1
|
Korkmaz M, Eryılmaz M, Kerimoğlu Ü, Karaağaç M, Koçak M, Demirkıran A, Araz M, Artaç M. Sunitinib-induced small bowel wall edema as a prognostic marker in metastatic renal cell carcinoma. J Cancer Res Ther 2023. [DOI: 10.4103/jcrt.jcrt_899_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
2
|
Kaya HE, Kerimoğlu Ü. Frequency of potential causes of lower back pain and incidental findings in patients with suspected sacroiliitis: retrospective analysis of 886 patients with negative sacroiliac MRI examination for sacroiliitis. Acta Radiol 2021; 62:1358-1364. [PMID: 33121265 DOI: 10.1177/0284185120968565] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND In a majority of patients with suspected sacroiliitis (SI) who underwent sacroiliac magnetic resonance imaging (MRI), imaging studies may be normal, may depict other causes for pain, or may show clinically irrelevant incidental findings. PURPOSE To determine the prevalence of possible etiologies other than SI and frequency of incidental findings demonstrated on sacroiliac MRI examinations in a cohort of patients with lower back pain and suspected SI. MATERIAL AND METHODS Sacroiliac MRI examinations of 1421 patients with suspected SI were retrospectively reviewed. In patients without SI findings, other potential causes for lower back pain and incidental findings were documented. RESULTS SI was present in 535 of 1421 patients (37.6%). In 886 of the patients whose MRI studies were negative for SI, other possible causes for lower back pain or incidental findings were seen in 386 (43.5%). The most common musculoskeletal (MSK) finding was lumbosacral transitional vertebra (8.6%) followed by findings suggesting piriformis syndrome (4.2%), spondylosis (3.7%), and sacral insufficiency fractures (1.8%). The most common non-MSK findings were follicular cysts (15.3%) and uterine fibroids (4.9%). CONCLUSION In patients with suspected SI but negative MRI examinations for SI, some other possible causes for lower back pain and several incidental findings can be seen on imaging. The presence of these findings may explain the patient's symptoms, and awareness of these conditions may be helpful in patient management and individualizing treatment.
Collapse
Affiliation(s)
- Hasan Emin Kaya
- Department of Radiology, Tokat State Hospital, Tokat, Turkey
| | - Ülkü Kerimoğlu
- Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| |
Collapse
|
3
|
Korkmaz M, Eryılmaz MK, Kerimoğlu Ü, Karaağaç M, Demirkıran A, Demir ET, Artaç M. Vaginal metastasis in solid tumours: our four cases and review of the literature. J Egypt Natl Canc Inst 2021; 33:3. [PMID: 33538929 DOI: 10.1186/s43046-021-00058-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 01/18/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Vaginal metastasis should be kept in mind when evaluating the staging tests of all cancers, especially endometrial cancer. CASE PRESENTATION We present four patients with vaginal recurrence who recently applied to our clinic. Three cases were of endometrial cancer and one case of rectal cancer. All patients presented with vaginal bleeding. CONCLUSION Standard treatment for vaginal metastasis has not yet been established. Therapeutic options for vaginal metastasis-separately or in combination-are surgical resection, radiotherapy, and chemotherapy.
Collapse
Affiliation(s)
- Mustafa Korkmaz
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Akyokuş, 42080, Konya, Turkey.
| | - Melek Karakurt Eryılmaz
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Akyokuş, 42080, Konya, Turkey
| | - Ülkü Kerimoğlu
- Department of Radiology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Mustafa Karaağaç
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Akyokuş, 42080, Konya, Turkey
| | - Aykut Demirkıran
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Akyokuş, 42080, Konya, Turkey
| | - Emine Türen Demir
- Department of Department of Obstetrics and Gynecology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Mehmet Artaç
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Akyokuş, 42080, Konya, Turkey
| |
Collapse
|
4
|
Karakurt Eryılmaz M, Kerimoğlu Ü, Karaağaç M, Yalçın Müsri F, Araz M, Artaç M. Small bowel wall edema induced by regorafenib is associated with regorafenib intolerance and shorter survival in patients with metastatic colorectal cancer: A retrospective study. J Oncol Pharm Pract 2020; 27:1929-1935. [PMID: 33283629 DOI: 10.1177/1078155220978471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Regorafenib, a receptor tyrosine kinase inhibitor, is a routinely used targeted agent in the current treatment of patients with refractory metastatic colorectal carcinoma (mCRC). The aims of this study were to detect the presence of bowel wall edema during regorafenib treatment via computed tomography (CT) and to assess the relationship between survival and regorafenib-induced bowel wall edema in patients with mCRC receiving regorafenib. PATIENTS AND METHODS We retrospectively evaluated the presence of bowel wall edema on CT of 25 mCRC patients who received regorafenib and analyzed its relationship with progression free survival (PFS) and overall survival (OS). RESULTS Among the 25 patients, 25 had small bowel wall edema (SBWE) and 14 had large bowel wall edema (LBWE) on at least one CT examination. The median SBWE value was 4.85 milimeters (mm). Of the 25 patients, 14 had SBWE ≤4.85 mm and 11 had SBWE >4.85 mm. Regorafenib intolerance was significantly higher at SBWE >4.85 mm patients (p = 0.03). The median PFS was 4.6 months (95% CI: 2.4-6.8) and median OS was 9.3 months (95% CI: 3.1-15.4). Median PFS and OS were shorter in patients with SBWE > 4.85 mm than in those with ≤4.85 mm, but not statistically significant (median PFS: 3.9 vs 4.6 months, p: 0.523; median OS: 5.6 vs 9.3 months, p: 0.977). CONCLUSIONS Regorafenib caused SBWE in patients with mCRC. Patients who developed more SBWE had a higher regorafenib intolerance and a shorter survival. Further studies are needed to confirm the predictor value of SBWE on the survival outcomes of patients with mCRC receiving regorafenib.
Collapse
Affiliation(s)
- Melek Karakurt Eryılmaz
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Ülkü Kerimoğlu
- Department of Radiology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Mustafa Karaağaç
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Fatma Yalçın Müsri
- Department of Medical Oncology, Batman Medical Park Hospital, Batman, Turkey
| | - Murat Araz
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Mehmet Artaç
- Department of Medical Oncology, Necmettin Erbakan University School of Medicine, Konya, Turkey
| |
Collapse
|
5
|
Kaya HE, Kerimoğlu Ü. Case 269: Sacroiliac Joint Hydatid Disease. Radiology 2019; 292:776-780. [PMID: 31437114 DOI: 10.1148/radiol.2019170907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
HistoryA 20-year old woman living in Turkey presented with a 3-month history of lower back pain. She had no medical history of note and was taking no medications. Complete blood count, C-reactive protein level, sedimentation rate, and creatinine, alanine aminotransferase, and aspartate aminotransferase levels were within normal limits. Anteroposterior pelvic radiography and unenhanced pelvic CT were performed to rule out sacroiliitis. The imaging findings were abnormal, and the patient underwent contrast-enhanced sacroiliac MRI. A few days later, she underwent contrast-enhanced (100 mL iohexol, Omnipaque; GE Healthcare, Cork, Ireland) abdominal CT because of right upper quadrant pain.
Collapse
Affiliation(s)
- Hasan E Kaya
- From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey
| | - Ülkü Kerimoğlu
- From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey
| |
Collapse
|
6
|
Affiliation(s)
- Hasan E. Kaya
- From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey
| | - Ülkü Kerimoğlu
- From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey
| |
Collapse
|
7
|
Keskin S, Güven S, Keskin Z, Özbiner H, Kerimoğlu Ü, Yeşildağ A. Strain elastography in the characterization of renal cell carcinoma and angiomyolipoma. Can Urol Assoc J 2015; 9:e67-71. [PMID: 25737764 DOI: 10.5489/cuaj.2349] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
INTRODUCTION We evaluate the diagnostic performance of strain elastography to differentiate renal cell carcinoma (RCC) from angiomyolipoma (AML). METHODS Strain elastography was performed in 65 patients (mean age 55.5 years; range: 32-81) who had renal lesions (24 AMLs and 41 RCCs) prospectively. Lesions were classified according to lesion size and histological subtypes. The strain ratios of the RCCs and AMLs were evaluated by a radiologist. The area under the curve and the cut-off point were used to assess diagnostic performance. Sensitivity, specificity, and positive and negative predictive values were obtained. RESULTS In assessing the mean strain ratio, we divided the groups in 3 according to size: (1) <20-mm lesions; (2) 20- to 40-mm lesions; and (3) >40-mm lesions; the respective mean strain ratios were: 1.5 ± 0.5 (range: 0.06-5.92), 2.8 ± 0.4 (range: 0.17-9.92), 2.7 ± 0.3 (range: 0.08-6.15). When RCCs and AMLs were compared, there was a statistically significant difference in the strain ratio among the 3 groups divided per lesion size (p < 0.01). For the strain ratio, the mean ± standard deviation was 1.1 ± 0.1 for AMLs and 3.4 ± 0.3 for RCCs (p < 0.01). When lesion subtypes were compared, there was a statistically significant difference in the strain ratio between the AML and clear cell RCC (p < 0.01). CONCLUSIONS For assessing renal lesions, strain elastography and strain ratio values may be useful in differentiating RCCs from AMLs.
Collapse
Affiliation(s)
- Suat Keskin
- Department of Radiology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey
| | - Selçuk Güven
- Department of Urology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey
| | - Zeynep Keskin
- Department of Radiology, Konya Training and Research Hospital, Konya, Turkey
| | - Hüseyin Özbiner
- Department of Radiology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey
| | - Ülkü Kerimoğlu
- Department of Radiology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey
| | - Ahmet Yeşildağ
- Department of Radiology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey
| |
Collapse
|
8
|
Tayfur Ö, Kılıç L, Karadağ Ö, Akdoğan A, Kerimoğlu Ü, Uzun Ö. Tuberculous bursitis of the greater trochanter mimicking ankylosing spondylitis. Eur J Rheumatol 2015; 2:31-32. [PMID: 27708917 DOI: 10.5152/eurjrheumatol.2015.0069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 08/24/2014] [Indexed: 11/22/2022] Open
Abstract
Tuberculous trochanteric bursitis (TTB) is a rare condition that accounts for 1% of musculoskeletal tuberculosis cases. Extrapulmonary TB is usually diagnosed late because of reduced diagnostic suspicion, particularly in the absence of signs of systemic infection. Herein, we report a case of right hip pain that was misdiagnosed as ankylosing spondylitis. The patient had a history of inflammatory back pain with morning stiffness. However, HLA-B27 was negative. Sacroiliac magnetic resonance imaging (MRI) revealed a giant multiloculated collection (27×16×10 cm). Percutaneous drainage was performed and Mycobacterium tuberculosis was observed in fluid culture. The patient was treated by drainage along with antituberculosis therapy. After 1 year of antituberculosis therapy, control MRI revealed total resolution of the large fluid collection. It is important to emphasize that fever or general symptoms are absent in patients with TTB, as observed in the present case. In endemic countries, TTB should be kept in mind in the differential diagnosis of a patient presenting with chronic hip pain without fever, weight loss, and constitutional symptoms.
Collapse
Affiliation(s)
- Öykü Tayfur
- Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Levent Kılıç
- Department of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ömer Karadağ
- Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ali Akdoğan
- Department of Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ülkü Kerimoğlu
- Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ömrüm Uzun
- Department of Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| |
Collapse
|
9
|
Erol K, Karahan AY, Kerimoğlu Ü, Ordahan B, Tekin L, Şahin M, Kaydok E. An important cause of pes planus: the posterior tibial tendon dysfunction. Clin Pract 2015; 5:699. [PMID: 25918629 PMCID: PMC4387341 DOI: 10.4081/cp.2015.699] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Revised: 10/18/2014] [Accepted: 11/12/2014] [Indexed: 11/23/2022] Open
Abstract
Posterior tibial tendon dysfunction (PTTD) is an important cause of acquired pes planus that frequently observed in adults. Factors that play a role in the development of PTTD such as age-related tendon degeneration, inflammatory arthritis, hypertension, diabetes mellitus, obesity, peritendinous injections and more rarely acute traumatic rupture of the tendon. PTT is the primary dynamic stabilizer of medial arch of the foot. Plantar flexion and inversion of the foot occurs with contraction of tibialis posterior tendon, and arch of the foot becomes elaveted while midtarsal joints are locked and midfoot-hindfoot sets as rigid. Thus, during the walk gastrocnemius muscle works more efficiently. If the PTT does not work in the order, other foot ligaments and joint capsule would be increasingly weak and than pes planus occurs. We present a 10-year-old female patient diagnosed as PTTD and conservative treatment with review of the current literature.
Collapse
Affiliation(s)
- Kemal Erol
- Department of Physical Medicine and Rehabilitation, State Hospital , Nevsehir, Turkey
| | - Ali Yavuz Karahan
- Department of Physical Medicine and Rehabilitation, Beyhekim State Hospital , Konya, Turkey
| | - Ülkü Kerimoğlu
- Radiology Department, Necmettin Erbakan University , Konya, Turkey
| | - Banu Ordahan
- Department of Physical Medicine and Rehabilitation, Beyhekim State Hospital , Konya, Turkey
| | - Levent Tekin
- Department of Physical Medicine and Rehabilitation, Beyhekim State Hospital , Konya, Turkey
| | - Muhammed Şahin
- Physical Medicine and Rehabilitation Department, Necmettin Erbakan University , Konya, Turkey
| | - Ercan Kaydok
- Department of Physical Medicine and Rehabilitation, State Hospital , Nigde, Turkey
| |
Collapse
|
10
|
Acar MA, Kerimoğlu Ü, Karalezli N, Güleç A. Ultrasound for the Detection of Retained Plastic and Undetected Metallic Foreign Bodies in the Foot. ELECTRON J GEN MED 2012. [DOI: 10.29333/ejgm/82444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
11
|
Paksoy Y, Özbek O, Gümüş S, Koç O, Nayman A, Kerimoğlu Ü. Application of first-pass contrast bolus tracking sequence for the assessment of morphology and flow dynamics in cardiac MRI. Diagn Interv Radiol 2012; 19:3-14. [PMID: 22723088 DOI: 10.4261/1305-3825.dir.5318-11.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
PURPOSE There are two well-known indications for first-pass perfusion in the literature. First is the evaluation of myocardial ischemia, and the other is the evaluation of tumor vascularity. Our aim was to assess the value of a first-pass contrast bolus tracking sequence (FPCBTS) for cases unrelated to these pathologies. MATERIALS AND METHODS A total of 35 patients (age range, 1 day to 66 years; mean age, 10.4±19.2 years; median age, 4.5 months) with suspected congenital (n=31) and acquired (n=4) heart and great vessel disease were included in the study. All the patients underwent cardiac magnetic resonance imaging (MRI) and FPCBTS, and 20 patients underwent contrast enhanced magnetic resonance angiography (CE-MRA). We used cardiac MRI and CEMRA for anatomic evaluation and FPCBTS for dynamic flow evaluation. RESULTS Truncus arteriosus, double outlet right ventricle, tetralogy of Fallot, corrected transposition of great arteries, atrial and ventricular septal defect, aortic rupture, cardiac hydatid cyst, tricuspid atresia, anomalous pulmonary venous return, and interrupted aorta were detected using the technique described here. Septal defects in six patients and atrial aneurysm in two patients were excluded. The shunt gap and flow direction of the septal defects, a ruptured wall in a dissected aorta, a hydatid cyst, and the atrial relationship in two cases with paracardiac masses were diagnosed easily using this dynamic evaluation technique. CONCLUSION FPCBTS can be performed in addition to cardiac MRI and CEMRA to reveal flow dynamics and morphology.
Collapse
Affiliation(s)
- Yahya Paksoy
- Department of Radiology, Selçuk University Selçuklu School of Medicine, Konya, Turkey
| | | | | | | | | | | |
Collapse
|