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Cinar HG, Ucan B, Fatma Nur ÖZ. Pediatric Mycoplasma Pneumonia: The Radiographic Patterns and Review of the Literature. Klin Padiatr 2024. [PMID: 38428467 DOI: 10.1055/a-2251-5789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/03/2024]
Abstract
PURPOSE The purpose of the present paper was to evaluate the clinical and chest radiographic features of pediatric patients with serologically proven Mycoplasma pneumoniae pneumonia. MATERIALS AND METHODS The clinical records and chest radiographs of 55 consecutive patients (28 male, 27 female) with serologically positive IgG mycoplasma pneumonia were reviewed. The pneumonic infiltrates were described on chest radiography into 3 different patterns as a peribronchovascular infiltration, reticulonodular infiltration and consolidation. RESULTS More than 91% of patients presented with cough and 70% of patients had fever. Chest radiographs displayed three different patterns: (i) peribronchovascular infiltration (n=33, 60%); (ii) reticulonodular infiltration (n=12, 22%); (iii) consolidation (n=10, 18%). Bilateral peribronchovascular infiltration in central and middle lung zones were frequently seen (n=33, 60%). Other radiological features were unilateral lesions in 51% of patients, pleural effusion in 18%, and hilar lymphadenopathy in 20%. CONCLUSION There are various radiological features of mycoplasma pneumonia in children. Bilateral peribronchovascular infiltration confined to central and middle lung regions seems to be more closely associated with mycoplasma infection.
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Affiliation(s)
- Hasibe Gokce Cinar
- Radiology, SBU Ankara Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Berna Ucan
- Pediatric Radiology, SBU Ankara Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Ö Z Fatma Nur
- Pediatric Infectious Diseases, SBU Ankara Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey
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Kazci O, Kadirhan O, Uner C, Karavas E, Ucan B, Aydin S. Paediatric liver biopsies: A single-centre experience in Erzincan Binali Yıldırım University. Ultrasound 2024; 32:4-10. [PMID: 38314022 PMCID: PMC10836225 DOI: 10.1177/1742271x231157634] [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] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 01/31/2023] [Indexed: 12/14/2023]
Abstract
Introduction Liver biopsies are the main method in the diagnosis and treatment of paediatric liver pathologies. Major complication rates of paediatric liver biopsies range from 0% to 6.6% in the literature and minor complication rates range from 0% to 25%. In this study, we aimed to review the complications, indications and results of percutaneous core liver biopsies with paediatric sonography in a tertiary care centre by an interventional radiologist. Methods We retrospectively evaluated the results, indications and complications of paediatric liver biopsies performed in our tertiary health centre between January 2017 and December 2020. Biopsies were performed with a 16G semi-automatic needle in 17 patients (29.8%) and with an 18G semi-automatic needle in 40 patients (70.2%). Biopsies were performed only with local anaesthesia in patients older than 12 years; in younger patients, it was performed under general anaesthesia. Results Fifty-eight liver biopsies were obtained from 57 children (34 males, 23 females). The most common indications were elevated liver enzymes (33 patients), cholestasis (14 patients), and adiposity and metabolic problems (6 patents). The most common pathological diagnoses were chronic hepatitis (33 patients) and steatosis (10 patients). Major complication in the form of symptomatic subcapsular haematoma developed after liver biopsy performed with 18G needle in only one patient (1.8%). Conclusions As previously stated in the literature, percutaneous biopsies performed by interventional radiologists in paediatric patients under the guidance of sonography can be used in diagnosis and treatment; the complication rate is low and it is a safe method.
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Affiliation(s)
- Omer Kazci
- Department of Radiology, Faculty of Medicine, University of Higher Specialization, Ankara, Turkey
| | - Ozlem Kadirhan
- Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, Turkey
| | - Cigdem Uner
- Department of Radiology, Dr Sami Ulus Gynecology Obstetrics and Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Erdal Karavas
- Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, Turkey
| | - Berna Ucan
- Department of Radiology, Dr Sami Ulus Gynecology Obstetrics and Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Sonay Aydin
- Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, Turkey
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Ucan B, Kaynak Sahap S, Cinar HG, Tasci Yildiz Y, Uner C, Polat M, Derinkuyu BE. Multisystem inflammatory syndrome in children associated with SARS-CoV-2: extracardiac radiological findings. Br J Radiol 2022; 95:20210570. [PMID: 34889647 PMCID: PMC8722242 DOI: 10.1259/bjr.20210570] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 09/08/2021] [Accepted: 09/14/2021] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVE Multisystem inflammatory syndrome in children (MIS-C) is seen as a serious delayed complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The aim of this study was to describe the most common imaging features of MIS-C associated with SARS-CoV-2. METHODS A retrospective review was made of the medical records and radiological imaging studies of 47 children (26 male, 21 female) in the age range of 25 months-15 years who were diagnosed with MIS-C between August 2020 and March 2021. Chest radiographs were available for all 47 patients, thorax ultrasound for 6, chest CT for 4, abdominal ultrasound for 42, abdomen CT for 9, neck ultrasound for 4, neck CT for 2, brain CT for 1, and brain MRI for 3. RESULTS The most common finding on chest radiographs was perihilar-peribronchial thickening (46%). The most common findings on abdominal ultrasonography were mesenteric inflammation (42%), and hepatosplenomegaly (38%, 28%). Lymphadenopathy was determined in four patients who underwent neck ultrasound, one of whom had deep neck infection on CT. One patient had restricted diffusion and T2 hyperintensity involving the corpus callosum splenium on brain MRI, and one patient had epididymitis related with MIS-C. CONCLUSION Pulmonary manifestations are uncommon in MIS-C. In the abdominal imaging, mesenteric inflammation, hepatosplenomegaly, periportal edema, ascites and bowel wall thickening are the most common findings. ADVANCES IN KNOWLEDGE The imaging findings of MIS-C are non-specific and can mimic many other pathologies. Radiologists should be aware that these findings may indicate the correct diagnosis of MIS-C.
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Affiliation(s)
- Berna Ucan
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Seda Kaynak Sahap
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Hasibe Gokce Cinar
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Yasemin Tasci Yildiz
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Cigdem Uner
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Meltem Polat
- Department of Pediatric Infectious Disease, Dr. Sami Ulus Gynecology, Obstetrics and Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Betul Emine Derinkuyu
- Department of Pediatric Radiology, Dr. Sami Ulus Gynecology, Obstetricsand Child Health and Diseases Training and Research Hospital, Ankara, Turkey
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Ucan B, Kaynak Sahap S, Bako D, Tıras ST, Ceylaner S, Fitöz S. Horizontal Gaze Palsy with Progressive Scoliosis in an Infant Diagnosed Before Developing Scoliosis: MRI and DTI Findings. Klin Padiatr 2021; 234:52-55. [PMID: 34284498 DOI: 10.1055/a-1478-4528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Berna Ucan
- Pediatric Radiology, SBU Ankara Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Seda Kaynak Sahap
- Radiologist, Dr Sami Ulus Gynecology Obstetrics and Child Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Derya Bako
- Pediatric radiology, Van Training and Research Hospital, Erdremit, Turkey
| | - Serap Teber Tıras
- Pediatric Neurology, Ankara University Faculty of Medicine, Ankara, Turkey
| | | | - Suat Fitöz
- Pediatric Radiology, Ankara University Faculty of Medicine, Ankara, Turkey
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Sahap SK, Ucan B, Keskin DB, Goktas OA, Fitoz S. Interpeduncular Heterotopia and Brain Stem Cleft: An Isolated Finding Not Associated with Joubert Syndrome. Neuropediatrics 2021; 52:62-64. [PMID: 33111307 DOI: 10.1055/s-0040-1715487] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Interpeduncular heterotopia is a new neuroimaging finding reported in association with Joubert syndrome (JS) in a few cases in the literature. Nodular interpeduncular tissue was termed as interpeduncular heterotopia and anterior mesencephalic cap dysplasia in the literature in relation to gray and white matter content. We described the imaging findings and diffusion tensor imaging data of a case with interpeduncular heterotopia and brain stem cleft. This is the first case, in which interpeduncular heterotopia was an isolated finding not associated with JS.
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Affiliation(s)
- Seda Kaynak Sahap
- Department of Pediatric Radiology, Dr. Sami Ulus Maternity and Children's Research Hospital, Ankara, Turkey
| | - Berna Ucan
- Department of Pediatric Radiology, Dr. Sami Ulus Maternity and Children's Research Hospital, Ankara, Turkey
| | - Derya Bako Keskin
- Department of Pediatric Radiology, Van Regional Training and Research Hospital, Van, Turkey
| | - Ozben Akinci Goktas
- Department of Pediatric Neurology, Ankara University School of Medicine, Ankara, Turkey
| | - Suat Fitoz
- Department of Pediatric Radiology, Ankara University School of Medicine, Ankara, Turkey
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Aydin S, Ucan B. Pediatric acute appendicitis: Searching the diagnosis in portal vein. Ultrasound 2020; 28:174-179. [PMID: 32831890 DOI: 10.1177/1742271x20918001] [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] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 03/19/2020] [Indexed: 01/03/2023]
Abstract
Introduction Acute appendicitis is the most common reason for emergency abdominal surgery in the pediatric population. Ultrasound (US) is a widely used modality to diagnose acute appendicitis. The aim of this study was to evaluate the effectiveness of portal vein diameter and flow velocity in acute appendicitis diagnosis. Methods Portal vein diameter and flow velocity were measured in children who were referred to radiology with a clinical diagnosis of acute appendicitis. The largest appendix diameter and leukocyte count of the patients were recorded. A control group was created which consisted of healthy children, and their portal vein diameter and flow velocities were also measured. Results The median age of the population was 10 years (range, 3-17 years). Mean portal vein diameter was 7.53 ± 1.55 mm in the control group, 7.92 ± 1.88 mm in the other diagnosis group, and 8.76 ± 1.91 mm in the acute appendicitis group. Mean portal vein diameter was significantly higher in the acute appendicitis group (p = 0.001). Median portal vein flow velocity was 17 cm/s (10-29 cm/s) in the control group, 18.3 cm/s (8-27 cm/s) in the other diagnosis group, and 20.5 cm/s in the acute appendicitis group. Median portal vein flow velocity was significantly higher in the acute appendicitis group (p = 0.00). Conclusion Detecting an increase in portal vein diameter and/or flow velocity in equivocal cases may support other clinical signs associated with acute appendicitis. Portal vein diameter and flow velocity can serve as additional diagnostic markers in acute appendicitis cases.
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Affiliation(s)
- Sonay Aydin
- Department of Radiology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Berna Ucan
- Department of Radiology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
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Cullas Ilarslan NE, Gunay F, Kaynak SS, Ucan B, Fitoz OS, Ince E. A rare cause of scalp swelling in infancy: delayed subaponeurotic fluid collections in five cases. Childs Nerv Syst 2019; 35:875-878. [PMID: 30613856 DOI: 10.1007/s00381-018-04040-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 12/26/2018] [Indexed: 10/27/2022]
Abstract
Subaponeurotic (subgaleal) fluid collection (DSFC) is a rare clinical entity of unknown etiology. We aimed to present our series of infants who were diagnosed with DSCF at Ankara University Children's Hospital. We retrospectively reviewed clinical findings, imaging studies, laboratory tests, management, and clinical courses of infants diagnosed with DSCF between June 2014 and June 2018. Five infants (4 males, 1 female), aged 5-14 weeks, were identified during the study period. All deliveries were non-progressive (3 normal deliveries, 2 cesarean sections) while instrumentation (vacuum extraction or forceps) was used in 2. History of recent trauma, concern for child abuse, and family or personal history of coagulopathy were negative for all patients. Conservative management with the spontaneous resolution was observed in 2 to 12 weeks in all infants. Although rare, DSFC should always be kept in mind in the differential diagnosis of scalp swelling in young infants. The diagnosis is primarily clinical, and current treatment is conservative.
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Affiliation(s)
- Nisa Eda Cullas Ilarslan
- Department of Pediatrics, Ankara University School of Medicine, Cebeci Hospital, 06590, Mamak, Ankara, Turkey.
| | - Fatih Gunay
- Department of Pediatrics, Ankara University School of Medicine, Cebeci Hospital, 06590, Mamak, Ankara, Turkey
| | - Seda Sahap Kaynak
- Department of Pediatric Radiology, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey
| | - Berna Ucan
- Department of Pediatric Radiology, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey
| | - Omer Suat Fitoz
- Department of Pediatric Radiology, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey
| | - Erdal Ince
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey
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Cakmakci E, Cinar HG, Uner C, Ucan B, Eksioglu AS, Pala M, Yildiz YT, Cakmakci S, Yikmaz HS. Ultrasonographic clues for diagnosis of spina bifida occulta in children. Quant Imaging Med Surg 2016; 6:545-551. [PMID: 27942474 DOI: 10.21037/qims.2016.09.02] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 11/06/2022]
Abstract
BACKGROUND The aim of the current study was to find out if spinal ultrasonography might have a predictive potential for detection of spina bifida occulta (SBO) in pediatric nocturnal enuresis patients. METHODS A total of 108 children (58 females, 50 males) with a mean age of 8 (range, 6-15) years diagnosed for nocturnal enuresis in our tertiary care center were included in this cross-sectional analysis. Half of the cases (n=54, 50%) were found to have SBO, while the other half did not have SBO. After obtaining radiographs and computed tomography examinations of L5-S1 vertebra, patients were examined by spinal ultrasound regarding radiologic clues which may aid in the detection of SBO. RESULTS The clues of "single and double echogeneous cap signs and the V-shaped tip of spine" were found useful for diagnosing SBO at levels of L5 and S1 in pediatric patients suspected for SBO. Receiver operating curve (ROC) curve analysis of CT and ultrasonographic clues for diagnosis of SBO on S1 level revealed that these clues yielded a comparable diagnostic accuracy to CT. Areas under curve for CT and studied ultrasonographic clues were are 0.667±0.053 and 0.907±0.032 (P<0.001) respectively. CONCLUSIONS Ultrasonography seems to be a useful and practical diagnostic tool for diagnosing spina bifida. However, to implement our ultrasonographic criteria in routine radiological practice, further studies in larger series are warranted.
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Affiliation(s)
- Emin Cakmakci
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Hasibe Gokce Cinar
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Cigdem Uner
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Berna Ucan
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Ayse Secil Eksioglu
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Melek Pala
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Yasemin Tasci Yildiz
- Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Selma Cakmakci
- Department of Pediatric Hematology & Oncology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey
| | - Hulya Seker Yikmaz
- Department of Pediatrics, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
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Esen B, Telli O, Ucan B, Fitoz S, Unlu A, Burgu B, Soygur T. Retroaortic Variant of Reverse Horseshoe Kidney With Butterfly Vertebrae Presenting as Neurogenic Bladder. Urology 2016; 95:e1-2. [DOI: 10.1016/j.urology.2016.05.050] [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] [Received: 04/07/2016] [Revised: 05/25/2016] [Accepted: 05/31/2016] [Indexed: 11/29/2022]
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Cakmakci E, Sahin GE, Hosnut FO, Cinar HG, Ucan B, Pala M, Yildiz YT. Antral gastritis caused by Helicobacter pylori infection in the pediatric age group is associated with increased mesenteric lymph node dimension observed by ultrasonography. Quant Imaging Med Surg 2016; 5:829-34. [PMID: 26807365 DOI: 10.3978/j.issn.2223-4292.2015.11.01] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND To find out if transabdominal ultrasonography (US) may have a predictive role for detection of antral gastritis and Helicobacter pylori (HP) infection in the antrum of pediatric age group. METHODS A total of 91 (63.6%) patients and 52 (36.4%) controls were allocated into two groups as follows: Group 1 (n=91): patients with complaints and endoscopic findings consistent with gastritis and documented HP infection; Group 2 (n=52): patients with complaints and endoscopic findings consistent with gastritis in the absence of documented HP infection. These two groups were compared in terms of demographics and biggest mesenteric lymph node detected, muscularis mucosa thickness, submucosal thickness, muscularis propria thickness, and total gastric wall thickness. RESULTS The two groups exhibited no statistically significant difference with respect to age (P=0.747), and presenting symptoms (P=0.982). However, the mesenteric lymph node dimension was significantly increased in Group 1 (P=0.039). Median mesenteric lymph node dimension was 12.9 (±15.4) mm in Group 1, while 11.0 (±12.8) mm in Group 2. No significant difference was observed between groups in terms of muscularis mucosa thickness (P=0.243), submucosal thickness (P=0.174), muscularis propria thickness (P=0.356), and total gastric wall thickness (P=0.223). CONCLUSIONS Antral gastritis caused by HP infection in the pediatric age group is associated with increased mesenteric lymph node dimension observed by US.
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Affiliation(s)
- Emin Cakmakci
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Gulseren Evirgen Sahin
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Ferda Ozbay Hosnut
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Hasibe Gokce Cinar
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Berna Ucan
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Melek Pala
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Yasemin Tasci Yildiz
- 1 Department of Radiology, 2 Department of Pediatrics, Division of Pediatric Gastroenterology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
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Yilmaz H, Ucan B, Sayki M, Unsal I, Sahin M, Ozbek M, Delibasi T. Usefulness of the neutrophil-to-lymphocyte ratio to prediction of type 2 diabetes mellitus in morbid obesity. Diabetes Metab Syndr 2015; 9:299-304. [PMID: 25470646 DOI: 10.1016/j.dsx.2014.04.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND There is growing consensus in the literature that inflammation plays a central role in the pathophysiology of obesity and type 2 diabetes mellitus (T2DM) and cardiovascular complications. Neutrophil-to-lymphocyte ratio (NLR) provides a simple method for assessment of inflammatory status and it is a new, inexpensive marker. The aim of the present study was to investigate the predictive value of preprocedural (before the OGTT) NLR on development of type 2 diabetes (T2DM) in morbid obesity patients (MOP). METHODS 306 MOP (body mass index ≥ 40 kg/m(2)) and 95 normal weight patients with normal OGTT [fasting plasma glucose (FPG)<100mg/dL. Two-hour glucose during OGTT<140 mg/dL] were evaluated in this study. RESULTS The mean ± SD NLR of MOP was significantly higher than that of patients with normal weight healthy patients (3.67 ± 0.95 vs. 1.82 ± 1.02, P<0.001, respectively). In receiver operating characteristics curve analysis, NLR>3.12 had 79.2% sensitivity and 64.9% specificity in predicting T2DM. Logistic regression analysis showed that elevated NLR (OR: 2.577, 95% CI: 1.363-4.872, P=0.004) was an independent variable for predicting T2DM in MOP. CONCLUSIONS MOP have higher NLR than healthy controls. High NLR is a powerful and independent predictor of T2DM in MOP. Elevated NLR levels are usually considered as an inflammatory marker. The results of this study suggested that inflammation plays a role in the pathogenesis of T2DM with MOP.
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Affiliation(s)
- H Yilmaz
- Turgut Ozal University School of Medicine, Department of Internal Medicine, Turkey.
| | - B Ucan
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
| | - M Sayki
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
| | - I Unsal
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
| | - M Sahin
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
| | - M Ozbek
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
| | - T Delibasi
- Dışkapı Yıldırım Beyazıt Education and Researching Hospital, Department of Endocrinology and Metabolism, Turkey
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12
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Cakmakci E, Ozkurt H, Tokgoz S, Karabay E, Ucan B, Akdogan MP, Basak M. CT-angiography protocol with low dose radiation and low volume contrast medium for non-cardiac chest pain. Quant Imaging Med Surg 2014; 4:307-12. [PMID: 25392818 DOI: 10.3978/j.issn.2223-4292.2014.10.03] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 09/27/2014] [Indexed: 11/14/2022]
Abstract
AIM To evaluate the diagnostic quality of a new multiple detector-row computed tomography angiography (MDCT-A) protocol using low dose radiation and low volume contrast medium techniques for evaluation of non-cardiac chest pain. METHODS Forty-five consecutive patients with clinically suspected noncardiac chest pain and requiring contrast-enhanced chest computed tomography (CT) were examined. The patients were assigned to the protocol, with 80 kilovolt (peak) (kV[p]) and 150 effective milliampere-second (eff mA-s). In our study group, 40 mL of low osmolar contrast material was administered at 3.0 mL/s. RESULTS In the study group, four patients with pulmonary embolism, four with pleural effusion, two with ascending aortic aneurysm and eight patients with pneumonic consolidation were detected. The mean attenuation of the pulmonary truncus and ascendant aortic locations was considered 264±44 and 249±51 HU, respectively. The mean effective radiation dose was 0.83 mSv for MDCT-A. CONCLUSIONS Pulmonary artery and the aorta scanning simultaneously was significantly reduced radiation exposure with the mentioned dose saving technique. Additionally, injection of low volume (40 cc) contrast material may reduce the risk of contrast induced nephropathy, therefore, facilitate the diagnostic approach. This technique can be applied to all cases and particularly patients at high risk of contrast induced nephropathy due to its similar diagnostic quality with a low dose and high levels of arteriovenous enhancement simultaneously.
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Affiliation(s)
- Emin Cakmakci
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Huseyin Ozkurt
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Safiye Tokgoz
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Esra Karabay
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Berna Ucan
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Melek Pala Akdogan
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
| | - Muzaffer Basak
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey
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Gungunes A, Ozbek M, Ginis Z, Sahin M, Demirci T, Cakir Ozkaya E, Karbek B, Sayki Arslan M, Ozturk Unsal I, Tutal Akkaya E, Ucan B, Gultuna Ozguclu S, Cakal E, Topaloglu O, Delibasi T. Serum nesfatin-1 levels in overt and subclinical hyperthyroidism. MINERVA ENDOCRINOL 2014; 39:209-214. [PMID: 25068306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Nesfatin-1 was recently discovered anorexigenic peptide in the brain which is derived from nucleobindin-2. Central and peripheral administration of nesfatin-1, inhibits food intake, dose-dependently. Hyperthyroid patients have increased appetite and food intake with a craving for carbohydrate-rich food, at the beginning of disease, but the physiological mechanisms underlying this behavior is not known exactly. In this study, we investigated whether nesfatin-1 is involved in the regulation of appetite and body weight in hyperthyroidism, or not. METHODS A total of 70 patients with subclinical (35) and overt hyperthyroidism (35) compared with 35 control patients. Serum nesfatin-1 level was measured from all samples by commercial ELISA kit. RESULTS Serum nesfatin-1 levels were similar between three groups (P=0.293). After adjusting for age and body mass index, nesfatin-1 levels in control group was not different from subclinical and overt hyperthyroid group, respectively (P=0.567 and P=0.519). CONCLUSION These data showed that serum nesfatin-1 levels do not significant change in overt and subclinical hyperthyroidism.
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Affiliation(s)
- A Gungunes
- Department of Endocrinology and Metabolic Diseases Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey -
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14
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Cakmakci E, Ucan B, Colak B, Cinar HG. Novel sonographic clues for diagnosis of antral gastritis and Helicobacter pylori infection: a clinical study. J Ultrasound Med 2014; 33:1605-1610. [PMID: 25154942 DOI: 10.7863/ultra.33.9.1605] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVES The purpose of this study was to find out whether transabdominal sonography may have a predictive role for detection of antral gastritis and Helicobacter pylori infection in the antrum. METHODS A total of 108 patients and 54 control participants were allocated into 3 groups: group 1, controls without any symptoms or findings of antral gastritis and H pylori infection; group 2, patients with symptoms and endoscopic findings consistent with gastritis in the absence of documented H pylori infection; and group 3, patients with symptoms and endoscopic findings consistent with gastritis and documented H pylori infection. These groups were compared in terms of demographics, antral wall thickness, mucosal layer (together with muscularis mucosa) thickness, and mucosal layer-to-antral wall thickness ratio. RESULTS The groups had no statistically significant differences with respect to age, sex, body mass index, and smoking habits. However, it turned out that both antral walls and muscularis mucosa layers were thicker and the mucosal layer-to-antral wall thickness ratio was higher in groups 2 and 3 compared to group 1 (P > .001). In addition, group 3 had statistically significantly thicker antral walls and muscularis mucosa layers and a significantly increased mucosal layer-to-antral wall thickness ratio than group 2 (P < .001). CONCLUSIONS Our results suggest that antral gastritis caused by H pylori infection is associated with characteristic features such as thickening of antral walls and mucosal layers on sonography. These novel clues may be useful in the diagnosis of gastritis, and unnecessary interventions and measures can be avoided in some cases.
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Affiliation(s)
- Emin Cakmakci
- Departments of Radiology (E.C.) and General Surgery (B.C.), Kelkit Government Hospital, Gumushane, Turkey; and Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey (B.U., H.G.C.).
| | - Berna Ucan
- Departments of Radiology (E.C.) and General Surgery (B.C.), Kelkit Government Hospital, Gumushane, Turkey; and Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey (B.U., H.G.C.)
| | - Bayram Colak
- Departments of Radiology (E.C.) and General Surgery (B.C.), Kelkit Government Hospital, Gumushane, Turkey; and Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey (B.U., H.G.C.)
| | - Hasibe Gokçe Cinar
- Departments of Radiology (E.C.) and General Surgery (B.C.), Kelkit Government Hospital, Gumushane, Turkey; and Department of Radiology, Dr Sami Ulus Children's Hospital, Ankara, Turkey (B.U., H.G.C.)
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15
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Cakmakci E, Caliskan KC, Turkoglu OK, Cakmakci S, Ozcelik G, Yilmaz E, Turk S, Ozagari A, Ucan B. A modified technique for real time ultrasound guided pediatric percutaneous renal biopsy: the angled tangential approach. Quant Imaging Med Surg 2014; 4:190-4. [PMID: 24914420 DOI: 10.3978/j.issn.2223-4292.2014.01.01] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2013] [Accepted: 01/09/2014] [Indexed: 11/14/2022]
Abstract
AIM Pediatric renal biopsy may result in serious hemorrhagic complications, requiring additional diagnostic procedures, blood transfusion, vascular interventions, and prolongation of hospitalization. The aim of the present study was to propose the angled tangential approach technique for real-time ultrasound-guided pediatric percutaneous renal biopsy. METHODS A retrospective analysis of 166 percutaneous biopsies from June 2004 to May 2009 was performed. Patients' medical records, pathology results, and complications were reviewed. RESULTS No major complications were seen in the study group. The most frequently occurring minor complication was macroscopic hematuria, which occurred at the rate of 9.6%. Hematoma was detected in three cases and regressed spontaneously in all cases. CONCLUSIONS The angled tangential approach is a safe technique and an alternative option in pediatric percutaneous renal biopsies.
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Affiliation(s)
- Emin Cakmakci
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Kosti Can Caliskan
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Ozlem Kolcak Turkoglu
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Selma Cakmakci
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Gul Ozcelik
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Engin Yilmaz
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Sebnem Turk
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Aysim Ozagari
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
| | - Berna Ucan
- 1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
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Turk E, Temir ZG, Karkiner A, Memis A, Topalak O, Evciler H, Ucan B, Karaca I. Bilhemia, an unusual complication after blunt liver trauma in a child: case report and review of the literature. Eur J Pediatr Surg 2010; 20:212-4. [PMID: 20387204 DOI: 10.1055/s-0030-1249697] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- E Turk
- Dr. Behcet Uz Children's Hospital, Pediatric Surgery, IZMIR, Turkey.
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Theysohn JM, Maderwald S, Vogt FM, Ladd SC, Ucan B, Barkhausen J, Schmitt P, Quick HH. Zeitlich und räumlich hoch aufgelöste 3D MRA (TWIST) der Pulmonalarterien: Erste klinische Erfahrungen. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977091] [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: 10/21/2022]
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Vogt FM, Maderwald S, Ucan B, Schmitt P, Quick HH, Barkhausen J. Zeitlich und örtlich hoch aufgelöste Multistationen-MRA (TWIST) der Becken-Bein-Arterien im Vergleich zur DSA: Erste klinische Erfahrungen bei Patienten mit pAVK. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976975] [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: 10/21/2022]
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Theysohn JM, Maderwald S, Vogt FM, Ladd SC, Ucan B, Barkhausen J, Schmidt M, Quick HH. Zeitlich und räumlich hoch aufgelöste kontrastverstärkte 3D MRA (TWIST) der Karotiden: Erste klinische Erfahrungen. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976982] [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: 10/21/2022]
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Coskun U, Gunel N, Onuk E, Yilmaz E, Bayram O, Yamac D, Cihan A, Ucan B, Yildirim Y, Celenkoglu G, Ozkan S. Effect of different neoadjuvant chemotherapy regimens on locally advanced breast cancer. Neoplasma 2003; 50:210-6. [PMID: 12937855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
In this retrospective study, we evaluated the results of 91 locally advanced breast cancer (LABC) patients (30 patients in stage IIIA - 33.0%, 61 patients in stage IIIB - 67.0%) who had been treated with different neoadjuvant chemotherapy regimens. Forty-three (47.3%) patients treated with FAC (5-Fluorouracil, doxorubicin, cyclophosphamide) or CA (cyclophosphamide, doxorubicin), 33 (36.3%) with FEC (5-Fluorouracil, epirubicin, cyclophosphamide) or CE (cyclophosphamide, epirubicin) and 15 (16.5%) with CMF (cyclophosphamide, methotrexate, 5-Fluorouracil) combination as neoadjuvant setting. Median follow-up duration was 33 (6-116) months in 91 patients. There was no significant difference in the pretreatment characteristics of patients receiving FAC/CA, FEC/CE and CMF including age, disease stage, menopausal and estrogen/progesteron receptor (ER/PR) status (p>0.05). In CMF group, no patient was treated with taxan as adjuvant setting. However, ten patients (30.3%) in FEC/CE group and 21 patients (48.8%) in FAC/CA group were treated with taxans. Overall response rate was lower in CMF group (60.0%), when compared to FEC/CE (81.9%) and FAC/CA (91.0%) groups (p<0.05). Median overall survival (OS) and diseases free survival (DFS) were similar in three groups; 28.0 months (range: 14.8-41.1) and 12.0 months (range: 5.3-18.6) in CMF, 45.0 months (range: 16.8-73.1) and 23.0 months (range: 0.0-48.6) in FEC/CE, 46.0 months (range: 41.1-50.8) and 22.0 months (range: 11.1-32.8) months in FAC/CA groups, respectively (p>0.05). In conclusion, overall response rates were found to be higher in anthracycline-based combinations than CMF, but these regimens had no additional survival advantage over CMF regimen. Long-term effects of these regimens should be investigated in further randomized trials.
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Affiliation(s)
- U Coskun
- Department of Medical Oncology, Gazi University Medical School, 06560 Ankara, Turkey.
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