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Erkeklerde Meme Kanseri ve Klinik Özellikleri: Tek Merkez Deneyimi
2020
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

Giriş: Erkek meme kanseri, kadın meme kanserinden farklı kliniko-patolojik ve immunohistokimyasal özellikler gösteren ve kadın meme kanserine oranla nadir görülen bir hastalıktır. Yöntemler: 2007-2019 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Tıbbi Onkoloji bölümünde takip ve tedavi edilen erkek meme kanserli hastaların kliniko-patolojik özellikleri, aldıkları tedaviler ve tedavi sonuçları retrospektif olarak incelendi. Bulgular: İnvaziv meme karsinomu tanılı 50 erkek hasta analiz edildi. Ortalama yaş 63,7 yıl (34-88) idi. Kırk dört (%88) hasta lokal ileri ve metastatik hastalığa sahipti. Hastaların 38’ine (%76) mastektomi uygulanmıştı. En sık görülen histolojik tip %90 oran ile invaziv duktal karsinom idi. Hastaların 40’ında (%80) östrojen reseptör, 41’inde (%82) progesteron reseptör pozitifliği mevcuttu. HER2 overekspresyonu 11(%22) hastada izlenmişti. Küratif cerrahi sonrası hastaların 30’u (%60) adjuvan kemoterapi, 34’ü (%68) adjuvan endokrin tedavi almıştı. Medyan takip süresi 54,5 aydı ( 1-299 ay). Evre I-III olan 39 hastanın 15’inde (%38) remisyonda izlemde iken nüks gelişmişti. Evre I ve II meme kanserli hastalarda medyan sağkalım süresine ulaşılmamışken, evre III ve IV hastalarda medyan sağkalım süresi sırası ile 84 ve 36 aydı. Tek değişkenli ve çok değişkenli analizde sadece aksiller lenf nodu tutulumu, tümör boyutu ve hastalığın evresi sağkalım ile istatistiksel olarak anlamlı şekilde ilişkiliydi. Sonuç: Çalışmamız erkek meme kanserli hastalarda aksiller lenf nodu metastazının, tümör boyutunun ve hastalık evresinin sağkalımı predikte eden önemli prognostik faktörler olduğunu göstermiştir.

Keywords:

Breast Cancer and Clinical Characteristics in Men: One-Center Experience
2020
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

Men’s breast cancer is a disease that has different clinical-patological and immunohistochemical properties than female breast cancer and is rare compared to female breast cancer. Methods: From 2007 to 2019, the clinico-patological characteristics of male breast cancer patients followed and treated in the Department of Medical Oncology of the Dicle University Medical Faculty, the treatment they received and the treatment results were retrospective examined. The findings: 50 male patients diagnosed with invasive breast cancer were analyzed. The average age was 63.7 years (34-88) Thirty-four (88%) of the patients had a local advanced and metastatic disease. 38 (76%) of patients received mastectomy. The most common histological type was an invasive duktal carcinoma with a rate of 90%. In 40 patients (80%) there was an estrogen receptor, and in 41 (82) progesterone receptor positive. Overexpression of HER2 was observed in 11 (22%) patients. 30 (60%) of patients after curative surgery received adjuvant chemotherapy and 34 (68%) received adjuvant endocrine therapy. The media follow-up period was 54.5 months ( 1-299 months). In 15 of 39 patients in stage I-III (38 percent) the nickel developed while observed in remission. The median survival period was not achieved in patients with breast cancer of stages I and II, while the median survival period in patients of stages III and IV was 84 and 36 months, respectively. In one-variable and multi-variable analysis, only the axles were statistically significantly related to lymph nod retention, the size of the tumor and the stage of the disease with survival. The result: Our study has shown that in male breast cancer patients, acne lymph nod metastasis, the size of the tumor and the stage of the disease are important prognostic factors that predict survival.

Keywords:

0
2020
Journal:  
Dicle Tıp Dergisi
Author:  
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Dicle Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 1.608
Cite : 3.084
2023 Impact : 0.081
Dicle Tıp Dergisi