Background This study was undertaken to determine the relationship between preoperative and postoperative psychiatric status and postoperative complications in patients operated on due to lung cancer. Methods We prospectively enrolled 25 patients undergoing surgery with a diagnosis of lung cancer. There were 17 (68%) males, 8 (32%) females, and the mean age was 61 ± 8.9 years (range 38-81 years). Their psychiatric status was assessed using the Experiences in Close Relationships Scale II, European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, Perceived Family Support Scale, the combined Stress Thermometer and Hospital Anxiety Depression Scale, in the preoperative period, and the Perceived Family Support, Stress Thermometer, and European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30 at 1 month postoperatively. Results We found that 44% of patients had depression and 28% had anxiety. There was no difference between sexes in terms of anxiety ( p = 0.088), but more women had depression ( p = 0.03). Postoperative complications occurred in 5 of 18 patients with negligible anxiety scores (27.8%) and 3 (42.9%) of 7 patients with high scores, as well as 3 (21.4%) patients with negligible depression scores and 5 (45.5%) of 11 patients with high scores. Conclusions Patients selected for lung cancer surgery should be assessed preoperatively using the Hospital Anxiety-Depression Scale and Stress Thermometer. Psychosocial support is recommended to improve their quality of life and reduce postoperative complications.

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Anterior mediastende kavernöz hemanjiomlar nadir görülür ve tüm mediastinal tümörlerin %0.5'inden daha azını oluşturmaktadır. En sık semptomları dispne, öksürük ve göğüs ağrısıdır. Erişkinde mediastende genellikle kavernöz tip hemanjiom görülür. Asemptomatik bir mediastinal kitle nedeniyle kliniğimizde opere olan ve patolojik inceleme sonucu kavernöz hemanjiom olarak bildirilen olgu literatür eşliğinde sunuldu.

Background: The granulomatous reaction is a response that can occur in many infective, toxic, allergic, autoimmune, neoplastic, and etiologically unknown conditions. Hundreds of different agents that can cause this response. The most common granulomatous disease in Turkey and in developing countries is mycobacterial infection-related tuberculosis. This study was carried out to show the prevalence of patients operated in our clinic due to provisional diagnosis of lung cancer and diagnosed with granulomatous disease. Materials and Methods: 380 patients who underwent diagnostic and therapeutic videothoracoscopy or thoracotomy due to provisional diagnosis of malignancy, and were diagnosed with granulomatous disease in consequence of histopathological examination between the years of 2011 and 2016 were included in the study. Patients were examined with regard to their clinical characteristics. Results: Granulomatous disease was detected histopathologically in 28 (7.3%) of them. The final histopathological diagnosis was tuberculosis in 20 patients (71.4%), sarcoidosis in 3 patients (10.7%), infection in 2 patients (7.1%), rheumatoid nodule in 2 patients (7.1%), and allergic angiitis in one patient (3.5%). Conclusions: In regions where tuberculosis is frequent, such as Turkey, granulomatous diseases should be considered in the differential diagnosis of lesions suspicious for malignancy.

ÖZTorasik splenozis, dalak dokusunun sol hemitoraksa ototransplantasyonunu içeren, dalak ve sol hemidiyafragmanın eşzamalı rüptürü sonucu gelişen nadir bir durumdur. Bu yazıda, sırt ağrısı şikayeti nedeniyle muayene edilen ve akciğer grafisi ve göğüs bilgisayarlı tomografisinde malign olduğu değerlendirilen sol plevral nodülleri olan 61 yaşında bir kadın hasta sunuldu. Hastanın travmatik dalak ve sol diyafragma rüptürü öyküsü vardı. Nodüller için video yardımlı torakoskopik biyopsi uygulandı ve histolojik inceleme nodüllerin dalak dokusu olduğunu doğruladı. Torasik splenozis, sol tek plevral nodülü ya da multipl plevral nodülleri ve geçmişinde dalak ve sol diyafragma rüptürü olan hastalarda akılda tutulması gereken bir patolojidir.Anah tar söz cük ler: Splenozis; torasik; travma. ABSTRACTThoracic splenosis is a rare condition including autotransplantation of splenic tissue into the left hemithorax and resulting from simultaneous rupture of the spleen and left hemidiaphragm. In this article, we report a 61-yearold female patient examined due to back pain and who was found to have left pleural nodules in her chest X-ray and computed tomography which were considered to be malignant. Patient had a history of traumatic spleen and left diaphragm rupture. Video assisted thoracoscopic biopsy of the nodules was performed and histological examination confirmed the nodules as splenic tissue. Thoracic splenosis is a pathology which should be kept in mind in patients having a left solitary pleural nodule or multiple pleural nodules and a history of spleen and left diaphragm rupture.