Amaç: Yaþam Boyu Öðrenme, kiþisel ve mesleki nedenlerle doðumdan ölüme kadar süren gönüllü ve kendini motive eden bir öðrenme þeklidir. Týp bilimi dinamik bir doðaya sahip olduðundan, týp fakültesinde kazanýlan bilgi, daha sonraki mesleki yaþamda çoðunlukla yeterli olmayacaktýr. Bu çalýþmanýn amacý Jefferson Yaþam Boyu Öðrenme Ölçeði-Týp Öðrencileri versiyonunun (JeffSPLL-MS©) Türkçe geçerlilik ve güvenilirliðini belirlemektir.
Yöntem: Önce dilsel eþdeðerlik analizi uygulanmýþ ve yapý geçerliliðini test etmek için doðrulayýcý faktör analizi (DFA) kullanýlmýþtýr. Eþ zamanlý geçerlilik Yaþam Boyu Öðrenme Eðilimleri Ölçeði (LLTS) ve JeffSPLL-MS©’nin eþzamanlý uygulanmasýyla test edilmiþtir. Son olarak, çalýþmadaki ölçeklerden alýnan puanlarýn iç tutarlýlýðý ve test-tekrar test güvenirliði hesaplanmýþtýr.
Bulgular: Dilsel eþdeðerlik çalýþmasý ölçeðin Türkçe ve Ýngilizce formlarý arasýnda güçlü bir iliþki (r =.873, p =.001) olduðunu ortaya koymuþtur. CFA için Kaiser Meyer Olkin (KMO) deðeri.863 idi ve Bartlett Küresellik Testi sonuçlarý uygundur (X2 = 1173,6; p =.001, df = 91); JeffSPLL-MS için üç faktörlü 14 maddeli model-veri uyum indeksleri de tatmin edicidir ((X2 / df = 1,51); RMSEA = 0,046; NFI = 0,918; RFI = 0,902; CFI = 0,971) ve maddelerin faktör yüklemeleri.522 ile.764 arasýnda deðiþmektedir. LLTS ve JeffSPLL-MS© ölçeklerinin eþzamanlý geçerlilik göstergesi olarak Pearson korelasyon katsayýsý.624 olarak hesaplanmýþtýr (p =.001). JeffSPLL-MS©’den elde edilen toplam puanlarýn iç tutarlýlýðý (Cronbach alfa).843 ve tabakalý alfa katsayýsý.892’dir. Alt ölçekler için Cronbach alfa deðerleri aþaðýdaki gibidir: .830 (F1 = Öðrenme inançlarý ve motivasyonu),.719 (F2 = Bilgi arama becerileri),.721 (F3 = Öðrenme fýrsatlarýna dikkat). Ölçeðin test-tekrar test güvenirlik deðerleri ve alt ölçekleri dört haftalýk bir süre içinde.709 ile.812 arasýnda deðiþmektedir.
Sonuç: JeffSPLL-MS©’nin Türkiye’de týp eðitimi çalýþmalarý için geçerli ve güvenilir bir ölçüm aracý olarak kullanýlabileceði sonucuna varýlmýþtýr.

Objective: Lifelong Learning is a voluntary and self-motivated form of learning that lasts from birth to death for personal and professional reasons. As medical science has a dynamic nature, the knowledge gained in the faculty of medicine mostly will not be enough in the later professional life. The aim of this study is to determine the validity and reliability of the JeffSPLL-MS© in Turkish.
Method: Linguistic equivalence analysis was applied first, and confirmatory factor analysis (CFA) was utilized in order to test the construct validity. Concurrent validity was tested by simultaneous administration of Lifelong Learning Trends Scale (LLTS) and JeffSPLL-MS©. Finally, internal consistency and test-retest reliability of the scores gathered from the scales in the study were calculated.
Results: Linguistic equivalence study supplied that there is a strong relationship (r=.873, p=.001) between Turkish and English forms of the scale. For CFA, Kaiser Meyer Olkin (KMO) value was.863 and the results of Bartlett Sphericity Test were appropriate (X2 = 1173,6; p=.001, df=91); model-data fit indices for JeffSPLL-MS© with 14 items in three factors were also satisfactory ((X2/df =1,51); RMSEA=0,046; NFI=0,918; RFI=0,902; CFI=0,971) and factor loadings of items were ranging between.522 and.764. The Pearson correlation coefficient as the indicator of concurrent validity of the scales LLTS and JeffSPLL-MS© was calculated as.624 (p=.001). The internal consistency (Cronbach alpha) of the total scores gathered from JeffSPLL-MS© is.843 and stratified alpha coefficient is.892. Cronbach alpha values for the subscales are as follows: .830 (F1=Learning beliefs and motivation),.719 (F2=Skills in seeking information),.721 (F3=Attention to learning opportunities). The test-retest reliability values for the scale, and its subscales were ranged between.709 and.812 within a four-week period.
Conclusion: It is concluded that JeffSPLL-MS© can be used as a valid and reliable measurement instrument for medical education studies in Turkey.

Abstract | Full Text PDF

Amaç: Yaþam Boyu Öðrenme, kiþisel ve mesleki nedenlerle doðumdan ölüme kadar süren gönüllü ve kendini motive eden bir öðrenme þeklidir. Týp bilimi dinamik bir doðaya sahip olduðundan, týp fakültesinde kazanýlan bilgi, daha sonraki mesleki yaþamda çoðunlukla yeterli olmayacaktýr. Bu çalýþmanýn amacý Jefferson Yaþam Boyu Öðrenme Ölçeði-Týp Öðrencileri versiyonunun (JeffSPLL-MS©) Türkçe geçerlilik ve güvenilirliðini belirlemektir.
Yöntem: Önce dilsel eþdeðerlik analizi uygulanmýþ ve yapý geçerliliðini test etmek için doðrulayýcý faktör analizi (DFA) kullanýlmýþtýr. Eþ zamanlý geçerlilik Yaþam Boyu Öðrenme Eðilimleri Ölçeði (LLTS) ve JeffSPLL-MS©’nin eþzamanlý uygulanmasýyla test edilmiþtir. Son olarak, çalýþmadaki ölçeklerden alýnan puanlarýn iç tutarlýlýðý ve test-tekrar test güvenirliði hesaplanmýþtýr.
Bulgular: Dilsel eþdeðerlik çalýþmasý ölçeðin Türkçe ve Ýngilizce formlarý arasýnda güçlü bir iliþki (r =.873, p =.001) olduðunu ortaya koymuþtur. CFA için Kaiser Meyer Olkin (KMO) deðeri.863 idi ve Bartlett Küresellik Testi sonuçlarý uygundur (X2 = 1173,6; p =.001, df = 91); JeffSPLL-MS için üç faktörlü 14 maddeli model-veri uyum indeksleri de tatmin edicidir ((X2 / df = 1,51); RMSEA = 0,046; NFI = 0,918; RFI = 0,902; CFI = 0,971) ve maddelerin faktör yüklemeleri.522 ile.764 arasýnda deðiþmektedir. LLTS ve JeffSPLL-MS© ölçeklerinin eþzamanlý geçerlilik göstergesi olarak Pearson korelasyon katsayýsý.624 olarak hesaplanmýþtýr (p =.001). JeffSPLL-MS©’den elde edilen toplam puanlarýn iç tutarlýlýðý (Cronbach alfa).843 ve tabakalý alfa katsayýsý.892’dir. Alt ölçekler için Cronbach alfa deðerleri aþaðýdaki gibidir: .830 (F1 = Öðrenme inançlarý ve motivasyonu),.719 (F2 = Bilgi arama becerileri),.721 (F3 = Öðrenme fýrsatlarýna dikkat). Ölçeðin test-tekrar test güvenirlik deðerleri ve alt ölçekleri dört haftalýk bir süre içinde.709 ile.812 arasýnda deðiþmektedir.
Sonuç: JeffSPLL-MS©’nin Türkiye’de týp eðitimi çalýþmalarý için geçerli ve güvenilir bir ölçüm aracý olarak kullanýlabileceði sonucuna varýlmýþtýr.

Objective: Lifelong Learning is a voluntary and self-motivated form of learning that lasts from birth to death for personal and professional reasons. As medical science has a dynamic nature, the knowledge gained in the faculty of medicine mostly will not be enough in the later professional life. The aim of this study is to determine the validity and reliability of the JeffSPLL-MS© in Turkish.
Method: Linguistic equivalence analysis was applied first, and confirmatory factor analysis (CFA) was utilized in order to test the construct validity. Concurrent validity was tested by simultaneous administration of Lifelong Learning Trends Scale (LLTS) and JeffSPLL-MS©. Finally, internal consistency and test-retest reliability of the scores gathered from the scales in the study were calculated.
Results: Linguistic equivalence study supplied that there is a strong relationship (r=.873, p=.001) between Turkish and English forms of the scale. For CFA, Kaiser Meyer Olkin (KMO) value was.863 and the results of Bartlett Sphericity Test were appropriate (X2 = 1173,6; p=.001, df=91); model-data fit indices for JeffSPLL-MS© with 14 items in three factors were also satisfactory ((X2/df =1,51); RMSEA=0,046; NFI=0,918; RFI=0,902; CFI=0,971) and factor loadings of items were ranging between.522 and.764. The Pearson correlation coefficient as the indicator of concurrent validity of the scales LLTS and JeffSPLL-MS© was calculated as.624 (p=.001). The internal consistency (Cronbach alpha) of the total scores gathered from JeffSPLL-MS© is.843 and stratified alpha coefficient is.892. Cronbach alpha values for the subscales are as follows: .830 (F1=Learning beliefs and motivation),.719 (F2=Skills in seeking information),.721 (F3=Attention to learning opportunities). The test-retest reliability values for the scale, and its subscales were ranged between.709 and.812 within a four-week period.
Conclusion: It is concluded that JeffSPLL-MS© can be used as a valid and reliable measurement instrument for medical education studies in Turkey.

Abstract | Full Text PDF

Amaç: Ciddi bir saðlýk sorunu olan ST yükselmeli miyokart enfarktüsü (STEMI), genellikle koroner arter hastalýðýnýn trombotik bir komplikasyonudur. STEMI hastalarýný ve kontrol grubunu, FactorV Cambridge G1091C, FactorV Leiden G1691A, MTHFRC677T, MTHFR A1298C, FactorII G20210A, FaktörXIII (V34L), PAI-1, FGB, ITGB3, APOB, FVHR2 dahil olmak üzere kalýtsal trombofilinin olasý nedenleri açýsýndan karþýlaþtýrdýk.
Yöntem: Çalýþmaya STEMI’li 53 hasta ve akut koroner sendrom tanýsý olmayan 47 kiþi dahil edildi. STEMI’li hastalara perkütan koroner giriþim uygulandý. Tüm olgulara ekokardiyografi yapýldý ve tüm olgular kalýtsal trombofili genleri açýsýndan deðerlendirildi.
Bulgular: Kalýtsal trombofilinin MTHFR A1298C, FaktörXIII (V34L), ITGB, ACE ve homozigot veya bileþik heterozigot gen varyasyonu STEMI ile anlamlý olarak iliþkilidir (p<0.05). Ayrýca sigara içen MI hastalarýnda MTHFR A1298C, FactorV Leiden G1691A, PAI ve ACE gen varyasyonu, HT’li MI hastalarýnda Faktör XIII (V34L), PAI ve ACE gen varyasyonu, aile öyküsü olan MI hastalarýnda PAI ve ACE gen varyasyonu ve HL’li MI hastalarýnda PAI gen varyasyonu anlamlý derecede kontrol grubundan daha yüksek bulundu.
Sonuç: Kalýtsal trombofili faktörleri, daha büyük seri çalýþmalarla desteklendiðinde STEMI’nin önlenmesi ve tedavisinde umut vaat edebilir.

Objective: The ST- elevation myocardial infarction (STEMI), a serious health care problem, is commonly a thrombotic complication of coronary artery disease. We compare the STEMI patients and control group in terms of the possible causes of inherited thrombophilia including FactorV Cambridge G1091C, FactorV Leiden G1691A, MTHFRC677T, MTHFR A1298C, FactorII G20210A, Factor XIII (V34L), PAI-1, FGB, ITGB3, APOB, FVHR2, ACE gene variants.
Methods: Fifty-three patients with STEMI and 47 individuals without diagnosis of acute coronary syndrome were included in the study. Percutaneous coronary intervention was performed for patients with STEMI. Echocardiography was performed and inherited thrombophilia genes were evaluated in all subjects.
Results: The MTHFR A1298C, Factor XIII (V34L), ITGB, ACE and homozygous or compound heterozygous gene varations of inherited thrombophilia are significantly related with STEMI (p<0.05). Also significantly higher MTHFR A1298C, FactorV Leiden G1691A, PAI and ACE gene variations in MI patients who were smokers; Factor XIII (V34L), PAI and ACE gene variations in MI patients with HT; PAI and ACE gene variation in MI patients with FH and PAI gene variations in MI patients with HL were detected when compared with the control groups with all of the same risk factors (p<0.05).
Conclusion: Hereditary thrombophilia factors may show promise in the prevention and management of STEMI when supported studies with larger case series.

Abstract | Full Text PDF

Objective: Increasing amount of waste concurrently increases the risk of exposure to hazardous materials among waste collectors. Vigorous exertion in the field intensifies the abundance of contaminated inspirable droplets. If left undetected and untreated, it may provoke significant pernicious health effects and redundant burdens to employees and employers. The purpose of this study is to determine the prevalence of respiratory symptoms and their associated factors among domestic waste collectors.
Method: A cross-sectional study was conducted in Kota Kinabalu, Sabah between January and April 2020. Data were collected using a validated questionnaire which encompasses details about sociodemographic, health status, environment, and employment characteristics.
Results: A total of 290 waste collectors with a mean age of 40 (±9) years old were participated in the study. Most of them were from Kadazan-Dusun-Murut ethnic origin with educational background till secondary school. The average monthly income of the workers was USD 298.45 (±171.9) per month, and they had been in service for 11 (±9.04) years. Respiratory symptoms were seen in 21% of the workers. The identified significant risk factors were determined as underlying chronic diseases (OR=2.34; 95% CI=1.054, 5.219) and contact with pets (OR=1.87; 95% CI=1.004, 3.288).
Conclusion: Respiratory symptoms are prevalent amidst domestic waste collectors and related to their health and field activities.

Abstract | Full Text PDF

Objective: COVID19 outbreak has put a tremendous physical and mental burden on frontline doctors. A limited amount of literature is available in this area. The present study was done to assess the depressive symptoms and depression levels in doctors working at COVID-19 Hospitals.
Method: This study was based on an online survey that was started on May 2020 and ended on 30th June, 2020. An online questionnaire which included details such as age, gender, and 21 items to assess depressive symptoms was sent through social media to doctors from various countries. Depressive symptoms were measured by Beck’s Depression Inventory-II (BDI-II). Items of a total of 220 questionnaires were responded. Out of these, only 200 responses were analyzed using SPSS software.
Results: Out of 200 subjects, 110 (55%) had depressive symptoms and 90 (45%) had no symptoms. Males had more depressive symptoms (42.5%) than females (12.5%). Those who worked at COVID-19 centers 75 (37.5%) had higher depressive symptoms. The number of males working at COVID-19 centers was much higher (36%) than females (12%). Depressive symptoms were significantly higher in males than females (35.35±10.25 vs 16.90±7.76; p<0.0001).
Conclusion: Doctors, especially males working at COVID-19 centers have higher depressive symptoms than their female colleagues.
Multicentric studies with larger sample sizes are needed to study the impact of COVID-19 on frontline doctors.

Abstract | Full Text PDF

Amaç: Bu çalýþmada Polypodium vulgare L. (Polypodiaceae), yara iyileþme adayý olma potansiyeli açýsýndan deðerlendirildi. Farelerde eksizyonel bir yara modeli kullanýlarak hem in vivo hem de in vitro yara iyileþmesinde P.vulgare’nin antimikrobiyal ve antioksidan aktivitesini araþtýrdýk.
Yöntem: Eþit olarak dört gruba ayrýlmýþ toplam 32 Balb-c faresi kullandýk; Grup 1 kontrol, grup 2 taþýyýcý grup 3 Polipodyum vulgare, grup 4 Centella asiatica özütü (CAE). Tüm tedaviler topikal olarak günde bir kez uygulandý. Yara izi alaný, yara kapanma yüzdesi ve epitelizasyon süresi ölçüldü. Ýmmünhistokimyasal deðerlendirmede PDGF, VEGF ve kollajen boyalarý kullanýldý.
Bulgular: CAE ve P. vulgare ekstrakt gruplarýnýn yeni vasküler organizasyon, epidermis ve granülasyon doku organizasyonu açýsýndan kontrol ve taþýyýcý gruplarýndan daha etkili olduðu gözlenmiþtir. PDGF, VEGF ve kollajen immünohistokimyasal boyama, P.vulgare ekstraktý ve CAE gruplarýnda kontrol ve taþýyýcý gruplarýna göre daha kuvvetliydi. P. vulgare ve CAE grubunda PDGF boyama yoðunluðu, kontrol ve taþýyýcý gruplarýndan daha kuvvetliydi, ancak P. vulgare grubundaki VEGF ve kollajen boyama, kontrol grubundan farklý deðildi.
Sonuç:
P. vulgare yara iyileþmesini ve granülasyon dokusunu, epidermal rejenerasyonu ve anjiyogenezi arttýrdý. Antioksidan ve antimikrobiyal aktiviteleri ile bilinen P. vulgare ekstraktý, yara iyileþmesini desteklemek için yararlý olabilir.

Objective: In this study, we examined the effects of Polypodium vulgare L. (Polypodiaceae) as a candidate to be used for wound healing scarred area. We investigated the antibacterial, and antioxidant activity of P. Vulgare on both in vivo, and in vitro wound healing using an excisional wound model in mice
Method: We used 32 Balb-c mice equally divided into four groups: Group 1 control, Group 2 vehicle, Group 3 Polypodium vulgare, and Group 4 Centella asiatica extract (CAE). All treatments were applied topically once in a day. The scar area, percentage wound closure and epithelization time were measured. PDGF, VEGF, and collagen immunohistochemical staining were used for evaluation.
Results: CAE and P. vulgare extract groups were observed to be more effective than the control and vehicle groups in terms of new vascular, epidermal and granulation tissue organization. PDGF, VEGF, and collagen immunohistochemical staining was stronger in the P.vulgare extract and CAE groups compared to the control and vehicle groups. In the P. vulgare and CAE groups, PDGF staining intensity was stronger than the control and vehicle groups, but VEGF and collagen staining in P. vulgare group was not different from the control group.
Conclusion: P. vulgare had an effect on the injured area by regenerating the epidermis and increasing vascularization. P. vulgare extract with known antioxidant, and antimicrobial activities may be helpful as a supportive treatment in wound healing.

Abstract | Full Text PDF

Objective: The objective of this study was to highlight variations in the morphology of peroneus tertius muscle owing to its evolutional, academic, and clinical importance.
Methods: Sixty-six disarticulated lower limbs were used to study the morphological variations of peroneus tertius (PT) muscle like absence, duplication, accessory PT muscle, and abnormal site of origin and insertion. Detailed dissection was performed to study the proximal and distal attachments of PT muscle, and observed variations were recorded.
Results: Twelve out of 66 specimens showed the following variations, accessory and duplicate peroneus tertius was observed in one specimen (1.52%) each. We categorized variations in insertions into six types. The most common variation in the present study was type II (84.8%) followed by type VI (10.6%). Type IIa and IV were observed in one specimen (1.52%) each.
Conclusion: The present study highlights variations in both origin and insertion of PT muscle. We have also postulated a new modified classification which is the first of its kind to highlight two new additional variations in insertions existing in the current literature. Awareness of the above variations would be useful to surgeons performing tendon transfers, tendoplasty, and resection surgeries of the foot.

Abstract | Full Text PDF

Amaç: Multipl skleroz (MS) hastalarýnda optik koherens tomografi (OKT) ile yapýlan lamina kribroza (LK) kalýnlýk ölçümlerinin ve optik nörit (ON) ataðýnýn bu ölçümlere olan etkisinin remisyon döneminde deðerlendirilmesi.
Yöntem: Relapsing-remitting MS tanýsý alan ve tek gözden ON ataðý geçirme hikayesi olan, en az üç aydýr MS ve ON ataðý remisyonda olan 20 olgu ile yaþ, cinsiyet uyumlu 28 saðlýklý olgunun rasgele seçilen gözü dahil edildi. MS’li grupta; ON ataðýndan etkilenen gözleri Grup 1 (MS+ON), ON ataðýndan etkilenmeyen diðer saðlýklý gözleri Grup 2 (MS-ON), saðlýklý bireylerin gözleri ise Grup 3 olarak deðerlendirildi. Olgulara çekilen OKT görüntülerinden ortalama LK, peripapiller retina sinir lifi tabakasý (ppRSLT) ve subfoveal koroid (SFK) kalýnlýk ölçümleri gruplar arasýnda karþýlaþtýrýldý.
Bulgular: Ortalama LK kalýnlýðý MS+ON ve MS-ON gruplarýnda kontrol grubu ile karþýlaþtýrýldýðýnda anlamlý (p<0,001) olarak ince olduðu saptandý. MS+ON ve MS-ON gruplarý arasýnda ortalama LK kalýnlýk deðeri karþýlaþtýrýldýðýnda ise anlamlý fark olmadýðý görüldü (p=0,073). MS+ON ve MS-ON gruplarýnda ortalama ppRSLT kalýnlýðý kontrol grubu ile karþýlaþtýrýldýðýnda anlamlý düzeyde ince olduðu saptandý (sýrasýyla, p=0,003, p=0,035).
Sonuç: Çalýþmamýzda ON ataðý geçirmemiþ olan MS’li gözlerde LK’nin anlamlý düzeyde etkilenmiþ olmasý dikkat çekicidir. MS’te bu ölçümlerin deðerlendirilmesi, hastalarda oluþan optik sinir hasarýnýn erken tespiti için önemli olabilir.

Objective: To evaluate the thickness of lamina cribrosa (LC) in patients with multiple sclerosis (MS) using optical coherence tomography (OCT) and the effect of optic neuritis (ON) attack on these measurements during the remission period.
Methods: The study included 20 cases diagnosed with relapsing-remitting MS with a history of ON attacks affecting one eye and in remission of MS and ON attacks for at least three months, and 28 randomly selected eyes of age- and sex-matched healthy controls. In the MS group, the eyes affected by ON attack were assigned as Group 1 (MS+ON), their fellow unaffected eyes as Group 2 (MS-ON), and healthy control eyes as Group 3. The LC, peripapillary retinal nerve fiber layer (ppRNFL), and subfoveal choroidal thickness measurements were made by using OCT in all cases, and results were compared between the groups.
Results: The mean LC thickness in MS+ON and MS-ON groups was significantly lower than the control group (p<0.001). There was no significant difference between MS+ON and MS-ON groups in terms of mean LC thickness (p=0.073). The mean ppRNFL in the MS+ON and MS-ON groups was statistically significantly lower than the control group (p=0.003, p=0.035, respectively).
Conclusions: It is noteworthy that LC is significantly affected in eyes with MS who have not had a history of ON attack. Evaluation of the LC measurements can be important for early detection of optic nerve damage in patients with MS.

Abstract | Full Text PDF

The aim of this review is to examine the effects of COVID-19 on Tuberculosis (TB) management and to highlight evidence of the extent of TB and COVID-19 co-infection. Current findings on TB and COVID-19 have been identified using six databases: Pubmed, Science Direct, Pubmed Central, MedXRiv, Wiley, and Google Scholar. This search in literature was conducted up to 8 May 2020. We included five studies that met the selection criteria. These selected studies have been performed in regions having various demographic characteristics including developed and developing countries, mainly China. The total number of participants in each study ranged from 24 to 203. The case fatality rate of patients with TB and COVID-19 co-infection was found to be high (6/49; 12.3 percent) while a combined diagnosis of TB and COVID-19 was found in 9/49 patients. This condition is linked to several complications, manifested as the need for ex novo oxygen supply, pneumothorax, and extreme hypoxia. Researches on BCG vaccination have shown that countries without vaccination policy are more likely to be seriously affected than those with BCG vaccination programs. COVID-19 infection in patients with TB or the lack of sufficient BCG vaccination may be associated with higher detrimental consequences, including mortality.

Abstract | Full Text PDF

Mucocele is a mucous filled benign cystic lesion. It develops due to obstruction of any natural ostium of the paranasal sinus. Even though being benign, it has capability to erode and cause thinning the adjacent bony structures. Isolated intraorbital mucocele without paranasal sinus disease is a rare condition. We present a 39-year-old female patient with right medial canthal swelling without any nasal symptoms, and normal nasoendoscopic finding. Imaging revealed the lesion as a right ethmoidal mucocele with normal paranasal sinuses. However intraoperatively, it was an isolated intraorbital lesion, lateral to lamina papyracea with thick-yellowish mucin discharge.

Abstract | Full Text PDF

Angiosarcoma is one of the rarest types of malignant vascular tumours that involved the head and neck region. It predominantly affects the scalp and superficial soft tissues. Angiosarcoma arising from the deep cervical soft tissue is extremely rare. There is a limited literature on neck angiosarcoma that occurred simultaneously with papillary thyroid carcinoma. We report a rare case of concurrent papillary thyroid carcinoma and cervical epithelioid angiosarcoma, and postoperative rapid progression of residual angiosarcoma that mimicked a neck haematoma. The diagnostic challenge and possible etiologies have been discussed here.

Abstract | Full Text PDF