BACKGROUNDHair follicle nevus is a rare, congenital hamartoma with follicular differentiation characterized histologically by numerous, tiny, mature hair follicles. Trichofolliculoma, the histopathological features of which are quite similar to those of hair follicle nevus, is also a hamartoma that differs from hair follicle. Accessory tragus is a relatively common, benign congenital abnormality of the external ear with an incidence rate of 1 to 10 per 1,000 live births.OBJECTIVEThis study seeks to assess the discriminatory value of currently available, histological criteria in the differential diagnosis of hair follicle nevus, accessory tragi and trichofolliculoma.METHODSTwenty-one patients comprising 9 cases of hair follicle nevus, 8 accessory tragi patients and 4 trichofolliculoma cases, were recruited to perform the study.RESULTSThere were 10 males and 11 females in the study group. No significant difference was observed between the three study groups in terms of age, gender or histopathological parameters such as density of hair follicles, subcutaneous fat score and presence of connective tissue framework. Cartilaginous component was seen in 8 cases that were diagnosed as accessory tragi, while central cyst and radiating hair follicles were seen in 4 cases which were diagnosed as trichofolliculoma.CONCLUSIONThe results of our study showed that diagnostic discrimination of these diseases could be made only with the clinicopathologic correlation because of their clinical and histopathological similarities.
En sık görülen kapak tümörü 39 (%29,5) olguyla melanositik dermal nevüs idi. Fibroepitelyal polip 36 (%27,3) olguda, ksantelezma 23 (%17,4) olguda, epidermal inklüzyon kisti 14 (%10,6) olguda ve seboreik keratoz 12 (%9) olguda izlendi. Kadınlarda en sık gözlenen tümör melanositik dermal nevüs iken (%34,61), erkeklerde en sık fibroepitelyal polip (%35,18) izlendi. Sonuç: Çalışmamızda kapaklarda en sık gözlenen benign tümör melanositik nevüs iken, en sık malign tümör bazal hücreli karsinom olarak saptandı. Kapak tümörleri büyük oranda benign lezyonlar olarak tespit edildi. Benign tümörler 40-50 yaş grubunda sık gözlenirken, malign tümörler 60-70 yaş arasında daha sık gözlendi.
Background and Design: A retrospective study on the clinical, demographic and pathological features of keratinous cysts of the whole body seen in the Central Anatolia Region of Turkey. Material and Methods: We retrospectively analyzed the medical records of patients with keratinous cysts of the body who attended Çankırı State Hospital between 2011 and 2012. Age, gender, histologic diagnosis, anatomic localization and diameter of the lesion were recorded. The pathology specimens were reevaluated and the histopathologic diagnoses were confirmed. Results: The mean age of the 418 patients was 42.3 years. Hundred and sevety-four of them (41.6%) were female and 244 of them (58.4%) were male. Epidermal inclusion cysts (60.8%) were more common than pilar cysts (39.2%). The mean diameter of the cysts was 13.8 mm, pilar cysts (16.3 mm) were larger than the others. The patients with pilar cysts were older with the mean age of 45.8 years. The scalp was the most commonly affected site (44.3%), predominantly with pilar cysts (84.8%) and with female predominance. Pilar cysts were seen in females more often with the percentage of 62.8. Male predominance was detected for all body sites except for the scalp with the female
Amaç: Epidemiyolojik çalışmalar, sağlık sorunlarının önlenmesi ve çözümlenmesinde önemlidir. Bu çalışmayı, Çankırı yöresindeki deri biyopsilerini değerlendirmek amacıyla gerçekleştirdik. Yöntem: Ocak 2011 ve Ocak 2013 tarihleri arasında Deri ve Zührevi Hastalıkları Polikliniği'ne başvuran 2128 hasta ve 2128 lezyon retrospektif olarak incelendi. Hastaların demografik özellikleri, lezyon lokalizasyonları ve tipleri dermatoloji ve patoloji kayıtlarından istatistik inceleme için alındı. Patoloji preparatları retrospektif olarak tekrar incelendi ve konulan tanılar teyit edildi. Bulgular: En sık görülen tümör tanısı melanositik nevüstü (%27, n=574) ve bu tanıyı kistik tümörler, soft fibrom/akrokordon ve psoriasis izliyordu. Genel olarak en sık tümör lokalizasyonu yanak ve dudak olarak saptandı (%21,7). En genç hasta popülasyonunu molluskum kontagiozumlu hastalar oluştururken (25,00±11,04 yaş), en yaşlı hasta grubunda yassı hücreli karsinom (YHK)'lı hastalar bulunmaktaydı (71,69±12,79 yaş). En sık görülen malign deri tümörü bazal hücreli karsinom (BHK) olarak saptandı (n=92, %74). BHK'ler en sık olarak burun lokalizasyonunda yerleşmişlerdi (%35,9). İkinci en sık malign deri tümörü ise YHK olarak saptandı (n=32, %26). İki malign tümör grubu olan BHK ve YHK grupları arasında yaş açısından istatistiksel olarak farklılık mevcut değildi. Sonuç: Çankırı Yöresinde malign deri tümör oranları literatürle uyumludur. Epidemiyolojik araştırmalardaki artış, diğer çalışmalarla karşılaştırma imkanı sağlayabilir ve sağlık yönetimi planlamalarını kolaylaştırabilir. Objective: Epidemiological studies are essential on the prevention and resolution of health problems. The aim of this study was to investigate skin biopsies in Çankırı region. Methods: A total of 2128 patients admitted to our dermatology outpatient clinic and their 2128 lesions were retrospectively analyzed. The demographic characteristics, the localizations and types of lesions were obtained from dermatology and pathology records for the statistical analyses. Pathology slides were retrospectively re-examined and diagnoses were confirmed. Results: Melanocytic nevus was the most common diagnosis of the skin tumors (27%, n=574) followed by cystic tumor, soft fibroma/acrochordon and psoriasis. In general, cheeks and lips were the most common tumor location (21.7%). The youngest population was the patients with molluscum contagiosum (25.00±11.04 years) and the oldest group of patients was the ones with squamous cell carcinoma (SCC) (71.69±12.79 years). The most common malignant tumor was basal cell carcinoma (BCC) (74%, n=92). BCCs were mostly localized on nose (35.9%). SCC was the second most common malignant tumor (26%, n=32). There was no statistically significant difference between two malignant tumor groups in terms of age. Conclusion: Malignant tumor ratios were consistent with the literature in Çankırı region. Increase in epidemiological researches may provide the opportunity to compare with other studies and facilitate health management planning.
Optik sinir avulsiyonu nadir gözlenen ve oldukça kötü prognozlu bir oküler travmadır. Travmanın şekline göre avulsiyon parsiyel veya komplet olmak üzere değişen şiddetlerde gözlenebilir. Çalışmamızda trafik kazası sonucunda sol gözde görme kaybı şikayeti ile başvuran 16 yaşındaki bayan hastamızda tespit edilen komplet formda bir optik sinir avulsiyonunu irdeledik. (Turk J Ophthalmol 2014; 44: 249-51) Anah tar Ke li me ler: Optik sinir avulsiyonu, künt travma, vitreus hemorajisi Optic nerve avulsion is an uncommon presentation of ocular trauma with a poor prognosis. It can be seen as complete or partial form due to the form of trauma. We assessed the complete optic nerve avulsion in a 16-year-old female patient complaining of loss of vision in her left eye after a traffic accident.
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