Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e113215
Alexey Shabunin, Zurab Bagatelia, Mikhail Tavobilov, David Dolidze, Igor Andreytsev, Tatiana Sheviakova, Nataliya Ivanova, Anna Foshina, Zarui Chibukhchyan, Serghei Covantsev
{"title":"A rare clinical case of extra-gastrointestinal stromal pancreatic tumor.","authors":"Alexey Shabunin, Zurab Bagatelia, Mikhail Tavobilov, David Dolidze, Igor Andreytsev, Tatiana Sheviakova, Nataliya Ivanova, Anna Foshina, Zarui Chibukhchyan, Serghei Covantsev","doi":"10.3897/folmed.66.e113215","DOIUrl":"10.3897/folmed.66.e113215","url":null,"abstract":"<p><p>Extra-gastrointestinal stromal tumors arising from the pancreas are extremely rare. To date, just over 30 cases have been described in the world literature. A clinical observation of a 67-year-old patient with dull epigastric pain and a large cystic solid neoplasm instrumentally identified as an extra-gastrointestinal stromal tumor of the head of the pancreas is presented. The volume of surgical intervention consisted of pancreatogastroduodenectomy and right-sided hemicolectomy, since tumor invasion into the transverse mesocolon was detected intraoperatively. The final diagnosis of extra-gastrointestinal stromal sarcoma of the head of the pancreas with invasion into the mesocolon pT4N0M0, stage IIIb was made on the basis of histopathology and immunohistochemistry results.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e113248
Stefan Bogovski, Kristina Sirakova, Stanimir Sirakov
{"title":"Spontaneous thrombosis of type II vein of Galen aneurysmal malformation: a case report.","authors":"Stefan Bogovski, Kristina Sirakova, Stanimir Sirakov","doi":"10.3897/folmed.66.e113248","DOIUrl":"10.3897/folmed.66.e113248","url":null,"abstract":"<p><p>Vein of Galen malformations (VGAMs) are rare and complex congenital brain vascular anomalies that pose significant diagnostic and treatment challenges. The natural history of this type of vascular anomaly is very poor, with many patients succumbing to complications such as congestive heart failure, hydrocephalus, and brain parenchymal injury. Although the clinical course of most VGAMs was considered unfortunate, with meticulous imaging, a group of lesions with a more placid presentation and course can be identified.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"269-276"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e114030
Dimcho Argirov, Boyko Yavorov, Vladimir Aleksiev, Anastas Chapkunov, Filip Shterev, Stanislav Kartev, Petar Uchikov, Zaprin Vazhev
{"title":"Complications due to ultrasound transthoracic cutting biopsy of peripheral pulmonary lesions and lesions in the chest wall and mediastinum.","authors":"Dimcho Argirov, Boyko Yavorov, Vladimir Aleksiev, Anastas Chapkunov, Filip Shterev, Stanislav Kartev, Petar Uchikov, Zaprin Vazhev","doi":"10.3897/folmed.66.e114030","DOIUrl":"10.3897/folmed.66.e114030","url":null,"abstract":"<p><strong>Introduction: </strong>Evaluation of patients with peripheral lung lesions and lesions of the chest wall and mediastinum is challenging. The nature of the lesion identified by imaging studies can be determined by histological evaluation of biopsies. An important place in this direction is the ever-increasing popularity among thoracic surgeons of the transthoracic biopsy with a cutting needle under ultrasound control (US-TTCNB).</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"179-187"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing polypharmacy through medication review tools - pros and cons.","authors":"Evelina Gavazova, Radiana Staynova, Daniela Grekova-Kafalova","doi":"10.3897/folmed.66.e117783","DOIUrl":"10.3897/folmed.66.e117783","url":null,"abstract":"<p><p>Inappropriate polypharmacy is a common occurrence in elderly patients, resulting in increased adverse drug reactions, nonadherence, and increased healthcare costs. Medication review and deprescribing are the primary strategies described in the literature for dealing with problematic polypharmacy. To effectively carry out the medication review, various tools have been developed. These tools can support medication review in a variety of ways. Some tools include a list of medications requiring detailed attention, while others guide medical professionals with principles and algorithms for reviewing and prescribing medicines. A third category of tools focuses on tracking and identifying symptoms that may be due to drug-related problems.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"161-170"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e115083
Ayser Najah, Raghad Fadhil, Hadeel Mazin Akram, Rasha Salah
{"title":"Association of IL-4 polymorphism with severe periodontitis in a sample of Iraqi population.","authors":"Ayser Najah, Raghad Fadhil, Hadeel Mazin Akram, Rasha Salah","doi":"10.3897/folmed.66.e115083","DOIUrl":"https://doi.org/10.3897/folmed.66.e115083","url":null,"abstract":"<p><strong>Introduction: </strong>Specific bacterial plaque and environmental factors cannot be considered the only cause of periodontitis. Still, several genetic factors affect the host response to the bacteria, like gene polymorphisms in anti-inflammatory cytokines. Several studies have reported that clones of T-helper 2 lymphocytes (TH2) are generated in response to dental plaque in periodontitis patients, while in healthy individuals, they are regulated by T-helper 1 (TH1) lymphocytes. Accordingly, such patients consistently produce more IL-4 (TH2) in response to bacterial stimulation, whereas healthy controls with intact periodontal tissues produce a significantly higher level of TH1.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"227-234"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e122678
Lyubomir I Chenchev, Vasilena V Ivanova, Ivan L Chenchev, Hristo I Daskalov
{"title":"Minimally invasive extractions with physics forceps - clinical evaluation and comparison.","authors":"Lyubomir I Chenchev, Vasilena V Ivanova, Ivan L Chenchev, Hristo I Daskalov","doi":"10.3897/folmed.66.e122678","DOIUrl":"https://doi.org/10.3897/folmed.66.e122678","url":null,"abstract":"<p><strong>Introduction: </strong>Tooth extraction is still one of the most common dental procedures, routinely performed for a variety of reasons. Tooth extraction forceps and elevators are well-known extraction instruments which have been the standard in tooth extraction procedures for well over a hundred years. Physics forceps are one possible alternative, aiming to perform less traumatic and more predictable extractions.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"235-242"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors affecting prediction accuracy of postoperative FEV1 and D<sub>L,CO</sub> in patients undergoing lung resection.","authors":"Anastas Chapkanov, Miroslava Todorova, Antoaneta Chirlova, Blagoi Marinov","doi":"10.3897/folmed.66.e121799","DOIUrl":"https://doi.org/10.3897/folmed.66.e121799","url":null,"abstract":"<p><strong>Introduction: </strong>Despite significant development in systemic therapy and radiotherapy, surgery is still the cornerstone for curative lung cancer treatment. Although predicted postoperative function (ppo) somewhat exactly correlates with actual postoperative function bigger differences may be a cause of serious clinical outcome.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"171-178"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The incidence of breast cancer in Egyptian females in correlation to different mammographic ACR densities.","authors":"Marwa Ramzy Hamdy Salem, Nivine Abdel Moneim Tewfik Chalabi, Azza Abdel Ghaffer Boraei Mohammed, George Ezzat Elkess Yacoub","doi":"10.3897/folmed.66.e119570","DOIUrl":"https://doi.org/10.3897/folmed.66.e119570","url":null,"abstract":"<p><strong>Introduction: </strong>The density of breast tissue, radiologically referred to as fibroglandular mammary tissue, was found to be a predisposing factor for breast cancer (BC). However, the stated degree of elevated BC risk varies widely in the literature.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"213-220"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e111803
Grzegorz Fibiger, Kinga Glądys, Wojciech Fibiger, Artur Pasternak, Mirosław Szura
{"title":"Repair of type II paraesophageal hernia with Nissen fundoplication in a patient with von Willebrand disease and spondylolisthesis - a clinical case report.","authors":"Grzegorz Fibiger, Kinga Glądys, Wojciech Fibiger, Artur Pasternak, Mirosław Szura","doi":"10.3897/folmed.66.e111803","DOIUrl":"10.3897/folmed.66.e111803","url":null,"abstract":"<p><p>Hiatal hernias continue to be fairly common in clinical practice. However, the variety of different symptoms presented by patients may hinder establishing the ultimate diagnosis. Nevertheless, currently, the diagnosis of hiatal hernia can be easily established, based on barium swallow radiography. We would like to present a clinical case report of a patient with complex medical history, including von Willebrand disease, degenerative spinal disease, and chronic sinusitis, who was finally diagnosed with hiatal hernia and treated with a standard laparoscopic Nissen fundoplication. Our case focuses on the significance of comorbidities on patients' symptoms, which sometimes may mislead the therapeutic process.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"287-290"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2024-04-30DOI: 10.3897/folmed.66.e117637
Ganesh Viswanathan, Vivek Mathew, Mallikarjuna Jeeragi, Belinda George, Ganapathi Bantwal, Vageesh Ayyar, John Michael
{"title":"Emerging pattern of asymptomatic hyperparathyroidism in South India - a six-year retrospective study.","authors":"Ganesh Viswanathan, Vivek Mathew, Mallikarjuna Jeeragi, Belinda George, Ganapathi Bantwal, Vageesh Ayyar, John Michael","doi":"10.3897/folmed.66.e117637","DOIUrl":"https://doi.org/10.3897/folmed.66.e117637","url":null,"abstract":"<p><strong>Introduction: </strong>Primary hyperparathyroidism (PHPT) is a common endocrine disease with a variable presentation. There is a recent increase in the number of asymptomatic cases due to the use of multichannel automated analyzers.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 2","pages":"221-226"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}