A 37-year-old male case was admitted with goiter. Ultrasonography of thyroid showed a 5 cm cystic nodule in the left lobe with a 1.5 cm solid component. Fine needle aspiration biopsy revealed atypia of undetermined significance or follicular lesion. The patient was operated on. The pathological diagnosis was reported as papillary thyroid carcinoma. The immunohistochemical examination showed multiple foci of Langerhans cell histiocytosis involving both lobes. The patient died due to cardiac arrest with respiratory causes in the early postoperative period. Langerhans cell histiocytosis is a rare primary condition which involves abnormal clonal proliferation of Langerhans cells in various tissues and organs. Thyroid involvement is infrequently seen. Although the etiology is unknown, genetic components may be linked to the disease. It is also associated with a family history of thyroid disease. Papillary thyroid carcinoma is the most common malignant epithelial tumor of the thyroid gland. Langerhans cell histiocytosis presenting with papillary thyroid carcinoma is rare. The privilege of our case is langerhans cell histiocytosis of the thyroid with multiple cervical lymph node involvement accompanying cervical lymph node metastatic thyroid papillary carcinoma.

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ntestinal nematodlar, özellikle çocukluk çağı hastalıkları olarak karşı-mıza çıkar. Gelişmiş ülkeler de dâhil tüm dünyada yaygın olarak görü-lürler. Genellikle semptomatik olmadıkları için ameliyat sırasında tesadüfen veya otopsi serilerinde tanı alırlar. Ovaryan veya endometriyal enfeksiyon genellikle intraperitoneal yaygın hastalık sonrası görülür. Tüm kadın genital yolu boyunca tutulum olabilmektedir. A An na ah ht ta ar r K Ke el li im me el le er r: : Nematod enfeksiyonları; parazitik hastalıklar; over kistleri A AB BS ST TR RA AC CT T Parasitic infection of the female genital tract is extremely important in terms of the consequences. In case of no response to treatment of pelvik inflamatory disease and tubo-ovarian abcess, a parasitic infection's appropriate treatment should be kept in mind. A mass was spotted on the right pelvic side of a patient presented in this particular case. All tumor markers were in normal range except CA 19,9. The laparoscopic(L/S) approach was chosen as surgical technique and a right adnexectomy was performed. During L/S a wide adhesion site was observed between the anterior abdominal wall and the pfannenstiel incision region. Frozen section revealed a benign cystic lesion. Parasitic infection should be kept in mind in case of adnexial masses. Our patient was in postmenopausal state with no fertility desire. Furthermore this infection might be seen among the young population and might cause fertility problems.

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