Neoplasms arising within urethral diverticula are rare. It is important to know if a diverticulum is filled by tumor, but traditional diagnostic methods, such as voiding cystourethrography, cannot detect a tumor or diverticulum, as in our case. We report an unusual case of leiomyoma developing in a female urethra diverticulum and review the literature.

Polycystic ovary syndrome (PCOS) is characterized by chronic unovulation, hyperandrogenism, and insulin resistance. We evaluated factors that affect "nondipper" status during 24-hour ambulatory blood pressure monitoring (ABPM) and carotid intima-media thickness (cIMT) in PCOS. Forty-two nonobese women newly diagnosed as PCOS and 32 healthy women were included. After biochemical and hormonal measurements, the ovaries were imaged by pelvic ultrasonography and cIMT was measured by B-mode ultrasonography. A 24-hour ABPM was performed thereafter. Carotid IMT and the ratio of nondippers were elevated compared with controls. Homeostasis model assessment insulin resistance index (HOMA-IR) and low-density lipoprotein cholesterol (LDL-C) were found to be related with being a nondipper in PCOS. None of the parameters evaluated were found to correlate with cIMT. In conclusion, patients with PCOS had increased nondipping ratios and cIMT when compared with controls. Insulin resistance and LDL cholesterol are factors that are related to diurnal variation in normotensive and young patients with PCOS.

OzetRenal hücreli karsinom (RHK) renal parankimin en sik görülen primer maiign tümörüdür. RHK en sik akciger, karaciger, kemik, beyin, lent nodlari ve kontraiateral böbrege metastaz yapar. RHK'nm surrénal metastazi ise sikiikla ipsilateral gerçekle §ir ve surrénal metastazlar siklikia kiinik ve fonksiyonei oiarak sessiz seyreder. RHK'nm iki tarafii adrenal beze ayni anda metastazi oldukça nadirdir ve literatürde sadece 18 olgu bildirilmiçtir. Bu makalede, sol böbrekte RHK ve iki tarafli surrénal metastazi olan 58 ya §indaki erkek hastayi literatür i §iginda ve radyolojik bulgular eçliginde sunmayi amaçladik.Anahtar sözcükler: Metastaz; MRG; renal hücreli karsinom; surrénal. Geli? tarihi AbstractRenal cell carcinoma (RCC) is the most common primary malignant tumor of renal parenchyma. RCC métastases most commonly occur in the lung, liver, bone, brain, lymp nodes, and contralateral kidney. Adrenal gland metastasis from renal cell carcinoma is generally ipsilateral, and frequently clinically and functionally silent. Synchronous bilateral adrenal gland métastases from RCC are very rare, and 18 other cases were reported in the literature. In this article, we aimed to present a case of bilateral synchronous adrenal métastases from left kidney RCC in a 58-year-old man with radiologie findings and review the literature.