GÝRÝÞ ve AMAÇ: Bu çalýþmadaki amacýmýz glokom taný ve takibinde en sýk olarak kullanýlan iki yöntemin (OCT ve HRT) büyük ve küçük çaplý disklerde taný koymadaki etkinliklerini deðerlendirmekti.
YÖNTEM ve GEREÇLER: Erken evre glokom tanýsý alan veya þüpheli deðerlendirilen 55 olgunun 55 gözü çalýþma kapsamýna alýndý. HRT II’de bütün hastalarý disk alanlarýna ≥ 2.5 mm2 olan büyük disk çaplý ve <2.5 mm2 olan küçük disk çaplý olmak üzere iki gruba ayýrdýk. Peripapiller RSLT kalýnlýðýný deðerlendirmek için Optik koherens tomografi, Stratus OCT kullanýldý.
BULGULAR: Büyük disk çapýna sahip hasta sayýsý 30 iken, küçük disk çapýna sahip hasta sayýsý 25 idi. Büyük disk çapýna sahip grubun yaþ ortalamasý 68.2±11, küçük disk çapýna sahip grubun 63.7±9 idi. Kadýn/erkek oraný büyük disk çapý olan hasta grubunda 12/18 iken, küçük disk çapý olan hasta grubunda 9/16 idi. Gruplar arasýnda yaþ ve cinsiyet açýsýndan anlamlý fark yoktu. Büyük disk grubunda optik disk baþý çevresi sinir lifi tabakasýnýn stratus OCT ile elde edilen ortalama, superior, inferior, nazal ve temporal kadranlarda duyarlýlýk/seçicilik oraný HRT II ile elde edilen global, temporal, temporal-superior, temporal-inferior, nazal, nazal-süperior, nazal-inferior kadranlardan daha düþük olarak saptandý. Benzer þekilde, küçük disk grubunda optik disk baþý çevresinin sinir lifi tabakasýnýn stratus OCT ile elde edilen ortalama, superior, inferior, nazal ve temporal kadranlarda duyarlýlýk/seçicilik oraný HRTII ile elde edilen global, temporal, temporal-supe-rior, temporal-inferior, nazal, nazal-süperior, nazal-inferior kadranlardan daha düþük olarak saptandý.
TARTIÞMA ve SONUÇ: Çalýþmanýn sonucunda hem HRT II hem de OCT ile deðerlendirme esnasýnda disk çapýnýn mutlaka dikkate alýnmasý gerektiði sonucuna varýldý.

INTRODUCTION: In this study we aimed to asses the effectiveness of two methods(OCT and HRT), used most frequently in diagnosing and following glaucoma while diagnosing glaucoma of the patients having bigger and smaller disc size.
METHODS: To an ophthalmologic examination 55 eyes of 55 cases diagnosed as early or suspicient glaucoma were included in the study. In relation with the measurements done with HRT II we seperated the patients into two groups: having disc area of ≥ 2.5 mm2 as big disc size and <2.5 mm2 as small disc size. For evaluating the RNFL thickness we used Optic Coherens Tomography.
RESULTS: Number of patients having bigger disc size was 30, and smaller disc size was 25. Mean age of the group having bigger disc size was 68.2±11, and the group having smaller size was 63.7±9. In the group having bigger disc size man/woman ratio was 12/18, in the group having smaller disc size was 9/16. Between groups in relation with the sex and age there wasn’t any statistically significant difference. MD and PSD parameters were compared and we found significant difference between bigger and smaller disc size groups (p<0.001). In the bigger disc size group sensitivity/specifity ratio of mean optic nerve head retinal nerve fiber thickness of superior, inferior, nasal and temporal quadrants measured by Stratus OCT were determined fewer than the the ratio of global, temporal, temporal-superior, temporal-inferior, nasal, nasal-superior, nasal-inferior quadrants gained by the HRT II. Similarly in the smaller disc size group sensitivity/specifity ratio of mean optic nerve head retinal nerve fiber thickness of superior, inferior, nasal and temporal quadrants measured by Stratus OCT were determined fewer than the the ratio of global, temporal, temporal-superior, temporal-inferior, nasal, nasal-superior, nasal-inferior quadrants gained by the HRT II.
DISCUSSION AND CONCLUSION: At the end of the study we concluded that while assesing the patients having glaucoma with the help of HRT II and OCT, optic disc size must be taken into account.

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GÝRÝÞ ve AMAÇ: Romatoid Artritli (RA) hastalarda osteoporoz (OP) major komorbidite olarak tanýnmaktadýr. Bu çalýþmanýn amacý RA’lý hastalarda OP ve OP risk faktörlerini araþtýrmaktýr.
YÖNTEM ve GEREÇLER: Çalýþmaya Göztepe Eðitim Araþtýrma Hastanesi, Romatoloji polikliniðine baþvuran, daha önce ACR kriterelerine göre RA tanýsý almýþ olan 54 kadýn hasta alýndý. Hastalar retrospektif olarak deðerlendirildi. Hastalar, demografik özellikleri, aldýklarý tedaviler, RA süreleri, menopoz durumlarý, kýrýk hikayeleri, hastalýk aktiviteleri (disease activity score-DAS 28), Health Assessment Questionnaire (HAQ) skorlarý ve lomber AP ve femur boynu DXA ölçümleri yönünden incelendi.
BULGULAR: Hastalarýn yaþ ortalamasý 52.72 (39-67), RA süreleri ortalama 10.20 (1-30) yýl idi. DAS 28 skorlarý, ilaç kullanýmlarý, RA süreleri, menopoz durumlarý ve HAQ skorlarý ile kemik mineral yoðunluðu (KMY) ölçümleri karþýlastýrýldý. RA süresi ile femur boynu KMY’ndaki düþüklük anlamlý olarak iliþkili bulundu (p<0.05). Ýlaç kullanýmlarý, menopoz durumlarý, DAS 28 ve HAQ skorlarý ile KMY arasýnda istatistiksel anlamlý iliþki saptanmadý.
TARTIÞMA ve SONUÇ: RA’li hastalardaki KMY’daki azalma hastalýk süresi ile iliþkili olabilir.

INTRODUCTION: Osteoporosis (OP) is known as a major comorbidity in rheumatoid arthritis (RA) patients. Aim of this study is to evaluate OP and risk factors of OP in RA patients.
METHODS: 54 female patient, who were attended to rheumatology outpatient clinic in Göztepe Education and Research Hospital and diagnosed as RA according to ACR criteria, were included in the research. Study was designed as a retrospective research. Patients were evaluated according to demographic data, received therapy, duration of RA, menopause status, fracture history, disease activity score-DAS 28, health assessment questionnaire (HAQ) score, lumbar AP and femur neck DXA measurements.
RESULTS: Mean age of patients was 52.72 (39-67) years, RA duration was 10.20 (1-30) years. DAS 28 scores, received therapy, RA duration, menopause status and HAQ scores were compared with bone mineral density (BMD). RA duration and decrease in femur neck BMD was found statistically meaningful (p<0.05). Statistically meaningful correlation between BMD and received medication, menopause status, DAS 28 and HAQ scores was not established.
DISCUSSION AND CONCLUSION: Decrease in BMD may be related with disease duration in RA patients

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GÝRÝÞ ve AMAÇ: 2007 yýlý yaz döneminde (Haziran-Temmuz-Aðustos-Eylül) Gaziantep ilinde akut ishal sýklýklarýnýn saptanmasý ve gaytada parazit inceleme sonuçlarýnýn deðerlendirilmesi amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Türkiye’de Saðlýk Bakanlýðý tarafýndan ulusal düzeyde geliþtirilen ve yaz dönemi boyunca haftalýk olarak veri toplanan “su ve besinlerle bulaþan hastalýklar haftalýk surveyans formlarý” incelenerek; ildeki akut ishal sýklýklarý ve gaytada parazit inceleme sonuçlarý çýkarýlmýþtýr.
BULGULAR: 0-59 aylýk çocuklarda akut ishal sýklýklarý Haziran’da % 4,1, Temmuz’da % 5,2, Aðustos’ta % 7,4, Eylül’de % 4,3 olarak saptanmýþtýr. 2007 yýlýnda tüm populasyon için akut ishal sýklýklarý Haziran’da % 0,8, Temmuz’da % 1,1, Aðustos’ta % 1,5, Eylül’de % 0,9’dur. 2007 yazý boyunca yapýlan 12.060 gaytada parazit incelemesinin % 7,6’sýnda Entemoeba Hiystolitica ve % 1,6’sýnda Giardia Ýntestinalis tespit edilmiþtir.
TARTIÞMA ve SONUÇ: Akut ishal sýklýklarýnýn 5 yaþ altý çocuklarda eriþkinlere göre daha yüksek olmasý, çocuklarýn su ve besinlerle bulaþan hastalýklara karþý daha duyarlý olmasýnýn yaný sýra, eriþkinlerde görülen olgularda saðlýk kuruluþu baþvurularýnýn düþük olmasýna baðlý olabilir.

INTRODUCTION: It was aimed to determine the frequency of acute diarrhea and evaluate the results of parasite analyses in feces in the summer of 2007 (June-July-August-September) in Gaziantep city center (Turkey).
METHODS: The frequency of acute diarrhea and the results of parasite analyses in feces were obtained by investigating national “the weekly surveillance forms of food and water borne diseases” developed by the Turkey Ministry of Health and data were collected weekly during the summer term.
RESULTS: Frequency of acute diarrhea in children 0-59 months was found as 4.1 % in June, 5.2 % in July, 7.4 % in August, 4.3 % in September. In 2007, frequency of acute diarrhea for the all population was 0.8 % in June, 1.1 % in July, 1.5 % in August and 0.9 % in September. In total, 7.6 % of 12.060 feces parasite examinations carried out throughout the 2007 summer. % 7,6 was Entemoeba Hiystolitica and 1.6 % was Giardia Ýntestinalis.
DISCUSSION AND CONCLUSION: Frequency of acute diarrhea in children under five years old was higher than in adults. This may be attributed that the children are more sensitive to the food and water borne diseases as well as the number of health stations applications in adults are low.

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Ýstanbul Göztepe Eðitim ve Araþtýrma Hastanesi Kadýn Hastalýklarý ve Doðum Kliniði’nde 01.01.2007-31.12.2007 tarihleri arasýndaki tüm servikovajinal smear (6260 adet) sonuçlarýnýn 3535 tanesi (% 56,5’i) Papanicolaou yöntemi ile 2725 tanesi (% 43,5) Bethesda III 2001 sistemi ile deðerlendirildi. Median yaþ 46’dýr. 42-54 yaþ grubunda PAP2 sonucu diðer yaþ gruplarýna göre anlamlý þekilde yüksek bulunmuþtur. Bethesda III 2001 yöntemi ile deðerlendirilen smearlerin 152’sinde epitel hücre anomalisi saptanmýþtýr. 42-54 yaþ arasý olgularda LSIL ve AGC-NOS sonuçlarý, ASC-US ve HSIL sonuçlarýndan anlamlý þekilde yüksektir. 55 yaþ ve üzerinde olan olgularda ASC-US ve HSIL sonuçlarý, LSIL ve AGC-NOS sonuçlarýndan anlamlý þekilde yüksektir. En fazla karþýlaþýlan organizma Trichomonas Vaginalis’tir.

All servicovaginal smear results between the dates of 01/01/2007 to 12/31/2007 in the Gynecology and Obstetrics Department of Istanbul Goztepe Research and Training Hospital were analyzed, 3535 smears (56.5% of all) were analyzed with Papanicolaou classification and 2725 smears (43.5% of all) were analyzed with Bethesda III 2001 system. Median age is 46. In the 42 to 54 year-old group, PAP2 results are significantly higher than the other age groups. The 152 of smears, that are evaluated by Bethesda III 2001 method, have epithelial cell abnormality. In the 42 to 54 year-old group, LSIL and AGC-NOS results are significantly higher than ASC-US and HSIL results. In the 55-year old and over 55-year old group, ASC-US and HSIL results are significantly higher than LSIL and AGC-NOS results. The most encountered organism is Trichomonas Vaginalis.

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GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý çeþitli endikasyonlarla tiroidektomi uygulanmýþ hastalarda, histopatolojik inceleme sonucunda kanser saptanan olgularýn klinik bulgularý, laboratuvar deðerleri ve patoloji sonuçlarýnýn retrospektif olarak deðerlendirilip, bu bulgular ýþýðýnda uygun cerrahi prosedürlerin ortaya konmasý amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Ocak 2000-2004 tarihleri arasýnda tiroidektomi uygulanmýþ 448 hastadan histopatolojik deðerlendirme sonucu kanser saptanan 50 (% 11.16) olgu (45 kadýn, 5 erkek; ortalama yaþ 44.8; daðýlým 17-75) çalýþmaya alýndý. Olgular preoperatif tetkikler ve bulgular, hormonal aktivite, nodüler yapý varlýðý ve postoperatif histopatoloji raporlarý yönünden incelendi.
BULGULAR: Hastalarda en sýk rastlanan baþvuru þikayeti boyunda þiþkinlik (% 68) olarak tespit edildi. Tüm hastalara sintigrafi tetkiki ve hormonal testlerin uygulandýðý, % 70’inin ötiroidi, % 16’sýnýn aþikar hipertiroidi ve % 14’ünün subklinik hipertiroidi tablosuyla baþvurduklarý saptandý. Hastalarýn sintigrafi tetkiklerine bakýldýðýnda % 62’sinin multinodüler yapýda olduðu, % 30’unun tek nodül veya dominant nodüle sahip olduðu görüldü. Histopatoloji sonuclarýna göre hastalarýn 13’ü (% 26) mikrokarsinom olmak üzere 42’sinde (% 84) papiller kanser, 4’ünde (% 8) foliküler kanser, 3’ünde (% 6) medüller kanser, 1’inde (% 2) ise anaplastik kanser tespit edildi.
TARTIÞMA ve SONUÇ: Tiroit kanseri saptanan hastalarýn çoðunluðu hormonal olarak ötiroidi olmakla beraber, hipertiroidili hastalarýn da azýmsanamayacak sayýda olduðu (% 30), yine hastalarýn birçoðunda tiroit bezi multinodüler yapýdayken, % 30’unda tek veya dominant nodül varlýðý saptanmýþtýr. Bu bulgular ýþýðýnda; multinodüler yapýda olan veya hipertiroidili olgularda da kanser oranlarýnýn küçümsenemeyecek miktarlarda olduðu unutulmamalýdýr. Mikrokarsinom oranlarýnýn yüksekliðini de göz önüne alacak olursak tiroidektomi uygulayacaðýmýz hastalarda uygun cerrahi tedavinin en azýndan totale yakýn tiroidektomi olmasý gerektiðini düþünmekteyiz.

INTRODUCTION: The aim of this study’s is; to evaluate the clinical, laboratory and pathological findings of the thyroid cancer retrospectively through the patients who was applied thyroidectomy for the various endications, and with this findings to prove the opportune surgical procedures for this patients.
METHODS: 50 (11.16 %) of cases (45 woman, 5 man) who was determined thyroid cancer, receipt this study through the 448 patients who was applied thyroidectomy between January 2000-January 2004. All of the cases inspected from the standpoint of preoperative findings and investigations, hormonal activity, existence of noduls and postoperative pathological reports.
RESULTS: Patients most frequent complaint was cervical mass (68 %). Thyroid scintigraphic investigation and hormonal examinations had been applied to all patients. According to findings 70 % of patients were euthyroid, 16 % were manifest hyperthyroid and 14 % were subclinic hyperthyroid at the resource instant. We determined multiple thyroid noduls in 62 % of patients and solitary thyroid nodul or dominant thyroid nodul in 30 % of patients according to thyroid scintigraphy. According to pathological reports 84 % of patients were papillary thyroid cancer and 26 % of these have microcancer, 8 % were follicular cancer, 6 % were medullary cancer, and 1 patient (2 %) was anaplastic cancer.
DISCUSSION AND CONCLUSION: However the majority of the thyroid cancer patients are euthyroid, the number of hyperthyroid patients (30 %) can not be lessen. Once more however the majority of thyroid cancer patients are have multiple noduls, 30 % of the patients have solitary or dominant nodul. According to all this findings the surgeons musn’t be forget that the cancer rates are not lessen in patients with multiple noduls or hyperthyroid. If we take into consideration the exceed rates of microcancer, least surgical treatment must be near total thyroidectomy in patients who will undergoing operation according to us.

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GÝRÝÞ ve AMAÇ: Multýple Skleroz (MS) hastalarýnda demografik özellikler ve fiziksel özürlülük ile anksiyete depresyon iliþkisini araþtýrmak.
YÖNTEM ve GEREÇLER: Çalýþmaya MS tanýsýyla Nöroloji polikliniðinde takip edilen 60 hasta alýndý. Hastalarýn demografik verileri kaydedildi. Geniþletilmiþ Durum Özürlülük Skalasý (EDSS) ile fiziksel özürlülük, Hastane Anksiyete Depresyon Ölçeði (HAD) ile anksiyete ve depresyon deðerlendirildi. Veriler NCSS 2007 paket programý ile deðerlendirildi. Sonuçlar anlamlýlýk p<0,05 düzeyinde deðerlendirildi.
BULGULAR: Çalýþmaya 38 kadýn, 22 erkek hasta katýldý. Hastalarýn yaþ ortalamasý 42,15 idi. Hastalýk süresi 10 yýl ve daha az olan 37 hasta; 10 yýldan fazla olan 23 hasta vardý. Hastalarýn nörolojik tiplendirilmesine göre 14’ü sekonder progresif, 34’ü yineleyici,12’si primer proresif ve ilerleyici yineleyici MS idi. Hastalarýn ortalama EDSS skoru 3,9 idi. EDSS skoru 5 ve daha küçük olan 36; 5’in üstünde olan 24 hasta vardý. Hastalarýn yaþý, medeni durumu, eðitim durumu, MS tipi, EDSS skorlarý ile anksiyete depresyon arasýnda istatistiksel olarak anlamlý farklýlýk gözlenmedi. Hastalýk süresi 10 yýldan fazla olanlarda ve EDSS skoru 5’in üstünde olanlarda depresyon skorlarý, okur-yazar olmayan grupta anksiyete ve depresyon skorlarý yüksek bulundu ancak bu iliþkiler istatistiksel olarak anlamlý deðildi.
TARTIÞMA ve SONUÇ: Çalýþmamýzda EDSS ile anksiyete depresyon arasýnda istatistiksel olarak anlamlý iliþki saptanmadý. MS hastalarýnda fiziksel özürlülük ile anksiyete depresyon iliþkisini deðerlendirebilmek için daha geniþ hasta gruplarý ile yapýlacak çalýþmalara ihtiyaç vardýr.

INTRODUCTION: The aim of this study was to evaluate the relationship between demographic variables and physical disability with anxiety depression in patients with multiple sclerosis (MS).
METHODS: Sixty MS patients were included into the study. Their demographic characteristics were noted. Expanded Disability Status Scale (EDSS) was used to asses the physical disability; Hospital Anxiety and Depression form was used to assess the anxiety and depression. NCSS 2007 package program was used for statistical analyses. Results were assessed p<0,05 significant level.
RESULTS: 38 female, 22 male patients were included into the study. The mean age of the patients was 42.15 years. There were 23 patients whose disease duration was greater than 10 years, and 37 patients whose disease duration was less than or equal to 10 years. 14 patients was classified as secondary progressive form, 34 patients as relapsing remittent form, and 12 patients as primary progressive form and progressive relapsing form of MS. The mean EDSS score of patients was 3.9. EDSS score of 36 patient was lesser than or equal to 5, 24 patients have EDSS score greater than 5. We didn’t detect any significant relationship between age, marital and educational status, MS type, EDSS scores and anxiety depression. Patients who have EDSS score greater than 5 and patients that have disease duration greater than 10 years have higher depression scores and patients who were unlettered have higher anxiety and depression scores but these relationships were not statistically significant.
DISCUSSION AND CONCLUSION: We did not detect statistically significant relationship between EDSS scores and anxiety depression in our study. To evaluate relation between anxiety depression and physical disability in MS patient studies with large patient population were needed.

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GÝRÝÞ ve AMAÇ: Obesite, tip 2 diyabet geliþimini kolaylaþtýrýcý ve tedavisini zorlaþtýrýcý bir faktördür. Santral kilo artýþý adipoz dokuda artýþa, bu da adipokinlerin ve serbest yað asitlerinin (SYA) artýþýna ve sonuçta insulin direncine sebep olmaktadýr. Oysa ki, iyi glisemik kontrol saðlamak amacýyla oral antidiyabetik (OAD) tedavisinden insulin tedavisine geçilen hastalarda ise kilo artýþý gözlenmektedir. Biz bu çalýþmamýzda farklý insulin tedavilerinin kilo üzerine etkilerini araþtýrmayý amaçladýk.
YÖNTEM ve GEREÇLER: Çalýþmaya ilk kez insulin tedavisi uygulanacak 129 diabetes mellituslu (DM) hasta alýndý. Ýnsulin detemir + kýsa etkili analog insulin (aspart) uygulanan gurup 18 kiþi, insulin glarjin + kýsa etkili analog insulin (lispro) uygulanan gurup 27 kiþi, insulin aspart + nötral protamin aspart (NPA) uygulanan gurup 31 kiþi ve insulin lispro + nötral protamin lispro (NPL) uygulanan gurup 26 kiþi idi. Hastalar 6 ay boyunca izlendi. Tüm hastalarýn 3. ay ve 6. ayda antropometrik ölçümleri, açlýk plasma glikoz (APG) ve hemoglobin A1c (HbA1c) deðerleri alýndý.
BULGULAR: Tüm guruplarda kiloda ve vücut kitle indeksinde (VKÝ) anlamlý artýþ izlendi (p<0.01). Ancak guruplar arasýnda anlamlý fark görülmedi. APG ve HbA1c deðerlerinde 6. ayda baþlangýç deðerlerine göre anlamlý düþüþ gözlendi (p<0.01). Gruplar arasýnda anlamlý fark gözlenmedi.
TARTIÞMA ve SONUÇ: Farklý insulin tedavi tedavi protokolleri ile APG ve HbA1c deðerlerinde anlamlý düþüþ saðlandý ve tüm tedavi guruplarýnda kilo ve VKÝ artýþý gözlendi. Kilo artýþýnda, tedavi guruplarý arasýnda fark saptanmadý.

INTRODUCTION: Obesity is a factor which eases development and complicates treatment of type 2 diabetes mellitus. Increase in central weight causes increase in adipose tissue, which leads to an increase in adipokines and free fatty acids (FFA), this inducing insulin resistance. However, weight-gain is observed in patients in whom oral antidiabetic (OAD) therapy is switched to insulin in order to maintain good glycemic control. In our study, we aimed to investigate the effect of different insulin therapies on weight.
METHODS: 129 diabetic patients, to whom insulin therapy will be applied for the first time, were received to the study. Insulin detemir + short acting analogous insulin (aspart) group consisted of 18 patients, whereas insulin glargine + short acting analogous insulin (lispro), insulin aspart + neutral protamine aspart (NPA) and insulin lispro + neutral protamin lispro (NPL) groups cosisted of 27, 31 and 26 patients, respectively. Patients were followed up for 6 months. Anthropometric measurements, fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) values of all patients were recorded at 3rd and 6th months.
RESULTS: In all groups, we observed statistically significant increase in both weight and body mass index (BMI) (p<0.01), but there was no difference in between treatment groups. At the 6th month, a significant decrease in fasting plasma glucose and HbA1c levels was seen when compared with the values at the beginings (p<0.01). Similarly, no difference was observed between four groups.
DISCUSSION AND CONCLUSION: We observed a significant decrease in FPG and HbA1c values and an increase in weight and BMI levels with different insulin therapy protocols in all groups. There was no difference in weight gain in between treatment groups.

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The hepatic hydatid cyst is a progressive type of benign disease caused by Ecinococcus granulosus and may cause such complications that result in serious morbidity and mortality including suppuration of cyst, compression of surrounding tissues and rupture into adjacent structures. Rarely anaphylactic reactions due to traumatic or spontaneous rupture of hepatic hydatid cyst may occur and death ensue. Therefore, timely diagnosis and treatment are very important to prevent the morbidity and mortality associated with the anaphylaxis. Nontraumatic leakage of cyst contents into the blood circulation is an uncommon triggering factor for anaphylaxis. Unless treated surgicaly, rupture can result in death.
In this case report, we present a 28 year old male patient in order to emphasize the hydatid disease in the differential diagnosis of anaphylaxis who was admitted to the emergency room with urticaria and respiratory distress and operated for ruptured hepatic hydatid cyst.

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Background: Desmoid tumors are slowly growing deep fibromatosis with aggressive infiltration of adjacent tissue but without any metastatic potential.
Case Report: We present a 65 year old male patient with mesenteric fibromatosis of small bowel who has undergone resection of the lesion including some part of small intestine. A huge mass measuring 20*20*20 cm in size in the mesentery of ileum was observed during laparotomy. This mass included 20 cm of ileal segment, begining 60 cm proximally from ileocecal valve. He had a history of an earlier abdominal surgery for pyloric stenosis about 10 years ago. Preoperative evaluation included abdominal ultrasound and computered tomography.
Conclusion: Surgery has a key role in management of intraabdominal desmoid tumors.

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A foreign body in the nose rarely causes halitosis in childhood. Some foreign bodies like metals can stay in the nose for years without any symptoms. We report a case of 14 year old male patient followed up because of JRA (Juvenile rheumatoid arthritis) for 2 years and he had a complaint of halitosis for 10 years. A disk battery was removed from the nose in an operation. The patient was investigated because of possible chronic lead poisoning.

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Brucella endocarditis is a disease with high morbidity and mortality. The congenital or acquired primary pathology frequently facilitates the invasion of the active microorganism into the cardiac tissues. In our case, 43 years old male patient having high fever and dyspnea showed severe aortic insufficiency, moderate aortic stenosis and severe mitral insufficiency in his echocardiography. Rose-Bengal and Brucella tube agglutination was found positive. Antibiotics therapy was administered during preoperative three weeks. In operation, brucella endocarditis was diagnosed on the aortic valve with rheumatic involvement. Aortic valve was replaced by mechanical prosthesis and mitral valve was repaired. In this study we aimed to emphasize the importance of valvular repair in an active brucella endocarditis.

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Hepatocellular carcinoma (HCC) is the most common primary malignant tumor in liver and it is one of the most common cancers worldwide. The most important risk factors for HCC are cirrhosis, viral hepatitis, alcohol abuse and metabolic liver disease. HCC presents with hepatic involvement in majority and as metastatic disease in minority of patients. HCC commonly makes metastases to lungs, lymph nodes, adrenal gland, whereas bone involvement is rare.
Bone metastases of HCC, usually do not give symptom unless any pathological fracture happens or before they reach great dimensions. We present a case of HCC confirmed by the biopsy from the iliac bone which is a rare metastatic region of HCC.

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