Synchronous Endometrial and Ovarian Cancer With Sigmoid Colon Metastasis One Year After Primary Surgery: A Case Report

Introduction: We describe a patient who had ovarian and endometrial cancer which metastasized to sigmoid colon one year after surgery

Base study for the establishment of national Salmonella control program in hatching farms and table eggs in Turkey

WOS: 000523562000023Foodborne infections due to Salmonella are still a major concern worldwide. Particularly contaminated egg and egg related products are the primary sources for human salmonellosis. It is necessary to determine the risk factors associated with Salmonella contamination of eggs within the scope of farm to table and environment. The objective of this study was to develop the "National Salmonella Control Program in Laying Hens" and report the prevalence and serotype distribution findings of Salmonella in laying hens and eggs in Turkey. A total of 2122 samples were collected and analysed according to ISO 6579:2002 after the isolation and identification procedures. All Salmonella isolates were serotyped including 726 eggs and 1396 farm specimens from 241 epidemiological units (EpUs) that were located in 9 different provinces between 2015 and 2017. Salmonella contamination was detected in 14.9% of 241 EpUs. The results indicated that almost half of the flocks have multiple contamination sources. The highest contamination rate was obtained from environmental (11%) followed by faeces (7.5%) and the lowest was from water samples (1.6%). The overall contamination rate was detected as 7.46% for farms and 3.3% for eggs. As S. Enteritidis and S. Typhimurium are the most frequently seen serotypes all over the world, in Turkey S. Typhimurium was not detected and S. Enteritidis was the 5th most common isolated serotype. According to our results it can be concluded that differences in various countries, particularly geographical and egg hatching systems, may affect the contamination rate and serotype distribution of Salmonella.Scientific and Technological Research Council of Turkey (TUBITAK)Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [113R036, 113R037]The part of this study was supported by a grant of The Scientific and Technological Research Council of Turkey (TUBITAK-project numbers as; 113R036 and 113R037)

Effect of surgical staging on 539 patients with borderline ovarian tumors: A Turkish Gynecologic Oncology Group study

WOS: 000327923400010PubMed ID: 24016409Objective. The objectives of this study were to examine demographic and clinicopathologic characteristics and to determine the effects of primary surgery, surgical staging and the extensiveness of staging. Methods. In a retrospective Turkish multicenter study, 539 patients, from 14 institutions, with borderline ovarian tumors were investigated. Some of the demographic, clinical and surgical characteristics of the cases were evaluated. The effects of type of surgery, surgical staging; complete or incomplete staging on survival rates were calculated by using Kaplan-Meier method. Results. The median age at diagnosis was 40 years (range 15-84) and 71.1% of patients were premenopausal. The most common histologic types were serous and mucinous. Majority of the staged cases were in Stage IA (735%). 242 patients underwent conservative surgery. Recurrence rates were significantly higher in conservative surgery group (8.3% vs. 3%). Of all patients in this study, 294 (545%) have undergone surgical staging procedures. Of the patients who underwent surgical staging, 228 (77.6%) had comprehensive staging including lymphadenectomy. Appendectomy was performed on 204 (37.8%) of the patients. The median follow-up time was 36 months (range 1-120 months). Five-year survival rate was 100% and median survival time was 120 months. Surgical staging, lymph node sampling or dissection and appendectomy didn't cause any difference on survival. Conclusion. Comprehensive surgical staging, lymph node sampling or dissection and appendectomy are not beneficial in borderline ovarian tumors surgical management. (C) 2013 Elsevier Inc. All rights reserved

Multicenter Analysis of Gestational Trophoblastic Neoplasia in Turkey

WOS: 000338633500049PubMed ID: 24870768Background: To evaluate the incidence, diagnosis and management of GTN among 28 centers in Turkey. Materials and Methods: A retrospective study was designed to include GTN patients attending 28 centers in the 10-year period between January 2003 and May 2013. Demographical characteristics of the patients, histopathological diagnosis, the International Federation of Gynecology and Obstetrics (FIGO) anatomical and prognostic scores, use of single-agent and multi-agent chemotherapy, surgical interventions and prognosis were evaluated. Results: From 2003-2013, there were 1,173,235 deliveries and 456 GTN cases at the 28 centers. The incidence was calculated to be 0.38 per 1,000 deliveries. According to the evaluated data of 364 patients, the median age at diagnosis was 31 years (range, 15-59 years). A histopathological diagnosis was present for 45.1% of the patients, and invasive mole, choriocarcinoma and PSTTs were diagnosed in 22.3% (n=81), 18.1% (n=66) and 4.7% (n=17) of the patients, respectively. Regarding final prognosis, 352 (96.7%) of the patients had remission, and 7 (1.9%) had persistence, whereas the disease was mortal for 5 (1.4%) of the patients. Conclusions: Because of the differences between countries, it is important to provide national registration systems and special clinics for the accurate diagnosis and treatment of GTN