, of whom one presented with vague abdominal pain, palpable abdominal mass for 4 years, swelling and bilateral hydronephrosis that caused by giant abdominal mass; the other one presented with right flank pain, rectal hemorrhage and lower extremities edema.

Hydatid cyst in abdominal incisional hernia.

Recurrence of hydatid cyst is one of the important complications of primary hydatid surgery. Here we present a very rare case of recurrent hydatid cyst inside an incisional hernial sac. A 50-year old male operated on for hydatid disease of the liver twice in 1998 and 2001 was admitted to our hospital for an abdominal mass formed under the old median incisional scar.

Preoperative diagnostic role of hyperbilirubinaemia as a marker of appendix perforation.

This retrospective study investigated preoperative markers of appendix perforation in 351 acute appendicitis cases: group 1, appendicitis not histologically confirmed; group 2, appendicitis without perforation or gangrenous changes; and group 3, histologically confirmed perforated appendicitis with gangrenous changes. In group 3, symptom duration was significantly longer, and white blood cell (WBC) and bilirubin values significantly higher, than for the other groups. Symptom duration, gender, bilirubin and elevated WBC were significantly associated with early diagnosis of acute appendicitis in univariate analysis.

Paramedic-performed Focused Assessment with Sonography in Trauma (FAST) in the emergency department.

Background: Our objective was to evaluate the accuracy of paramedic-performed Focused Assessment with Sonography in Trauma (PFAST) for detection of free fluid in patients admitted to the Emergency Department (ED) following trauma.

Methods: After four hours of didactic and four hours of hands-on training, four paramedics prospectively evaluated trauma patients. Our gold standard was the official radiologist reports of ultrasonography and computerized abdominal tomography (CAT).

A case of a sporadic malignant peripheral nerve sheath tumor of the urinary bladder with concomitant in situ urothelial carcinoma treated by transuretheral resection.

Malignant peripheral nerve sheath tumor (MPNST) of the urinary bladder is a very rare clinical entity. The association of such a tumor with urothelial carcinoma is even more unusual. Differential diagnosis between coexisting two distinct primary tumors and carcinosarcoma of the urinary bladder is very important as both the treatment and prognosis vary widely.

The value of serum biomarkers (Bc1, Bc2, Bc3) in the diagnosis of early breast cancer.

Background: Surface enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF) is an approach to biomarker discovery that combines chromatography and mass spectrometry. We aimed to consider the efficacy of Bc1, Bc2, and Bc3 serum biomarkers on early detection of breast cancer (BC) in this study.

Study Design: In this prospective study, 91 patients who were admitted to our hospital between January 2007 and July 2008 were included.

Retroperitoneal migration of a septically loose femoral component.

Migration of total hip arthroplasty components is generally associated with a medial acetabular wall defect and may cause various intrapelvic complications. This is often a result of the destructive bone loss that takes place with infection. To our knowledge, this is the first report that presents complete intrapelvic migration of a femoral stem of total hip arthroplasty due to septic loosening with an intact medial acetabular wall.

Hyperosmolar water-soluble contrast medium in the management of adhesive small-intestine obstruction.

This prospective study investigated the value of the hyperosmolar water-soluble contrast medium Urografin(®) in choosing which patients with small-intestine obstruction, caused by post-operative adhesions, to treat conservatively. Thirty-seven patients with adhesive intestinal obstruction received Urografin(®) via a nasogastric tube. Direct abdominal radiographs were taken after 2, 4 and 8 h.

Role of radial endosonography in the diagnosis of acute cholangitis.

Background And Study Aim: We aimed to assess radial endoscopic ultrasound (EUS) features of the bile duct wall as well as biliary luminal liquid characteristics in cases with acute cholangitis.

Patients And Methods: This prospective study was performed during the period from January 2009 to February 2010 in a tertiary referral center. Twenty-eight patients with acute cholangitis and 60 patients without acute cholangitis but with cholestasis due to gallstone disease were enrolled in the study.

The positivity of Helicobacter pylori Stool Antigen in patients with Hyperemesis gravidarum.

Objective: We aimed to investigate the possible association between Helicobacter pylori infection and Hyperemesis gravidarum.

Material And Methods: Thirty-six pregnant women with Hyperemesis gravidarum with severe vomiting (more than 4 times a day), weight loss (≥3 kg), ketonuria and 36 pregnant women gestational age-matched, without nausea and vomiting attending our outpatient clinic for antenatal care were enrolled the study. Demographic data of the patients were registered.

[Ilizarov augmentation in the treatment of humeral shaft nonunions developing after failed intramedullary nailing].

Objectives: In this study, we presented our experience with Ilizarov augmentation in the treatment of patients with humeral shaft nonunion following failed intramedullary nail fixation.

Patients And Methods: Seven patients (4 females, 3 males; mean age 47 years; range 32 to 62 years) with established humeral nonunions following antegrade intramedullary nailing were evaluated retrospectively. In all patients an Ilizarov fixator was applied over the nail as a closed procedure.