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        Male Breast Cancer: 37-Year Data Study at a Single Experience Center in Turkey

        Fatih Selcukbiricik,Fatih Aydoğan,Nuran Beşe,Evin Büyükünal,Süheyla Serdengeçti,Deniz Tural 한국유방암학회 2013 Journal of breast cancer Vol.16 No.1

        Purpose: The aim of this study is to evaluate the effects of prognostic factors on the overall survival (OS) and locoregional control (LC) among male breast cancer (MBC) patients treated at Cerrahpasa Medical School Hospital, along with a review of the related literature. Methods: The data of 86 patients treated for MBC from 1973 to 2010 are retrospectively reviewed. Patient demographics and clinical information, including the date of diagnosis, treatment, clinical course, and the date and causes of death are routinely recorded. Results: Median follow-up was 66 months. Isolated local-regional recurrence and distant metastases were observed in 15 (17.4%) and 24 (34.1%) of the cases, respectively. The 5-year OS rate was 65.8%; the disease-free survival rate was 72.4%, and the LC rate was 89.7%. The prognostic factors influencing local relapse were the T stage (p=0.002) and the chest wall muscular invasion (p=0.027) in the univariate analysis. The prognostic factors influencing OS were the presence of a positive axillary lymph node (p=0.001) and the T stage (p=0.001) in the univariate analysis. The T stage (p=0.008) and node (N) stage (p=0.038) were significant prognostic factors for OS in the multivariate analyses. Also, the T stage (p=0.034) was found to be significant for LC. Conclusion: We found that only the tumor size and lymph node status were independent prognostic factors for survival. In addition, only the tumor size was an independent prognostic factor for locoregional relapse. Modified radical mastectomy and conservative surgical procedures had similar outcomes for LC.

      • Patients’ and parents’ concerns and decisions about orthodontic treatment

        Fatih Kazancı,Cihan Aydo?an,Ozer Alkan 대한치과교정학회 2016 대한치과교정학회지 Vol.46 No.1

        Objective: Patients’ and parents’ expectations are important in orthodontic treatment decision making. The literature generally demonstrates the perceived benefits of orthodontic treatment, but patients’ and their parents’ concerns about orthodontic treatment have not been investigated comprehensively. The aim of this study was to identify patients’ and parents’ concerns about orthodontic treatment and compare them according to sex, age, and treatment demand level. Methods: One hundred and eighty-nine children and their parents were interviewed about concerns related to orthodontic treatment. Patients and parents were asked about orthodontic treatment decisions. Answers were recorded as “yes,” “no,” or “don’t know.” Chi-squared and Fisher’s exact tests were used to compare concerns between age groups, sexes, and treatment demand levels. Kappa statistics were used to assess agreement between patients and their parents. Results: Concerns about orthodontic treatment were gathered under 10 items as follows: “feeling pain,” “the appearance of braces,” “being teased,” “avoiding smiling,” “speech problems,” “dietary changes,” “problems with transportation,” “economic problems,” “long treatment duration,” and “missing school.” There was no statistically significant difference in concerns between the sexes or age groups. Some concern items and treatment demand were inversely related in patients. Conclusions: The results of this study demonstrate patients’ and parents’ concerns about orthodontic treatment. Differences between the concerns of patients with different treatment demands imply that children might reject orthodontic treatment because of their concerns. Appropriate consultation of patients addressing their concerns may help reduce anxiety and improve the acceptance of treatment.

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