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    Implantation metastasis caused by fine needle aspiration biopsy following curative resection of stage IB non-small cell lung cancer
    (Oxford Univ Press Inc, 2001) Kara, M; Alver, G; Sak, SD; Kavukcu, S
    Fine needle aspiration is a useful procedure in the diagnosis of lung cancer. however controversy still remains as to whether it should be employed particularly in patients with operable lung cancer. We report herein a case of metastatic tumor at the site of transthoracic needle biopsy following a curative resection in a patient with stage IB bronchogenic carcinoma. The patient was managed with aggressive chest wall resection and subsequent musculocutaneus flap transposition. however he died I I months after the initial operation. The tumor implantation risk and the related complications should be considered in patients with operable bronchogenic carcinoma undergoing a tranthoracic needle aspiration biopsy. (C) 2001 Elsevier Science B.V. All rights reserved.
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    Recurrent laryngeal nerve paralysis resulting from a metastatic lymphadenopathy caused by a right-sided lung cancer
    (Elsevier Science Bv, 2004) Kara, M; Dikmen, E; Arikan, OK; Kara, SA
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    Unilateral hyperhydrosis in Pourfour du Petit syndrome
    (Elsevier Science Bv, 2004) Kara, M; Dikmen, E; Akarsu, C; Birol, A
    Upper limp hyperhydrosis is an idiopathic disease with bilateral involvement. However, Pourfour du Petit syndrome, the opposite of Horner syndrome, may result in unilateral upper limb hyperhydrosis. It occurs following hyperactivity of the sympathetic cervical chain as a consequence of irritation secondary to trauma. We report herein two cases with Pourfour du Petit syndrome showing unilateral upper limb hyperhydrosis. The patients presented with right-sided mydriasis and ipsilateral hemifacial hyperhydrosis. The onset of disease was followed by a trauma in both patients. They underwent upper thoracic sympathectomy with favorable outcome. A history of an antecedent trauma in patients with unilateral upper limb hyperhydrosis and anisocoria may imply a possible diagnosis of Pourfour du Petit syndrome. (C) 2004 Elsevier B.V. All rights reserved.