Objective: There is a growing debate on the existence of the G-spot. G-spot amplification by various surgical interventions has become mainstream foresthetic vaginal surgery despite a lack of conclusive proof of the G-spot. The aim of this study was to search for histologic evidence in regions of so-calledhyperintense focus (HF) (considered as the G-spot) using magnetic resonance imaging (MRI) mapping and biopsied tissues.Materials and Methods: Fifteen patients who had grade 2 or higher anterior compartment defects were enrolled in the study. All patients were subjectedto MRI. When a HF was seen, its localization, dimensions, and distances to adjacent structures were measured in images. Dissections in the anterior vaginalwall were performed in accordance with the measurements derived from MRI and tissue measuring 0.5x0.5 cm was biopsied from the determined HF.Results: An HF was determined in MRI of three (20%) patients. However, no significant neurovascular tissue density was observed histologically in any ofthe biopsy specimens obtained from the surgical dissections under the guidance of MRI mapping.Conclusion: Our findings denote that there is no G-spot in the anterior vaginal wall.
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Isolated gallbladder injury after trauma occurs rarely and when unrecognized mortality is too high. In some hemodynamically suitable cases, conservative treatment may be the best choise for the patient. We presented a case with conservatively treated abdominal trauma after stucking in the elevator and had isolated gallbladder injury.
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Background/aim: The aim of this study was to evaluate the intraobserver and interobserver reliability of cardiac T2* MRI measurements in different region of interest (ROI) sizes. Materials and methods: Cardiac T2* MRIs of 24 thalassemia major patients were evaluated. Two different ROI sizes were used for measurement. In the first measurement, an ROI approximately 5 mm in diameter was used in the interventricular septal myocardium. In the other method, the whole ventricular septal myocardium was used as the measurement. The intraobserver and interobserver variabilities were assessed with the intraclass correlation coefficient (ICC). Results: The measurement of the first observer, the ICC of the small-sized ROI (ssROI), was 0.869, and the measurement for the second observer, the ICC of the ssROI, was 0.659. The ICC of the whole-septal ROI (wsROI) was 0.991 for the first observer and 0.980 for the second observer. Interobserver variability, for the mean measurement, was 0.442 for the ICC of ssROI and 0.883 for the ICC of wsROI. Conclusion: For the evaluation of myocardial iron load with T2* MRI we suggest making measurements with ROI, including all of the interventricular septum, as a consequence of high intraobserver and interobserver consistency. Key words: Thalassemia major, myocardial iron load, T2* MRI, ROI size
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Objective: This study aimed to evaluate outcomes, complications, and follow-up results of ultrasound-guided vacuum-assisted breast biopsy (UGVABB) in BI-RADS 4 A and B lesions.Material and Methods: Between Agust 2014 to January 2018, fifty BI-RADS 4A and BI-RADS 4B lesions of 41 patients biopsied with 10G vacuum needleby a single radiologist were retrospectively evaluated.Results: All patients were females and mean age of the 41 patients was 50.12 ± 8.63. Of all lesions, 84% was benign, 6% was ADH, 4% was in-situ cancer,and 6% was diagnosed as malign. Follow-up duration after VABB was 0-51 months and mean was 20.92 months. Complications were as vasovagalinduced seizure in 3 patients (7.3%) and intramammary hematoma in 16 patients (39%). Hematoma was diagnosed in 3 patients (7.3%) at the 6thmonth follow-up and it was resolved in all patients at the 12th month follow-up. Higher breast density resulted in higher hematoma rates. There was norelationship between lesion BI-RADS subgroups, lesion size or sample number and hematoma development. During the follow-up, residue lesion in 1(2.4%) patient and scar tissue in 2 (4.9%) patients was detected.Conclusion: US-guided VABB, with low complication rates and low scar development, is also a therapeutic excision method without remaining residue,which should be primarily preferred in smaller than 2 cm BI-RADS 4A and 4B lesions whose malignancy rates are relatively low. Hematoma, which is themost frequent complication, resorbed entirely in the 12th month in all patients.
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Objective: Idiopathic granulomatous mastitis (IGM) is a rare, resistant, and recurrent benign disease of the breast. IGM can be clinically andradiologically confused with breast carcinoma, and core needle biopsy is needed to diagnose. The etiology and pathogenesis of IGM have not beenfully explained. This premenopausal disease may be associated with pregnancy, breastfeeding, autoimmune processes, inflammation, and oral contraceptives.However, there is no study on whether there is a seasonal relationship.Materials and Methods: From January 2015 to January 2020, the seasonal relationship of IGM was evaluated in 37 females aged between 25-49.Results: Although all cases were distributed between September and May, there was no statistically significant result in the relationship with theseason. US is the main modality in the diagnosis of this condition which only provides an accurate pre-diagnosis approach with the typical USGappearance features. Some MRI features may help us to distinguish IGM from breast malignities.Conclusion: IGM is a rare chronic non-specific inflammatory lesion of the breast, which can be confused with benign and malignant breast diseasesin both clinical and radiologic aspects. To understand the etiology of this condition better, the seasonal connection needs to be evaluated in largerpatient groups.
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Primary colonic lymphoma is one of the rarest tumors of the gastrointestinal tract. In the literature there are some cases presented with gastrointestinal bleeding or iron deficiency due to maltoma but there are limited cases with obstruction caused by colonic maltoma. Gastrointestinal lenfomas are mostly non-Hodgkin lenfomas and many of them are settled in the stomach. Colonic presentation of malt lenfoma occurs about at the rate of %1-5. So, we would like to present a rare case with primary colonic lenfoma referred to the hospital with obstruction clinic and discharged home with full recovery after surgery. The patient received written concent that the data about him would be used for scientific publication purposes.
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Objective: Pain is the most common symptom of the breast and accounts for 47% of breast related visits. Although hormonal, pathologic, nutritional, and psychiatric aspects of breast pain in females extensively researched, to the best of our knowledge breast pain in males has not been studied. Our aim in this study is to investigate clinical features of male breast pain and compare them with female breast pain. Materials and Methods: Patients who admitted to our department’s breast clinic due to breast pain between October 2014 and September 2017 included into the study. Clinical features of the male breast pain were collected and compared with female breast pain patients. Results: There were 10 male and 40 female patients. Mean age was 55 ± 23 and 43.4 ± 13 years; the mean pain intensity score was 4.2 ± 2.2 and 5.2 ± 2.1 for the male and female patients respectively. Sonography revealed 12 (30 %) simple cyst, 2 (5 %) complex cyst, 12 (30 %) solid mass, 2 (5 %) mastitis, and 12 (30 %) normal findings in the female patients; and 9 (90 %) gynecomastia and 1 pseudo-gynecomastia (10%) in the male patients. Conclusion: To the best of our knowledge, this article is the first article in the literature investigating male breast pain and comparing them with female breast pain. We found that majority of males who present with breast pain have underlying gynecomastia. Physicians should consider gynecomastia in the differential diagnosis of male breast pain and perform a breast examination in addition to a detailed patient history.
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