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Öğe Adnexal masses in postmenopausal and reproductive age women(2011) Guzel A.I.; Kuyumcuoglu U.; Erdemoglu M.We aimed to evaluate and compare the management and clinical characteristics of adnexal masses in postmenopausal and reproductive age women. This prospective study was performed at Dicle University, School of Medicine, Department of Obstetrics and Gynecology, from January 2007 to June 2009. The data were collected from hospital records and patients files, descriptively. The cases were divided into two groups as cases with adnexal masses in postmenopausal age women (Group 1, n=40), and reproductive age (Group 2, n=40). All of the cases operated for benign adnexal masses. Statistical analyses were carried out by using the statistical packages for SPSS 15.0 for Windows (SPSS Inc., Chicago, IL, USA). The demographic characteristics of the cases that were enrolled in our study are depicted in Table 1. The initial compliant of the cases were abdominal pain in 62 (77.5%) of the cases and 8 (20%) vaginal bleeding and 10 (12.5%) were asymptomatic. The initial diagnose of the cases were; pelvic mass in 34 (75%) of the cases, ovarian cyst 26 (32.5%), dermoid cyst 10 (12.5%), endometrioma 7 (8.75%) and postmenopausal bleeding 4 (5%). The tumor markers were evaluated. All of the cases were subjected to laparotomy or laparoscopy. The frozen section diagnose were made by the pathology department. The postoperative characteristics of the masses were also evaluated. The adnexal masses in postmenopausal woman with benign characteristics can be followed conservatively, without surgery. Surgery may be indicated to women with family history of cancer, a mass that appears enlarging and symptomatic. © 2011 Old City Publishing, Inc.Öğe Rectal perforation following anal intercourse in a sixteen-year-old young married woman(2006) Kale A.; Kuyumcuoglu U.; Erdemoglu M.; Akdeniz N.; Yalinkaya A.Background: Many men and women practice a broad range of voluntary sexual activities. Most of which are harmless. Many minor injuries of the genital, and anal areas do occur but most require only symptomatic therapy. Rectal perforations and sphincter injuries are uncommon but have important medicolegal implications. Case Report: A-16-year-old nullipara presented with vaginal bleeding after sexual intercourse. Pelvic examination revealed full-thickness longutidunal perforation of the rectum. Full-thickness perforation of the rectum was sutured primarily under general anesthesia. The patient was discharged 2 days later. Conclusions: Rectal perforation due to sexual intercourse in a 16-year-old married woman has not been previously reported.Öğe Risk factors for persistent gestational trophoblastic neoplasia(2011) Kuyumcuoglu U.; Guzel A.I.; Erdemoglu M.; Celik Y.This retrospective study evaluated the risk factors for persistent gestational trophoblastic disease (GTN) and determined their odds ratios. This study included 100 cases with GTN admitted to our clinic. Possible risk factors recorded were age, gravidity, parity, size of the neoplasia, and ?-human chorionic gonadotropin levels (?-hCG) before and after the procedure. Statistical analyses consisted of the independent sample t-test and logistic regression using the statistical package SPSS ver. 15.0 for Windows (SPSS, Chicago, IL, USA). Twenty of the cases had persistent GTN, and the differences between these and the others cases were evaluated. The size of the neoplasia and histopathological type of GTN had no statistical relationship with persistence, whereas age, gravidity, and ?-hCG levels were significant risk factors for persistent GTN (p < 0.05). The odds ratios (95% confidence interval (CI)) for age, gravidity, and pre- and post-evacuation ?-hCG levels determined using logistic regression were 4.678 (0.97-22.44), 7.315 (1.16-46.16), 2.637 (1.41-4.94), and 2.339 (1.52-3.60), respectively. Patient age, gravidity, and ?-hCG levels were risk factors for persistent GTN, whereas the size of the neoplasia and histopathological type of GTN were not significant risk factors. © 2010 Old City Publishing, Inc.Öğe Slowly growing large size acrochordon of vulva in an adolescent girl(2006) Kale A.; Akdeniz N.; Yalinkaya A.; Erdemoglu M.; Kilinc N.Background: Vulvar achrochordon is a relatively uncommon benign polypoid tumor of the vulva commonly known as skin tag or occasionally fibroepithelial polyps. The size of the lesion is generally 1-2 cm, but it rarely can reach extremely large size. Case Report: In our case A 20 years old girl had been suffering from slowly growing a vulvar achrochordon tumor for six years. The tumor was arising from the labium majus, and measured 11 cm in its largest diameter. Histologically, papillomatosis and hyperkeratosis of polypoid lesion was reported. Six month following surgical excision, the patient did not manifest any signs of recurrence. Conclusions: This vulvar lesion represents a very unusual example of large size achrochordon in an adolescent girl. We present this case as a rarely seen benign tumor of vulva.
