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Cimenoglu B, Dogruyol T, Ozdemir A, Buz M, Ece D, Comert SS, Demirhan R. Foreign Body Reaction Mimicking Lymph Node Metastasis is Not Rare After Lung Cancer Resection. Thorac Cardiovasc Surg 2024; 72:235-241. [PMID: 37640061 DOI: 10.1055/a-2161-0690] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
BACKGROUND Mediastinal lymphadenopathies with high 18-fluorodeoxyglucose uptake in patients previously operated on for lung cancer are alarming for recurrence and necessitate invasive diagnostic procedures. Peroperative placement of oxidized cellulose to control minor bleeding may lead to a metastasis-like image through a foreign body reaction within the dissected mediastinal lymph node field at postoperative examinations. In this study, we investigated clinicopathological features and the frequency of foreign body reaction mimicking mediastinal lymph node metastasis. METHODS Patients who underwent surgery for lung cancer between January 2016 and August 2021 and who were subsequently evaluated for mediastinal recurrence with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) were included. Patients were grouped according to the results of EBUS-TBNA as metastasis, foreign body, and reactive. Clinicopathological features of these patients were compared and characteristics of patients in the foreign body group were scrutinized. RESULTS EBUS-TBNA was performed on a total of 34 patients during their postoperative follow-up due to suspicion of mediastinal recurrence. EBUS-TBNA pathological workup revealed metastasis in 18 (52.9%), foreign body reaction in 10 (29.4%) and reactive lymph nodes in 6 (17.6%) patients. Mean maximum standardized uptake value (SUVMax) for metastasis group and foreign body group were 9.39 ± 4.69 and 5.48 ± 2.54, respectively (p = 0.022). Time interval between the operation and EBUS-TBNA for the metastasis group was 23.72 ± 10.48 months, while it was 14.90 ± 12.51 months in the foreign body group (p = 0.015). CONCLUSION Foreign body reaction mimicking mediastinal lymph node metastasis is not uncommon. Iatrogenic cause of mediastinal lymphadenopathy is related to earlier presentation and lower SUVMax compared with metastatic lymphadenopathy.
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Affiliation(s)
- Berk Cimenoglu
- Thoracic Surgery Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Talha Dogruyol
- Thoracic Surgery Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Attila Ozdemir
- Thoracic Surgery Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Mesut Buz
- Thoracic Surgery Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Dilek Ece
- Pathology Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Sevda Sener Comert
- Pneumology Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Recep Demirhan
- Thoracic Surgery Department, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
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Karadaş N, Özdemir HH, Yilmaz Y, Göktepe ŞÖ, Ece D, Karapinar DY. Primary Mold-Active Antifungal Prophylaxis Decreases the Need for Chest Computed Tomography Scans in Patients with Acute Lymphoblastic Leukemia. Indian J Hematol Blood Transfus 2024; 40:196-203. [PMID: 38708155 PMCID: PMC11065793 DOI: 10.1007/s12288-023-01697-4] [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] [Received: 12/14/2022] [Accepted: 09/03/2023] [Indexed: 05/07/2024] Open
Abstract
Current guidelines recommend computed tomography (cCT) scans of the chest in children with leukemia following 96 h of the onset of idiopathic neutropenia to eliminate pulmonary invasive fungal infections (IFIs). However, cCT exposes some children who are at a very high risk of developing secondary cancers to radiation. We aimed to determine the effect of antifungal prophylaxis (AFP) with voriconazole (VCZ) on the need for cCT scans in children with acute lymphoblastic leukemia (ALL) to eliminate pulmonary IFIs during chemotherapy. We retrospectively screened all patients' data from their electronic charts. Children who were diagnosed as having ALL before February 2013 and did (AFP group) or did not (NoP group) receive AFP were divided into two groups and compared regarding cCT scans and relapse-mortality rates. Ninety-six children were diagnosed before February 2013 and did not receive primary AFP and 146 children were administered VCZ following a diagnosis of ALL. There were no significant demographic differences between the groups. A total of 128 cCTs had been required in 62 children in the NoP group, compared with 64 cCTs in 52 children in the AFP group. The percentage of the patients who had required at least one chest CT scan and the mean number of cCT scans in the NoP group were significantly higher compared with the AFP group. Proven-probable IFIs and relapse-mortality rates were higher in the NoP group compared with the AFP group. Mold-active AFP revealed a significant decrease in the need for cCT scans in children with ALL.
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Affiliation(s)
- Nihal Karadaş
- Ege University Faculty of Medicine, Children’s Hospital, Department of Pediatric Hematology, IZMIR, Bornova, Turkey
| | - Hamiyet Hekimci Özdemir
- Ege University Faculty of Medicine, Children’s Hospital, Department of Pediatric Hematology, IZMIR, Bornova, Turkey
| | - Yeşer Yilmaz
- Katip Çelebi University Medical School, IZMIR, Bornova, Turkey
| | - Şebnem Önen Göktepe
- Ege University Faculty of Medicine, Children’s Hospital, Department of Pediatric Hematology, IZMIR, Bornova, Turkey
| | - Dilek Ece
- Ege University Faculty of Medicine, Children’s Hospital, Department of Pediatric Hematology, IZMIR, Bornova, Turkey
| | - Deniz Yilmaz Karapinar
- Ege University Faculty of Medicine, Children’s Hospital, Department of Pediatric Hematology, IZMIR, Bornova, Turkey
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3
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Karadaş N, Göktepe ŞŞÖ, Baş İ, Ece D, Özdemir HH, Balkan C, Kavaklı K, Aydinok Y, Karapinar DY. Current childhood chronic myeloid leukemia management under tyrosine kinase inhibitor treatment. Int J Hematol 2023; 117:446-455. [PMID: 36401784 DOI: 10.1007/s12185-022-03497-4] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 11/14/2022] [Accepted: 11/14/2022] [Indexed: 11/20/2022]
Abstract
Chronic myeloid leukemia (CML) is very rare during childhood. Tyrosine kinase inhibitors (TKI) provide very good results in terms of survival. The medical records of 15 chronic phase (CP)-CML patients in a university hospital pediatric hematology department between 1997 and 2022 were reviewed retrospectively. Complete hematological response was documented in all patients between 20 and 68 (median 30) days of treatment. Major molecular response was achieved in seven patients within 6 months. Median follow-up for the study group was 79 (range 3-330) months and overall survival was 100%. Three patients (2 blastic transformation, 1 therapy resistant) underwent bone marrow transplantation (BMT) and one with blastic transformation is scheduled to undergo BMT. TKI were discontinued in three patients after a median of 86 (range 73-177) months. The complete molecular remission maintenance period before discontinuation of TKI was 81 (range 62-122) months. While no molecular relapse was seen before the last follow-up, the median overall follow-up period was 152 (range 131-300) months. In conclusion, recent advances have led to a very good prognosis for children with CP-CML. With TKI treatment, most patients continue their lives without disease progression. Additionally, in selected patients TKI can be discontinued without molecular relapse.
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Affiliation(s)
- Nihal Karadaş
- Pediatric Hematology Department, Ege University School of Medicine, Bornova, Izmir, Turkey.
- Department of Pediatric Hematology, Children's Hospital, Izmir, Turkey.
| | | | - İlke Baş
- Pediatric Hematology Department, Ege University School of Medicine, Bornova, Izmir, Turkey
| | - Dilek Ece
- Pediatric Hematology Department, Ege University School of Medicine, Bornova, Izmir, Turkey
| | | | - Can Balkan
- Department of Pediatric Hematology, Children's Hospital, Izmir, Turkey
| | - Kaan Kavaklı
- Department of Pediatric Hematology, Children's Hospital, Izmir, Turkey
| | - Yeşim Aydinok
- Department of Pediatric Hematology, Children's Hospital, Izmir, Turkey
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Şen S, Özdemir HH, Karadaş N, Bal ZŞ, Göktepe ŞÖ, Ece D, Balkan C, Aydinok Y, Karapinar DY. Is Monitoring of Cytomegalovirus Disease Required in Nontransplant Pediatric Acute Lymphoblastic Leukemia? J Pediatr Hematol Oncol 2021; 43:e935-e940. [PMID: 34387629 DOI: 10.1097/mph.0000000000002272] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Accepted: 05/16/2021] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Cytomegalovirus (CMV) infections in developing countries are experienced at an early age. This study was performed to investigate the frequency of reactivation and risk factors of infection acquired at an early age of nontransplant acute lymphoblastic leukemia (ALL) patients receiving immunosuppressive therapy with weekly monitoring of CMV levels in Turkey. MATERIALS AND METHODS This was a retrospective, single-center study of 172 pediatric patients (102 boys and 70 girls) with ALL. All patients were monitored routinely for CMV-DNA at the initial presentation of leukemia and twice a week during chemotherapy. The CMV immunoglobulin (Ig)M/IgG titers were measured at admission. RESULTS CMV seropositivity at baseline was 90,11%. The overall prevalence of CMV infection (viremia) was 70.34%, 116 of whom were seropositive for CMV IgG and 5 of whom were negative for CMV at the time of ALL diagnosis. Reactivation was more common than de novo CMV infections (P=0.000). CMV seropositivity at the beginning of the leukemia diagnosis was found to be an independent predictor for developing CMV infection (P=0.001). A total of 60 CMV infection episodes were treated with antivirals. Four of these included organ involvement. The duration of CMV-DNA viremia episodes was longer in patients with CMV-DNA ≥1000 copies/mL (n=45) than in those with lower CMV-DNA levels (P=0.002). Infection was shown not to be associated with chemotherapy phase. CONCLUSION This study suggests the importance of monitoring for CMV infections in developing countries because of frequent reactivations in seropositive ALL patients. It should be kept in mind that low CMV-DNA levels may also lead to organ involvement.
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Affiliation(s)
- Semra Şen
- Department of Pediatric Infectious Disease, Ege University
- Department of Pediatric Infectious Disease, Celal Bayar University, Manisa, Turkey
| | | | | | - Zümrüt Ş Bal
- Pediatric Infectious Disease, Ege University Hospital, Izmir
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5
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Ataseven E, Ece D, Özsan N, Kantar M. Vacuolated Blasts in the Bone Marrow of a Child with Rhabdomyosarcoma. Turk J Haematol 2020; 37:70-71. [PMID: 31771321 PMCID: PMC7057750 DOI: 10.4274/tjh.galenos.2019.2019.0324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- Eda Ataseven
- Ege University Faculty of Medicine, Department of Pediatric Hematology and Oncology, İzmir, Turkey
| | - Dilek Ece
- Ege University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Hematology and Oncology, İzmir, Turkey
| | - Nazan Özsan
- Ege University Faculty of Medicine, Department of Pathology, İzmir, Turkey
| | - Mehmet Kantar
- Ege University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Oncology, İzmir, Turkey
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Ece D, Geçmen G, Kökten Ş, Cömert SŞ. Effect of Preparation Technique on Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Sample Adequacy: 3 Years of Experience from a Single Center. Turk Patoloji Derg 2020; 35:198-206. [PMID: 30859517 DOI: 10.5146/tjpath.2018.01454] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is increasingly used to sample mediastinal lymph nodes and lesions. However, the methodological details of an optimal preparation technique for aspirated material have not yet been clearly determined. This study was an evaluation of the effect of 2 preparation techniques on the adequacy of aspirated specimens. MATERIAL AND METHOD A retrospective analysis was performed of EBUS-TBNA samples obtained at the institution over a total of 36 months. Two periods were examined. Almost all of the aspirated material was smeared onto slides and fixed with 95% alcohol in the first period of the study. Subsequently, to improve diagnostic ability, a pair of slides was prepared from each needle pass: the first was air-dried, and the second was fixed in 95% alcohol. The remainder of the aspirate was kept for cell block analysis. RESULTS In total, 462 samples were obtained from 260 patients. The overall sampling adequacy was 74% in the first and 81.1% in the second period (p < 0.05). Approximately 14% of the specimens included a sufficient number of cells for immunohistochemical cell block evaluation in the first period and 42% in the second period (p < 0.001). Histological subtyping of non-small cell lung carcinoma was determined in 18 (56.3%) and the primary origin of a tumor was determined based on morphological and immunohistochemical properties in 32 (84.2%) of the patients in the first and second periods, respectively. CONCLUSION The access to a sufficient EBUS-TBNA sample and the ability to perform the appropriate preparation can impact the specific diagnosis and treatment of patient with a single procedure.
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Affiliation(s)
- Dilek Ece
- Department of Pathology, Dr. Lütfi Kirdar Kartal Training and Research Hospital, ISTANBUL, TURKEY
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7
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Girit S, Senol E, Eroglu E, Ece D, Baysal T. Plastic Bronchitis in a 4 Year-Old Boy Presenting with a Foreign Body Aspiration: A Rare Entity. Medeni Med J 2019. [DOI: 10.5222/mmj.2019.39197] [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: 11/05/2022] Open
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8
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Ece D, Sahiner N, Ozkaya-Parlakay A, Oguz-Erdogan AS, Ozyoruk D, Tezer H, Gulhan B, Kanik-Yuksek S. Langerhans cell histiocytosis presenting like lichen planus in a 4-month-old infant. Pediatr Neonatol 2018; 59:219-220. [PMID: 29217373 DOI: 10.1016/j.pedneo.2017.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 06/20/2017] [Accepted: 11/10/2017] [Indexed: 12/01/2022] Open
Affiliation(s)
- Dilek Ece
- Ankara Hematology Oncology Children's Training and Research Hospital, Turkey
| | - Neriman Sahiner
- Ankara Hematology Oncology Children's Training and Research Hospital, Dermatology Department, Turkey
| | - Aslinur Ozkaya-Parlakay
- Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Infectious Diseases Department, Turkey.
| | - Ayse Selcen Oguz-Erdogan
- Ankara Hematology Oncology Children's Training and Research Hospital, Pathology Department, Turkey
| | - Derya Ozyoruk
- Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Oncology Department, Turkey
| | - Hasan Tezer
- Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Infectious Diseases Department, Turkey
| | - Belgin Gulhan
- Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Infectious Diseases Department, Turkey
| | - Saliha Kanik-Yuksek
- Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Infectious Diseases Department, Turkey
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9
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Gecmen C, Gecmen GG, Ece D, Kahyaoğlu M, Kalayci A, Karabay CY, Candan O, Isik ME, Yilmaz F, Akgun O, Celik M, Izgi IA, Kirma C, Keser S. Erratum to: Cytopathology of pericardial effusions : Experience from a tertiary center of cardiology. Herz 2017; 43:554. [PMID: 28730414 DOI: 10.1007/s00059-017-4604-z] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- C Gecmen
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey.
| | - G G Gecmen
- Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey
| | - D Ece
- Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey
| | - M Kahyaoğlu
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - A Kalayci
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - C Y Karabay
- Dr. Siyami Ersek Chest and Cardiovascular Surgery Hospital, Istanbul, Turkey
| | - O Candan
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - M E Isik
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - F Yilmaz
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - O Akgun
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - M Celik
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - I A Izgi
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - C Kirma
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey
| | - S Keser
- Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey
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10
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Guvenir H, Misirlioglu ED, Aydin F, Ece D, Cakar N, Kocabas CN. Successful methylprednisolone desensitization in a pediatric patient. Pediatr Allergy Immunol 2017; 28:305-306. [PMID: 28039896 DOI: 10.1111/pai.12693] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/29/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Hakan Guvenir
- Department of Pediatric Allergy and Immunology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Emine Dibek Misirlioglu
- Department of Pediatric Allergy and Immunology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Fatma Aydin
- Department of Pediatric Rheumatology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Dilek Ece
- Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Nilgun Cakar
- Department of Pediatric Rheumatology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Can Naci Kocabas
- Division of Pediatric Allergy and Immunology, Department of Children's Health and Diseases, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
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11
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Keser SH, Selek A, Ece D, Barişik CC, Şensu S, Geçmen GG, Erhan SŞ, Kökten ŞÇ, Barişik NÖ, Gül AE. Review of Hydatid Cyst with Focus on Cases with Unusual Locations. Turk Patoloji Derg 2017; 33:30-36. [PMID: 28044304 DOI: 10.5146/tjpath.2016.01369] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE This study has been conducted so as to contribute to health statistics of hydatid cyst by the data obtained from our clinic, and to discuss hydatid cysts in unusual locations. MATERIAL AND METHOD Cases diagnosed as hydatid cyst at Dr. Lutfi Kirdar Kartal Research and Education Hospital Pathology Clinic between 2007 and 2015 have been evaluated based on criteria such as age, sex and location. RESULTS A total of 364 cases, 209 females and 155 males, have been included in the study. The subjects in the cases are aged between 4 and 81 (mean: 38.84). Regarding the sites, 254 (69.8℅) of the cases are located in liver, and 53 (14.6℅) in the lung. Fifty-seven cases (15.6℅) have been detected in unusual sites other than the lung or liver. The rate of isolated organ involvement, other than the lung and liver, has been found to be 10.3℅. CONCLUSION Since hydatid cyst can be found in all the body sites, it should be taken into account in the differential diagnosis of all cystic lesions.
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Affiliation(s)
- Sevinç Hallaç Keser
- Department of Pathology, Dr. Lütfi Kırdar Kartal Educational and Research Hospital, İstanbul, Turkey
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Keser SH, Kandemir NO, Ece D, Gecmen GG, Gul AE, Barisik NO, Sensu S, Buyukuysal C, Barut F. Relationship of mast cell density with lymphangiogenesis and prognostic parameters in breast carcinoma. Kaohsiung J Med Sci 2017; 33:171-180. [PMID: 28359404 DOI: 10.1016/j.kjms.2017.01.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [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: 09/26/2016] [Revised: 01/19/2017] [Accepted: 01/24/2017] [Indexed: 12/11/2022] Open
Abstract
In many cancers, mast cell density (MCD) in the tumor microenvironment is associated with tumor progression and, to a greater extent, angiogenesis. Our study was designed to investigate the correlation between MCD, tumor lymphangiogenesis, and several well-established prognostic parameters in breast cancer. One hundred and four cases of invasive breast carcinoma diagnosed in our clinic between 2007 and 2011 were included. Mast cells and lymphatic vessels were stained with toluidine blue and D2-40, respectively, and their densities were calculated in various areas of tumors and lymph nodes. The variables of MCD and lymphatic vessel density (LVD) were compared using prognostic parameters as well as with each other. As tumor size and volume increased, MCD increased comparably in metastatic lymph nodes; intratumoral and peritumoral LVD also increased. Lymphovascular invasion, lymphatic invasion, perineural invasion, and estrogen receptor positivity were positively related to intratumoral MCD. The relationship between peritumoral MCD and nontumoral breast tissue MCD was statistically significant. Stage was correlated with MCD in metastatic lymph nodes. Metastatic lymph node MCD and intratumoral MCD were also significantly related. Stage, lymphatic invasion, perineural invasion, lymphovascular invasion, and metastatic lymph node MCD were all correlated with intratumoral and/or peritumoral LVD. As nuclear grade increased, intratumoral LVD became higher. In breast carcinoma, MCD, depending on its location, was related to several prognostic parameters. Notably, mast cells may have at least some effect on lymphangiogenesis, which appears to be a predictor of tumor progression.
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Affiliation(s)
- Sevinc H Keser
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
| | - Nilufer O Kandemir
- Department of Pathology, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey.
| | - Dilek Ece
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Gonca G Gecmen
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Aylin E Gul
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Nagehan O Barisik
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Sibel Sensu
- Department of Pathology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Cagatay Buyukuysal
- Department of Biostatistics, Bülent Ecevit University, Zonguldak, Turkey
| | - Figen Barut
- Department of Pathology, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey
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13
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Senol S, Aydin A, Kosemetin D, Ece D, Akalin I, Abuoglu H, Duran EA, Aydin D, Erkol B. Gastric Adenocarcinoma Biomarker Expression Profiles and their Prognostic Value. J Environ Pathol Toxicol Oncol 2017; 35:207-222. [PMID: 27910777 DOI: 10.1615/jenvironpatholtoxicoloncol.2016016099] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Expression levels of several molecules implicated in carcinogenesis were examined by immunohistochemical staining, and the prognostic significance of their expression levels in gastric adenocarcinoma (GA) was evaluated. A total of 115 GA and 20 control gastric tissue samples were evaluated by immunohistochemistry using 33 antibodies targeting molecules known to play a part in the development of various tumors. Overexpression of carbonic anhydrase IX (CAIX) and loss of AT-rich interactive domain-containing protein 1A (ARID1A), aldehyde dehydrogenase 1 (ALDH1), and CD44 expression in GA patients were significantly correlated with lymph node (LN) metastasis, advanced tumor stage, and poor prognosis. The results demonstrated that ALDH1A and ARID1A may be strong independent prognostic factors associated with overall survival and recurrence-free survival (p < 0.01 and p < 0.05, respectively). Our results demonstrated that ALDH1, CD44, ARID1A, and CAIX in immunoreactive GA tumor cells exhibit different expression profiles compared with control cells and that these differences are associated with patient survival. The molecules with differential expression profiles were associated with some common functions, including hypoxia, epithelial-to-mesenchymal transition, and SW1/SNF-mediated chromatin remodeling. In addition, the loss of ALDH1, ARID1A, and CD44 and the overexpression of CAIX are important for tumor invasion and metastasis; therefore, they may serve as useful prognostic indicators of long-term survival in patients with GA. In conclusion, our study found that abnormal expression of some of the proteins evaluated in GA tumor cells might have an important role in carcinogenesis and tumor progression and thus may influence the prognosis of patients with GA.
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Affiliation(s)
- Serkan Senol
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital, Istanbul, Turkey
| | - Abdullah Aydin
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital, Istanbul, Turkey
| | - Duygu Kosemetin
- Department of Pathology, Van Research and Training District Hospital, Van, Turkey
| | - Dilek Ece
- Department of Pathology, Istanbul Kartal Lütfi Kırdar Research and Training Hospital, Istanbul, Turkey
| | - Ibrahim Akalin
- Department of Medical Genetics, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey
| | - Hasan Abuoglu
- Department of General Surgery, Istanbul Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
| | - Esra Akdeniz Duran
- Division of Biostatistics, Faculty of Medicine, İstanbul Medeniyet University, Istanbul, Turkey
| | - Dincer Aydin
- Department of Medical Oncology, Istanbul Kartal Lütfi Kırdar Research and Training Hospital, Istanbul, Turkey
| | - Burcak Erkol
- Department of Medical Oncology, Istanbul Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
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Gecmen C, Gecmen GG, Kahyaoglu M, Ece D, Ozkan B, Karaman O, Naser A, Kalayci A, Karabay CY, Kirma C. Pericardial effusion due to cholesterol pericarditis in case of rheumatoid arthritis. Echocardiography 2016; 33:1614-1616. [PMID: 27264193 DOI: 10.1111/echo.13279] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- Cetin Gecmen
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey.
| | - Gonca Gul Gecmen
- Department of Pathology, Dr. Lutfu Kirdar Education and Research Hospital, Istanbul, Turkey
| | - Muzaffer Kahyaoglu
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Dilek Ece
- Department of Pathology, Dr. Lutfu Kirdar Education and Research Hospital, Istanbul, Turkey
| | - Birol Ozkan
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Ozge Karaman
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Abdurrahman Naser
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Arzu Kalayci
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Can Yucel Karabay
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Cevat Kirma
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
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15
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Çakmakcı E, Tokgöz Özal S, Kolçak Türkoğlu Ö, Uçan B, Kaygusuz U, Dinç T, Ece D. Does the site of aspiration affect the efficacy of ultrasound-guided fine needle aspiration biopsy of thyroid nodules? ENT Updates 2015. [DOI: 10.2399/jmu.2015001004] [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: 11/30/2022] Open
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16
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Senol S, Yildırım A, Akalin I, Uruç F, Çobanoğlu B, Yilmaz S, Ceyran B, Kösemetin D, Ece D, Aydın A. Relation of stem cell markers ALDH1 and CD44 with clinicopathological factors in urothelial carcinomas of urinary bladder. Int J Clin Exp Med 2015; 8:4195-4203. [PMID: 26064330 PMCID: PMC4443164] [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] [Received: 01/11/2015] [Accepted: 02/25/2015] [Indexed: 06/04/2023]
Abstract
Molecular studies are ongoing in regards to superficial urothelial carcinoma of the bladder (UCB) either to define targeted therapy or to better select aggressive therapy candidates and also to delineate the outcome of the disease. In this study, we aimed to present the impact of ALDH1 and CD44 as stem cell markers in tumorigenesis and their prognostic value in urothelial carcinoma. We investigated ALDH1 and CD44 immunohistochemically in paraffin-embedded material of 125 non-muscle-invasive (NMI) cases in 163 UCB patients. In the NMI-UCB subgroup, we found ALDH1 to be significantly correlated with all poor prognostic factors, including high stage (≥pT2), high grade, recurrence and progression development and poor survey (P=0.001) in contrast to CD44 expression (P>0.05). Although ALDH1 expression had a good correlation with a poor clinical course of UCB, it could be used as a molecular marker to determine the best treatment strategy and could contribute to the development of targeted therapies.
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Affiliation(s)
- Serkan Senol
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
| | - Asif Yildırım
- Department of Urology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
| | - Ibrahim Akalin
- Department of Medical Genetics, Istanbul Medeniyet University, Faculty of Medicine Istanbul, Turkey
| | - Fatih Uruç
- Department of Urology, Istanbul Fatih Sultan Mehmet Training and Research Hospital Istanbul, Turkey
| | - Bengü Çobanoğlu
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
| | - Sarenur Yilmaz
- Department of Medical Genetics, Istanbul Medeniyet University, Faculty of Medicine Istanbul, Turkey
| | - Bahar Ceyran
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
| | - Duygu Kösemetin
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
| | - Dilek Ece
- Department of Pathology, Istanbul Dr. Lütfi Kırdar Kartal Research and Training Hospital Istanbul, Turkey
| | - Abdullah Aydın
- Department of Pathology, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Research and Training Hospital Istanbul, Turkey
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Ece D, Keser SH, Selek A, Başak K, Karadayı N. Diagnostic Accuracy of Preoperative Fnac in Salivary Gland Lesions. Oral Surg Oral Med Oral Pathol Oral Radiol 2015. [DOI: 10.1016/j.oooo.2014.07.168] [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: 11/27/2022]
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