Cerrahi Tıp Bilimleri Bölümühttps://hdl.handle.net/20.500.12418/1562024-03-29T14:36:48Z2024-03-29T14:36:48ZDelayed diagnosis in a mentally motor-retarded girl: A rare case of giant mucinous cystadenomaTuşat, MustafaGenç, Şerife Özlemhttps://hdl.handle.net/20.500.12418/151122024-03-08T21:47:33Z2023-01-01T00:00:00ZDelayed diagnosis in a mentally motor-retarded girl: A rare case of giant mucinous cystadenoma
Tuşat, Mustafa; Genç, Şerife Özlem
This presentation discusses the challenging case of a 15-year-old mentally motor-rarity of mucinous cystadenomas in childhood, with only ten reported cases in the literature.
Case Report: We present a 15-year-old MMR girl who has been bedridden since birth. She visited the emergency department three times within two days with complaints of severe vomiting, restlessness, and abdominal swelling. Initially, she was misdiagnosed with constipation and sent home with incorrect treatment. An emergency abdominal CT scan revealed a 13x7x7 cm cystic lesion in the left ovary, filling the abdominal cavity (Figure 1a-e). Left salpingo-oophorectomy was performed, confirming a mucinous cystadenoma (Figure 2,3).
Conclusion: This complex case underscores the importance of considering ovarian masses in children with abdominal symptoms and the significance of timely imaging. Careful evaluation and early surgical intervention, ideally at centers equipped for frozen section examinations, are crucial when dealing with medically complex patients like those with MMR.
2023-01-01T00:00:00ZThe Effect on the Birth Process of Endogenous Oxytocin Release Via Coitus at Home in Pregnant Women in the Latent PhaseBegum KurtKurt,BegümDemirel, GülbahtiyarÇağlayan Can, İlkin SedaDoğaner, Ademhttps://hdl.handle.net/20.500.12418/150882024-03-08T21:47:32Z2023-01-01T00:00:00ZThe Effect on the Birth Process of Endogenous Oxytocin Release Via Coitus at Home in Pregnant Women in the Latent Phase
Begum Kurt; Kurt,Begüm; Demirel, Gülbahtiyar; Çağlayan Can, İlkin Seda; Doğaner, Adem
Objectives This study was conducted to determine the effect
of endogenous oxytocin release via coitus at home on the delivery
process in pregnant women who were not hospitalized
in the latent phase.
Background For healthy pregnant women who can deliver
spontaneously, it is recommended to be admitted to the delivery
room during the active phase of labor. When the pregnant
woman is admitted to the delivery room in the latent
phase before the active stage, pregnant women spend more
time in the delivery room, which makes medical intervention
inevitable.
Methods 112 pregnant women for whom hospitalization in
the latent phase was recommended were included in the randomized
controlled study. They were divided into two groups
in which sexual activity in the latent phase was recommended
(n = 56) and the control group (n = 56).
Results In our study, the duration of the 1st stage of labor was
found to be significantly shorter in the group in which sexual
activity in the latent phase was recommended, compared to
the control group (p = 0.001). Again, the need for amniotomy,
labor induction with oxytocin, analgesics and episiotomy decreased.
Conclusion Sexual activity can be considered as a natural way
to speed up labor, reduce medical interventions, and prevent
postterm pregnancy.
2023-01-01T00:00:00ZAssesment of the relationship between endometrial cancer and systemic inflammationGenç, Şerife ÖzlemErdal, Hüseyinhttps://hdl.handle.net/20.500.12418/150742024-03-08T21:47:33Z2023-01-01T00:00:00ZAssesment of the relationship between endometrial cancer and systemic inflammation
Genç, Şerife Özlem; Erdal, Hüseyin
Objective
The relationship between endometrial cancer and systemic inflammation has been evaluated in recent
years, particularly in terms of pre-treatment assessment, lymph node metastasis, and prognosis prediction.
However, a conclusive consensus on this topic has yet to be reached. This study is based on the retrospective
data from a tertiary center study conducted on patients who underwent surgery for endometrial cancer in our
clinic within the past 2 years. The aim of this research is to assess the potential effects of age, gravidity, parity,
hemoglobin (Hb), platelet (PLT), white blood cell count (WBC), lymphocyte count (LYM), monocyte count (MONO),
and calculated systemic inflammatory indexes (NLR, PLR, LMR, dNLR, SII, SIRI, PIV) on the diagnosis and
prognosis of endometrial cancer.
Methods
This study is based on the analysis of retrospective data from endometrial cancer patients treated at a single
center. Patient data including age, obstetric characteristics, and hematologic parameters were recorded. Systemic
inflammatory indexes were calculated using the following formulas: NLR (Neutrophil-to-lymphocyte ratio), PLR
(Platelet-to-lymphocyte ratio), LMR (Lymphocyte-to-monocyte ratio), dNLR (Derived NLR ratio - neutrophil count
divided by the result of leucocyte count minus neutrophil count), SII (Systemic inflammatory index - neutrophil x
platelet / lymphocyte), SIRI (Systemic inflammatory response index - neutrophil x monocyte / lymphocyte count),
and PIV (Pan-immune inflammation value - neutrophil x platelet x monocyte / lymphocyte count).
Results
Our study includes 21 patients who underwent surgery for endometrial cancer in our clinic within the past 2
years. We examined the relationships between age, obstetric characteristics, and hematologic parameters in
endometrial cancer patients. The results indicated that the mean age was 56.6 years, with an average gravidity of 3.
The average hemoglobin level was within the normal range at 12.7. The mean values for the systemic inflammatory
indexes were as follows: SII (694.6 ± 319.1) SIRI (1.4 ± 0.9) PIV (346.8 ± 137.2), NLR (2.9 ± 2.6), PLR (147.3 ± 51.7), LMR (4.1 ±
1.43), and dNLR (2.03 ± 1.6). In conclusion, the relationship between endometrial cancer and systemic inflammation is a
significant focal point for future cancer research and treatments. Current research findings in this area may
contribute to a better understanding of this relationship and improve the healthcare of patients.
2023-01-01T00:00:00ZAre pan-immune-inflammation value, systemic inflammatory response index and other hematologic inflammatory indexes clinically useful to predict first-trimester pregnancy loss?Genç, Şerife ÖzlemErdal, Hüseyinhttps://hdl.handle.net/20.500.12418/150652024-03-08T21:47:33Z2023-01-01T00:00:00ZAre pan-immune-inflammation value, systemic inflammatory response index and other hematologic inflammatory indexes clinically useful to predict first-trimester pregnancy loss?
Genç, Şerife Özlem; Erdal, Hüseyin
Aim: The purpose of the study is to investigate the importance of hematological inflammatory parameters in predicting pregnancy loss in the first trimester.
Material and Methods: This study was conducted retrospectively between February and May 2022 in Aksaray University Training and Research Hospital,
Obstetrics and gynecology outpatient clinic. Fifty-five of 110 patients diagnosed with first trimester pregnancy loss were included in the study. The control
group consisted of 55 pregnant women with first trimester pregnancies.
Results: When the whole groups were compared, no statistically significant difference was observed in terms of hemoglobin, platelet, neutrophil, lymphocyte
count, neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), lymphocyte-monocyte ratio (LMR), derived NLR ratio (dNLR), systemic inflammatory
index (SII), systemic inflammatory response index (SIRI) and pan-immune-inflammation value (PIV).
Discussion: NLR, PLR, LMR, dNLR, SII, SIRI and PIV parameters were not associated with first trimester abortions. In this study, unlike previous studies, no
hematological parameters, including the pan-immune-inflammation value, were found to have a role in predicting first trimester pregnancy loss.
2023-01-01T00:00:00Z