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Introduction: Anal malignant melanomas are relatively rare tumors. Because of their polypoid structure, they can be confused with benign anorectal diseases. Wide excision and lymph node dissection is recommended especially in melanomas including lymph node metastasis because it reduces local recurrence. Case report: We performed abdominoperineal resection + bilateral inguinal + bilateral iliac + paraaortic lymph node dissection in our 77-year-old female patient with the diagnosis of anal malignant melanoma as a result of colonoscopic biopsy performed on the polypoid mass in the anal canal. Since 2 lymph nodes located outside the pararectal fascia persisted in postoperative MRI, we performed lymph node excision with a posterior approach. And the pathology result of the excision performed in this second session was found to be compatible with metastasis. Conclusion: Lymph node dissections are beneficial in terms of local recurrence and survival, especially in patients with anal malignant melanoma with lymph node metastases.

Squamous cell carcinoma (SCC) is the second most common skin cancer and it often occurs in sun-exposed areas such as head and neck skin. Invasive SCC located on breast skin is a rare entity and may clinically mimic breast cancer. We report a case of a 39 years old female with a non-eroded, vegetative, growing lesion on the right breast skin, initially mimicking breast cancer both clinically and histopathologically. After surgery with clear margins, adjuvant radiotherapy was administered, by considering the pathological risk factors for recurrence. At 14 months, the patient is disease-free and under regular follow-up. Invasive SCC of the breast skin is a rare entity and may have different etiology/behavior or directly develop de novo when compared to SCCs located on sun-exposed skin. Medical history and physical examination in conjunction with histopathological examination of the biopsy specimen are critical for the accuracy of the diagnosis and the correct treatment decision in patients presenting with a mass invading breast skin., Skuamöz hücreli karsinomu (SHK), 2. en sık cilt kanseridir ve sıklıkla baş- boyun gibi güneş gören bölgelerde ortaya çıkar. Meme cildinden kaynaklanan invazif SHK nadir bir tablodur ve klinik olarak meme kanserini taklit edebilir. 39 yaşındaki hastada; sağ memede non-erode, vejetatif, büyüyen lezyondan biyopsi alınmıştır ve klinik ve histopatolojik olarak meme kanserini taklit eden bu vaka sunulmuştur. Cerrahi sınırları temiz bir şekilde opere edilen hasta, rekürrens için risk faktörleri değerlendirilerek, adjuvant radyoterapi ile tedavi edilmiştir. 14 ay sonrasında, hastada halen nüks saptanmamış ve düzenli takiplerdedir. İnvazif meme cilt SHK’u nadir bir tablodur ve güneşe maruz kalan bölgede gelişen SHK’a göre farklı etiyoloji/ davranışa sahip olabilir. Meme cildinde kitle ile başvuran hastanın doğru tanı ve tedavisi için tıbbi hikaye ve fizik muayene ile birlikte histopatolojik değerlendirme kritiktir.

Sürekli Tıp Eğitimi (STE), güvenli ve etkin bir sağlık hizmeti sunabilmek için gerekli olan bilgi, beceri ve yaklaşımların artırılması, sürdürülmesi ve geliştirilmesini sağlayan etkinlikler olarak tanımlanabilir. Bu çalışmada 2015-2020 yılları arasında Muğla ili içersindeki genel cerrahi uzmanlarını kapsayan, sürekli tıp eğitimi çatısı altında düzenlenen Muğla cerrahi toplantıları sunulmuştur. Continuing medical education can be defined as activities that increase, maintain and develop the knowledge, skills and approaches required to provide safe and effective healthcare services. In this study, Muğla surgery meetings, which are organized under the roof of continuing medical education, which include general surgery specialists in Muğla province between 2015-2020are presented.

Anastomotic leakage is the partial or complete separation of the anastomosis performed in gastrointestinal system surgery for various reasons, which can be determined by clinical and/or radiological methods in the postoperative period. When this situation occurs, besides the increase in the surgical mortality rate of the patient, the incidence of many complications in the early or late period also increases. At the beginning of these complications are reoperation, stoma and stoma problems that impair quality of life, longer hospital stay of the patient, occurrence of locoregional recurrences, reduced five-year survival and economic results.