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  • Article
    Breast Cancer Management During the Covid Pandemic
    (Coll Physicians & Surgeons Pakistan, 2024) Sariyildiz, Gulcin Turkmen; Ayhan, Fikriye Figen
    Objective: To explore the impact of COVID-19 among both the newly diagnosed patients and patients under follow-up for breast cancer by focusing on patients' accessibility to management and comparing the distribution of them before and during pandemic. Study Design: Single -centric retrospective study. Place and Duration of the Study: Department of General Surgery and Department of Physical Medicine and Rehabilitation, Atilim University, Medicana International Ankara Hospital, Ankara, Turkiye, from March 2018 to 2022. Methodology: The data were collected to analyse numbers and distributions of physician visits regarding breast cancer. Results: The mean age of patients was 55.98 +/- 12.60 years. The percentages of newly diagnosed cases showed similarity (7.37% vs. 9.79%) before and during the pandemic (p = 0.18). The number of imaging studies decreased by 53.33% in patients under follow-up (p = 0.006), despite screening tests showed a similar trend (p = 0.145). General surgery visits marked up (+44.6%), in contrast to plastic surgery visits (-42.04%, p <0.001). Patients' admissions decreased in many COVID-19 related clinics (pulmonology, emergency, internal medicine, and intensive care), but cardiology (+96.59%) and rehabilitation (+75%) admissions increased during the pandemic (p <0.001). The number of medical oncology and radiation oncology visits did not change (p >0.05). Conclusion: Total number of physician visits was similar before and during the pandemic despite the changing distribution. While COVID-19 led to markedly rising trends of surgical, cardiological, and rehabilitative management in patients with breast cancer, falling trends were seen in other specialities except oncology which showed a plateau during two years. The falling trends of visits to pulmonology, emergency, internal medicine, and intensive care clinics may be explained by crowded COVID-19 cases.
  • Article
    Right Renal Ectopia Following Major Weight Loss
    (BMJ Publishing Group, 2025) Abdulrasool, Amjed Safaa; Noack, Morten Westergaard; Overgaard, Ellen Kristine; Abdulrasool, Mujtaba
    Presenting with severe stomach pain from sigmoid volvulus, a woman in her 90s was effectively treated with colonoscopic desufflation. Interestingly, serial imaging over 16 years demonstrated gradual cranial displacement of the right kidney to the hepato-diaphragmatic space without prior trauma, surgery or congenital abnormalities. The patient remained asymptomatic with respect to renal function despite significant anatomical displacement. No specific intervention was required for the ectopic kidney. It is important to recognise the potential for organ migration associated with ageing, significant weight loss or metabolic alterations, particularly in the context of increasing use of weight-loss medications. Awareness of such anatomical variants can prevent misinterpretation of incidental findings on clinically indicated imaging. Routine imaging solely to detect asymptomatic positional changes is not justified.