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    Column of bertin: Normal sonographic findings
    (2005) Ünal B.; Aktaş A.; Bilgili Y.; Yilmaz E.
    Introduction: We aimed to describe the normal and pathologic sonographic (US) findings of column of Bertin (CB). Materials and methods: The study was performed on sixty-six patients who had CB on CT. CB was found to be suspicious in 22 cases; with either hypoechoic, heterogeneous, bulging contour, increased vascularity or cystic areas on US. Patient underwent US and CT imaging following their initial CT and US examinations, respectively. On CT images, isodens and homogeneous texture, enhancement equal to renal cortex were accepted as normal findings. The thickness of CB on axial (AT) and longitudinal (LT) sonography images and the thickness of renal parenchyme (PT) on longitudinal images were measured. The ratio of AT to PT and LT to PT were calculated. Echogenity, vascularity, and contours of CB were evaluated on sonography. The data evaluated with Pearson and t tests. Results: CB was bilateral in 39, and double in 9 cases. Totally 136 CB were evaluated. In two sonographically suspicious CB, renal cell carcinoma (pathologically confirmed) and Bosniak type 2 cysts were detected. In LT, AT, LT/PT and AT/PT were 14.0+3.1 mm (maximum: 23.4mm), 13.2±2.9 mm (maximum: 21.8 mm), 1.1±0.19 (maximum: 1.56) and 1.0±0.17 (maximum: 1.67) in normal cases, 28 mm, 26 mm, 2.15 and 2 mm, in case with renal cell carcinoma. The correlation between thickness of CB and parenchyme was significant (AT-PT r=0.555, p<0.001, and LT-PT r=0.614, p<0.001). Peripheral vascularities were observed in all, central minute vascular focuses in 24 (18%), hypoechogenity in 12 (9.0%), bulging exterior contour in 9 (6%) CB. Conclusion: Increased vascularity, hypoechogenity, increased thickness of CB and thickness to parenchyme ratio are suspicious sonographic findings which may necessitate CT examination.
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    Epididymal leiomyoma associated with leydig cell hyperplasia: A case report and immunohistochemical study
    (2002) Yilmaz E.; Bozdoğan O.; Atasoy P.; Altan Y.
    Leiomyomas are rare soft tissue neoplasms that can affect virtually any part of the male genital tract. Although they have been described in association with other lesions, to best our knowledge coexistence with leydig cell hyperplasia has not been reported before. We present here the clinical, histopathologic and immunhistochemical characteristics of an epididymal leiomyoma associated with leydig cell hyperplasia and an epididymal cyst in a sixty-eight year old man.
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    Seminal vesicle cysts causing hemospermia in adult polycystic kidney disease (APKD)
    (2003) Yilmaz E.; Başar M.M.; Tuğlud D.; Başar H.; Batislam E.
    Introduction: A 42 year- old man with adult policystic renal disease admitted to Urology out-patient with men hemospermia without any other symptoms. Result: After detailed evaluation including transrectal ultrasonography (TRUS) and specific and nonspecific cultures, multiple seminal vesicle cysts were detected. After treatment with anti-inflammatory and antiboitics, hemospermi was resolved and did not recurrence in 6 months follow up.