A congenital pulmonary airway malformation is a rare disorder of the pulmonary airway and a hamartomatous mass of disorganized lung tissues with various degrees of cystic change. A 20-year-old pregnant woman who did not have previous clinical follow-up during her pregnancy visited the gynecology department for her first check on the 19th week of gestation. The sonogram, showed severe hydrops fetalis. Laboratory findings were consistent with non-immune hydrops fetalis. Medical abortion was performed and the fetus was sent to our department for a complete fetal autopsy. Macroscopically, whole parts of the fetus had striking oedema. Massive pleural and peritoneal effusions were seen on dissection. The left lung filled the whole thoracic cavity. The heart was displaced to the right and the right lung was compressed. Microscopically, the left lung mass showed dilated bronchiole-like structures (1-20 mm) that were lined with ciliated columnar cells without any intervening mucinous cells. The subepithelial stroma contained thin, interrupted smooth muscle fibers and elastic connective tissue without cartilage plates. Our case is a very good example of non-immune hydrops fetalis associated with congenital pulmonary airway malformation type 2. Prenatal clinical and ultrasonographic follow-ups during pregnancy are very important for early diagnosis of congenital malformations.

Apocrine hidrocystomas are uncommon cystic proliferations of the apocrine secretory glands. Maxilla is an unexpected involvement site for these tumors. Our study represents the first case of an apocrine hidrocystoma of the maxilla excised by an intraoral (sublabial) approach, being the first to define the radiologic findings of apocrine hidrocystoma on this region. This case is an extremely rare type in terms of the unusual symptomatology, location and size of the tumor. In this article, clinical presentation, surgical findings, histopathological features and treatment of this rare lesion were discussed.

Cat-scratch disease (CSD) is an infectious disease, presenting with chronic inflammation of lymph nodes that drain the portal of entry of the causative organism in immunocompetent persons. It may also manifest as encephalitis, neuroretinitis, granulomatous conjunctivitis, hepatosplenic involvement, or pneumonia and thrombocytopenic purpura in immunocompromised patients. A 50-year-old, previously healthy woman was evaluated for symptoms of cough, fever, and arthralgia. She had history of surgery for hydatid cyst (liver) 4 years earlier and 1 year of Deltacortril use for rheumatoid arthritis. Nodular formations were observed in the right anterior upper lobe, right middle lobe, and right inferior posterobasal lobe on chest tomography image. Laboratory analysis revealed no abnormal findings except leukocytosis. Aerobic culture and EZN staining of sputum were negative. The patient underwent diagnostic video-assisted thoracoscopic surgery. Pathological results were reported as granulomatous disease, excluding tuberculosis and sarcoidosis, and indicating likely CSD, presenting with polymorphonuclear leukocytes in the granulomas. Key words: Pulmonary nodule, Cat Scratch Disease, immunocompromised. ÖzetKedi tırmığı hastalığı, bağışıklık sistemi normal kişiler-de, giriş yerinin drene olduğu lenf düğümlerinde kronik inflamasyonla seyreden bir infeksiyondur. Bağışıklık sistem baskılanmış olan hastalarda ensefalit, nöroretinit, granülomatöz konjunktivit, hepatosplenik tutulum, pnömoni ve trombositopenik purpura gibi klinik tablolar şeklinde de ortaya çıkabilir. Elli yaşında kadın hasta öksürük, ateş, eklem ağrısı nedeni ile değerlendirildi. Özgeçmişinde dört yıl önce karaciğer kist hidatiği nedeni ile operasyon ve romatoid artrit nedeni ile bir yıldır deltakortil kullanımı mevcuttu. Toraks tomografisinde sağ alt lob superiyor ve üst lobta nodul saptandı. Laboratuvar incelemesinde lökositoz dışında anormallik saptanmadı. Balgam aerob kültür ve ARB incelemesi negatif olarak saptandı. Hastaya tanısal VATS uygulandı. Patoloji sonucu granülomlar içinde polimorf nüveli lokositler, tbc ve sarkoidoz dışı granülomatöz hastalık ön planda kedi tırmığı hastalığı olarak raporlandı.Anahtar Sözcükler: Pulmoner nodul, Kedi tırmığı, bağışıklık baskılanmış.

Aim: The most common congenital neck masses are thyroglossal duct cysts (TDC). They are often benign. 1% may become malignant. Although rare; the most common malignant pathology of them are thyroid papillary carcinoma. Therefore we wanted to share this case considering that is important.

ÖzetPleomorfik adenom genellikle büyük tükürük bezlerinde, en sık parotis bezinde oluşur. Nazal kavite, nazofarenks, trakea ve özefagus gibi alışılmadık pleomorfik adenom vakaları bildirilmiş olmasına rağmen, bizim bildiğimiz kadarıyla bu mevcut vaka nazolabial bölgede ilk rapor edilendir. Bu çalışmada, bu nadir lezyonun klinik görünümü, cerrahi bulguları, histopatolojik özellikleri ve tedavi zorlukları tartışılmıştır. Anahtar KelimelerPleomorfik Adenom; Tükürük Bezi Tümörleri; Baş Boyun Tümörleri AbstractPleomorphic adenoma often occurs in the major salivary glands, most commonly on the parotid gland. Although unusual cases of pleomorphic adenoma of the nasal cavity, nasopharynx, trachea, and oesophagus have been reported, to the best of our knowledge the present case is the first reported case in the nasolabial region. In this article, clinical presentation, surgical findings, histopathological features, and therapeutic challenges of this rare lesion are discussed.