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Aim: Evaluation of histopathological results after wire guidance and BI-RADS (breast imaging and reporting data system) scores of cases with nonpalpable mammary lesions like mass in breast, microcalcification and structural distortion diagnosed via screening techniques. Materials and Methods: The wire guided biopsy results of cases who were diagnosed as nonpalpable mammary lesion and had BI-RADS scores of 3,4,5 between March 2007 and March 2012 were evaluated. 107 cases were included to the study.Patients admitted to our general surgery clinic were assesed with physical examination, mammography (older than 35 years) and mammary ultrasound . BI-RADS categories were determined according to the results of mammography and mammary ultrasound. The lesions of the cases having mammary cancer risk were excised after wire guidance at the same day. Status of having mammary cancer in first degree relatives, radiomorphologic diagnosis before wire guidance, BI-RADS scores and histopathologic results of the lesions were noted. Results: The mean age of the patients were 51.4 (36-72) years. In 24 (22.4%) of the cases a mammary cancer history in first degree relatives was present. The radiologic diagnosis of the mammary lesions before wire guidance was 65 (60.7%) microcalcification, 26 (24.2%) mass lesion with irregular borders, 9 (8.4%) asymmetric density area, 6 (6%) specular lesions. 58 (54.2%) of the lesions were localized in left breast and 49 (45.8%) were localized in right breast. Of the 107 cases wire guidance was performed with the aid of ultrasound in 62 (57.9%) and with the aid of mammography number and percentage missing. Of the 107 lesions excised under guidance 24 (22.4%) took malign diagnosis, where 83 (77.6%) took benign diagnosis. 32 (29.9%) lesions were categorized as BI-RADS III, 71 (66.4%) as BI-RADS IV and 4 (3.7%) as BI-RADS V. Conclusion: In conclusion, to diagnose the mammary cancer in early stages, the results gathered from the technique of wire guided biopsy of the nonpalpable masses detected as suspicious in ultrasound and mammography support that this technique should be efficiently used. [ABSTRACT FROM AUTHOR]

Aim: The aim of the present study is to evaluate demograhic characteristics, indications and complications of patients who were performed percutaneous endoscopic gastroenterostomy in our endoscopy unit. Material And Method: 36 patients with different indications were performed percutaneous endoscopic gastroenterostomy between January 2007 and March 2012 in our endoscopy unit. PEG were placed in all of the patients by Pull method. demographic characters, indications, major and minor complications were determined retrospectively. Results:Patients who were enrolled in the study were consisted of 22 (%61.2) male and 14 (% 38.8) female patients. Patients with norologic disease comes first with the rate of % 77 between the indications of PEG. There was one major complication. One patient was died because of major complication and septic shock that was occured during and after the procedure. Furthermore systemic candidiasis because of gastroenterostomy tube was seen in one patient. Different minor complications including the superficial infections (% 22.2, 8 patients) which was the most common were occured. Discussion:Percutaneous endoscopic gastroenterostomy is the longstanding enteral nutrition tecnique that is cheap, is performed easily and does not need operation room. Although low rates of complications, it must not be forgetted that this is an invasive procedure and can cause fatal complications. [ABSTRACT FROM AUTHOR]

Hilar cholangiocarcinoma, is a relatively rare tumor arising from the bile ducts, was first described by Klatskin in 1965. It usually ocurs in adults in their sixth decade of life and there is slight male predominance. It is most frequently located in the confluence of the hepatic ducts, where it is called hilar cholangiocarcinoma or Klatskin tumor. The etiology of hilar cholangiocarcinoma remains unknown but there are predisposing conditions and environmental risk factors such as primary sclerosing cholangitis, Caroli disease, bile duct malformations, industrial toxins and parasitic infections. If 30% of the liver is drained jaundice can be relieved, but the presence of undrained bile ducts may result in pruritus and a continued risk of cholangitis and hepatic abscess. This study aimed to emphasize the current treatment approaches for hilar cholangiocarcinoma in the light of literature. [ABSTRACT FROM AUTHOR]

Although pancreatic cystic lesions are monitored frequently, there still occure diffuculties in the diagnosis and treatment. Most of the cystic lesions are pseudocysts and retention cysts. Basically, pancreatic cystic neoplasms can be divided into four groups: serous cystic neoplasm (SCN), mucinous cystic neoplasms (MCN), intaduktal papillary mucinous neoplasm (IPMN) and solid pseudopapiller neoplasy (SPN). The diagnosis of the pancreatic cystic neoplasms is challenging, since clinical signs and symptoms are not typical. The treatment varies across types or even sub-type of the disease. For this reason, making the differential diagnosis of pancreatic cysts is crucially important. [ABSTRACT FROM AUTHOR]

Introduction: The goal of surgical treatment of thyroid diseases is to provide the most effective treatment with low complication and recurrence rates. Total thyroidectomy was prefered only in patients with cancer, due to high complication rates. The surgical aim can be reached in the total thyroidectomi operations with capsular dissection. Material and Methods: We evaluated patients, who underwent totally thyroidectomy for benign or malignant thyroid disease between August 2006 and August 2010 in our Department of General Surgery. The age, sex, indication of operation, postoperative complication ratas were recorded for each patient. Results: The median age of patients was 50.34+12.24 years (range 19-78) and 202 (77%) patients were female. Indications of operations were 216 ( 81.8%) multinoduler goitre, 34 (12.9%) diffuse goitre, 14 (5.3%) malignant condition. Postoperative complications were presented in postoperative period in 18(6.8%) patients; corresponding to recurrent laryngeal nerve injuries 5 (2 permanent) and hypoparathyroidisms 6 ( 1 permanent). Conclusion: Total thyroidectomy operation can be performed confidentally in appopriate patients with low complication rates. [ABSTRACT FROM AUTHOR]