Thyroidal hemiagenesis resulting from the failure of development of one thyroidal bud to develop accounts for fewer than 0.1% of thyroidal disorders necessitating surgery. This rare congenital anomaly usually occurs on the left side. Any nonfunctional lobe detected by scintigraphy needs to be evaluated further by ultrasonography, because thyroid hemiagenesis is associated with varying degrees of morbidity when it coexists with other anomalies requiring surgical intervention. We report the case of a 38-year-old woman with preoperatively diagnosed thyroidal hemiagenesis, who underwent surgery in our clinic. We review the literature in relation to this case, and discuss the problems and complications associated with this unusual congenital anomaly.
The most common tumors derived from the mesenchyme of the gastrointestinal system are stromal tumors. These tumors are typically seen in the stomach and small intestine and less frequently in the colon, rectum and esophagus and are very rarely located outside the gastrointestinal system. Cure is provided with complete surgical resection with resection borders free of tumor. Tumor size, mitotic index, localization, CD117 and CD34 negativity in immunohistochemical studies, mucosal ulceration and presence of necrosis help to predict recurrence of the illness and patient survival. In high-risk gastrointestinal stromal tumors (GISTs) there is an increased rate of recurrence and shortened survival despite complete surgical resection. Thus patients with a high-risk GIST should be given adjuvant therapy with imatinib mesylate. Sunitinib maleate is another FDA-approved agent only for cases who cannot tolerate imatinib or who are resistant to it. Herein we present three cases with GISTs in different locations of the gastrointestinal system with a review of the relevant literature.
54Servikal Özofagusa Uzanan Hipofarenks Tümörlerinde Gastrik Pull Up Tecrübelerimiz Ö ÖZ ZE ET T A Am ma aç ç: : İle ri ev re hi po fa renks ve ser vi kal özo fa gus tü mör lü has ta lar da to tal la ren go fa ren go -ö zo fa jek to mi (TLFÖ ) son ra sı gas trik pull up (GPU) tek ni ği ile re kons trük si yo nun en di kas yon la rı, avan taj ve de za van taj la rı nı ir de le mek. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : H Ha se ki Eği tim ve Araş tır ma Has ta ne si KBB Kli ni ğin de 1998-2008 ta rih le ri ara sın da ame li yat edi len ser vi kal özo fa gu sa uza nım gös te ren hipo fa renks kan se ri ta nı sı ko nu lan ve TLFÖ son ra sı GPU ile ne o ö zo fa gus oluş tu ru lan 15 has ta nın ve ri le ri ret ros pek tif ola rak ir de len di. En genç has ta 25, en yaş lı ise 68 idi. İki has ta er kek, 13'ü kadın dı. On üç has ta nın de mog ra fik bil gi le ri, tü mör ev re le ri, komp li kas yon lar ve sağ ka lım sü re le ri de ğer len di ril di. B Bu ul l g gu u l la ar r: : Has ta la rın tü mü yas sı epi tel hüc re li kar si nom lu idi. İki has ta (%13) erken pos to pe ra tif dö nem de kay be dil di. Ölüm se bep le ri sep sis ve graft nek ro zu idi. En sık gö rü len komp li kas yon lar re gür ji tas yon ve dam ping ben ze ri tab lo idi. Has ta ne de kal ma sü re si 7-28 gün arasın da idi ve or ta la ma sı 10 gün dü. Bir has ta da flep nek ro zu, iki has ta da fis tül komp li kas yo nu gö rül -dü. Oral bes len me ye ge çiş sü re si or ta la ma 7.2 gün ola rak sap tan dı. Onüç has ta nın do ku zu 6-22. ay lar ara sın da kay be dil di. Dört has ta ise has ta lık sız ha yat ta idi. Or ta la ma ya şam sü re si 17 ay ola rak he sap lan dı. S So o n nu uç ç: : GPU ile ona rım TLFÖ son ra sı sin di rim sis te mi de vam lı lı ğı nı sağ la ma da et ki li ve gü ve ni lir bir yön tem dir. Bu gi ri şim dü şük mor bi di te, ka bul edi le bi lir mor ta li te oran la rı ve kı sa sü -re has ta ne de kal ma ile uy gu la na bi lir bir yön tem dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Hipofarenks; özofajektomi; özofageal neoplaziler; hipofaenjeal neoplaziler; yassı epitel hücreli karsinom A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : The aim of this re vi ew was to eva lu a te the in di ca ti ons, ad van ta ges and di sad van ta ges of gas tric pull up re cons truc ti on tech ni qu e fol lo wing to tal larn ygop hary ngo e sop ha gectomy in ad van ced hypop hary nge al and up per esop ha ge al ne op lasm. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : The ret ros pec ti ve da ta of 15 pa ti ents with the di ag no sis of hypop hary nge al car ci no ma who un der went gas tric pull up re cons truc ti on fol lo wing to tal larn ygop hary ngo e sop ha gec tomy in Ha se ki Tra i ning and Re se arch Hos pi tal, Otor hi no lary ngo logy de part ment from 1998 to 2008 we re eva lu a ted. Age of the yo un gest pa ti ent was 25, the ol dest one was 68 and me an age was 47. Two of them we re male and 13 we re fe ma le. De mog rap hic da ta, tu mor sta ges, comp li ca ti ons and...
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