Quality of life in multiple sclerosis patients with urinary disorders: reliability and validity of the Turkish version of King’s Health Questionnaire

MS patients frequently present with urinary system symptoms, which have a negative effect on the quality life. The aim of our study was to demonstrate the validity and reliability of the Turkish King’s Health Questionnaire (KHQ) in MS patients. The study included 37 patients. For analysis of test–retest reliability, the Turkish version of the KHQ developed and the “translation-back translation” method was performed. To assess the validity of these results, Multiple Sclerosis Quality of Life Scale (MQoL-54) and Expanded Disability Status Scale (EDSS) were used. The internal consistency (intra-class correlation coefficient: 0.59–0.94) and test–retest reliability (Cronbach’s α-score 0.59–0.94) of KHQ were found to be high (p < 0.05). A significant correlation was detected between most of the KHQ subscores and the physical and mental MQoL-54 and EDSS (total and bowel/bladder, p < 0.05) subscores. The KHQ may be used to determine the effect of incontinence on the quality of life for MS patients.     

Pulmonary benign metastasizing leiomyoma from the uterus in a postmenopausal woman: report of a case

Benign Metastatic Leiomyoma (BML) is a disease that stems from pulmonary smooth muscles and it is generally observed in multiple locations, including uterine leiomyomas. Apart from lungs it has been reported in lymph nodes, peritoneum, myocardium, eye, brain and spinal cord. We report a case of pulmonary BML from the uterus in a 50-year-old woman. Multiple nodules were identified in the lung fields by computed chest tomography of the patient, who presented with hemoptysis for 2 months. Endobronchial lesion was not observed by bronchoscopy. Cytopathological and immunocytochemical results confirmed the diagnosis of leiomyoma after the exploratory thoractomy. She had undergone hysterectomy with oophorectomy for uterine leiomyoma 5 years earlier, at the age of 45. Primary origin was from the uterus because hysterectomy and oophorectomy were performed 5 years ago for the leiomyoma. We present this case because it is a rare entity.