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Öğe A Case of Abdominal Wall Endometriosis Mimicking Strangulated Incisional Hernia(Aves, 2014) Kilic, Murat Ozgur; Degirmencioglu, Gurkan; Dener, CenapIntroduction: Endometriosis is a clinical entity characterized by the presence of functional endometrial tissue outside the uterus. This lesion is often seen in the ovaries, rectovaginal region, and peritoneum of the pelvic floor. Endometriosis, located in the abdominal wall, is quite rare and is usually reported as single cases or small series. Case Report: Herein, a case of abdominal wall endometriosis, mimicking strangulated incisional hernia, is reported. Most cases occur following various obstetric and gynecologic procedures, especially cesarean section. Abdominal wall endometriosis can sometimes lead to acute abdominal findings and may be easily misdiagnosed as subcutaneous abscess, hematoma of the rectus sheath, or strangulated incisional hernia, as in our case. Conclusion: The correct diagnosis of abdominal wall endometriosis is often difficult, but it should be considered, especially in a menstruating woman with cyclic pain. Additionally, the history of obstetrical or gynecological operations should be questioned. Total excision is the treatment of choice.Öğe A rare case of Spigelian hernia combined with direct and indirect inguinal hernias(Turkish Surgical Assoc, 2017) Kilic, Murat Ozgur; Degirmencioglu, Gurkan; Dener, CenapSpigelian hernia is a rare type of ventral hernias with nonspecific symptoms and signs. Therefore, its diagnosis is often difficult and requires more clinical attention. Although intermittent abdominal swelling and pain are the main symptoms, Spigelian hernias can be sometimes asymptomatic and are discovered incidentally at the operation. In some cases, these hernias can be associated with other abdominal wall hernias, therefore a detailed physical examination of the patients is necessary to avoid mistakes in diagnosis. Herein, we report an interesting and educational case of Spigelian hernia with accompanying ipsilateral both direct and indirect inguinal hernias in a male patient treated by open surgical repair with use of polypropylene mesh.Öğe Acquired Lymphangiectasia of the Breast After Breast Conserving Surgery(Springer India, 2015) Kilic, Murat Ozgur; Dener, CenapLymphangiectasia is characterized by vesicular dilation of lymphatic vessels and is generally a complication of radiotherapy or surgery of various malignant tumors such as breast and cervical cancers. Although it is not a precancerous disease, correct diagnosis is important to rule out Stewart-Treves syndrome which is defined as lymphangiosarcoma that develops in long-standing chronic postmastectomy lymphedema. Observation alone or many therapeutic options including cryosurgery, electrocauterization, sclerotherapy, and excision have been widely used in the management. Herein, a case of breast lymphangiectasia was presented as a late and rare complication of breast cancer-related therapies.Öğe Docetaxel-induced Scleroderma in A Breast Cancer Patient: A Case Report(Aves, 2015) Kilic, Murat Ozgur; Yalaza, Metin; Bilgic, Celal Ismail; Dener, CenapPaclitaxel and docetaxel are antineoplastic drugs derived from the yew tree, Taxus brevifolia. They are the members of the taxane family and act by inhibiting mitotic activity due to the suppression of microtubule depolymerization. They are used in the treatment of ovarian cancer, breast cancer, gastric cancer, small cell lung cancer, and head and neck cancer. In addition to side effects such as cardiotoxicity, neutropenia, arthralgia, and myalgia, they may also cause alopecia, urticaria, mucositis, acral erythema, pustular dermatitis, erythema multiforme, and scleroderma-like mucocutaneous lesions. Scleroderma is among the uncommon side effects of taxane antineoplastic agents. As was the case in few cases in literature, it usually begins with edematous changes in the proximal aspect of the extremities, and subsequently, sclerosis is developed in the skin. Scleroderma, which usually regresses with the discontinuation of the drug and with steroid therapy, may lead to severe contractions that require physical therapy and rehabilitation in some patients. In this paper, we presented a 60-year-old female patient in whom scleroderma developed because docetaxel chemotherapy for breast cancer because it is encountered rarely.Öğe Myofibroblastoma: A rare benign breast tumor in a male case(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Kilic, Murat Ozgur; Sen, Meral; Dener, Cenap; Yenidunya, SibelMyofibroblastoma is a rare benign mesenchymal tumor of the breast. A small number of cases have been reported in the literature. It is often seen in postmenopausal women and older men. In general, MFP occurs slow-growing within months, well-circumscribed, mobile, single-sided and a hard mass. Due to the variety of morphological variants, it is difficult to distinguish from other breast masses by imaging techniques, tru-cut biopsy plays a key role in diagnosis. Local excision of myofibroblastoma as a benign tumor of the breast is curative. Malign transformation and recurrence after surgery have not been reported. Knowing the right approach to this rare breast mass by general surgeons, reduce unnecessary and mistreatments. We presented a new case of myofibroblastoma which is found in a 42 years old male patient's breast, due to its rarity.Öğe The Clinicopathological Factors Associated with Multicentricity in Papillary Thyroid Cancer(Derman Medical Publ, 2016) Kilic, Murat Ozgur; Bilgic, Celal Ismail; Dener, Cenap; Icen, DuyguAim: Multicentricity is a frequent feature of papillary thyroid cancer, and is generally associated with advanced stage, increased risk of regional and distant metastasis. In this study, we aimed to determine the associated clinicopathological factors on multicentricity in papillary thyroid cancer. Material and Method: One hundred and thirty patients with papillary thyroid cancer were included in this retrospective study. The affecting clinical and histopathological factors on multicentricity were investigated. Results: Total thyroidectomy with or without central/lateral neck dissection was performed in 130 patients (101, 77.7% were female and 29, 22.3% were male) with a mean age of 43.03 years. The diagnosis of papillary thyroid cancer was confirmed by final histopathology in all cases. Multicentricity and bilaterality were detected in 54 (41.5%) and 16 (12.3%) patients, respectively. Tumor size (p= 0.046) and perineural invasion (p= 0.020) were significantly different between the patients with multicentric cancer and those with solitary cancer. Discussion: According to the findings obtained from this study, tumor size and perineural invasion were the affecting factors on multicentricity in papillary thyroid cancer. However, large-scale, multicenter clinical and genetic studies are needed to clearly determine the affecting factors on multicentricity of these cancers.Öğe The Value of Preoperative Lesion Dedicated Ultrasound of Breast Cancer before Conserving Surgery for Optimizing Margins(Wiley, 2017) Kosehan, Dilek; Dener, Cenap; Akin, Kayihan; Bozkurt, Alper; Bilgic, Ismail; Cakir, BanuTo investigate the effect of US performed immediately before breast conserving surgery (BCS) by radiologist accompanied by the surgeon. All patients scheduled for BCS in the last year (group 1, n = 46) were evaluated with US immediately before surgery. About 108 patients (group 2) who were treated with BCS before the study were included as the control group. Tumor size and localization, the distances between tumor-skin and tumor-pectoralis muscle fascia were noted. Re-excision rate due to positive margins was significantly lower in group 1. Statistically significant difference was detected in re-excision rates for nonpalpable tumors. Preoperative US is an effective and practical method.
