Objective:The aim of this study was to investigate the opinions of women who presented to the hospital for elective abortion.Materials and Methods:This descriptive study was designed and conducted at our university hospital between March 2013-April 2013 by the method of face-to-face interviews with 500 women who presented to the hospital as patient or relatives of patients. Poll consisted of 6 questions about demographic characteristics and 14 questions evaluating the opinions and attitudes about abortion.Results:The age of the women who participated in the study was ranging between 18 and 75 years with the mean age of 31.5±11.9 years. Twenty-six women (5.2%) were illiterate, while 109 (21.8%) were university graduates. 70.8% of women stated that they were against elective abortion. Among the reasons against abortion on request were: “forbidden by the religion”-53.1% of women, “against human rights”-35.3%, and “unhealthy for the mother”-7.1% of women. About the prohibition of abortion, 82.4% of women said that “it may be performed under necessary conditions”, 9.6% “it should be completely forbidden”, and 8% stated that “it should never be forbidden”.Conclusion:A large number of respondents reported that they have negative attitude towards elective abortion, however, in case of medical necessity, abortion should be performed. During the legal arrangements done about situations that may affect the public health, such as abortion regulations, we believe it would be useful to assess the perspective of the society on this issue.

A AB BS ST TR RA AC CT T Aggressive angiomyxoma (AA) is an uncommon mesenchymal tumour of epidermis with local recurrence and rare metastasis. AA is treated with total excision and often lately diagnosed or misdiagnosed because of slow growth and similar features as the lipoma, vaginal cysts and bartholin cysts. Total excision of AA is the main treatment and provides curative therapy. In this case report, we present a 38-year-old woman with a vulvar mass diagnosed as aggressive angiomyxoma and underwent total excision procedure.K Ke ey y W Wo or rd ds s: : Myxoma; vulva Ö ÖZ ZE ET T Agresif anjiyomiksoma (AA) nadir görülen, lokal rekürrens ve nadir metastaz özelliği olan benign mezenkimal tümör olup epidermis kökenlidir. AA'nın tedavisi total eksizyondur; yavaş bü-yümesi, lipom, bartholin kisti ve vajinal kistlerle benzer görünümde olması nedeniyle genellikle yanlış ya da geç tanı almaktadır. AA'nın gerçek tedavisi total eksizyon olup bu prosedür genellikle kür sağlamaktadır. Bu yazıda, 38 yaşında vulvadan köken alan ve histopatolojik olarak anjiomiksoma tanısı konulan ve total eksizyon yapılan bir olgu sunulmuştur.A An na ah ht ta ar r K Ke el li im me el le er r: : Miksoma; vulva T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca as se e R Re ep p 2 20 01 15 5; ;2 23 3( (3 3)

ÖZETAmaç: Bu çalışmanın amacı üçlü testte Alfa Feto Protein (AFP) yüksekliği saptanan gebelerde ikinci trimester ayrıntılı ultrasonografi bulgularının irdelenmesidir.Yöntem: Ocak 2011 -Aralık 2013 tarihleri arasında bir üniversite hastanesi gebe polikliniğinde üçlü test yapılan 8552 gebenin test sonuçları değerlendirildi. Üçlü test sonucunda AFP değeri ≥2.5 multiples of median (MoM) çıkan gebelerin ikinci düzey (ayrıntılı) ultrasonografi sonuçları patolojik bulguların varlığı açısından değerlendirildi.Bulgular: Değerlendirmeye alınan 8552 gebenin 122(%1.14)'sinde AFP değeri 2.5 MoM üzerinde saptandı. İkinci düzey ultrasonografide olguların %85.2 (104/122)'inde patoloji saptanmazken %14.8 (18/122)'sinde patolojik bulgu tespit edildi; %9 (11/122)'sinde nöral tüp defekti (NTD) (Chiary tip-II) ve %2.5 (3/122)'sinde anhidroamnios saptandı. Omfalosel, polikistik böbrek, sakrokoksigeal teratom ve plasental koranjioma ise %0.8 oranında saptandı. Maternal serum AFP (MSAFP) değerlendirilmesi yapılan 8552 gebenin 11'inde (%0.12) NTD saptandı.Sonuç: Yeterli ultrasonografik anatomik incelemenin yaygın olarak yapılması nedeniyle fetal NTD taramasında MSAFP'nin rutin kullanımı sorgulanabilir.Anahtar kelimeler: Alfa feto protein, nöral tüp defekti, ultrasonografi, anomali. ABSTRACTObjective: The aim of this study was to evaluate the findings of second trimester fetal anatomic ultrasound scan in pregnant women with high level Alpha Feto Protein (AFP) in triple test.Methods: Triple test results of 8552 pregnant women were evaluated in a university hospital between January 2011 and December 2013. Fetal anatomic ultrasound scan results of pregnant women who had AFP level ≥2.5 multiples of median (MoM) in triple test were investigated for presence of pathologic findings.Results: AFP levels were detected over 2.5 MoM in 122 (1.14%) of 8552 pregnant women. There were no pathologic findings in 85.2% (104/122) of cases, but 14.8% (18/122) of cases had pathologic results; neural tube defect (NTD) 9% (11/122) and anhidroamnios 2.5% (3/122). Omphalocele, polycystic kidney, sacrococcygeal teratoma, placental chorangioma were detected in 0.8% ratio. NTDs were found in 11 (0.12%) of 8552 pregnant women who evaluated for maternal serum AFP (MSAFP). Conclusion:The routine use of MSAFP may be queried in NTD screening due to common usage of sufficient fetal anatomic ultrasound scan.

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