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    Analysis of stereotactic biopsies for nonpalpable BIRADS 4 breast lesions: Evaluation of predictors for malignancy
    (2021) Akbulut, Serkan; Avsar, Gokhan; Deryol, Riza; Bayar, Sancar; Eroglu, Aydan
    Aim: This study aims to determine the malignancy rates of nonpalpable BIRADS 4 breast lesions excised by stereotactic biopsy, the re-excision rates of malignant lesions detected by stereotactic biopsy and to evaluate the factors affecting malignancy rates in these lesions. Materials and Methods: Medical records of female patients admitted to the surgical oncology outpatient clinic between 2012 and 2017 with nonpalpable (<1 cm) BIRADS 4 breast lesions (either detected by USG or mammography) and underwent stereotactic breast biopsy were assessed. Results: The mean age of a total of 208 patients with 235 lesions underwent image-guided breast biopsy was 49.0± 0.6. In 54% of lesions, localization was superior outer quadrant and 51.1% of lesions were at left breast. In 46% of cases, radiological abnormality causing suspicion of malignancy was nodular lesion and the most encountered pathological result was proliferative breast lesion without atypia (62.1%). The mean age of the malignancy detected group after stereotactic biopsy was higher than benign group (p=0.048). In 16.2% (38/235) of the lesions, malignancy was detected and none of malignant lesions had lymph node metastasis. ER, PR and HER-2 positivity were 88.2% (30/34), 86.7% (26/30), and 30% (6/20), respectively. The re-excision rates of the malignant lesions to ensure oncologically acceptable surgical margins were 23.7% (9/38). Conclusion: Although malignancy, re-excision, and lymph node metastasis rates of non-palpable breast lesions underwent stereotactic biopsy with malignancy suspicion are not too high, careful evaluation of these lesions with malignancy suspicion is suggested in order not to miss malignant cases.
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    Bir Meslek Eğitim Merkezi Üçüncü Sınıfında Okuyan Öğrencilerin Sağlık Hizmeti Kullanım Durumlarının Saptanması
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2005) Kırılmaz, Utku; Çankaya, Deniz; Özdemir, Özdemir; Madani, Joida; Choijiljav, Gereltuya; Akbulut, Serkan; Aslan, Dilek
    Nowadays, there are about 1.2 billion around adolescents living the world and one out of five people is known to be at this age group. Almost 85% of adolescents live in developing countries. It is stated that adolescents utilize health services less than the other age groups do. Objective: In this study, utilization of health services of 186 third grade students at an Occupational Training Center (OTC) was evaluated (participation rate=87.1%). Findings: The mean age of the students was 18.4 (sd±0.9). Frequency of utilization of check-up services before they started to work professionally was 22.2% whereas it was 21.1% afterwards. Forty-two percent of the participants were influenced by the experiences of elder family members when they were ill for the last time. The percent of attendance to a health instutition was 27.2, whereas the pharmacy attendance was 14.8%. The percent of attendence to a “Social Insurance Organization Hospital” was 32% and the primary health care unit utilization was found to be 11.4%. In this study, the usage of check-up services for routine controls was also assessed. 58.4% of the participants stated that they had utilizaed health services although they did nothave any illness in the last six months. Use of dental services was found to be in the first rank (27.0%). Conclusion and recommendations: In this quantitative research, the frequency of health service utilization was thought to be low. Qualitative studies (eg. focus group discussions) are recommended to be carried out to investigate the underlying factors of low usage.