The acute abdomen has many etiologies frequently encountered in emergency surgical units. Approximately 20% of surgical admissions for acute abdominal conditions are for intestinal obstruction. Clinicians often overlook rarer causes. A 43-year-old man presented to the emergency ward with the clinical findings of ileus. Computed tomography revealed a heterogeneous necrotic 168 3 100-mm mass between the sigmoid colon and urinary bladder. Physical examination revealed a palpable intra-abdominal mass that was removed via exploratory laparotomy. On histopathologic examination, the mass was identified as a seminoma. The literature contains few reports of seminoma as a cause of acute abdomen and ileus, mostly seen between the ages of 30 and 40 years. We report a patient with seminoma arising in an undescended testis that presented as a palpable painful lower abdominal mass and mechanical intestinal obstruction, despite the large diameter of the mass, as well as review relevant literature.
ÖzetAmaç: Erkeklerde meme kanseri nadir rastlanan tümörlerdendir. Bu çalışmada meme polikliniğimize başvuran hastalardan meme kanseri tespit edilen erkek hastalar incelenmiştir. Yöntem: Haseki Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği'nde meme kanseri tanısı ile opere edilen altı erkek hasta geriye dönük olarak incelenmiştir. Hastalar, Ocak 2009-Aralık 2012 tarihleri arasında meme polikliniğine başvurup meme kanseri tanısı alan 268 hasta arasından seçilmiştir. Bulgular: Hastaların yaş ortalaması 61 yıl (50-73) idi. En sık başvuru nedeni memede ele gelen kitleydi. Tümör çapı ortalaması 2.58 cm (2-3.5) idi. Olguların tümüne modifiye radikal mastektomi uygulandı. Tüm hastalarda preoperatif kor biyopside olduğu gibi postoperatif histopatolojik olarak invazif duktal karsinom tanısı doğrulandı. Preoperatif yapılan görüntülemelerde ve postoperatif patolojik incelemelerde tüm hastalarda aksiller lenf nodu tutulumu saptandı. Hastalara uygun adjuvan tedaviler uygulandı. Sonuç:Erkek meme kanseri ile kadın meme kanseri aynı evrede ise benzer prognoza sahiptir. Meme kanseri erkeklerde çok nadir rastlanır ancak tanıda gecikme olduğundan çoğu vakada ileri evrede saptanır. (Ha se ki T›p Bül te ni 2013; 51: 99-101) AnahtarKelimeler:Erkek, meme, kanser Abs tract Aim:Male breast carcinomas are very rare tumors. In this study, we aimed to evaluate the male patients who were diagnosed with breast carcinoma and admitted to our outpatient clinic. Methods: Among 268 patients diagnosed with breast carcinoma in the General Surgery Department at Haseki Training and Research Hospital between January 2009 and December 2012, a total of six male patients, who were operated on for breast cancer, were retrospectively reviewed. Results:The mean age of the subjects was 61 years (range: 50-73). The most clinical presentation was a palpable breast mass. The mean diameter of the lesions was 2.58 cm (range: 2.0-3.5 cm). All patients underwent modified radical mastectomy. The postoperative histopathology confirmed the diagnosis of invasive ductal carcinoma consistent with the results of preoperative core biopsies. Preoperative imaging studies and postoperative pathological analyses indicated axillary lymph node positivity. Postoperative adjuvant therapies were performed. Conclusion: The prognosis of breast cancer is similar in male and female patients when detected in similar stages. Although breast cancer is very rare in men, it is detected in advanced stage because of late diagnosis. (The Me di cal Bul le tin of Ha se ki 2013; 51: 99-101) Ya z›fl maAd re si/Ad dressforCor res pon den ce:Cihad Tatar
Aim:We aimed to evaluate the results of fine needle aspiration biopsy (FNAB), first and second surgical interventions and complication rates in patients who underwent completion thyroidectomy (TT). Methods:We retrospectively evaluated medical records of 43 patients who had been operated on between January 2011 and December 2013.Results:All patients underwent lobectomies both in their first and second surgical interventions. Thirty-eight (88.37%) patients were female and 5 (11.63%) were male. The mean age of the patients was 43.34±15.19 years. Malignancy was detected in 34 patients in the first surgery (papillary cancer in 31, medullary cancer in 2, and follicular cancer in 1). Nine patients were found to have a contralateral cancer according to the second surgery results. Nine patients, who had no cancer in the first operation, had still no malignancy in the contralateral lobe. Right lobectomy in 29 and left lobectomy in 14 patients were performed in the first operation. While FNAB detected benign cases with a rate of 27.2%, it could detect malignancies with a rate of 29.4%. Nerve injury and permanent hypocalcemia were not detected although the rate of temporary hypocalcemia was 39.5% (17 patients). İlk ameliyatında 34 hastada malignite tespit edildi (31 papiller, 2 medüller, 1 foliküler kanser). Diğer lob alındığında karşı tarafta 9 hastada kanser tespit edildi. İlk ameliyatında kanser tespit edilmemiş olan 9 hastanın hiçbirinde diğer lobda da malignite yoktu. İlk operasyonda 29 hastaya sağ lobektomi, 14 hastaya ise sol lobektomi uygulanmıştı. İnce iğne aspirasyon biyopsinin benign hastaları tespit etme oranı %27,2 iken, malign hastaları tespit etme oranı %29,4 olarak bulunmuştur. Komplikasyonlar irdelendiğinde sinir hasarı ve kalıcı hipokalsemi hiç görülmezken, geçici hipokalsemi 17 hastada (%39,5) tespit edilmiştir.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.