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Öğe The effect of demographic, biochemical and patholojical parameters on survival in colorectal cancer(Turgut Özal Tıp Merkezi Dergisi, 2016) Benek, Suat; Tatar, Cihad; Kocakusak, Ahmet; Özer, Bahri; Kızılkaya, Mehmet Celal; Aydın, HüsnüAbstract Aim: Colorectal cancer is one of the most commonly encountered malign tumors. In this study we studied the patients who have been operated for colorectal cancer retrospectively, to determine the parameters if they are prognostic or not. Materials and Methods: 115 patients who had been operated on because of CRC were evaluated. Gender, age, place of tumor, local invasion, cancer history in first-degree relatives, chemotherapy history, histological grade, T stage, tumor size, total number of resected lymph nodes, metastatic lymph node number, positive lymph node ratio (PLNR),CEA, CA 19-9, albumin, CRP, survival, stage of disease were recorded and those parameters were compared with each other in two groups according to survival during follow-up. Results: There were not any statistically difference as regard to age, young patients, gender, tumor location and family history between two groups ( p=0,411 p=0,545 p=0,656 p=0.177 p=0,659). However, statistically significant parameters in patients who died during follow-up were histological grade, T stage, the number of metastatic lymph node, stage, PLNR, CEA, CA 19-9 and CRP (p=0.034 for CA 19-9 and p<0.001 for the remaining parameters). Histological grade and CRP were independent risk factors according to univariate analysis. Gender, age, and total numbers of the resected lymph nodes were parameters very near to significance. Conclusions: For the patients with colorectal cancer grade, T stage, metastatic lymph node, CEA, CA 19-9 and CRP were found to have poor prognostic values. Keywords: Cancer; Colorectal; Prognosis; Survival.Öğe The effect of demographic, biochemical and patholojical parameters on survival in colorectal cancer(Turgut Özal Tıp Merkezi Dergisi, 2016) Benek, Suat; Tatar, Cihad; Kocakusak, Ahmet; Özer, Bahri; Kızılkaya, Mehmet Celal; Aydın, HüsnüAbstract Aim: Colorectal cancer is one of the most commonly encountered malign tumors. In this study we studied the patients who have been operated for colorectal cancer retrospectively, to determine the parameters if they are prognostic or not. Materials and Methods: 115 patients who had been operated on because of CRC were evaluated. Gender, age, place of tumor, local invasion, cancer history in first-degree relatives, chemotherapy history, histological grade, T stage, tumor size, total number of resected lymph nodes, metastatic lymph node number, positive lymph node ratio (PLNR),CEA, CA 19-9, albumin, CRP, survival, stage of disease were recorded and those parameters were compared with each other in two groups according to survival during follow-up. Results: There were not any statistically difference as regard to age, young patients, gender, tumor location and family history between two groups ( p=0,411 p=0,545 p=0,656 p=0.177 p=0,659). However, statistically significant parameters in patients who died during follow-up were histological grade, T stage, the number of metastatic lymph node, stage, PLNR, CEA, CA 19-9 and CRP (p=0.034 for CA 19-9 and p<0.001 for the remaining parameters). Histological grade and CRP were independent risk factors according to univariate analysis. Gender, age, and total numbers of the resected lymph nodes were parameters very near to significance. Conclusions: For the patients with colorectal cancer grade, T stage, metastatic lymph node, CEA, CA 19-9 and CRP were found to have poor prognostic values. Keywords: Cancer; Colorectal; Prognosis; Survival.Öğe De Garengeot's hernia in a 72-year-old man: A case report 72 yaşında erkek hastada De Garengeot's hernisi: Olgu sunumu(Turgut Özal Tıp Merkezi Dergisi, 2016) Sevinç, Mert Mahsuni; Kınacı, Erdem; Tatar, Cihad; Bayrak, Savaş; Özakay, Abdulkerim; Çakar, Ekrem; Aren, AcarDe Garengeot hernia is a very rare type of hernia. In this type of hernia, the appendix is found within the femoral canal. In this article, we aimed to share De Garengeot hernia which was diagnosed in a 72-year-old male patient. The patient was admitted to the emergency department with the complaints of right groin pain and swelling for 2 days. The patient was operated with a preliminary diagnosis of an incarcerated inguinal. De Garengeot hernia was detected during the operation. The patient underwent appendectomy. Then McVay procedure was performed and a mesh plug was placed in the femoral canal. Consequently, although it is very rare, it should be kept in mind that there may be an acute appendicitis within femoral hernia sac in a patient presenting with a painful mass in the groin.The necessary surgical procedure should be done immediately in order to reduce the risk of mortality and/or morbidity. Keywords: Apendicitis; De Garengeot’s Hernia; Femoral Hernia