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Full-Text Articles in Medicine and Health Sciences
Patterns Of Postmastectomy Radiation Therapy In Clinically Node-Positive Breast Cancerpatients With Pathologically Negative Lymph Nodes After Neoadjuvant Chemotherapy, Mutlay Sayan, Irina Vergalasova, Mridula George, Maria Kowzun, Lindsay Potdevin, Shicha Kumar, Bruce Haffty, Nisha Ohri
Patterns Of Postmastectomy Radiation Therapy In Clinically Node-Positive Breast Cancerpatients With Pathologically Negative Lymph Nodes After Neoadjuvant Chemotherapy, Mutlay Sayan, Irina Vergalasova, Mridula George, Maria Kowzun, Lindsay Potdevin, Shicha Kumar, Bruce Haffty, Nisha Ohri
Turkish Journal of Medical Sciences
Background/aim: To analyze postmastectomy radiation therapy (PMRT) utilization and its association with overall survival (OS) in patients presenting with node-positive breast cancer who are pathologically node-negative (ypN0) after neoadjuvant chemotherapy (NAC). Materials and methods: Using the National Cancer Data Base (NCDB), we identified patients diagnosed between 2004 and 2013 with clinical T1-4 node-positive nonmetastatic breast cancer who received NAC and underwent mastectomy with pathologically negative lymph node sampling. Multivariable regression models identified factors associated with PMRT use. The Cox proportional hazards model was used to evaluate predictors of mortality. Results: The study included 8766 clinically node-positive patients who met the …
Interobserver And Intermethod Variability In Data Interpretation Of Breast Strainelastography In Suspicious Breast Lesions, Hale Turnaoğlu, Kemal Murat Haberal, Serdar Arslan, Meri̇ç Yavuz Çolak, Funda Ulu Öztürk, Ni̇hal Uslu
Interobserver And Intermethod Variability In Data Interpretation Of Breast Strainelastography In Suspicious Breast Lesions, Hale Turnaoğlu, Kemal Murat Haberal, Serdar Arslan, Meri̇ç Yavuz Çolak, Funda Ulu Öztürk, Ni̇hal Uslu
Turkish Journal of Medical Sciences
Background/aim: Strain elastography has the disadvantage of being operator-dependent. Interobserver variability is observed during image acquisition and interpretation. This study aimed to analyze the interobserver and intermethod variability of strain elastography in image interpretation and evaluate the diagnostic performance combining elasticity score and strain ratio with ultrasonography. Materials and methods: A retrospective study was conducted on 70 breast lesions evaluated with B-mode ultrasonography and strain elastography. B-mode ultrasonography findings, elasticity scores, and strain ratio values were evaluated using static images by two radiologists. BI-RADS assessment of the lesions and the decision of both observers as to whether the biopsy was …
Preoperative Estimation Of Breast Resection Weight In Patients Undergoing Inferior Pedicle Reduction Mammoplasty: The Bilgen Formula, Fatma Bi̇lgen, Alper Ural, Mehmet Bekereci̇oğlu
Preoperative Estimation Of Breast Resection Weight In Patients Undergoing Inferior Pedicle Reduction Mammoplasty: The Bilgen Formula, Fatma Bi̇lgen, Alper Ural, Mehmet Bekereci̇oğlu
Turkish Journal of Medical Sciences
Background/aim: Symptomatic breast hypertrophy has a significant impact on the quality of life of women. The amount of tissue to be excised may be preoperatively estimated by an experienced surgeon. However, this remains a subjective assessment. Accurate quantification of the amount of breast tissue to be resected in the preoperative period will be a guide for both patient information and the surgeon during the operation. The aim of this study is to develop a new method based on simple measurements that can accurately estimate the resection weight in the preoperative period in a wide range of patients undergoing reduction mammoplasty. …
Shear Wave Versus Strain Elastography In The Differentiation Of Benign And Malignant Breast Lesions, Aykut Gürüf, Mesut Öztürk, İlkay Koray Bayrak, Ahmet Veysel Polat
Shear Wave Versus Strain Elastography In The Differentiation Of Benign And Malignant Breast Lesions, Aykut Gürüf, Mesut Öztürk, İlkay Koray Bayrak, Ahmet Veysel Polat
Turkish Journal of Medical Sciences
Background/aim: To evaluate and compare the diagnostic performances of shear wave elastography (SWE) and strain elastography (SE) in the differentiation of benign and malignant breast lesions.Materials and methods: The current study included 87 breast lesions in 84 patients. The Breast Imaging Reporting and Data System (BIRADS) categories were determined with ultrasound features. The maximum shear wave velocity (SWV), mean SWV, maximum SWV to fat SWV ratio, and mean SWV to fat SWV ratio were measured using SWE. The strain ratio (SR) was calculated as the ratio of lesion strain to the adjacent fat strain using SE. Receiver operating characteristic (ROC) …
Calcification Of Breast Artery As Detected By Mammography: Association With Coronary And Aortic Calcification, Ayşegül İdi̇l Soylu, Korhan Soylu, Ramazan Aydin, Fati̇h Uzunkaya, Keri̇m Aslan, Ahmet Veysel Polat
Calcification Of Breast Artery As Detected By Mammography: Association With Coronary And Aortic Calcification, Ayşegül İdi̇l Soylu, Korhan Soylu, Ramazan Aydin, Fati̇h Uzunkaya, Keri̇m Aslan, Ahmet Veysel Polat
Turkish Journal of Medical Sciences
Coronary artery calcification (CAC) and aortic calcification (AC) are significant risk factors for coronary atherosclerosis. This study investigated how breast arterial calcification (BAC) detected from routine mammography correlates with coronary artery calcification and aortic calcification.Materials and methods: A total of 404 female patients above 40 years of age who, within a 6-month period, had undergone thoracic computed tomography and mammography for various reasons were screened retrospectively at our clinic. Mammographies were assessed for BAC and thoracic CT investigations were assessed for CAC and AC. Patients included in the study were scored as 0 (none), 1 (mild), 2 (moderate), or 3 …
How To Manage Pseudoangiomatous Stromal Hyperplasia: Our Clinical Experience, Emi̇ne Kurt, Sevi̇m Turanli, Fatma Markoç, Ali̇ Uğur Berberoğlu
How To Manage Pseudoangiomatous Stromal Hyperplasia: Our Clinical Experience, Emi̇ne Kurt, Sevi̇m Turanli, Fatma Markoç, Ali̇ Uğur Berberoğlu
Turkish Journal of Medical Sciences
Background/aim: Pseudoangiomatous stromal hyperplasia (PASH) is a rare and benign mesenchymal proliferative breast lesion. Our aim is to review the clinical and radiological features of PASH and define a standard approach for its diagnosis and management. Materials and methods: Clinical records of 35 consecutive patients with PASH were retrospectively reviewed between 2009 and 2015. Patients with clinically or radiologically detected mass and patients who underwent biopsy for other indications and were diagnosed incidentally were included in the study. Results: There were 34 female patients and one male patient with gynecomastia. Twenty-three patients had palpable masses, and 16 of them were …
Coexistence Of Idiopathic Granulomatous Mastitis And Erythemanodosum: Successful Treatment With Corticosteroids, Murat Akin, Harun Karabacak, Güldal Esendağli, Aydin Yavuz, Serap Gülteki̇n, Kürşat Di̇kmen, Hasan Bostanci
Coexistence Of Idiopathic Granulomatous Mastitis And Erythemanodosum: Successful Treatment With Corticosteroids, Murat Akin, Harun Karabacak, Güldal Esendağli, Aydin Yavuz, Serap Gülteki̇n, Kürşat Di̇kmen, Hasan Bostanci
Turkish Journal of Medical Sciences
Background/aim: Idiopathic granulomatous mastitis (IGM) is a rare, chronic inflammatory disease of the breast. Erythema nodosum (EN) is a rare extramammary manifestation of IGM. The purpose of this study is to determine the clinical and demographic characteristics of 11 IGM and EN patients and to evaluate the efficacy of methylprednisolone treatment. Materials and methods: In our series, ten patients had EN bilaterally, whereas one patient had a lesion of the right pretibial area. The mean age of the patients was 35.5 years (range: 29-45 years). IGM and EN were diagnosed by the necessary serological, microbiological, radiological, and histopathological examination. After …
The Relationship Of Breast Arterial Calcification Detected In Mammographic Examinations With Cardiovascular Diseases, Cardiovascular Risk Factors, Parity, And Breastfeeding, Kadi̇han Yalçin Şafak, Ayşegül Eratalay, Ebru Dülger İli̇ş, Nesli̇han Umarusman Tanju, Begüm Damla Şencan, Tamer Baysal
The Relationship Of Breast Arterial Calcification Detected In Mammographic Examinations With Cardiovascular Diseases, Cardiovascular Risk Factors, Parity, And Breastfeeding, Kadi̇han Yalçin Şafak, Ayşegül Eratalay, Ebru Dülger İli̇ş, Nesli̇han Umarusman Tanju, Begüm Damla Şencan, Tamer Baysal
Turkish Journal of Medical Sciences
Background/aim: We aimed to detect the incidence of breast arterial calcification (BAC) in patients that underwent mammography and to reveal the relationship of BAC with cardiovascular diseases, cardiovascular risk factors, parity, and breastfeeding. Materials and methods: A total of 1195 female patients were included in this study. Cases that were positive for BAC during mammography were recorded. The relationship of BAC with age, body mass index, parity, breastfeeding, menopause, smoking, alcohol consumption, oral contraceptive use, hormone replacement therapy, and histories of hypertension (HT), diabetes mellitus (DM), coronary artery disease (CAD), and cerebral vascular diseases were investigated. Results: Overall, 97 of …
Intramammarian Glomus Tumor: Radiologic And Pathological Findings, Eli̇f Aşik Kamberoğlu, Huban Si̇bel Orhun Yavuz, Aydin Kurt, Mehmet Gümüş, Ali̇ İpek, Asli Tanrivermi̇ş Sayit, Mustafa Karaoğlanoğlu
Intramammarian Glomus Tumor: Radiologic And Pathological Findings, Eli̇f Aşik Kamberoğlu, Huban Si̇bel Orhun Yavuz, Aydin Kurt, Mehmet Gümüş, Ali̇ İpek, Asli Tanrivermi̇ş Sayit, Mustafa Karaoğlanoğlu
Turkish Journal of Medical Sciences
We aimed to describe a histopathologically proven intramammarian glomus tumor and presented mammographic and Doppler ultrasound findings. Glomus tumor is a relatively uncommon soft tissue tumor. It can occur at any age and anatomical site with a predilection for the subungual region. Usually there is no diagnostic difficulty for small, painful subungual nodules but it is more difficult in deep locations. The breast is a very uncommon location for a glomus tumor. Ultrasound characteristics of glomus tumors located in the hand region are known and published previously. With its slightly lobulated margins, lucent notch, and highly vascular nature, ultrasound characteristics …
Clinical Presentation Of Breast Tuberculosis In Eastern Anatolia, S. Selçuk Atamanalp, Cemal Gündoğdu, Pinar Polat, Gürkan Öztürk, Bülent Aydinli, Durkaya Ören, Mahmut Başoğlu, M. İlhan Yildirgan
Clinical Presentation Of Breast Tuberculosis In Eastern Anatolia, S. Selçuk Atamanalp, Cemal Gündoğdu, Pinar Polat, Gürkan Öztürk, Bülent Aydinli, Durkaya Ören, Mahmut Başoğlu, M. İlhan Yildirgan
Turkish Journal of Medical Sciences
Breast tuberculosis is a very rare disease of the breast. This report aimed to review our clinical experience of 20 years and 7 cases of breast tuberculosis. Materials and methods: The records of 7 patients with breast tuberculosis were reviewed retrospectively. Results: The surgical procedure applied for breast tuberculosis comprised 1.3% of all surgical procedures of breast surgery. The mean age of the breast tuberculosis patients was 36 years, and all of the patients were female. The mean symptom duration was 12.8 months. The most common symptoms were painful breast mass in all the patients, 2 (28.6%) of whom had …