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Sacral nerve root metastasis in a patient with lung carcinoma resembling neurinoma - a case report and literature review. 一名肺癌患者的骶神经根转移瘤类似神经瘤--病例报告和文献综述。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e111619
Ivo Kehayov, Atanas Davarski, Polina Angelova, Borislav Kitov
{"title":"Sacral nerve root metastasis in a patient with lung carcinoma resembling neurinoma - a case report and literature review.","authors":"Ivo Kehayov, Atanas Davarski, Polina Angelova, Borislav Kitov","doi":"10.3897/folmed.66.e111619","DOIUrl":"10.3897/folmed.66.e111619","url":null,"abstract":"<p><p>Intradural extramedullary metastases from systemic neoplasms are very rare, with an incidence ranging from 2% to 5% of all secondary spinal diseases. We present the case of a 53-year-old man diagnosed with lung adenocarcinoma with symptoms of severe back pain and tibial paresis. The magnetic resonance imaging (MRI) revealed an intradural lesion originating from the right S1 nerve root mimicking neurinoma. Total tumor removal was achieved via posterior midline approach. The histological examination was consistent with lung carcinoma metastasis. Due to the rarity of single nodular nerve root metastases, MRI images may be misinterpreted as nerve sheath tumors, such as schwannomas or neurofibromas. We performed a brief literature review outlining the mainstay of diagnosis, therapeutic approach, and the prognosis of these rare lesions.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996075","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}
引用次数: 0
Short-term clinical outcomes of percutaneous biliary tract interventions: analysis of success and complication rates. 经皮胆道介入治疗的短期临床效果：成功率和并发症发生率分析。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e116660
Iliya Todorov, Daniela Trayanova, Yordan Tsenovski
{"title":"Short-term clinical outcomes of percutaneous biliary tract interventions: analysis of success and complication rates.","authors":"Iliya Todorov, Daniela Trayanova, Yordan Tsenovski","doi":"10.3897/folmed.66.e116660","DOIUrl":"10.3897/folmed.66.e116660","url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive jaundice is a clinical syndrome that is commonly seen in gastroenterology. Endoscopic retrograde cholangiopancreatography (ERCP) has been recognized as a first-choice therapeutic approach, with percutaneous biliary interventions (PBIs) being a viable alternative. Recent data questions the performance and safety profile of PBIs.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"46-58"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996076","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}
引用次数: 0
Modern diagnostic methods for early assessment of the abdominal involvement in Schönlein-Henoch disease. 用于早期评估 Schönlein-Henoch 病腹部受累情况的现代诊断方法。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e113993
Anelia V Vasileva, Ivan Chakarov, Petranka Chakarova
{"title":"Modern diagnostic methods for early assessment of the abdominal involvement in Schönlein-Henoch disease.","authors":"Anelia V Vasileva, Ivan Chakarov, Petranka Chakarova","doi":"10.3897/folmed.66.e113993","DOIUrl":"10.3897/folmed.66.e113993","url":null,"abstract":"<p><strong>Introduction: </strong>Schönlein-Henoch disease is a small vessel vasculitis resulting from IgA-mediated inflammation. It is the most common acute systemic vasculitis in childhood, mainly affecting the skin, gastrointestinal tract, joints, and kidneys. Although the prognosis of Schönlein-Henoch is generally good, gastrointestinal tract involvement is a potential complication, presenting as massive gastrointestinal bleeding, bowel infarction, perforation, as well as intussusception and peritonitis.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"73-79"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996069","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}
引用次数: 0
Antiphospholipid antibody positive Sneddon syndrome: a case report. 抗磷脂抗体阳性斯内登综合征：病例报告。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e106231
Bünyamin Tosunoğlu, Fadima Serap Basut, Beyza Başer, Melih Altikardeş, Levent Ertuğrul Inan
{"title":"Antiphospholipid antibody positive Sneddon syndrome: a case report.","authors":"Bünyamin Tosunoğlu, Fadima Serap Basut, Beyza Başer, Melih Altikardeş, Levent Ertuğrul Inan","doi":"10.3897/folmed.66.e106231","DOIUrl":"10.3897/folmed.66.e106231","url":null,"abstract":"<p><p>Sneddon syndrome may present with neurological findings such as transient ischemic stroke, strokes, seizures and/or headaches. However, a purplish, spider web-like skin finding called livedo reticularis may accompany the skin and precede neurological findings. Sneddon syndrome often affects women. Since it is vasculopathy affecting small and medium vessels, other organ findings may accompany. We present a 44-year-old Sneddon syndrome patient with monoparesis in her left lower extremity, livedo reticularis on her back and legs, and hypertension.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"132-135"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996062","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}
引用次数: 0
Expression of HIF-1α, Ki67, SMA and E-cadherin in endometriosis, endometrial and ovarian carcinoma. 子宫内膜异位症、子宫内膜癌和卵巢癌中 HIF-1α、Ki67、SMA 和 E-cadherin 的表达。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e112757
Daniel Markov, Elena Poryazova, Ralitsa Raycheva, Galabin Markov
{"title":"Expression of HIF-1α, Ki67, SMA and E-cadherin in endometriosis, endometrial and ovarian carcinoma.","authors":"Daniel Markov, Elena Poryazova, Ralitsa Raycheva, Galabin Markov","doi":"10.3897/folmed.66.e112757","DOIUrl":"10.3897/folmed.66.e112757","url":null,"abstract":"<p><strong>Introduction: </strong>Endometriosis is a benign gynecological condition that shares many characteristics with cancer cells, including immune evasion, survival, adhesion, invasion, and angiogenesis. The simultaneous investigation of tissue hypoxia, EMT, and proliferative index in endometriosis, endometrial, and ovarian carcinomas may provide new insight into the evolution and progression of gynecological neoplasms.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996066","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}
引用次数: 0
Resection and a rare type of reconstruction of the superior vena cava with the left brachiocephalic vein. 上腔静脉切除术和一种罕见的左肱静脉重建术。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e102981
Georgi Yankov, Magdalena Alexieva, Evgeni Mekov, Rosen Petkov
{"title":"Resection and a rare type of reconstruction of the superior vena cava with the left brachiocephalic vein.","authors":"Georgi Yankov, Magdalena Alexieva, Evgeni Mekov, Rosen Petkov","doi":"10.3897/folmed.66.e102981","DOIUrl":"10.3897/folmed.66.e102981","url":null,"abstract":"<p><p>Resection and reconstruction of the superior vena cava (SVC) are required in a selected group of patients with anterior mediastinal tumors and lung neoplasms. We present the case of a 63-year-old woman who underwent invasive type B2 thymoma resection and a rare type of reconstruction of the superior vena cava using a patch of the left brachiocephalic vein (LBV). The various types of reconstruction of the superior vena cava are discussed.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996074","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}
引用次数: 0
The role of extended resection in locally recurrent colorectal cancer with invasion of the aortoiliac bifurcation: a rare clinical case. 大动脉髂分叉受侵的局部复发性结直肠癌扩大切除术的作用：一个罕见的临床病例。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e107127
Vladimir Aleksiev, Boyko Yavorov, Hristo Stoev, Rosen Dimov, Gancho Kostov, Zaprin Vazhev
{"title":"The role of extended resection in locally recurrent colorectal cancer with invasion of the aortoiliac bifurcation: a rare clinical case.","authors":"Vladimir Aleksiev, Boyko Yavorov, Hristo Stoev, Rosen Dimov, Gancho Kostov, Zaprin Vazhev","doi":"10.3897/folmed.66.e107127","DOIUrl":"10.3897/folmed.66.e107127","url":null,"abstract":"<p><p>Colorectal carcinoma (CRC) is the third most common cancer and the fourth deadliest. Despite recent advances in screening methods and preoperative imaging techniques, the threat of colorectal cancer remains at an all-time high. Moreover, even after curative treatment, disease recurrence occurs in up to 40% of all cases. However, half of patients with recurrent disease do not register any distant metastases. Therefore, much effort should be expended in identifying and evaluating these patients, as many of them are suitable candidates for en bloc resections with perioperative chemoradiation. In fact, it has recently been found that overall survival benefits greatly from extended resections, provided that free margins are achieved intraoperatively. In this case report, we will present a case of locally advanced recurrent colorectal cancer invading the aortoiliac axis and our approach to achieving a R0 resection.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996093","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}
引用次数: 0
Complications after limb salvage surgeries for musculoskeletal malignancies: 10-year experience of the main sarcoma center in Bulgaria. 肌肉骨骼恶性肿瘤保肢手术后的并发症：保加利亚主要肉瘤中心的十年经验。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e113390
Yordan St Ivanov, Kircho Patrikov
{"title":"Complications after limb salvage surgeries for musculoskeletal malignancies: 10-year experience of the main sarcoma center in Bulgaria.","authors":"Yordan St Ivanov, Kircho Patrikov","doi":"10.3897/folmed.66.e113390","DOIUrl":"10.3897/folmed.66.e113390","url":null,"abstract":"<p><strong>Introduction: </strong>Limb salvage surgery is currently the most frequently used treatment option in Bulgaria for individuals with musculoskeletal malignancies. Clinical data about complications from these procedures is limited in the country, with only a few studies currently available.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996063","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}
引用次数: 0
Paraovarian tumor of borderline malignancy: A case report. 卵巢旁边缘恶性肿瘤：病例报告
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e116865
Dimitrios Bairaktaris, Stefania Tsoplaktsoglou, Efthymia Souka, Konstantinos Kalmantis, Christos Iavazzo
{"title":"Paraovarian tumor of borderline malignancy: A case report.","authors":"Dimitrios Bairaktaris, Stefania Tsoplaktsoglou, Efthymia Souka, Konstantinos Kalmantis, Christos Iavazzo","doi":"10.3897/folmed.66.e116865","DOIUrl":"10.3897/folmed.66.e116865","url":null,"abstract":"<p><p>Paraovarian tumors of borderline malignancy (PTBM) are exceedingly rare, with only slightly over 60 cases reported worldwide. This report presents the case of a 22-year-old nulliparous patient who incidentally discovered a left paraovarian mass during a routine abdominal ultrasound. Subsequent MRI revealed a 2.5×2.1 cm cystic lesion located in close proximity to, but outside of, the left ovary, with no other pathological findings. A laparoscopic cystectomy was performed with meticulous care to prevent tumor spillage, and the patient experienced an uneventful recovery. Histopathological examination unveiled irregularly shaped tissue measuring 2.2×1.2×1 cm, characterized by fibrous tissue/wall with spindle cell stroma and an epithelium displaying features consistent with a serous borderline tumor. Our multidisciplinary team recommended diligent follow-up. This case contributes to the existing literature on PTBM and highlights the imperative for additional cases to enhance our comprehension of the optimal management of these exceedingly rare tumors.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"128-131"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996071","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}
引用次数: 0
Silver compounds used in pediatric dentistry for caries arrest: A review of current materials and new technologies. 用于儿童牙科防龋的银化合物：现有材料和新技术综述。
Folia medica Pub Date : 2024-02-29 DOI: 10.3897/folmed.66.e115790
Antonia Palankalieva, Ani Belcheva-Krivorova
{"title":"Silver compounds used in pediatric dentistry for caries arrest: A review of current materials and new technologies.","authors":"Antonia Palankalieva, Ani Belcheva-Krivorova","doi":"10.3897/folmed.66.e115790","DOIUrl":"10.3897/folmed.66.e115790","url":null,"abstract":"<p><p>Silver compounds have been used in medicine and dentistry for centuries. Their use in pediatric dentistry has long been restricted because of some drawbacks, chief among them being the discoloration of teeth with black stains. However, recent advances in technology have resulted in the development of new silver agents that do not have the limitations of previously used ones. This led to the reintroduction of silver compounds in pediatric dentistry. The aim of the present review was to examine the evidence supporting the therapeutic use of silver compounds in pediatric dentistry for caries arrest, as well as the mode of action and biocompatibility, characteristics, advantages, and disadvantages of different silver-containing agents.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"66 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996092","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}
引用次数: 0
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