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Dursun H, Bayazit AK, Büyükçelik M, Iskit S, Noyan A, Apbak A, Gönlüşen G, Anarat A. Aggressive angiomyxoma in a child with chronic renal failure. Pediatr Surg Int 2005; 21:563-5. [PMID: 15776247 DOI: 10.1007/s00383-005-1393-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [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] [Accepted: 06/08/2004] [Indexed: 01/14/2023]
Abstract
Aggressive angiomyxoma (AAM) is a rare and nonmetastasizing soft-tissue tumor predominantly found in the female pelvis and perineum. It has a high risk of local recurrence. We report the unusual case of a 15-year-old boy with an AAM presenting as a slowly enlarging scrotal mass. The patient had had chronic renal failure since 1997 and had needed hemodialysis for the previous 11 months. He presented with a 12-month history of a nontender soft mass in the right scrotum. Ultrasound examination revealed a solid mass in the scrotum. After surgical resection, pathological analysis disclosed spindle-shaped neoplastic cells widely separated by a myxoid stroma rich in collagen fibers and prominent irregularly shaped blood vessels; the histological examination confirmed an AAM.
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Affiliation(s)
- Hasan Dursun
- Department of Pediatric Nephrology, Cukurova University School of Medicine, Adana, Turkey.
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2
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Gözey A, Paydaş S, Dogan A, Gönlüşen G, Ozaykan B, Tuncer I, Kibar M. Renal and myocardial histopathologic changes in two kidney--one clip renovascular hypertenson. Int Urol Nephrol 2002; 33:665-71. [PMID: 12452626 DOI: 10.1023/a:1020575001051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- A Gözey
- Department of Internal Medicine, Cukurova University Faculty of Medicine, Adana, Turkey
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3
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Abstract
Amyloid, was first described in the 19th century by Virchow, which means starch or cellulose. Extracellular deposition of this unique protein fibrils in tissues, often leading organ dysfunction is known as amyloidosis. In systemic amyloidosis, amyloid fibrils may deposit in different organs including kidneys, heart and liver. Although liver is effected frequently, clinical liver disease is rare. There are a few cases that secondary amyloidosis presented with hepatic involvement and cholestasis which seems to be limited to primary amyloidosis. Hepatic amyloidosis with cholestasis may be a predictor of involvement of other organs and thus of poor prognosis. We report a case of a 67 year old man with renal failure and prominent cholestasis due to AA amyloid deposition in the liver.
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Affiliation(s)
- C Unsal
- Department of Internal Medicine, Adana, Turkey
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4
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Abstract
Plasmacytoma (Pm) is a plasma cell (PC) neoplasia consisting of PCs and some of them show progression to multiple myeloma. But there is no clear indicators predicting this progression. In this study, MUC1 expression was evaluated in Pm cases to determine the predictive value and was compared with histopathologic grade which is known to be a prognostic indicator in Pm. Nine of 31 cases with Pm showed MUC1 expression. Only two of the 18 cases with mature morphology showed MUC1 expression while seven of 13 cases with immature morphology showed MUC1 expression and this was statistically significant (P<0.006). Additionally, four of 11 cases with BM involvement showed MUC1 expression while five of 20 cases without BM involvement showed MUC1 expression. There was a trend MUC1 expression with BM involvement but there was not statistically significant association between MUC1 expression and BM involvement. We found that MUC1 expression is associated with immature morphology which is an important prognostic indicator in Pm and by analogy MUC1 expression may be an additional prognostic indicator in patients with Pm.
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Affiliation(s)
- S Paydaş
- Department of Oncology, Faculty of Medicine, Cukurova University, 01330 Balcali, Adana, Turkey.
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5
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Noyan A, Anarat A, Tinaztepe K, Karabay A, Gönlüşen G, Zeren H. Isolated diffuse mesangial sclerosis in three siblings. Nephron Clin Pract 2000; 78:356-7. [PMID: 9546709 DOI: 10.1159/000044958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Paydaş S, Sahin B, Yavuz S, Tuncer I, Gönlüşen G. Lymphomatous skin infiltration at the site of previous varicella zoster virus infection in a patient with T cell lymphoma. Leuk Lymphoma 2000; 37:229-32. [PMID: 10721792 DOI: 10.3109/10428190009057651] [Citation(s) in RCA: 7] [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] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Cutaneous infiltrations in hemopoietic neoplasias are not uncommon. They are generally localized on the legs, arms, back, anterior chest, scalp and face. In rare cases specific infiltration of neoplastic cells is localized in the site of herpes zoster and herpes simplex scars. In this report a case with T cell lymphoma in leukemic phase with skin infiltration in the previous Varicella Zoster Virus (VZV) site of infection is reported and literature is reviewed.
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Affiliation(s)
- S Paydaş
- Department of Oncology, Cukurova University Faculty of Medicine, Balcali, Adana, Turkey.
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Paydaş S, Hazar B, Sahin B, Gönlüşen G. Granulocytic sarcoma as the cause of giant abdominal mass: diagnosis by fine needle aspiration and review of the literature. Leuk Res 2000; 24:267-9. [PMID: 10739011 DOI: 10.1016/s0145-2126(99)00190-3] [Citation(s) in RCA: 7] [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] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Granulocytic sarcoma (GS) or chloroma is a neoplasia consisting of myeloid precursors in an extramedullary site. It is generally associated with myeloproliferative disorders especially with myeloid neoplasias. A young woman with huge abdominal mass due to GS associated with chronic myelocytic leukemia (CML) has been reported and literature is reviewed.
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Affiliation(s)
- S Paydaş
- Department of Oncology, Cukurova University Faculty of Medicine, Balcali Adana, Turkey.
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Abstract
Postmastectomy lymphedema (PML) is a morbid condition occurring in patients with breast carcinoma treated with radical/modified radical mastectomy. Postmastectomy angiosarcoma (PMA) is the most common neoplasia seen in these patients. Primary malignant lymphoma arising in PML is a rare neoplasia and 3 cases have been reported until now. In this report a patient with diffuse large cell lymphoma (DLCL) arising in PML is reported and the other three cases are reviewed.
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Affiliation(s)
- S Paydaş
- Cukurova University Faculty of Medicine, Department of Oncology, Balcali, Adana, Turkey.
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Bircan Z, Kervancioğlu M, Soran M, Gönlüşen G, Tuncer I. Two cases of nephrotic syndrome and tertian malaria in south-eastern Anatolia. Pediatr Nephrol 1997; 11:78-9. [PMID: 9035177] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Tertian malaria is endemic in south-eastern Anatolia. As in Europe and America, in south-eastern Anatolia, an etiological agent is seldom identified in nephrotic syndrome. Two patients with Plasmodium vivax and nephrotic syndrome are described here. The possible relationship between Plasmodium vivax and nephrotic syndrome should be explored in children in endemic malarial regions.
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Affiliation(s)
- Z Bircan
- Department of Pediatrics, Dicle University Hospital, Diyarbakir, Turkey
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Yüksel B, Noyan A, Anarat A, Gönlüşen G, Ozer G. Membranoproliferative glomerulonephritis associated with insulin-dependent diabetes mellitus. A case report. Nephron Clin Pract 1996; 73:716-7. [PMID: 8856282 DOI: 10.1159/000189171] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
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12
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Paydas S, Seyrek N, Gönlüşen G, Sağliker Y. The frequencies of hepatitis B virus markers and hepatitis C virus antibody in patients with glomerulonephritis. Nephron Clin Pract 1996; 74:617-9. [PMID: 8938692 DOI: 10.1159/000189463] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [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: 02/03/2023] Open
Abstract
Hepatitis B virus markers and hepatitis C virus (HCV) antibody were assayed in 72 patients with glomerulonephritis (GN) at the time of biopsy. The patients, 41 males and 31 females, were aged between 16 and 68 years. The frequency of positivity for HbsAg, anti-Hbs, and anti-Hbe, anti-Hbc and anti-HCV antibody was 5.5, 20.8, 2.8, 16.6 and 1.4% respectively. At the same time, HbsAg and anti-HCV positivity were 8.5 and 0.95% in blood donors. We can say that morbidity and prognosis may be affected by hepatitis infection. Infections of hepatitis B and C have to be evaluated in patients with GN, especially in endemic areas. In our study group the frequencies of HbsAg positivity and anti-HCV positivity were not higher in patients with GN than in blood donors.
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Affiliation(s)
- S Paydas
- Cukurova University Faculty of Medicine, Department of Internal Medicine, Adana, Turkey
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Koçak R, Tetiker T, Koçak M, Başlamişli F, Zorludemir S, Gönlüşen G. Fluconazole in the treatment of three cases of mucormycosis. Eur J Clin Microbiol Infect Dis 1995; 14:559-61. [PMID: 7588838 DOI: 10.1007/bf02113443] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Abstract
A unique combination of primary cerebral lymphoma and meningioma was encountered in a 38-year-old woman who recently presented clinically with headache and papilledema. The both tumors were identified by CT scan and diagnosed histopathologically after the surgery. The association of a highly malignant primary cerebral lymphoma and a slowly growing meningioma is extremely rare. The possibility of an unknown underlying pathologic mechanism predisposing to multiple tumors should be considered.
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MESH Headings
- Adult
- Brain/pathology
- Brain Neoplasms/diagnostic imaging
- Brain Neoplasms/pathology
- Brain Neoplasms/surgery
- Female
- Humans
- Leukemia, Lymphocytic, Chronic, B-Cell/diagnostic imaging
- Leukemia, Lymphocytic, Chronic, B-Cell/pathology
- Leukemia, Lymphocytic, Chronic, B-Cell/surgery
- Meningeal Neoplasms/diagnostic imaging
- Meningeal Neoplasms/pathology
- Meningeal Neoplasms/surgery
- Meningioma/diagnostic imaging
- Meningioma/pathology
- Meningioma/surgery
- Neoplasms, Multiple Primary/diagnostic imaging
- Neoplasms, Multiple Primary/pathology
- Neoplasms, Multiple Primary/surgery
- Tomography, X-Ray Computed
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Affiliation(s)
- F Ildan
- Department of Neurosurgery, Cukurova University School of Medicine, Balcali, Adana, Turkey
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Abstract
The efficacy and side effects of the oral administration of cyclosporin A (Cyc-A) were investigated in 13 children with the nephrotic syndrome. Two of these children were steroid-dependent, 9 were resistant to steroids, and 2 displayed frequent relapses. The diagnosis of 6 patients was mesangioproliferative glomerulonephritis (MezPGN), of another 6 mesangiocapillary glomerulonephritis, and of 1 minimal change disease. Cyc-A was administered for 6 months at a dosage of 7 mg/kg/day with continual monitoring of the serum levels. At the end of the treatment period, 7 of the patients (53.8%) had a total remission, 5 (38.4%) a partial remission, and 1 (7.8%) did not respond to treatment. While total remission was achieved in 4 patients who had responded well to steroids, this was true for only 3 (33.3%) of the 9 patients who had not benefited from steroids. The effects and side effects of Cyc-A on histopathological morphology were also investigated by means of posttreatment biopsies. While histopathological improvement was seen in 3 patients with MezPGN, there was evidence of deterioration in 1 patient with MLH.
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Affiliation(s)
- A Noyan
- Department of Pediatric Nephrology, Cukurova University School of Medicine, Adana, Turkey
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17
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Demirtaş M, Uluhan A, Paydaş S, Gönlüşen G, Usal A, Tuncer I, Birand A. AA-amyloidosis presenting with chronic diarrhea and cardiac manifestations. Jpn Heart J 1994; 35:695-9. [PMID: 7830334 DOI: 10.1536/ihj.35.695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
In secondary amyloidosis (AA type), clinically significant cardiac and gastrointestinal involvement are uncommon, in contrast to the primary type. We report a case presenting with chronic diarrhea and cardiac manifestations who was diagnosed as having AA-amyloidosis with unknown predisposing illness based on endomyocardial, rectal and subcutaneous fat tissue biopsies.
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Affiliation(s)
- M Demirtaş
- Department of Cardiology, Cukurova University, Medical School, Adana, Turkey
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Aksungur EH, Apaydin D, Gönlüşen G, Kiroğlu M, Soylu L, Duce MN, Coşar E. A case of oroantral fistula secondary to malignant fibrous histiocytoma. Eur J Radiol 1994; 18:212-3. [PMID: 7957293 DOI: 10.1016/0720-048x(94)90337-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- E H Aksungur
- Department of Diagnostic Radiology, Cukurova University Balcali, Adana, Turkey
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Ildan F, Cetinalp E, Bagdatoglu H, Tunah N, Gönlüşen G, Karadayi A. Surgical treatment of symptomatic subependymoma of the nervous system. Report of five cases. Neurosurg Rev 1994; 17:145-50. [PMID: 7970020 DOI: 10.1007/bf00698771] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [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: 01/28/2023]
Abstract
Subependymomas are uncommon and relatively benign tumors with a distinctive histological appearance. They are generally asymptomatic and most of them are found incidentally at postmortem examination. These tumors are usually located in the fourth and lateral ventricle, and sometimes in the spinal cord. The authors present a series of 5 pure subependymomas of the central nervous system all of which were symptomatic and all of which were treated by microsurgical removal. The clinico-pathological findings and the results of microsurgical treatment in this series are presented.
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Affiliation(s)
- F Ildan
- Cukurova University, Faculty of Medicine, Department of Neurosurgery, Balcah, Adana, Türkey
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20
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Abstract
Lipoid proteinosis (Urbach-Wiethe disease) is a rare autosomal recessive disorder in which hyalinized material is deposited in the skin, mucous membranes and brain. Laryngeal changes resulting in hoarseness may be present at birth or in early infancy, often being the first sign of the disease. A typical case is presented.
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Affiliation(s)
- P Cinaz
- Department of Pediatrics, Medical Faculty of Gazi University, Beşevler, Ankara, Turkey
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