Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital

İstanbul, Turkey

Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital

İstanbul, Turkey
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Sulu E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Tasolar O.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Takir H.B.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Tuncer L.Y.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | And 2 more authors.
Tumori | Year: 2011

Aims. To investigate patterns of delays among patients with non-small-cell lung cancer and to identify reasons for the delays. Methods. This prospective study included 101 patients with non-small-cell lung carcinoma. Clinical files of the patients were analyzed and a questionnaire was created to obtain data. Several time intervals and delays were determined for each patient. The reasons for the delays were also evaluated. Results. The mean time was 59.9 days for the application interval, 40.3 days for the referral interval, 16.4 days for the diagnostic interval, and 24.7 days for the treatment interval. The application interval was longer than 30 days (patient?s delay) in 48 patients (48.5%). There was a doctor delay in 54 (53.5%) patients, a referral delay in 47 (46.5%) patients, a diagnostic delay in 37 (36.6%) patients, and a treatment delay in 57 (56.4%) patients. The mean total time was 119.6 days. Sixty-two patients (62.6%) had a total delay. The most common reason for patient's delay was neglect of symptoms by patients. A low index of suspicion for lung cancer was the most common cause for referral delay. The low performance of diagnostic tests was the frequent reason for diagnostic delay. Conclusions. Patient's and doctor's delays were a common problem among patients with non-small-cell lung cancer. The rate of doctor's delay was higher than that of patient's delay. Several efforts such as education of the physicians and people about lung cancer should be made to reduce these delays.


Kut A.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Cakir E.,Bezmialem Foundation University | Midyat L.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Cakir F.B.,Bezmialem Foundation University | Ozaydin E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Pediatric Pulmonology | Year: 2012

Hydatid disease is still an important public health problem throughout the world. Diagnosis of the disease is generally based on clinical and radiological findings. Evaluation of pulmonary disorders by flexible bronchoscopy (FOB) is a rapidly developing facility, but diagnostic and therapeutic FOB for pulmonary hydatid cysts is still controversial. This study examines the findings of endobronchial hydatid cyst disease in five pediatric patients from Turkey, and clinical experience about this subject is reviewed. All our patients presented with unusual symptoms of the disease, and for all of them, diagnosis had been delayed using current diagnostic methods. As a result of our experience, it can be reported that the endobronchial appearance of the hydatid cyst membrane is whitish-yellow, and it is difficult to differentiate it radiologically from some other common causes of endobronchial lesions in childhood, such as endobronchial tuberculosis, foreign body aspirations, mucous plaques, and granulation scars. The findings of these cases show that, hydatid cyst should also be kept in mind in differential diagnosis of endobronchial lesions. In the diagnosis of pulmonary hydatid cyst in children without typical clinical and radiological findings of the disease, FOB examination is a valuable diagnostic procedure. Pediatr Pulmonol. 2012; 47:706-709. © 2011 Wiley Periodicals, Inc.


Sulu E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo | Year: 2012

A 61-year-old non-smoking Turkish woman presented with chest pain for 10 months. Computed tomography of the chest revealed a solitary, relatively well circumscribed, heterogeneous mass of 4 x 6 cm diameter in left posterior-lateral hemithorax. On thoracotomy, an extraparanchymal mass destructing the ribs was determined. Mass excision and partial chest wall resection were performed. On histopathologic examination, this mass showed features of the hyaline vascular type of Castleman's disease.


Cakir E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Ozaydin S.E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Tasci E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Baran R.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Journal of Infection in Developing Countries | Year: 2010

Hydatid disease is one of the major health problems in countries where hydatidosis is endemic. Atypical radiological findings may lead to misdiagnosis or delay in diagnosis in these patients. A 13-year-old boy was presented who admitted to the hospital with a history of cough and hemoptysis for six months. He had a non-resolving pneumonia. Bronchoscopy showed endobronchial lesion and the diagnosis of hydatid disease was confirmed by pathological examination. © 2010 Cakir et al.


Midyat L.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Cakir E.,Bezmialem Foundation University | Kut A.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
International Journal of Pediatric Otorhinolaryngology | Year: 2012

Objectives: Rapid anatomical evaluation is essential to establish the severity of cases with upper respiratory obstruction and to define the degree of respiratory distress. Detailed airway endoscopy is required in most patients, not only for diagnosis, but also to treat the condition.. In this study, as two of the largest paediatric pulmonology centres in Turkey, we reviewed the data of our bronchoscopy patients, and aimed to document the upper airway abnormalities that we detected during these procedures. Patients and methods: A retrospective analysis was made of the records of 1076 paediatric cases with pulmonary/airway disease who had undergone flexible bronchoscopy between 2007 and 2011. Results: Upper airway malacia disorders were the most common (79.6%, n= 259) bronchoscopic findings detected in the patients. The other most common pathologies were laryngeal edema (12.9%, n= 42), external tracheal compression (12.3%, n= 40), subglottic stenosis (4.0%, n= 13), tracheal stenosis (2.8%, n= 9), and vocal cord paralysis/irregularity (2.8%, n= 9). The mean duration of symptoms was shortest in patients with vocal cord paralysis, and longest in patients with tracheal nodules (p< 0.001). Conclusion: Paediatricians should keep in mind the possibility of malacia disorders and other congenital and acquired upper airway abnormalities in children with chronic respiratory problems. Diagnosis of underlying diseases, as soon as possible, permits the withdrawal of antibiotics or antiasthmatic drugs often used unnecessarily for long periods to treat these children. © 2012 Elsevier Ireland Ltd.


Cakir E.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Pediatric pulmonology | Year: 2010

Chronic eosinophilic pneumonia is a rare cause of chronic lung disease in children. A 7-year-old girl who attended our clinics with cough and sputum lasting for 5 years, has been evaluated for bilateral alveolar infiltration and ground-glass opacities. Peripheral eosinophilia was detected in total cell blood count. Flexible bronchoscopy showed mucous plugs. Bronchoalveolar lavage fluid and cell block of mucous plugs determined hypereosinophilia. Chronic eosinophilic pneumonia was confirmed after the elimination of other eosinophilic lung diseases and the case was accepted to be idiopathic. She showed a dramatic response to oral corticosteroids. This is the first reported case of chronic eosinophilic pneumonia presenting with mucous plugs in children described to date in the literature. © 2010 Wiley-Liss, Inc.


Kut A.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Cakir E.,Bezmialem Foundation University | Gokdemir Y.,Marmara University | Midyat L.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | And 4 more authors.
Respiration | Year: 2013

Background: Endobronchial obstructions are rarely seen in children and are often misdiagnosed resulting in delay of definitive treatment. A variety of diseases can cause endobronchial obstructions in childhood, but data is limited as to the frequency, distribution and clinical characteristics of endobronchial obstructions diagnosed with flexible bronchoscopy (FB). Objective: To document endobronchial obstructions detected by FB. Methods: FB results from three pediatric pulmonology centers in Istanbul were evaluated. Results: A total of 2,555 children underwent an FB procedure during the study period. Endobronchial obstructions were detected in 10% (n = 256) of the patients. Among FB in patients who had endobronchial obstructions, the four most common indications for bronchoscopy were persistent infiltrations (30%, n = 72), persistent wheezing (28%, n = 70), chronic cough (26%, n = 66) and atelectasis (23%, n = 59). The most common endobronchial obstructions detected in the patients were aspirated foreign bodies (35.9%, n = 92), endobronchial tuberculosis (31.6%, n = 81), mucous plugs occluding airway (16.7%, n = 43) and granulation scars (6%, n = 16). Other pathologies included hydatid cysts (n = 5), hemangiomas (n = 5), tumors (n = 5), submucosal nodules (n = 5) and polyps (n = 4). Endobronchial obstructions were most commonly located in the right bronchus (51%, n = 130) followed by the left bronchus (33%, n = 85), bilaterally (8%, n = 21) and trachea (8%, n = 20). Conclusions: Endobronchial obstructions can be caused by a number of different diseases which require various medical or surgical treatments. In the presence of clinical or radiological findings suggesting an endobronchial obstruction, FB should be performed promptly. Copyright © 2012 S. Karger AG, Basel.


Cakir E.,Bezmialem Foundation University | Kut A.,Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital | Ozkaya E.,Bezmialem Foundation University | Gedik A.H.,Bezmialem Foundation University | And 2 more authors.
Pediatric Infectious Disease Journal | Year: 2013

We aimed to describe the risk factors of airway involvement and to investigate the contribution of bronchoscopy in the bacteriologic diagnosis of tuberculosis. Airway involvement was more often present in patients with resistance to tuberculosis therapy than in the patients having bronchoscopy performed at initial presentation. Addition of bronchoalveolar lavage to the diagnostic workup increased the mycobacteriologic yield statistically. Copyright © 2013 Lippincott Williams &Wilkins.


PubMed | Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Type: Comparative Study | Journal: Respiration; international review of thoracic diseases | Year: 2012

Endobronchial obstructions are rarely seen in children and are often misdiagnosed resulting in delay of definitive treatment. A variety of diseases can cause endobronchial obstructions in childhood, but data is limited as to the frequency, distribution and clinical characteristics of endobronchial obstructions diagnosed with flexible bronchoscopy (FB).To document endobronchial obstructions detected by FB.FB results from three pediatric pulmonology centers in Istanbul were evaluated.A total of 2,555 children underwent an FB procedure during the study period. Endobronchial obstructions were detected in 10% (n = 256) of the patients. Among FB in patients who had endobronchial obstructions, the four most common indications for bronchoscopy were persistent infiltrations (30%, n = 72), persistent wheezing (28%, n = 70), chronic cough (26%, n = 66) and atelectasis (23%, n = 59). The most common endobronchial obstructions detected in the patients were aspirated foreign bodies (35.9%, n = 92), endobronchial tuberculosis (31.6%, n = 81), mucous plugs occluding airway (16.7%, n = 43) and granulation scars (6%, n = 16). Other pathologies included hydatid cysts (n = 5), hemangiomas (n = 5), tumors (n = 5), submucosal nodules (n = 5) and polyps (n = 4). Endobronchial obstructions were most commonly located in the right bronchus (51%, n = 130) followed by the left bronchus (33%, n = 85), bilaterally (8%, n = 21) and trachea (8%, n = 20).Endobronchial obstructions can be caused by a number of different diseases which require various medical or surgical treatments. In the presence of clinical or radiological findings suggesting an endobronchial obstruction, FB should be performed promptly.


PubMed | Sureyyapasa Chest Diseases and Thoracic Surgery Training and Investigation Hospital
Type: Case Reports | Journal: Pediatric pulmonology | Year: 2012

Hydatid disease is still an important public health problem throughout the world. Diagnosis of the disease is generally based on clinical and radiological findings. Evaluation of pulmonary disorders by flexible bronchoscopy (FOB) is a rapidly developing facility, but diagnostic and therapeutic FOB for pulmonary hydatid cysts is still controversial. This study examines the findings of endobronchial hydatid cyst disease in five pediatric patients from Turkey, and clinical experience about this subject is reviewed. All our patients presented with unusual symptoms of the disease, and for all of them, diagnosis had been delayed using current diagnostic methods. As a result of our experience, it can be reported that the endobronchial appearance of the hydatid cyst membrane is whitish-yellow, and it is difficult to differentiate it radiologically from some other common causes of endobronchial lesions in childhood, such as endobronchial tuberculosis, foreign body aspirations, mucous plaques, and granulation scars. The findings of these cases show that, hydatid cyst should also be kept in mind in differential diagnosis of endobronchial lesions. In the diagnosis of pulmonary hydatid cyst in children without typical clinical and radiological findings of the disease, FOB examination is a valuable diagnostic procedure.

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