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Öğe Long-term survival after R0 resection of thymoma(SAGE Publications Inc., 2018) Koçer B.; Kaplan T.; Günal N.; Koçer B.G.; Akkaş Y.; Yazkan R.; Han S.Background: The aim of this study was to evaluate the results of R0 resection of thymoma to identify prognostic factors for long-term outcomes. Methods: Data of 62 patients (28 male, 34 female) with a mean age of 47.26 ± 14.42 years, who underwent R0 resection for thymoma and were followed-up between February 2004 and March 2016, were analyzed retrospectively. Results: Eight patients had a video-assisted thoracoscopic thymectomy and 54 had a transsternal extended thymectomy. During a mean follow-up of 128.67 ± 7.95 months, regional recurrence of thymoma was observed in 9 (14.5%) patients. Overall 5- and 10-year survival rates were 85.36% and 78.20%, respectively. The 5- and 10-year survival rates in patients aged < 50 years were significantly better than in those aged ? 50 years (92% and 72% vs. 88% and 39%, p < 0.0001). The 10-year overall survival of patients in Masaoka stage I and II was better than those in stage III (88.9%, 78.4%, 69.8%, respectively, log-rank p < 0.001). The 10-year survival of patients with World Health Organization histological type A, AB, and B1 thymomas was better than those with type B2 and B3 (log-rank test p < 0.001). In multivariate analysis, age < 50 years (p = 0.001), Masaoka stage (p = 0.006), histological type (p = 0.001), and recurrence (p = 0.04) were independent prognostic factors for survival. Conclusion: Our study indicates that age < 50 years, Masaoka stage, histological type, and recurrence are the determinants of survival in surgically resected cases of thymoma. © The Author(s) 2018.Öğe Reexpansion pulmonary edema: A rare but life threating clinical entity(Derman Medical Publishing, 2012) Yazkan R.; Özpolat B.Reexpansion pulmonary edema is a rare but life threating complication which is occurring while treatment of the lung had collapsed a long time. It generally occurs after rapid evacuation or removal, air, liquid or atelectasis caused by endobronchial lesion. Pulmonary collapse lasting for over 72 hours is most important risk factor. Rapid diagnosis and appropriate treatment is life saving. In conclusion, the history, risk factors, clinical presentation, pathophysiology, treatment and prevention methods of reexpansion pulmonary edema reported in the light of literatures with a review article in this study.Öğe Spontaneous pectoral hematoma secondary to enoxaparin for the treatment of deep venous thrombosis in an elderly man(2008) Özpolat B.; Yazkan R.; Aksoy M.; Doğan S.[No abstract available]
