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    A case of non-Hodgkin lymphoma with chest wall involvement
    (Gulhane Askeri Tip Akademisi, 2009) Çelik, Burçin; Bilgin, Salih
    Primary tumors of the chest wall are very rare. We herein report a very rare case of non-Hodgkin lymphoma presenting with a solitary chest wall mass. A 52-year-old female patient admitted to our hospital because of an abnormality detected on her chest X-ray during the preoperative evaluation for surgical therapy of femur fracture. On physical examination, a 10×7 cm sized, immobile, irregular mass involving the 6.-8. ribs on posterior chest wall was detected. Chest computerized tomography demonstrated a mass invading also the muscles on the chest wall. The histopathological examination of the tru-cut biopsy specimen obtained from the mass was reported as diffuse large B cell lymphoma. The patient received systemic chemotherapy and local radiotherapy. She is still being followed up with no evidence of active disease 22 months after the initial diagnosis. © Gülhane Askeri Ti{dotless}p Akademisi 2009.
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    Diagnostic and therapeutic approaches in tracheobronchial rupture: Analysis of 23 patients
    (2010) Şahin, Ekber; Nadir, Aydin; Karadayi, Şule; Çelik, Burçin; Manduz, Şinasi; Akkaş, Yücel; Kaptano?lu, Melih
    Background: In this article we examined diagnostic and therapeutic results of tracheobronchial ruptures which we treated. Methods: In our study the records of 23 patients (19 males, 4 females; mean age 21.0±15.8 years; range 1 to 64 years) who were admitted to and treated in our clinic between June 1992 and October 2008 due to tracheobronchial rupture caused by trauma or iatrogenic factors were examined retrospectively. Patients were evaluated in terms of injury type, localization of lesion, diagnostic and therapeutic methods. Results: A bronchus was ruptured in 17 patients (73.9%) and trachea was ruptured in six patients (26.1%). Bronchoscopy provided the diagnosis in 91%. Computed tomography was performed in four patients (17%). Eleven of the ruptures were in the right bronchial tree (47.8%), whereas six were in the left bronchial tree (26.1%) and six were in the trachea (26.1%). While surgical therapy was performed in 17 patients (73.9%), conservative therapy was administered in six (26.1%) patients. Morbidity occurred in two (8.7%) patients and one patient died (4.3%). Conclusion: Immediate or delayed surgical treatment can be successful in rupture or complete disruption of tracheobronchial ruptures. Multitrauma patients should be surgically treated as soon as cardiopulmonary status was stabilized. If there is a suspicion of tracheobronchial trauma, bronchoscopy should not be spared. If suspicion continues, repetitive bronchoscopy shouldn't be avoided.
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    Therapeutic approaches in tracheal stenosis: Analysis of fifteen cases
    (2010) Şahin, Ekber; Nadir, Aydin; Çelik, Burçin; Karadayi, Şule; Manduz, Şinasi; Arslan, Sulhattin; Kaptano?lu, Melih
    Background: In this study, results of treatment of patients who had tracheal stenosis were evaluated. Methods: The clinical records of 15 patients (6 males, 9 females; mean age 39±23.2 years; range 8 to 70 years) who were treated for tracheal stenosis between June 1992 and October 2008 were analyzed retrospectively. The diagnostic method, localization, therapeutic approach and results of tracheal stenosis were investigated. Results: Tracheal stenosis was due to tracheostomy in six, prolonged intubation in five and malignancy in four patients. Rigid bronchoscopy was the most frequent diagnostic tool. Eight patients were treated conservatively. Diathermic resection was the first treatment of choice in nine patients. Resection and end-to-end anastomosis was used in seven patients and tracheal stent was used in six patients. Stents of three patients were removed within 12 to 18 months. Median duration of hospitalization was 12 days. Morbidity was seen in four patients; mortality was seen in three patients. Conclusion: The success rate in tracheal stenosis treated by surgery is 71 to 97% and it is 65 to 70% by conservative methods. Surgical options should be considered first, but conservative methods should keep in mind.