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    Distribution and evaluation of bone and soft tissue tumors operated in a tertiary care center
    (2019) Öztürk, Recep; Arıkan, Şefik Murat; Bulut, Emin Kürşat; Kekeç, Ahmet Fevzi; Çelebi, Fener; Güngör, Bedii Şafak
    Objective: The aim of this study was to retrospectively evaluate the patients who were operated in our orthopedics and traumatology clinic with the suspection of bone and soft tissue tumors. Methods: A total of 3133 patients (1146 female and 1318 male) who presented to our tertiary clinic from different regions of Turkey between January 2002 and July 2013 with the presumed diagnosis of bone and soft tissue tumors were analyzed according to age, gender, bone/soft tissue localization, tumoral localization, histopathological diagnosis, tumor size and incidence. Results: Of all operatedpatients, 2464 were diagnosed with tumor, while non-tumoral causes were found in 669 patients. Of the cases diagnosed with tumor, 1139 were bone localized, 1004 soft tissue localized, and 321 metastasis. The most common benign bone tumors were osteochondroma (130), enchondroma (96), and simple bone cysts (90), while the most common malignant bone tumors were osteosarcoma (241), ewing's sarcoma (89), and chondrosarcoma (77); respectively. The most common benign soft tissue tumors were lipoma (141), giant cell tumors (108) and ganglion (107), while the most common malignant soft tissue tumors were liposarcoma (55), synovial sarcoma (53) and malignant mesenchymal tumors (45); respectively. Conclusion: Musculoskeletal tumors are rare, but descriptive data in any region are important in order to reduce mortality and improve treatment. No signicant difference was found between the data of our hospital regarding epidemiology of the musculoskeletal system tumors and those from the other regions around the world.
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    Unusual Presentation of Bilaterally Symmetrical Gout Tophi on Elbows
    (2018) Kekeç, Ahmet Fevzi; Bozgeyik, Bilgin; Yılmaz, Selçuk
    Gout is a crystal deposition rheumatic disease. It is a more common inflammatory arthritis in men, characterized by formation ofmonosodium urate crystals in the synovial fluid of joints and in other tissues. It commonly deposits in the feet, ankles, knees, hands,wrists, and elbows. A 54-year-old male presented with big symmetrical masses developed gradually on both the elbows over thelast 4 years. Radiographs of both the elbows showed soft tissue swellings with no involvement of bones. Masses were of intermediatesignal intensity on T1-weighted magnetic resonance images and high signal intensity on T2-weighted images. Fine needleaspiration cytology was performed in masses on both the elbows. Light microscopy of the Giemsa- and Papanicolaou-stainedsmears demonstrated abundant granular amorphous material and scattered stacks of slender needle-shaped crystals, associatedwith chronic inflammatory infiltrate. Based on the above findings, a diagnosis of gout tophi was made. After informed consentwith the patient under general anesthesia, marginal resection of tophi were performed in the same session with clear margins. Wedescribe the treatment of a patient with long-standing chronic gout tophus located bilaterally at the elbow joint complicated bybursal deposit with rapid progression during the last 4 years. To the best of our knowledge, our case presentation may be the firstcase report where huge tophi were symmetrical and bilaterally presented on both the elbows.
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    Which Operations of Musculoskeletal Tumors Should Be Accompanied by a Vascular Surgeon?
    (2018) Yıldırım, Ahmet; Öztürk, Recep; Arıkan, Şefik Murat; Kekeç, Ahmet Fevzi; Günaydın, İlknur Bahar
    INTRODUCTION: Benign and malign tumors of the musculoskeletal system may be related with thecriticalneurovascular structures. Therefore, some surgical procedures are applied with cardiovascular surgeons. In thisstudy, demographic examination of the musculoskeletal tumors which might be related with neurovascularstructures was aimed.METHODS: Between 2010 and 2014, 58 patients who were operated with cardiovascular surgeon due tomusculoskeletal tumors in orthopedics and traumatology clinic were included in the study. Patients were examinedfor age, sex, benign / malignant features, bone-soft tissue location, histopathological diagnosis and tumorlocalization.RESULTS: Among 30 male and 28 female patients with a mean age of 36 0,17 (2-76 years), 15 patients hadbenign and 43 patients had malign musculoskeletal tumors. The most common tumor was a malign mesenchymaltumor and it was seen in 14 cases. The most common benign tumor was osteochondroma and it was found in 6cases. The most common tumor localization with cardiovascular surgeon requirement was thigh and knee.DISCUSSION and CONCLUSION: Musculoskeletal tumors may be closely related to the neurovascularstructures and therefore they are needed to beoperated with cardiovascular surgeons; can be seen in kind of ages.These are often malign tumors. The most common localizations are thigh and knee.