AMAÇ: Bu çalýþma ile Ankara Onkoloji Hastanesi'nde gerçekleþtirilen bazal hücreli karsinoma (BHK) ameliyatlarýný retrospektif olarak deðerlendirmek ve elde edilen deneyim sonucunda taný ve tedavi prensiplerini oluþturmak amaçlandý.
YÖNTEMLER: 2010-2012 yýllarý arasýnda plastik, rekonstrüktif ve estetik cerrahi polikliniðine, travma hastalarý hariç, 7018 hasta baþvurdu. BHK tanýsý ile ameliyat edilen 423 hastanýn dosyalarý ve patoloji raporlarý retrospektif olarak ve cinsiyet, yaþ, semptom, lokalizasyon, uygulanan cerrahi yöntem, rekürrens gibi deðiþkenler göz önüne alýnarak tarandý.
BULGULAR: BHK nedeniyle ameliyat edilen hastalar, plastik, rekonstrüktif ve estetik cerrahi polikliniðine baþvuran hastalarýn %6’sýný oluþturdular. Hastalarýn %63,1’i erkek, %36,9’u kadýndý. Ameliyat edilen hastalardan toplam 491 malign lezyon eksizyonu yapýldý. Lezyonlarýn en sýk baþ boyun bölgesinde yerleþtiði görüldü (%89,2). Hastalarýn %26,2’si eksizyon ve primer onarým ile, %64,3’ü eksizyon ve lokal flep ile, %9,5’i eksizyon ve greftleme ile tedavi edildi. Ameliyat sonrasý tüm hastalarýn %1,9’unda rekürrens saptandý ve 9 hasta rezidü tümör nedeniyle yeniden ameliyat edildi.
SONUÇ: Çalýþmamýz kliniðimizin 2 yýllýk tecrübesini yansýtmaktadýr. Erken taný ve tedavi lezyonlarýn yayýlýmýnýn engellenmesi ve rekürrensin azaltýlmasý açýsýndan çok önemlidir. Radyasyon onkolojisi bölümü ile koordinasyon halinde çalýþýlmalýdýr. Buna benzer çalýþmalarýn yapýlmasý, taný ve tedavi prensiplerinin standardize edilmesini saðlamaktadýr.

OBJECTIVE: In this study, authors aimed to retrospectivcely analyse the surgeries performed for basal cell carcinoma (BCC) in Ankara Oncology Hospital and they also aimed to settle the principles for diagnosis and treatment of BCC through the experiences gained.
METHODS: 7018 patients, excluding the trauma cases, were admitted to plastic, reconstructive and aesthetic surgery clinic between 2010 and 2012. 423 patients with the diagnosis of BCC were retrospectively reviewed by means of sex, age, symptom, location, type of surgery and recurrence.
RESULTS: The patients who were operated for BCC constituted 6% of the patients who admitted to Plastic and Reconstructive surgery clinic. 63.1% of the patients was male and 39.6% was female. 491 malignant tumor excisions were performed from the patients. It was seen that the lesions were most commonly located on head and neck region (89,2%). 26.2% of the patients was treated with excision and primary closure. 64.3% of the patients was treated with excision and local flap. 9.5% of the patients was treated with excision and grafting. Of the patients who were operated, 1.9% had recurrence and 9 patients were reoperated due to residual tumor.
CONCLUSION: Our study reflects the 2-year experience of our clinic. Early diagnosis and treatment are very important to prevent the spread of the lesions and to decrease the recurrence. We should always work in coordination with radiation oncology department. Executing these kind of studies provides standardization of the principles for the diagnosis and treatment.

AMAÇ: Bu çalýþmada, intraosseöz lipom tanýsý almýþ olan ve cerrahi olarak tedavi edilmiþ 12 hastanýn retrospektif analizi incelenmiþtir.
YÖNTEMLER: Hastalarýn 7’si erkek, 5’i kadýn idi. Kistlerin 4’ü tibiada, 3’ü kalkaneusta, 2’si humerusta, biri talusta, biri femur distalinde ve biri asetabulumda idi. Tüm hastalar küretaj ve allojen kemik ile greftlendi.
BULGULAR: Hiçbir hastada ameliyat içi komplikasyona rastlanmadý. Ortalama vizüel analog skala (VAS) aðrý skoru ameliyat sonrasý 4. ayda 4’ten 1’e indi ve tüm hastalar aðrýsýz bir kliniðe eriþti. Kemik greftlerinin konsolidasyonu radyolojik olarak ortalama 4 ayda(2-6ay) görüldü. Takiplerde hiçbir hastada patolojik kýrýk veya nükse rastlanmadý.
SONUÇ: Semptomatik intraoseoz lipomlarda güncel tedavi yaklaþýmý kistin küretaj ve greftlemesidir. Bu yöntemle hastalarýn tamamýnda tatminkar bir sonuç elde edilir.

OBJECTIVE: In this study, we evaluated the retrospective analysis of 12 patients with the diagnosis of intraosseos lipoma, who were surgically treated between 2008-2013.
METHODS: Seven of the patients were male and 5 were female. Four of the cysts were in tibia, 3 were in calcaneus, 2 in humerus, one in talus, one in distal femur and one in acetabulum.
RESULTS: All the patients were treated with curretage and allogenic bone grafting. No intraoperative complications were recorded. The median visual analog score (VAS) was decreased from 4 to 1 at the postoperative 4th month and all the patients were pain free. The complete consolidation of the grafts radiologically was recorded in 4 (2-6) months. No pathological fractures or recurrences were encountered.
CONCLUSION: Curretage and bone grafting is an actual teratment modality in the treatment of symptomatic intraosseous bone cysts.

AMAÇ: Bu çalýþmada 50 yaþ üzeri osteoporozu olan ve olmayan olgularda osteoporoz için jinekolojik risk faktörlerini deðerlendirmek amaçlanmýþtýr.
YÖNTEMLER: Çalýþmaya postmenopozal-senil osteoporoz tanýsý alan 127 hasta ve 53 osteoporozu olmayan gönüllü alýndý. Katýlýmcýlar yaþ, vücut kitle indeksi (VKÝ), menarþ yaþý, menopoz yaþý, doðum sayýsý, düþük-küretaj sayýsý, emzirme hikayesi gibi jinekolojik risk faktörleri açýsýndan sorgulandý.
BULGULAR: Hastalarýn yaþ ortalamasý kontrollere göre daha yüksek, VKÝ deðerleri daha düþüktü (p<0,05). Menopoza girme yaþý hastalarda daha düþük, 12 ay ve üzeri emzirme oraný ise daha yüksekti (p<0,05). Hasta grubunun menapoz yaþ ortalamasý kontrol grubundan anlamlý olarak düþük bulundu (p<0,05). Bununla birlikte hasta ve kontrol gruplarý arasýnda menarþ yaþý, doðum sayýsý, düþük-küretaj sayýlarý açýsýndan anlamlý bir fark saptanmadý (p>0,05). Hasta grubunda emziren 117 katýlýmcýnýn 100’ü (%85.5), kontrol grubunda emziren 51 katýlýmcýnýn ise 34’ü (%66.7) 12 ay ve üzeri sürede emzirmiþti, istatistiksel olarak bu fark anlamlý bulundu (p<0,05).
SONUÇ: Osteoporoz için jinekolojik risk faktörlerinin belirlenmesi, gerekli önlemlerin alýnmasý ve bu konudaki bilincin artýrýlmasý ile osteoporoz nedeniyle oluþabilecek kýrýklardan doðan mortalite ve morbidite oranlarý azaltýlabilir.

OBJECTIVE: To evaluate gynecological risk factors in patients with and without osteoporosis who are older than 50 years of age.
METHODS: One hundred and twenty seven patients with postmenopausal-senile osteoporosis and 53 non-osteoporotic volunteers were included. The subjects were examined in terms of age, body mass index (BMI), risk factors like age at menarche, age at menopause, number of births, numbers of miscarriage and curettage, and history of breast-feeding,
RESULTS: The mean age was statistically higher and the mean BMI level was statistically lower in patients (p<0,05). The mean menopause age was significantly lower, and the breast-feeding period equal or more than 12 months was significantly higher in patients (p<0,05). The mean age at menopause in the patient group was significantly lower (p<0,05). However, there was no difference between the patient and the control groups in terms of age at menarche, number of births, numbers of miscarriage and curettage (p>0,05). Hundred out of 117 patients (85.5%) breastfed equal or more than 12 months; 34 out of 51 volunteers (66.7%) breastfed equal or more than 12 months. This difference was found to be significant (p<0.05).
CONCLUSION: Finding the gynecological risk factors leading to osteoporosis, taking necessary precautions, and increasing the consciousness can decrease the morbidity and mortality ratios of fractures.

Osteokondrom benign kemik tümörlerinin en sýk görülenlerindendir, Çoðunlukla uzun kemiklerin metafizinde tek bir kitle olarak saptanýr. Sýklýkla aðrýya sebep olmasý ve kondrosarkom geliþme riskindan dolayý cerrahi tedavi onerilmektedir.
Bu yazýda, proksimal humerustan kaynaklanan bir osteokondrom zemininde geliþen sekonder kondrosarkom olgusunun taný-tedavi ve takip sonucu sunuldu.

Osteochondroma of the most common benign bone tumors are from youth, mostly in the metaphyses of long bones is determined as a single mass. Causing severe pain and surgical treatment is recommended due to the risk of development chondrosarcoma. In this paper, an osteochondroma arising from the proximal humerus osteochondroma developed in the case of chondrosarcoma diagnosis, treatment and follow-up of patients was presented.

Nora lezyonu sýklýkla el ve ayaklarýn uzun kemiklerinde tutulum gösteren, lokal agresif egzofitik tümoral bir oluþumdur. Olgumuzun sað elinde 2 yýldýr olan þiþlik þikayeti sonrasý radyolojik ve histolojik sonuçlarý nora lezyonu ile uyumlu gelmesi üzerine cerrahi geniþ eksizyon yapýldý.

Nora’s lesion is benign but locally agressive exostotic tumoural lesion of bone occuring in the long bones of the hands and feet. Our patient had swelling at her right hand for two years. After radiologic and histologic results were obtained as nora’s lesion, surgical excision with wide margins was performed.