Diseases and tumors of the appendix vermiformis are very rare, except for acute appendicitis. This study aimed to examine rare findings in the histopathologic examinations of specimens of patients undergoing appendectomy due to the diagnosis of acute appendicitis. The files of 1970 patients undergoing appendectomy due to the diagnosis of acute appendicitis between March 2012 and March 2016 were retrospectively investigated. Rare findings were found in 59 (3 %) patients, and these were evaluated in detail. Patients' age, gender, pathology reports, and postoperation follow-ups were recorded. The rare histopathological findings of 59 patients were examined. Of these, 31 were female (52.5 %) and 28 were male (47.5 %). The average age was 33.1 ± 18.2 years. The unusual findings were as follows: 16 fibrous obliteration, 11 , 2 schistosomiasis, 3 appendiceal neuroma, 2 granulomatous appendicitis, 1 Crohn's disease, 3 chronic appendicitis, 1 endometriosis, 2 hyperplastic polyps, 9 mucinous cystadenoma (+mucocele), 8 carcinoid tumors, and 1 lymphoma. All of the malignant tumors were localized in the distal end of the appendix, and all of the patients were treated with appendectomy. Patients with parasitic diseases also underwent anthelmintic treatment, while chemotherapy was administered to the patient with lymphoma. All of the patients diagnosed with malignancy were alive reported no problems at their follow-ups. Although all of the appendectomy samples were normal macroscopically, data from this study suggest that all specimens should be sent for routine investigation.

OBJECTIVES: Our aim was to investigate platelets (PLT) and their indices-mean platelet volume (MPV), platelet distribution width (PDW) and plateletcrit (PCT)-in the differential diagnosis of benign and malignant thyroid disorders. BACKGROUND: Platelet and platelet indices recently started to be defi ned as an useful clinical marker in cancer patients. Their higher reproducibility rates and low cost provide them a wide range of usage. MATERIAL AND METHODS: One-hundred and sixty patients were divided into three groups retrospectively. Group 1: papillary thyroid carcinoma patients (n = 65). Group 2: multi-nodular goiter patients (n = 65). Group 3: normal healthy subjects (n = 30). PLT, MPV, PDW and PCT measurements were compared between groups, and p < 0.05 was accepted as signifi cant. RESULTS: PDW was found to be signifi cantly decreased in Group 1 (p < 0.01), and PCT was observed to be signifi cantly increased in Group 1 (p < 0.01). There were no signifi cant differences in PLT and MPV results. CONCLUSION: Statistically signifi cant increases in PCT and decreases in PDW were observed in papillary thyroid cancer patients when compared with other groups. Platelet indices may be used as useful clinical markers in the differential diagnosis of benign and malignant thyroid disorders (Tab. 1, Fig. 2, Ref.

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Acute gastric dilatation was first described by Duplay in 1833. Since the stomach has rich blood circulation, necrosis and perforation due to dilatation are rarely seen. Clinically, more than 90% of cases have complaints of vomiting. The most useful method to determine diagnosis and etiology is computerized tomography (CT). Medical treatment is suitable for cases that have no necrosis or peritonitis findings. Delay in surgical treatment increases the risk of mortality. The present case is that of a diagnosis of gastric perforation due to acute gastric dilatation in a 24-year-old female patient.

ÖzetAmaç: Otuz beş yaş ve üstü eğitim seviyesi düşük kadınların meme kanseri hakkında bilgilerini ölçmek, risk faktörlerini ortaya koymak ve risk hesaplaması yaparak kadınları bilgilendirmek.Gereç ve Yöntem: Sağlık Bakanlığı meme kanseri risk değerlendirme formu ve Gail modeli ile olguların risk oranları tespit edildi. Ayrıca kadınların meme muayenesi ve tarama hakkındaki bilgileri de kaydedildi. Bulgular:Olguların Gail modeliyle yapılan hesaplamasında yüksek risk saptanmadı. Sağlık Bakanlığı'nın risk değerlen-dirme formuna göre sadece iki olguda orta risk bulundu. Düzenli olarak doktora giden ve muayene olan kadınların sayısı %60'ın altındaydı. Kadınların kendi kendine muayene yapanların oranı %67 idi. Meme kanserinin en sık görüldü-ğünü bilenler %81 oranında olup bilgilerin çoğunluğu televizyondaki sağlık programlarındandır. Sonuç:Meme rahatsızlığı ile başvuran hastaların riskleri ortaya konularak hesaplama yapmanın ve aynı zamanda bilgilendirmenin yararlı olacağı sonucuna varılmıştır.