6 research outputs found
A rare and overlooked cause of massive gastrointestinal bleeding: Distal duodenal GIST
Get PDFIntroduction. Gastrointestinal stromal tumors(GIST) are tumors of mesenchymal origin which originate from the walls of gastrointestinal system (GIS) organs.
Aim. In this case report we aim to discuss the clinical, labaratory and radiological presentation of distal duodenal GIST as a rare and overlooked cause of life-threatining GIS bleeding.
Description of the case. A 76-year-old male patient was presented to the emergency department with massive gastrointestinal bleeding. Computerized tomography revealed a mass soft tissue density of 4x4cm at the level of the 3-4th segment of the duodenum. At the endoscopy, there was a deep ulcer in the proximal part of the 3rd segment of the duodenum with a diameter of 2 cm with a bleeding vessel protruding into the lumen. After endoscopic treatments, biopsies were taken from the edges of the ulcer. Histopathological examination revealed a sheet-like infiltration composed of mildly pleomorphic cells with oval-spindle nuclei and abundant eosinophilic cytoplasm in the duodenal lamina propria, as the patient was diagnosed of GIST.
Conclusion. GIST and its clinical, labaratory and radiological presentation should be kept in mind in the approach to massive duodenal GIS bleeding
Cytomorphologic Evaluation of the Thin Prep for Fine Needle Aspiration of the Fresh Thyroidectomy Specimens
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A study on distribution of cancer cases diagnosed at departments of pathology, Hitit University, Training and Research Hospital
No full textObjective: In this study, we aimed to investigate the frequency and distribution of cancer cases evaluating in the province in a certain time period, the number by age and gender, with university hospital pathology laboratory data at our city in Çorum. Material and Methods: Total of 372 cancer cases were diagnosed in our department between 01.05.2013-01.08.2014 at Hitit University, Education and Research Hospital. Types of cancer, the age and sex data were obtained from pathology reports and hospital records system. If necessary, patients and/or to communicate by phone with relatives. Results: 40.03% of patients were female (n=317), 59.97% were male (n=475). The youngest of the patients was 17 and the oldest was 92 years old. Average age was 65,01. According to the organ skin (n=160, 20.20%), prostate (n=90, 11.36%), colorectal (n=86, 10.86%), bladder (n=86, 10.86%), stomach (n=71, 8.98%), thyroid (n=59, 7.45%), breast (n=53, 6.69%), lung (n=32, 4.04%), uterine corpus (n=28, 3.53%), and oral cavity (n=24, 3.03%) cancers were the top ten most common cancers. Women most common skin (n=74, 22.70%), breast (n=53, 16.26%), thyroid (n=47, 14.42%), colorectal (n=34, 10.53%) and uterine corpus (n=28, %8.59) cancers for men prostate (n=90, 19.31%), skin (n=86, 18.45%), bladder (n=78, 16.74%), colorectal (n=52, 11.16%) and stomach (n=19, 10.94%) took the top five cancers. Conclusion: In this study, the skin in men, cancer of the urinary tract and gastrointestinal tract, skin, women, breast and thyroid cancers are the most common cancers. Making serious and extensive research on the etiology is required. The average life expectancy in the incidence of cancer in old age with an increase in elongation is observed. World and Turkey in our region with lung cancer, the most common reasons for non-compliance in general it is necessary to focus on the incidence of common cancers. Cervical cancer is not detected in this study. Screening methods may cause the spread of priority. As a result, the determination of local cancer risk factors with the development of early diagnostic methods, the creation of cancer registration system will form the basis for the project will be developed for the prevention of cancer. © 2015 by Türkiye Klinikleri
Destructive Fibrosarcoma of the Maxillary Sinus
No full textParanasal fibrosarcoma of nasal cavity and paranasal sinuses is a very rare malignant tumor. It is usually presented with nasal obstruction and epistaxis. In this clinical report, clinical symptoms, pathogenesis, and treatment principles of a paranasal fibrosarcoma originating from the right maxillary sinus and obstructing the right nasal passage are discussed.A 55-year-old male patient was admitted to the authors clinic with complaints of nasal obstruction and epistaxis lasting for 2 years. Anterior rhinoscopy revealed a mass lesion which obstructed the right nasal passage and caused frequent epistaxis. An opacity consistent with soft tissue lesion which was originated from the right maxillary sinus and filled the right nasal passage was observed in paranasal tomography. Magnetic resonance imaging revealed that the mass lesion was contrasted. Tumor was seen to erode orbital floor, and lateral and anterior walls of the maxillary sinus. Biopsy result was reported as papilloma. The patient was treated with Denker approach as anterior wall of the maxillary sinus was eroded by the tumor lesion and the mass lesion was excised. The patient received postoperative radiotherapy as pathological diagnosis was reported as paranasal fibrosarcoma
Diagnosis and Management of Renal Infarction in the Emergency Department: A Review
No full textRenal infarction is a rare and often misdiagnosed condition. The goal of this review article is to evaluate the causes, presentation, and treatment of this elusive condition
