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Öğe Incidental Neuroendocrine Carcinoma of the Gallbladder(Modestum Ltd, 2014) Gundes, Ebubekir; Kucukkartallar, Tevfik; Cakir, Murat; Gemici, Kazim; Esen, Haci HasanGallbladder cancer is rare and adenocarcinoma usually seen. Neuroendocrine carcinomas are rare in malignancies. Generally diagnosis is not made in the pre-operative period. They are generally diagnosed after cholecystectomy through hystopathological examination. In this type of tumors primary treatment is surgical and cure can only be through a complete surgical resection. The histopathological examination of the neuroendocrine carcinoma after laparoscopic cholecystectomy in a patient wanted to present the report. This is about the treatment of cancers, certain drugs used for chemotherapy after surgery. The patient's 32-month follow-up of any problems encountered.Öğe Incidental Neuroendocrine Carcinoma of the Gallbladder(Modestum Ltd, 2014) Gundes, Ebubekir; Kucukkartallar, Tevfik; Cakir, Murat; Gemici, Kazim; Esen, Haci HasanGallbladder cancer is rare and adenocarcinoma usually seen. Neuroendocrine carcinomas are rare in malignancies. Generally diagnosis is not made in the pre-operative period. They are generally diagnosed after cholecystectomy through hystopathological examination. In this type of tumors primary treatment is surgical and cure can only be through a complete surgical resection. The histopathological examination of the neuroendocrine carcinoma after laparoscopic cholecystectomy in a patient wanted to present the report. This is about the treatment of cancers, certain drugs used for chemotherapy after surgery. The patient's 32-month follow-up of any problems encountered.Öğe Management of patients with retroperitoneal tumors and a review of the literature(Bmc, 2015) Gemici, Kazim; Buldu, Ibrahim; Acar, Turker; Alptekin, Husnu; Kaynar, Mehmet; Tekinarslan, Erdem; Karatag, TunaBackground: Retroperitoneal tumors (RTs) develop insidiously and are generally seen as large masses, and 50% of RTs are larger than 20 cm at the time of diagnosis. In this article, we share our experience of 5 years of surgical management of RTs. Methods: We evaluated 28 RT cases operated on in three education hospitals in Turkey from January 2008 onwards, with regard to patients' demographic characteristics, complaints, weight loss figures, the location and size of the tumor, blood transfusion, intra-operational time, metastases (in malignant cases), additional organ resection, histological grade, local recurrences, average life expectancy, and post-operative treatment methods. Results: The mean age of the patients was 49 years (range, 18 to 78 years). Twenty (71.43%) were female, and 8 (28.57%) were male. The primary complaint was abdominal pain in 18 patients (64.28%). CT scans were performed in 17 (61%) patients, 10 (35.4%) underwent abdominal MR imaging, and 1 (3.6%) underwent both abdominal CT and abdominal MR imaging. A mass was palpated in the pelvis (suprapubic region) in seven (25%) of the patients during physical examination. The largest tumors were detected in the left lumbar area. The mean tumor size was 12.78 cm (range, 2 to 30 cm). The mean intra-operational time was 192 min (range, 70 to 380 min). The mean hospitalization period was 11 days (range, 8 to 23 days). Seven (25%) patients were reported to have benign tumors, while 21 (75%) were reported to have malignant tumors. The most frequently seen malignant pathology was liposarcoma (eight cases; 38.09%) followed by leiomyosarcoma (five cases; 23.8%) and malignant fibrous histiocytoma (four cases; 19.04%). The earliest local recurrence was detected in the 12th month and the latest in the 28th month. A total of 11 (52.3%) of the total of 21 malignant cases experienced local recurrence within 3 years. The 3-year average life expectancy was 85.7% in the 18 malignant cases. Conclusions: Due to the low response rate of all but two types of RT to chemotherapy, the best remaining treatment option is surgery with wide resection margins, whereby all macroscopic traces of tumor are removed.