Background:Cyst of the canal of Nuck is a rare cause of inguinal swelling in female infants and children.Aim:The purpose of this study is to discuss the clinical, radiological, and histopathological findings, differential diagnosis, and surgical treatment of this disease in the light of our experience.Materials and Methods:This study was conducted in six children who were operated on with cyst of the canal of Nuck at the pediatric surgery clinic in July 1998-March 2013. All information was collected from patient's files and computer records retrospectively.Results:Patients were between the ages of 1 and 12 years. Size of the cysts has varied between 23 mm and 55.2 mm. In all cases, cyst was on the right side. In physical examination while five cases had palpable, well-circumscribed, mobile and painless mass, in one case the mass was immobile. In one patient, the mass was reducible; in the other 5 patients the mass was non-reducible. First patient was operated immediately with the early diagnosis of incarcerated inguinal hernia, the second one was operated under elective conditions with early diagnosis of inguinal hernia and it was diagnosed during operation, and in the last 4 patients pre-operative true diagnosis was possible.Conclusions:As clinical findings of the cyst of the canal of Nuck are variable, pre-operative true diagnosis can only be related to increasing experience.
Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital.
Results:The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia (70.66%), and the least common indication was cervical polyp (1.34%). The most common histopathological result was proliferative-secretory endometrium (63.62%); simple hyperplasia with atypia (0.56%) was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group (23.11%). Of patients in whom biopsy was performed, 52.18% had undergone hysterectomy, as a result of which proliferative-secretory endometrium was most commonly (59.52%) and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications. Bulgular: Olguların yaş ortalaması 46,8+8,22 olup en sık endikasyon menometroraji-menoraji (%70,66) iken en az servikal polip (%1,34) idi. Endometriyal biyopsi sonucu proliferatif-sekretuar endometriyum (%63,62) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi. Endometriyum kanseri postmenaposal kanama ya da endometriyal kalınlık grubunda daha fazla oranda gözlendi (%23,11). Biyopsi yapılan olguların %52,18%'ne histerektomi ameliyatı yapılmıştı. Histerektomi sonucu proliferatif-sekretuar endometriyum (%59,52) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi.Sonuç: Postmenapozal kanama ya da endometrial kalınlık artışı olan olgularda endometriyal değerlendirmeyi takiben örnekleme yapılması uygunken, çalışmamız sonuçlarına göre diğer endikasyonlarda rutin olarak endometrial biyopsi tercih edilmemelidir.Anahtar Kelimeler: Endometriyal örnekleme, endometriyum kanseri, histerektomi, histopatolojik inceleme Eurasian
High NLR rates, certainly with clinical correlation, can be used as a biomarker to predict intestinal necrosis and the need for intestinal resection in patients who will undergo surgery for incarcerated hernia, particularlyin situations with lacking radiological imaging methods.
Ganoderma lucidum (reishi mushroom) has been used in traditional Chinese and Japanese medicine as a herbal remedy for over 2000 years. Studies have shown that G. lucidum has anti-allergic, anti-oxidant, anti-tumor, anti-viral, and anti-inflammatory properties. A review of the literature revealed that there were no studies examining the use of G. lucidum for the treatment of skin diseases. Here, we report the case of a 44-year-old male patient who used soap enriched with G. lucidum and goat’s milk for 3 days in treating annular cutaneous sarcoidosis. The patient showed almost complete regression of the lesions.
Psoriasis is a chronic disease accompanied by local and systemic inflammation affecting approximately 2% of the population worldwide. 1 Psoriasis is assumed as a systemic condition rather than a disease limited to the skin due to systemic inflammation and accompanying comorbidities. 2 Platelets, which are known to have critical importance in systemic inflammatory pathways, are thought to play a role in the etiopathogenesis of psoriasis. 3 Platelet count (PC) is shown to increase significantly in patients with psoriasis. 4 In
Eccrine hidrocystomas (EHs) are benign cystic lesions of the eccrine ducts. They may have a chronic course and seasonal variation, and have a female predilection. Solitary EH can be easily treated by surgical excision, whereas multiple lesions are difficult to treat. We report a 65-year-old woman with sarcoidosis and multiple EHs, who was treated with cryotherapy, which resulted in a reduction in lesion number of > 90%. To our knowledge, this is the first report of cryotherapy used for EH treatment. If this case is confirmed by further studies, cryotherapy may be a viable treatment option for EH.
The prognostic significance of microvascular density (MVD) and vascular endothelial growth factor (VEGF) expression were investigated in 15 patients with adenocarcinoma (AC) and 15 patients with squamous cell carcinoma (SCC). Immunohistochemically, VEGF and factor VIII were applied. The average microvessel counts were given as MVD, and VEGF expression was given as VEGF percentage area and VEGF staining degree. Higher values of MVD were obtained in patients with AC (11.47 +/- 3.48) when compared with patients with SCC (7.47 +/- 2.50; P = .001) and also in patients at early stages of disease (10.77 +/- 3.24) when compared with patients at advanced stages (8.47 +/- 3.64; P = .050). A significant correlation was shown between MVD and VEGF percentage area (P = .006) and between VEGF percentage area and VEGF staining degree (P = .000). No significant difference was found in VEGF percentage area between patients with SCC and AC and between patients at early and advanced stages. In conclusion, VEGF or MVD should not be regarded as a solitary prognostic factor but should be supported by other prognostic factors.
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