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    Maxillar adenocystic carcinomas and surgical-prosthetic rehabilitation
    (Int Scientific Literature, Inc, 2011) Erol, Behcet; Atilgan, Serahim Serhat; Yaman, Ferhan; Ucan, Musa Can; Yilmaz, Utku Nezih; Yildiz, Fetin
    Background: Due to its microscopic appearance, characteristic clinical behavior, high level of recurrence and systemic spread, adenocystic carcinoma is considered as separate from other forms of glandular neoplasm. In terms of clinical behavior, it is the most deceptive tumor in the head-neck region. It most commonly involves the parotid, submandibular gland, tongue and accessory salivary glands in the palate. The clinical appearance is of a mass with hardness at palpitation and sometimes pain or sensitivity. Postoperative prosthetic defect rehabilitation is functionally and phonetically essential. Case Report: The first patient was a 50-year-old woman with a painful swelling in the right maxillary molar and palatal region, which had persisted for the previous year and grown rapidly during the previous 2 months, and with congestion in the right side of the nose. The second patient was a 36-year-old woman complaining of swelling in the left cheek 1.5 years previously and an inability to open her mouth 5-6 months before application to our clinic, a solid mass, painful on palpitation, causing facial asymmetry along the left cheek and limiting mouth opening. Conclusions: Our aim is to present and discuss surgical approaches adopted in cases reported as adenocystic carcinoma, which occupies a special place among malign salivary gland tumors, the first case involving the maxillary dentoalveolar structure and maxillary sinus, and the second case involving the buccal, retromaxillary, infratemporal and pterygomandibular fossa.
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    Unusual Combination of Tracheobronchopathia Osteochondroplastica and AA Amyloidosis
    (Yonsei Univ Coll Medicine, 2009) Kirbas, Goekhan; Dagli, Canan Eren; Tanrikulu, Abdullah Cetin; Yildiz, Fetin; Buekte, Yasar; Senyigit, Abdurrahman; Kiyan, Esen
    Tracheobronchopathia osteochondroplastica (TO) is a rare disorder of unknown cause characterized by the presence of multiple submucosal osseous and/or cartilaginous nodules that protrude into the lumen of the trachea and large bronchi. A simultaneous diagnosis of TO and amyloidosis is rarely reported. In this report, a case initially suspected to be asthma bronchiole that could not be treated, was radiologically diagnosed as TO, and also secondary amyloidosis is presented. A 53 years, man patient reported a 3 years history of dyspnea. Pulmonary function tests (PFTs) showed an obstructive pattern. Chest X-rays revealed right middle lobe atelectasis. FOB and CT detected nodular lesions in the trachea and in the anterior and lateral walls of the main bronchi. AA amyloidosis was confirmed by endobronchial biopsy. In the abdominal fat pad biopsy, amyloidosis was not detected. Asthma bronchiole was excluded by PFTs. This case illustrates that it is possible for TO and amyloidosis to masquerade as asthma. TO and amyloidosis should be suspected in patients of older ages with asthma and especially with poorly treated asthmatic patients. Although nodular lesions in the anterior and lateral tracheobronchial walls are typical for TO, a biopsy should be obtained to exclude amyloidosis.