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Bellone S, Roque DM, Siegel ER, Buza N, Hui P, Bonazzoli E, Guglielmi A, Zammataro L, Nagarkatti N, Zaidi S, Lee J, Silasi DA, Huang GS, Andikyan V, Damast S, Clark M, Azodi M, Schwartz PE, Tymon-Rosario J, Harold J, Mauricio D, Zeybek B, Menderes G, Altwerger G, Ratner E, Alexandrov LB, Iwasaki A, Kong Y, Song E, Dong W, Elvin J, Choi J, Santin AD. A phase II evaluation of pembrolizumab in recurrent microsatellite instability-high (MSI-H) endometrial cancer patients with Lynch-like versus MLH-1 methylated characteristics (NCT02899793). Ann Oncol 2021; 32:1045-1046. [PMID: 33932502 DOI: 10.1016/j.annonc.2021.04.013] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 04/21/2021] [Accepted: 04/22/2021] [Indexed: 01/21/2023] Open
Affiliation(s)
- S Bellone
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - D M Roque
- Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, USA
| | - E R Siegel
- Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - N Buza
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - P Hui
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - E Bonazzoli
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - A Guglielmi
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - L Zammataro
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - N Nagarkatti
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - S Zaidi
- Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, USA
| | - J Lee
- Department of Biomedical Sciences, Korea University College of Medicine, Seoul, South Korea
| | - D-A Silasi
- Division of Gynecologic Oncology, Mercy Clinic, St. Louis, USA
| | - G S Huang
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - V Andikyan
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - S Damast
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - M Clark
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - M Azodi
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - P E Schwartz
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - J Tymon-Rosario
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - J Harold
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - D Mauricio
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - B Zeybek
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - G Menderes
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - G Altwerger
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - E Ratner
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - L B Alexandrov
- Department of Cellular and Molecular Medicine, University of California San Diego, La Jolla, USA
| | - A Iwasaki
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - Y Kong
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - E Song
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA
| | - W Dong
- Laboratory of Human Genetics and Genomics, The Rockefeller University, New York, USA
| | - J Elvin
- Cancer Genomics Research, Foundation Medicine, Cambridge, USA
| | - J Choi
- Department of Biomedical Sciences, Korea University College of Medicine, Seoul, South Korea
| | - A D Santin
- Smilow Comprehensive Cancer Center, Yale University School of Medicine, New Haven, USA.
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Zeybek B, Manzano A, Bianchi A, Bonazzoli E, Bellone S, Buza N, Hui P, Lopez S, Perrone E, Manara P, Zammataro L, Altwerger G, Han C, Tymon-Rosario J, Menderes G, Ratner E, Silasi D, Huang G, Azodi M, Schwartz P, Santin A. Cervical carcinomas that overexpress human trophoblast cell-surface marker (Trop-2) are highly sensitive to the antibody-drug conjugate sacituzumab-govitecan. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hosier H, Haunschild C, Altwerger G, Webster E, Buza N, Tymon-Rosario J, Zeybek B, Han C, Menderes G, Huang G, Silasi D, Azodi M, Schwartz P, Santin A, Ratner E, English D. Chemotherapy choice and impact on survival of patients with carcinosarcoma of the ovary: A retrospective review. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Tymon-Rosario J, Manara P, Manzano A, Zammataro L, Bonazzoli E, Perrone E, Bellone S, Alexandrov L, Zeybek B, Han C, Altwerger G, Menderes G, Ratner E, Silasi D, Huang G, Azodi M, Schwartz P, Santin A. The PARP inhibitor niraparib demonstrates preclinical activity against HRD-deficient carcinosarcomas. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Khadraoui W, Zeybek B, Mutlu L, Menderes G. 1948 Robotic Type II B Posterior Exenteration for Recurrent Vaginal Cancer. J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Lopez S, Han C, Altwerger G, Menderes G, Zammataro L, Bellone S, Bianchi A, Zeybek B, Ratner E, Schwartz P, Santin A. Whole exome sequencing (WES) reveals novel therapeutic targets in cervical cancer. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Altwerger G, Han C, Zeybek B, Haines K, Gressel G, Huang G, Litkouhi B, Azodi M, Silasi D, Santin A, Schwartz P, Ratner E. Impact of carboplatin hypersensitivity and desensitization on overall survival in patients with recurrent ovarian cancer. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kilic S, Borahay M, Zeybek B, Unlu B. Long-Term Outcomes of Robotic Sacrocolpopexy Using Barbed Delayed Absorbable Sutures for Vaginal Mesh Fixation. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Zeybek B, Li S, Fernandez JW, Stapley S, Silberschmidt VV, Liu Y. Computational modelling of wounded tissue subject to negative pressure wound therapy following trans-femoral amputation. Biomech Model Mechanobiol 2017; 16:1819-1832. [PMID: 28553679 PMCID: PMC5671530 DOI: 10.1007/s10237-017-0921-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Accepted: 05/17/2017] [Indexed: 12/05/2022]
Abstract
Proof-of-concept computational models were developed and applied as tools to gain insights into biomechanical interactions and variations of oxygen gradients of wounded tissue subject to negative pressure wound therapy (NPWT), following trans-femoral amputation. A macro-scale finite-element model of a lower limb was first developed based on computed tomography data, and distributions of maximum and minimum principal stress values we calculated for a region of interest (ROI). Then, the obtained results were applied iteratively as new sets of boundary conditions for a specific spatial position in a capillary sub-model. Data from coupled capillary stress and mass- diffusion sub-models were transferred to the macro-scale model to map the spatial changes of tissue oxygen gradients in the ROI. The −70 mmHg NPWT resulted in a dramatic change of a wound surface area and the greatest relative contraction was observed at −150 mmHg. Tissue lateral to the depth of the wound cavity revealed homogenous patterns of decrease in oxygenation area and the extent of such decrease was dependent on the distance from the wound surface. However, tissue lateral to the width of the wound demonstrated heterogeneous patterns of change, as evidenced by both gradual increase and decrease in the oxygenation area. The multiscale models developed in the current study showed a significant influence of NPWT on both macro-deformations and changes of tissue oxygenation. The patterns of changes depended on the depth of the tissue, the geometry of the wound, and also the location of tissue plane.
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Affiliation(s)
- B Zeybek
- Wolfson School of Mechanical Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - S Li
- Wolfson School of Mechanical Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - J W Fernandez
- Auckland Bioengineering Institute, Auckland University, Auckland, New Zealand
- Department of Engineering Science, Auckland University, Auckland, New Zealand
| | - S Stapley
- Royal Centre for Defence Medicine, ICT Centre, Birmingham, UK
- Department of Trauma and Orthopedics, Queen Alexandra Hospital, Portsmuth, UK
| | - V V Silberschmidt
- Wolfson School of Mechanical Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - Y Liu
- Wolfson School of Mechanical Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK.
- The Centre of Biological Engineering, Loughborough University, Loughborough, UK.
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Zeybek B, Hill A, Menderes G, Borahay M, Azodi M, Kilic GS. Robotic-Assisted Abdominal Cerclage During Pregnancy: Case Series. J Minim Invasive Gynecol 2016. [DOI: 10.1016/j.jmig.2016.08.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Zeybek B, Borahay M, Rodriguez AM, Alanbay I, Kilic GS. Impact of Different Approaches of Colpopexy on Pelvic Pain. J Minim Invasive Gynecol 2016; 22:S232. [PMID: 27679131 DOI: 10.1016/j.jmig.2015.08.817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- B Zeybek
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas, Turkey
| | - M Borahay
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas, Turkey
| | - A M Rodriguez
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas, Turkey
| | - I Alanbay
- Obstetrics and Gynecology, GATA Military Hospital, Ankara, Turkey
| | - G S Kilic
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas, Turkey
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Zeybek B, Rodriguez AM, Asoglu M, Borahay M, Kilic GS. Estimating Incidence of Leiomyosarcoma After Minimally Invasive Total Hysterectomy Less Than 250 gram Uteri: Retrospective Cohort Study. J Minim Invasive Gynecol 2015; 22:S82. [DOI: 10.1016/j.jmig.2015.08.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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13
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Zeybek B, Rodriguez AM, Sak ME, Borahay M, Kilic GS. Estimating Incidence of Leiomyosarcoma After Minimally Invasive Supracervical Hysterectomy and Myomectomy: Retrospective Cohort Study. J Minim Invasive Gynecol 2015; 22:S37. [DOI: 10.1016/j.jmig.2015.08.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Zeybek B, Borahay M, Kilic GS. Overcoming the Obstacles of Visualization in Robotically-Assisted Abdominal Cerclage Using Indocyanine Green. J Minim Invasive Gynecol 2015; 22:S153. [PMID: 27678866 DOI: 10.1016/j.jmig.2015.08.570] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- B Zeybek
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas
| | - M Borahay
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas
| | - G S Kilic
- Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas
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Akdemir A, Zeybek B, Ozgurel B, Oztekin M, Sendag F. Learning Curve Analysis of Intracorporeal Cuff Suturing during Robotic Single-Site Total Hysterectomy. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Akdemir A, Yildirim N, Zeybek B, Karaman S, Sendag F. Single Incision Trans-Umbilical Total Hysterectomy: Robotic or Laparoscopic? J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Sendag F, Zeybek B, Akdemir A, Ozgurel B, Oztekin K. Learning Robotic Hysterectomy: An Analysis of Setup, Docking and Operating Times. J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kazandi M, Okmen F, Ergenoglu AM, Yeniel AO, Zeybek B, Zekioglu O, Ozdemir N. Comparison of the success of histopathological diagnosis with dilatation-curettage and Pipelle endometrial sampling. J OBSTET GYNAECOL 2012; 32:790-4. [DOI: 10.3109/01443615.2012.719944] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Zeybek B, Terek MC, Guven C, Cinar C. Placement of a vena cava filter in term pregnancy: case report and review of the literature. CLIN EXP OBSTET GYN 2011; 38:96-98. [PMID: 21485739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
During pregnancy there are hemostatic changes that may result in a hypercoagulable state producing thrombotic consequences. This condition may be aggravated in women who are carriers of congenital thrombophilic factors. These factors may increase obstetric complications such as miscarriages, fetal growth restriction, placental abruption and preeclampsia. Trombophilic factors may also cause venous thromboembolism, which is the leading cause of maternal morbidity and mortality. We report a case of a 22-year-old woman with factor V Leiden mutation, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter.
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Affiliation(s)
- B Zeybek
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, Izmir, Turkey.
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Habibovic Z, Zeybek B, Sanhal C, Eroglu Z, Karaca E, Ulukus M. Effects of inherited thrombophilia in women with recurrent pregnancy loss. CLIN EXP OBSTET GYN 2011; 38:347-350. [PMID: 22268272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE OF INVESTIGATION To evaluate the prevalence and effects of inherited thrombophilia caused by factor V Leiden, prothrombin G20210A and methylenetetrahydrofolate reductase (MTHFR) C677T mutations in women with recurrent pregnancy loss. METHODS A study group of 97 women with recurrent miscarriages and a control group of 71 healthy pregnant women were included in the study. Genotype analyses for factor V Leiden, prothrombin G20210A and MTHFR C677T polymorphisms were performed by real-time polymerase chain reaction (RT-PCR). RESULTS The frequency of factor V Leiden, prothrombin G20210A and MTHFR C677T mutations were similar in both the study and control group. There were eight patients (8.2%) who had more than one gene mutation in the study group and one patient in the control group (1.4%). This difference was not statistically significant. Study group patients (n = 97) were compared in terms of the number of miscarriages and the abortion week, in addition to being a carrier of factor V Leiden and MTHFR C677T gene mutations. No statistically significant correlation was found between being a factor V Leiden and MTHFR C677T mutation carrier with either the number of miscarriages or the abortion week. CONCLUSION Factor V Leiden, prothrombin G20210A and MTHFR C677T gene mutations are not individually related with recurrent pregnancy loss. However, combined gene mutation status may be associated with recurrent miscarriages.
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Affiliation(s)
- Z Habibovic
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, Izmir, Turkey
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Sendag F, Turan V, Zeybek B, Bilgin O. Transumbilical Single Incision Total Laparoscopic Hysterectomy: Technique and Initial Experience. J Minim Invasive Gynecol 2010. [DOI: 10.1016/j.jmig.2010.08.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Gharehbagni M, Sendag F, Akercan F, Zeybek B, Sezer E, Terek MC, Karadadas N. Effects of tamoxifen on tissue nitrite/nitrate levels and plasma lipid peroxidation in female rats. CLIN EXP OBSTET GYN 2010; 37:112-114. [PMID: 21077499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE OF INVESTIGATION The effects of tamoxifen on lipid peroxidation and oxidant-antioxidant balance in an animal model were studied. METHODS Twelve female adult rats were divided into two groups and DMSO and tamoxifen dissolved in DMSO were administered. Tissues taken from the brain, liver and ovary of rats were dissected. MDA, nitrite, nitrate levels and plasma LDL oxidation in brain, ovary and liver tissues were measured and compared. RESULTS Induced LDL MDA levels were significantly lower in the tamoxifen group (p = 0.009). MDA levels in the liver were significantly lower in the tamoxifen group whereas nitrite levels were found significantly higher (p < 0.05). Brain and ovarian tissues demonstrated no significant difference with respect to MDA, nitrite and nitrate levels. CONCLUSION Tamoxifen has no negative effects on lipid peroxidation in an animal model.
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Affiliation(s)
- M Gharehbagni
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, Izmir, Turkey
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Kazandi M, Guven C, Akercan F, Zeybek B, Cirpan T, Ergenoglu M, Yeniel O, Akdemir A, Ozsener S. Relation between Doppler findings and perinatal outcomes in fetuses with intrauterine growth restriction. CLIN EXP OBSTET GYN 2010; 37:269-272. [PMID: 21355455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE OF INVESTIGATION To find the relationship between fetal Doppler findings and perinatal outcomes in intrauterine growth restriction. METHODS Eighty-two cases with a prenatal diagnosis of intrauterine growth restriction between November 2008 and July 2009 were included in this prospective study at Ege University School of Medicine. Fetuses were grouped according to Doppler parameters: those with normal Doppler findings (n = 43), and those with impaired arterial (n = 27) and venous systems (n = 12). RESULTS Out of 82 growth restricted cases, 43 (52.4%) had normal Doppler findings, while 27 (32.9%) displayed impaired arterial parameters and 12 (14.6%) had impaired venous parameters. The mean first minute Apgar scores were 7.57 +/- 1.53 for the group with normal Doppler flows, 6.8 +/- 2 for the group with an impaired arterial system, and 4 +/- 1.94 for the group with an impaired venous system. Two cases from the normal Doppler flow group (n = 42), four cases from the impaired arterial flow group (n = 27), and 11 cases from the impaired venous flow group (n = 11) had fifth minute Apgar scores under 6. Evaluation of the umbilical artery blood gas revealed acidosis in two cases from the normal Doppler flow group (n = 42), three cases from the impaired arterial system group (n = 27), and five cases from the impaired venous system group (n = 11). CONCLUSION A Doppler spectrum from normal to venous system impairment correlated with poor fetal outcomes including fetal acidosis, fetal mortality and morbidity, decreased Apgar scores at 1 and 5 min, and neonatal morbidity.
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Affiliation(s)
- M Kazandi
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, Izmir, Turkey.
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Tosun G, Sendag F, Zeybek B, Cosan Terek M, Guven C, Zekiogly O, Bilgin O. Immunohistochemical expressions of p16 and p53 proteins in cervical intraepithelial neoplasia and in benign cervical tissue. EUR J GYNAECOL ONCOL 2010; 31:627-631. [PMID: 21319504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE OF INVESTIGATION To evaluate the immunohistochemical expressions of p16 and p53 in cervical intraepithelial neoplasia (CIN) and do a comparison with non-neoplastic cervical lesions. METHODS Sixty cases diagnosed as CIN after histopathological examination and 25 controls diagnosed as chronic cervicitis were included in the study. Immunohistochemical expressions for p16 and p53 were evaluated and compared in all cases. The cases in the study were defined according to the Bethesda system. Of these, 31.8% (n = 27) had a low-grade squamous intraepithelial lesion (LGSIL), and 38.8% (n = 33) had a high-grade squamous intraepithelial lesion (HGSIL). RESULTS There was a statistically significant difference between chronic cervicitis and CIN in terms of p53 and p16 expression levels (p = 0.001). On the other hand, the level of p16 expression was statistically different between LGSIL and HGSIL (p = 0.001), while there was no significant difference in terms of p53 expression. Among the HGSIL cases (n = 33), 91% had p16 expression, while 66.7% (n = 27) of the LGSIL patients had no p16 expression. In the chronic cervicitis group, 84% (n = 21) did not reveal any p16 expression, while 96% (n = 24) did not reveal any p53 expression. Various levels of p53 expressions were detected in 59.2% (n = 16) of CIN1 cases, 69.3% (n = 9) of CIN2 cases, and 90% (n = 18) of CIN3 cases. CONCLUSION While p16 is useful in detecting high-grade cervical lesions, p53 is not a good biomarker for distinguishing high-grade lesions from low grade ones.
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Affiliation(s)
- G Tosun
- Department of Obstetrics and Gynecology, Ege University Faculty of Medicine Izmir, Turkey
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25
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Sendag F, Sahin C, Zeybek B, Terek MC, Oztekin K, Bilgin O. Retrospective analysis of hysteroscopic findings in breast cancer patients having adjuvant tamoxifen treatment. EUR J GYNAECOL ONCOL 2010; 31:415-417. [PMID: 20882884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE OF INVESTIGATION To evaluate the effects of tamoxifen on the endometrium of breast cancer patients by hysteroscopy and endometrial sampling. METHODS Thirty-seven breast cancer patients using tamoxifen underwent hysteroscopy because of postmenopausal endometrial thickening or abnormal uterine bleeding. Hysteroscopic findings were compared with histopathology and ultrasonographic measurement of the endometrium. RESULTS Nineteen women showed endometrial abnormalities (51%) out of 37 patients. Negative and positive predictive values for hysteroscopy in detecting endometrial abnormalities were 100% and 94%, respectively. CONCLUSION Endometrial surveillance is an important part of gynecological follow-up in breast cancer patients using tamoxifen and the liberal use of hysteroscopy aids in the diagnosis of abnormal endometrium.
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Affiliation(s)
- F Sendag
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
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Kazandi M, Hasdemir PS, Zeybek B, Akcay A. Placental growth factor: a putative screening test for gestational diabetes mellitus in first trimester. CLIN EXP OBSTET GYN 2010; 37:322-323. [PMID: 21355468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE OF INVESTIGATION To evaluate placental growth factor as a screening test for gestational diabetes mellitus in the first trimester. METHODS Sixty-seven pregnant women who were admitted to the outpatient clinic of Ege University Obstetrics and Gynecology Department consecutively for first trimester bioanalysis between May 2005 and February 2006 were included in the study. The cohort of patients underwent 50 g or 100 g oral glucose tolerance tests at the 24th week of pregnancy. Placental growth factor levels were analyzed by ELISA (human PGIF, ELIZA kit, Quantikine, R&D systems, USA) from the maternal blood collected at the time of first trimester screening. RESULTS The study group of 15 patients with gestational diabetes were compared with a control group of 52 pregnant women with normal oral glucose tolerance tests. The level of placental growth factor was mean 35.79 +/- 16.79 pg/ml in the study group whereas it was mean 45,12 +/- 28.07 pg/ml in the control group. There was no significant difference between either group for placental growth factor maternal serum levels. CONCLUSION Maternal placental growth factor serum levels are not useful in predicting gestational diabetes mellitus.
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Affiliation(s)
- M Kazandi
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, lzmir, Turkey.
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Kazandi M, Zeybek B, Terek MC, Zekioglu O, Ozdemir N, Oztekin K. Grade 2 endometrioid adenocarcinoma arising from adenomyosis of the uterus: report of a case. EUR J GYNAECOL ONCOL 2010; 31:719-721. [PMID: 21319528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Adenomyosis is defined by the presence of endometrial tissue (glands and stroma) within the myometrium and malignant transformation of adenomyosis in premenopausal women with normal endometrium is extremely rare. Adenocarcinomas arising within adenomyosis need to be distinguished from endometrial carcinomas which arise from the eutopic endometrium, then extend into preexisting adenomyosis of the uterine wall. We report a case of grade 2 endometrioid adenocarcinoma arising from an adenomyotic focus in the uterus.
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Affiliation(s)
- M Kazandi
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
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