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A Pearl in Peril: Heritage and Diplomacy in Turkey explores the relationship between an urban core and her rural hinterland. Known as the Pearl of the Mediterranean, Izmir is Turkey’s third largest city with a vast and changing countryside. Luke investigates Izmir’s hinterland in the context of its vexed and contested past as well as its burgeoning future. From the Greek “Big Idea” (Megali Idea) that foreshadowed the “Asia Minor Catastrophe” to Turkey’s first post–World War I International Fair in 1923 and the design of Izmir’s Kültürpark, this study probes the pivoting place of cultural heritage in the countryside of Izmir, from Classical ruins to active industrial landscapes. Case studies reveal contested negotiations and the legacies of the extraction industry, archaeologists, and the League of Nations; the untold story of the Tennessee Valley Authority’s project in the Aegean and open intelligence at the Izmir International Fairs; the effects at Sardis from Abu Simbel’s exorbitant price tag; and the relationship between organic olives, the European Union, highway expansion, and the preservation of Bin Tepe, Turkey’s largest royal burial. These examples illustrate the art of negotiation and diplomatic practice in archaeology as reflected in treaties, development dollars, and corporatism from the late nineteenth century to current day. Future centennial events of the League of Nations in 2020 and the Republic of Turkey in 2023 offer opportunities for reflection of Europe’s promise, Turkey’s vision, and the global context of heritage studies, human rights, and agendas of development.

AMAÇ Çalışmamızda İzmir Kanser İzlem Denetleme Merkezi'nin (KİDEM) İzmir Atatürk Eğitim ve Araştırma Hastanesi'ndeki (İAEAH) veri tabanınında ilk kez çoklu tümörler incelendi, tekli tümörlerle karşılaştırıldı. GEREÇ VE YÖNTEM Ekim-1993 ve Ekim-2005 arası 20.895 tümör İAEAH'de KİDEM'de kaydedildi. Çok primerli tümör 605'ti (297 hasta). Yalnızca çift primer tümörlü (ÇPT) hastalar incelendi. İstatistiksel analizlerde Chi-square test, Independent Samples t-test kullanıldı. Analizler %95'lik güven aralığında yapıldı; p<0.05 değeri istatistiksel anlamlı kabul edildi. BULGULAR Senkron ÇPT %53.2; metakron ÇPT %43.1 idi. ÇPT'lerde kadın oranı tek primer tümörlü (TPT) olgulardan yüksekti (p<0.008). Yaş ortalaması TPT'lerde 55.81±15.4; ÇPT'lerde 61.49±13.32 idi (p<0.001). Ürogenital (%30.9) ve deri tümörleri (%17.1) ÇPT'de anlamlı olarak daha yüksekti. İki grupta en sık adenokarsinom gözlendi. ÇPT'lerde iki tümör arası süre (metakronlarda) 44.4±30.82 (38.99-49.77) aydı. SONUÇ ÇPT'lerde ürogenital ve cilt tümörlerinin sıklığı \"alan kanserleşmesi\", ortak klonal köken, tarama-izlem, uzayan sağkalım konusunda ipuçları taşımaktadır. Uluslararası kayıt sistemini kullanan değişik toplumlarda insidans, ayrıca nedensel çalışmaların artışıyla aydınlatılma ihtiyacındadır. OBJECTIVES To evaluate patients with multiple primary tumors (MPTs) from the data of Izmir Cancer Registry (ICR) in Izmir Atatürk Research and Training Hospital (IAEAH) and to compare them with single tumor (ST). METHODS 572 multiple primary tumors ( MPTs) (286 patients) out of 2 0.895 tumors recorded during the period of 1993-2005 by office of ICR located in IAEAH were analyzed. Double tumors (DTs) were analyzed. Chi-square test and Independent Samples t-test were performed by SPSS 10.0. RESULTS Of patients with MPTs 53.2% had synchronous whereas 43.1% had metachronous. The mean age were 55.81±15.4 years for ST group; 61.49±13.32 for DT group (p<0.001). Urogenital tumors (30.9%) and skin tumors (17.1%) in DTs group were higher than ST group statistically. The mean interval of DT was 44.4±30.82 (38.99-49.77) months. CONCLUSION Field cancerization, theory of a common clonal origin or screening effect may account for the relatively frequent association of urogenital tumors.