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Öğe Pleomorfic carcinoma: A rare case of lung cancer(2008) Özçelik C.; Avci A.; Kilinç N.; Onat S.Pleomorphic carcinoma is a rare epithelial malignant tumor. Pulmonary pleomorphic carcinoma was introduced by the 1999 World Health Organization classification as a new peculiar type of lung carcinoma showing concurrent malignant epithelial and sarcomatoid spindle cell elements. Rarely seening, advange age, male sex dominance, upper lobe involvement, big sized (more than 7 cm.) at time of diagnosis , and poor prognosis are the characteristics of it. We are reporting 63-year-old man with pleomorfic carcinoma in the left lower lobe who was treated by left pneumonectomy.Öğe Successful treatment of Wilms' tumor with intracaval extension by preoperative chemotherapy: Report of two cases(2000) Dokucu A.I.; Öztürk H.; Söker M.; Alan S.; Bükte Y.; Özçelik C.; Zincircio?lu B.Two patients presenting with advanced Wilms' tumor extending to inferior vena cava anal right atrium, were successfully treated with chemotherapy and surgery. The first case presented with a right renal mass and intraatrial tumor extension. The original mass regressed 28 % in volume while the thrombus remained at the vena cava as it was before chemotherapy. Surgery was performed via laparotomy and sternotomy. The second case presented with bilateral Wilms' tumor and intracaval extension up to the right atrium. In this case, both renal masses and intracaval thrombus well regressed (up to 80 %) with chemotherapy. Surgical excision of the both masses and removal of intracaval thrombus were performed via laparotomy. The results obtained with preoperative chemotherapy as in these two patients mediates strongly against difficult surgery being undertaken as primary treatment for such patients.Öğe Surgical treatment of pulmonary hydatid cysts: Report of 139 cases(2006) Ülkü R.; Yilmaz H.G.; Onat S.; Özçelik C.Hydatid disease is a parasitic infestation that is endemic in many sheep- and cattle-raising areas and is still an important health problem in the world. The aim of our study was to present our surgical experience and strategy in the management of pulmonary hydatid disease. One hundred thirty-nine patients with pulmonary hydatid cysts underwent surgical treatment in our clinic between January 1990 and April 2002. A total of 169 cysts were present in 139 patients. Fifteen patients had concomitant hydatid cysts in liver and lung. Our series consisted of 76 male and 63 female patients, and mean age was 28.6 ± 17 years (range, 5-65 years). Only pulmonary hydatid cysts were seen in 123 patients (88.5%), whereas there were 15 patients (10.8%) with combined pulmonary and hepatic disease. Hydatid cyst was found in a patient both in lung and spleen (0.7%). Lateral thoracotomy was performed in 115 patients (82.73%), bilateral thoracotomy in 9 patients (6.48%), thoracophrenotomy in 11 patients (7.91%), and median sternotomy and phrenotomy in 4 patients (2.88%). Resection techniques were used only in 10 patients. The most common complication was atelectasis (5.0%). The mortality rate was 1.8% (3 patients). Surgery is the treatment of choice for most patients with pulmonary hydatid cysts. Thoracaphrenotomy can be chosen as the surgical procedure in management of hepatic and pulmonary hydatid cysts.Öğe Traumatic sternal fracture: Three years experience of thoracic surgery department(2008) Ülkü R.; Avci A.; Onat S.; Sayhan M.B.; Özçelik C.Traumatic sternal fractures are becoming common injuries in developed and developing countries. We would like to report our three years experience with sternal fracture. Emergency room management and clinical examinations are reviewed in this study.
