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Objective: The aim of this study was to describe experiences with concurrent parathyroid adenoma and papillary thyroid carcinoma. Methods: Eight patients with concurrent parathyroid adenoma and papillary thyroid carcinoma were identified between 2005 and 2012, and their medical records were reviewed retrospectively. Results: Of the eight patients identified, two were male and six were female; their mean age was 53.6 years. The mean serum calcium concentration was 11.7 mg/dL. Intact parathyroid hormone (iPTH) concentrations were high in all patients, with a mean concentration of 338 pg/ mL. The most frequently used surgical technique was total thyroidectomy plus parathyroid adenoma excision (n=6). The mean size of the thyroid carcinoma was 1.2 cm, and one case showed metastatic lymph nodes in the central compartment. The mean parathyroid adenoma size was found to be 2.1(0.6- 3.5) cm, according to the longest size of the adenom. Six patients (75%) developed postoperative complications, including temporary symptomatic hypocalcemia in 4 patients (50%), hematoma development in 1 patient (12.5%) and temporary vocal cord paralysis in one patient (12.5%). Conclusion: Thyroid carcinoma and parathyroid adenoma are rarely concomitant. Rarely hyperparathyroidism may be accompanied with thyroid carcinomas so preoperatively thyroid gland should be properly examined. Thyroid with parathyroid surgery are risk factors of recurrent laryngeal nerve injury and hypoparathyroidism. [ABSTRACT FROM AUTHOR]

Superior mesenteric artery syndrome is a rare and life-threatening clinical condition caused by the compression of the third portion of the duodenum between the aorta and the superior mesenteric artery's proximal part. This compression may lead to chronic intermittent, acute total or partial obstruction. Sudden weight-loss and the related decrease in the fat tissue are considered to be the etiological reason of acute stenosis. Weight-loss accompanied by nausea, vomiting, anorexia, epigastric pain, and bloating are the leading complaints. Barium radiographs, computerized tomography, conventional angiography, tomographic and magnetic resonance angiography are used in the diagnosis. There are medical and surgical approaches to treatment. We hereby present the case of a patient with superior mesenteric artery syndrome with delayed diagnosis. [ABSTRACT FROM AUTHOR]

Objective: This study presents the long-term results of patients who had breast conserving surgery at our clinic because of breast cancer. Methods: The data of 99 patients, who had breast conserving surgery because of breast cancer between January 2005 and December 2013 at Necmettin Erbakan University, Meram Medical School's Department of General Surgery, were retrospectively evaluated. The analyses of the study were conducted by the SPSS 21.0 program. Results: The total number of patients was 99 and the mean age was 51.11 ± 9.62 (31-74). The most frequently seen pathology was infiltrative ductal carcinoma and it was detected in 62 (62.6%) patients. 88.7% (87 cases) of the cases received adjuvant radiotherapy in the post-op period. Following the mean follow-up period of 38.86 ± 23.43 (5-92) months, only one patient passed away. Further, 1 patient underwent surgery again after having local recurrence 70 months later and 3 patients also underwent surgery again upon detecting that they had tumors on the surgical border. Conclusion: After obtaining acceptable oncological results, the fundamental approach in the surgical treatment of breast cancers is to select the method that will have the least negative effect on the patient's quality of life. At this point, selecting breast conserving surgery over radical surgical methods is an appropriate approach for suitable patients chosen carefully. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to emphasize the feasibility and cost effectiveness of trocar type catheter in percutaneous abscess drainage under imaging guidance and to determine the clinical efficacy of the method. Materials and methods: From June 2008 to December 2010, 48 patients who were referred to interventional radiology unit, in order to undergo percutaneous abscess drainage. All was data including age, the organ or the part of the body where the abscess was localized and size of abscess were recorded. Forty-two (87%) patients underwent drainage with ultrasonographic guidance, while 6 (13%) underwent with computed tomography guidance. One pediatric patient underwent systemic sedation anesthesia (with remiphentanyl and midazolam) and the rest of the patient with local anesthesia (with prilocain hydrochlorid). Catheterization procedure with which abscess drainage was done accepted as technically successful. Results: Imaging guided percutaneous abscess drainage procedures were performed with trocar type catheter to localized abscesses in different organs or systems in 48 patients (25 men, 23 women, mean age 52 years, range 2-82 years). Technical success was 100% in all cases. No patient had a complication during the procedure. Time to extraction of percutaneous catheter after drainage procedure was 5-28 days (mean 11.2 days). There was no recurrence except for a case, in which an abscess at the splenectomy site was successfully drained. Conclusion: Percutaneous drainage with imaging guidance using the trocar type catheter should be preferred because of its feasibility, cost-effectiveness, and reduced rate of complications in treating abscesses, which localized at different organ systems. [ABSTRACT FROM AUTHOR]