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Yildirim M.,Ministry of Health Batman Regional Govermant Hospital
Asian Pacific journal of cancer prevention : APJCP | Year: 2013

Non-Hodgkin lymphoma (NHL) is a solid tumour of lymphocytes, important elements in the immune system. According to 2006 data, in Turkey the incidence was 6.5 per 100,000 in males, and 4.4 in females. The relationship between the use of pesticides and development of NHL has been extensively investigated in many studies, and it has been demonstrated that the risk of NHL is increased by exposure to such compounds. Antalya is a region of intensive agricultural activity. In this study, the relationship between the incidence of lymphoma in Antalya and the amount of pesticides employed was investigated. The study used data from 1995 to 2010 on the patients from the databank of TR Ministry of Health, Antalya Provincial Health Directorate, Cancer Registration Center and the patients who were histopathologically diagnosed with NHL during these years. The relationship between the amount of pesticide used and the incidence was studied with the Spearman correlation analysis and the p value was found as 0.05. The correlation coefficient was 0.497. An increase in the NHL incidence over the years was identified, with a 2.42-fold increment found from 1995 to 2005 and a 2.77 fold elevation from 1995 to 2010. The use of pesticides increased 1.89 fold over the same period. Our study investigated the relationship of the pesticides used with NHL patients diagnosed during the same year. Since the time elapsing after exposure to pesticides until the development of cancer is not clear, no comparison can be made at present. We believe that the increase in use of pesticides since 1995 may be associated with the increase in the incidence of NHLand therefore that further studies on the issue including measurements of serum pesticide levels, are required.

Demirpence O.,Ministry of Health Batman Regional Govermant Hospital | Yldrm M.,Medicalpark Gaziantep Hospital | Avc A.,Ministry of Health Batman Regional Government Hospital | Klc E.,Mardin Artuklu University | And 4 more authors.
Journal of Clinical and Analytical Medicine | Year: 2016

Aim: It has been speculated that trace elements may play a role in some type of cancers. The aim of the present study was to examine the diagnostic utility of trace elements in pleural fluid with pleural effusions. Material and Method: This study consisted of 38 patients diagnosed with malignant and benign pleural effusions. Chrome, nickel, selenium, copper, lead and zinc concentrations in samples were determined by inductively coupled plasma optical emission spectrometry. Results: No significant difference was found between malignant and benign effusions with respect to Cr, Cu, Ni, Pb, Se and Zn concentrations in samples. Discussion: Trace elements have function as the component of many enzymes and the catalyst of some chemical reactions. There have been studies demonstrating the association of the deficiency or surplus of trace elements (TEs) with various type of cancers. In our study, the role of TEs measured in the pleural effusions in the differential diagnosis in the effusion etiology could not be demonstrated. © 2016, Journal of Clinical and Analytical Medicine. All rights reserved.

Yildirim M.,Ministry of Health Batman Regional Govermant Hospital
Asian Pacific journal of cancer prevention : APJCP | Year: 2013

Peritoneal washing cytology (PWC) that shows the microscopic intra-peritoneal spread of gynaecologic cancers is not used in staging but is known as prognostic factor and effective in planning the intensity of the therapy. False negative or false positive results clearly affect the ability to make the best decision for therapy. In this study we assessed levels of tumour markers, carcinoembryonic antigen (CEA), cancer antigen 125 (CA-125) and carbohydrate antigen (CA19-9), in peritoneal washing fluid to establish any possible contribution to the peritoneal washing cytology in patients operated for gynaecologic cancer. Preoperative tumour markers were studied in serum of blood samples obtained from the patients for preoperative evaluation of a gynaecologic operation. In the same group peritoneal tumour markers were studied in the washing fluid obtained for intraoperative cytological evaluation. This study included a total of 94 patients, 62 with malignant and 32 with benign histopathology. The sensitivity of the cytological examination was found to be 21% with a specificity of 100%. When evaluated with CEA the sensitivity of the cytological examination has increased to 37%. In addition to examination of PWC, the level of CEA, a tumour marker, in peritoneal washing fluid can make a diagnostic contribution. Determining the level of CEA in peritoneal washing fluid will be useful in the management of gynaecologic cancers.

Yildirim M.,Ministry of Health Batman Regional Govermant Hospital | Kaya V.,Suleyman Demirel University of Turkey | Yildiz M.,Antalya Education and Research Hospital | Demirpence O.,Ministry of Health Batman Regional Govermant Hospital | And 2 more authors.
Asian Pacific Journal of Cancer Prevention | Year: 2014

Background: Esophageal and gastric cancer generally have a poor prognosis and may share common risk factors. It has been demonstrated that the pesticide usage may contribute to development of many cancer types. In this study, the relation between amount of pesticides used in agriculture and esophageal and gastric cancer incidence was researched. Materials and Methods: Findings from the data bank of the Ministry of Health Provincial Health Directorate Cancer Records Center between the years of 1998-2010 were used. All patients who were diagnosed with gastric and esophageal cancer histopathologically were included. Data for annual pesticide usage were obtained from Provincial Agriculture Directorate for the same time period. Statistical analysis was performed using the Spearman test. Results: One thousand eight hundred and ninety-six patients were involved in the study, 1,233 males (65%) and 663 females (35%), 230 with esophageal cancer (12.1%) and 1,666 with gastric cancer (87.9%). No statistically significant relation was apparent between pesticide amount used and esophageal cancer (p: 0.87). Conclusions: In our study, there was no relationship between pesticide usage and esophageal or gastric cancer. However, the time between pesticide usage and cancer development was not known, qualifying the comparison.

Demirpence O.,Dicle University | Sevim B.,Dicle University | Yildirim M.,Ministry of Health Batman Regional Govermant Hospital | Nurlu N.A.,Ministry of Health Gaziosmanpasa Taksim Education and Research Hospital | And 2 more authors.
International Journal of Clinical and Experimental Medicine | Year: 2014

It is possible that brucellosis may be related to increase free radical production and antioxidant depletion. Thus, in the present study we aimed to evaluate the oxidative status in patient with brucellosis and healthy controls. Methods: This study includes the patients with brucellosis diagnosed by clinical findings and positive agglutination titer. The paraoxonase, ceruloplasmin, total antioxidant capacity and total oxidant status values were measured from the samples taken. The oxidative stress index value was calculated through the total antioxidant capacity and total oxidant status values. Results: A total number of 93 people, 40 women (43%) and 53 men (57%) were included to the study. The levels of ceruloplasmin were found higher in patients when compared to the control group (p < 0.001). The total antioxidant capacity level was found significantly higher in the patients group when compared to the control group (p < 0.001). The oxidative stress index value was significantly lower in the patients group when compared to the control group (p < 0.001). The paraoxonase-1 level was not different in control and patient groups (p = 0.077). Conclusions: Brucellosis is an infection that is frequently seen in Mediterranean countries. This infection breaks the oxidant and antioxidant balance. In this disease, oxidant-antioxidant system indicators such as ceruloplasmin, total antioxidant capacity, total oxidant status and oxidative stress index can be used for showing the role of the brucella infection and for the monitoring of the treatment results.

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