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Aydoğdu YF, Gülçek E, Büyükkasap Ç, Bostancı H. Outcomes of thyroidectomy for secondary thyroid malignancies, a single center experience. Discov Oncol 2024; 15:104. [PMID: 38573422 PMCID: PMC10994885 DOI: 10.1007/s12672-024-00967-5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Accepted: 04/02/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Metastasis of primary malignancies of other organs to the thyroid gland is a rare condition that may pose a diagnostic challenge. In this study, we aimed to report the clinicopathologic features and outcomes of patients treated for secondary thyroid malignancies in our center. MATERIALS AND METHODS The results of patients who underwent thyroidectomy in our clinic between 2015 and 2023 were evaluated retrospectively. Four patients who met the inclusion criteria were evaluated. RESULTS The primary tumor was renal cell carcinoma in 2 patients and squamous cell carcinoma of the lung in 2 patients. Median age was 64 years (min:59-max:69). The median nodule diameter was 2.85 cm. Extrathyroidal spread was present in 1 patient with renal cell carcinoma metastasis. The other patient with renal cell carcinoma metastasis had lymphatic invasion. Vascular invasion was detected in 1 patient with renal cell carcinoma metastasis and 1 patient with squamous cell carcinoma of the lung metastasis. Surgical margin positivity was present in 1 patient in each group. The median overall survival time was 27 (min:10-max:44) months in the renal cell carcinoma group and 11 (min:6-max:16) months in the squamous cell carcinoma group. After the diagnosis of primary renal cell carcinoma, one patient metastasized to thyroid tissue 43.00 and one patient 94.00 months later. In the squamous cell carcinoma group, one patient showed metastasis to thyroid tissue 6.00 months after the primary diagnosis, while the other patient was first diagnosed with metastatic tissue. CONCLUSIONS Metastasis to the thyroid gland is a rare phenomenon with an incidence of 0.22% in all thyroid malignancies. It may occur before the detection of the primary tumor or during the follow-up of the primary malignancy. Although the overall prognosis is poor, it can be treated surgically.
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Affiliation(s)
| | - Emre Gülçek
- Department of General Surgery, Polatlı Duatepe State Hospital, Ankara, Turkey
| | - Çağrı Büyükkasap
- Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Hasan Bostancı
- Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
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Altıner S, Büyükkasap Ç, Göbüt H, Yavuz A, Dikmen K, Bostancı H. Transabdominal preperitoneal hernia repair for incidental de Garengeot's hernia: a case report. ANZ J Surg 2022; 92:2363-2364. [PMID: 35044039 DOI: 10.1111/ans.17484] [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] [Received: 11/15/2021] [Accepted: 01/10/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Saygın Altıner
- Department of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey
| | - Çağrı Büyükkasap
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Hüseyin Göbüt
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Aydın Yavuz
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Kürşat Dikmen
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Hasan Bostancı
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
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Özger HS, Aysert Yıldız P, Gaygısız Ü, Uğraş Dikmen A, Demirbaş Gülmez Z, Yıldız M, Şenol E, Hizel K, Güzel Tunçcan Ö, Çağlar K, Bozdayı G, Köktürk N, Ulukavak Çiftçi T, Aygencel Bıkmaz ŞG, Türkoğlu M, Aydoğdu M, Karabıyık L, Tufan A, Erbaş G, Kılıç HK, Keleş A, Bildik F, Kılıçaslan İ, Karamercan MA, Aslaner MA, Demircan A, Kavutçu M, Gülbahar Ö, Arhan M, Bostancı H, Tutar H, Boyacı Dündar N, Oğuzülgen İK, Dizbay M. The factors predicting pneumonia in COVID-19 patients: preliminary results from a university hospital in Turkey. Turk J Med Sci 2020; 50:1810-1816. [PMID: 32599972 PMCID: PMC7775687 DOI: 10.3906/sag-2005-385] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 06/27/2020] [Indexed: 01/08/2023] Open
Abstract
Background/aim Pneumonia is the most serious clinical presentation of COVID-19. This study aimed to determine the demographic, clinical, and laboratory findings that can properly predict COVID-19 pneumonia. Materials and methods This study was conducted in the Gazi University hospital. All hospitalized patients with confirmed and suspected SARS-CoV-2 infection between 16 March 2020 and 30 April 2020 were analyzed retrospectively. COVID-19 patients were separated into two groups, pneumonia and nonpneumonia, and then compared to determine predicting factors for COVID-19 pneumonia. Variables that had a P-value of less than 0.20 and were not correlated with each other were included in the logistic regression model. Results Of the 247 patients included in the study 58% were female, and the median age was 40. COVID-19 was confirmed in 70.9% of these patients. Among the confirmed COVID-19 cases, 21.4% had pneumonia. In the multivariate analysis male sex (P = 0.028), hypertension (P = 0.022), and shortness of breath on hospital admission (P = 0.025) were significant factors predicting COVID-19 pneumonia. Conclusion Shortness of breath, male sex, and hypertension were significant for predicting COVID-19 pneumonia on admission. Patients with these factors should be evaluated more carefully for diagnostic procedures, such as thorax CT.
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Affiliation(s)
- Hasan Selçuk Özger
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Pınar Aysert Yıldız
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ümmügülsüm Gaygısız
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Asİye Uğraş Dikmen
- Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Zehra Demirbaş Gülmez
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Mehmet Yıldız
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Esin Şenol
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Kenan Hizel
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Özlem Güzel Tunçcan
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Kayhan Çağlar
- Department of Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Gülendam Bozdayı
- Department of Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Nurdan Köktürk
- Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey
| | | | | | - Melda Türkoğlu
- Department of Internal Disease, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Müge Aydoğdu
- Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Lale Karabıyık
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Abdurrahman Tufan
- Department of Internal Diseases, Rheumatology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Gonca Erbaş
- Department of Radiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Hüseyin Koray Kılıç
- Department of Radiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ayfer Keleş
- Department of Emergency Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Fikret Bildik
- Department of Emergency Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - İsa Kılıçaslan
- Department of Emergency Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
| | | | - Mehmet Ali Aslaner
- Department of Emergency Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ahmet Demircan
- Department of Emergency Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Mustafa Kavutçu
- Department of Medical Biochemistry, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Özlem Gülbahar
- Department of Medical Biochemistry, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Mehmet Arhan
- Department of Internal Diseases, Gastroenterology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Hasan Bostancı
- Department of General Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Hakan Tutar
- Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | | | | | - Murat Dizbay
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Turkey
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