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Öğe Changes in serum CA-125 levels after laparotomy?(I R O G Canada, Inc, 2004) Atmaca, R; Balat, O; Cekmen, M; Ugur, MG; Kutlar, AI; Aksoy, FThere is no adequate data in the medical literature defining serum CA-125 levels after laparotomy. Therefore we designed this prospective study to evaluate the effects of laparotomy for hysterectomy on serum CA-125 levels. Ninety-four women (mean age 44.6 +/- 6.9 years) were included in the study between January, 2001 and April, 2003. Hysterectomies were performed in patients with chronic pelvic pain, dysfunctional uterine bleeding and myoma uteri. Mean serum CA-125 levels of the patient, before and after laparotomy were 16.29 +/- 8.11 U/ml and 16.37 +/- 8.05 U/ml, respectively. The change in serum CA-125 levels prior to the operation was statistically insignificant when compared with the levels obtained at 24 hours after laparotomy (p > 0.05). We found that laparotomy for hysterectomy did not change the levels of CA-125 at the 24th hour after the operation, indicating either serum CA-125 levels are not correlated, at least within 24 hours, with peritoneal irritation or peritoneal irritation was minimal or absent in our operations.Öğe Decreased adrenomedullin and total nitrite levels in breast milk of preeclamptic women(Pergamon-Elsevier Science Ltd, 2004) Cekmen, MB; Balat, A; Balat, O; Aksoy, F; Yurekli, M; Erbagci, AB; Sahinoz, SObjective: To observe the adrenomedullin (AM) and total nitrite levels in the milk of preeclamptic and normal pregnant women. Design and methods: Fifteen women with preeclampsia and 15 normal pregnant women were included in the study. Total nitrite was quantitated by Griess reaction, while AM was measured by HPLC. Results: The levels of AM and total nitrite in colostrum and 30th-day breast milk were decreased in preeclamptics. Total. nitrite levels (mumol/l) were 56.09 +/- 11.18 vs. 82.20 +/- 12.01, P < 0.05, in colostrum of preeclamptics and controls, respectively. The level of total nitrite was 37.75 +/- 12.10 vs. 53.28 +/- 10.25, P < 0.05, in 30th-day milk of same patients. AM levels (pg/ml) were 11.18 +/- 1.11 vs. 16.59 +/- 1.24, P < 0.0001, in colostrum of preeclamptics and controls, respectively. In 30th-day milk of same patients, AM levels were 8.41 +/- 1.39 vs. 12.18 +/- 1.48, P < 0.005, respectively. Conclusion: This report shows for the first time that human milk has decreased levels of AM and total nitrite in preeclampsia. (C) 2003 The Canadian Society of Clinical Chemists. All rights reserved.Öğe Is there a change in serum CA-125 levels after laparoscopy?(I R O G Canada, Inc, 2004) Atmaca, R; Balat, O; Ugur, MG; Çekmen, M; Kutlar, I; Aksoy, FThere is no adequate data in the medical literature defining serum CA-125 levels after laparoscopy. Therefore we designed this prospective study to evaluate the effects of laparoscopy on serum CA-125 levels. Eighty-two women (mean age 34.2 +/- 12.30 years) were included in the study between January, 2001 and April, 2003. Laparoscopies were performed in patients with chronic pelvic pain, dysmenorrhea, infertility, ovarian cysts and for tubal ligation. Mean serum CA-125 levels of the patients before and after the laparoscopic procedures were 13.96 +/- 4.86 U/ml and 14.02 +/- 4.96 U/ml, respectively. The change in serum CA-125 levels prior to laparoscopy was statistically insignificant when compared with the levels obtained at 24 hours after laparoscopic procedure (p > 0.05). We found that diagnostic laparoscopy or laparoscopic surgical procedures did not change the levels of CA-125 at the 24th hour after laparoscopy indicating either serum CA-125 levels are not correlated, at least within 24 hours, with peritoneal irritation or peritoneal irritation is minimal or absent in our operations.Öğe Recurrence of ovarian cancer as a delayed solitary parenchymal splenic metastasis(Blackwell Science Inc, 1996) Balat, O; Verschraegen, C; Erbilen, M; Edwards, CL; Silva, E; Kudelka, AP; Kavanagh, JJIsolated recurrent splenic metastasis of epithelial ovarian cancer is extremely rare in the absence of apparent disease at other sites. There are only five case reports of isolated spleen parenchymal metastasis of epithelial ovarian cancer. Among gynecologic malignancies, the most common indication for splenectomy is ovarian cancer. Secondary debulking may improve survival in a few subsets of patients including isolated splenic metastasis, We present the case of a patient who developed an isolated recurrent solitary tumor in the spleen 5 1/2 years after undergoing initial therapy for a stage IIIC papillary serous adenocarcinoma of the ovary. Outcome and treatment of this condition are discussed.Öğe Ultrasound guided aspiration of benign ovarian cysts: An alternative to surgery?(Elsevier Sci Ireland Ltd, 1996) Balat, O; Sarac, K; Sonmez, STreatment of ovarian cysts remains a problem for gynecologists despite the different treatment modalities that are available. This prospective study included 19 patients (aged 16-34 years) who were treated with ultrasound guided aspiration; cyst diameter ranged from 6 to 16 cm (mean 8 cm). There were recurrent cysts in five of the 19 patients. The results indicate that in cases of benign ovarian cysts, ultrasound guided aspiration may be an alternative to other treatment modalities.
