Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e113837
Anna Bumbu, Serghei Covantsev, Anna Sukhotko, Dmitry Grekov, Daria Turovets
Poland's syndrome is an uncommon congenital anomaly of unknown etiology, the main characteristic of which is the absence of the major pectoral muscle. Thorax and upper limb malformations also may be present. Poland's syndrome has been observed in clinical cases connected to a variety of neoplasia, primarily hematological disorders. Patients with Poland's syndrome who have developed breast cancer have been reported incidentally. Here we report a case of Poland's syndrome associated with breast cancer.
{"title":"Poland's syndrome and breast cancer: coincidence or not?","authors":"Anna Bumbu, Serghei Covantsev, Anna Sukhotko, Dmitry Grekov, Daria Turovets","doi":"10.3897/folmed.66.e113837","DOIUrl":"10.3897/folmed.66.e113837","url":null,"abstract":"<p><p>Poland's syndrome is an uncommon congenital anomaly of unknown etiology, the main characteristic of which is the absence of the major pectoral muscle. Thorax and upper limb malformations also may be present. Poland's syndrome has been observed in clinical cases connected to a variety of neoplasia, primarily hematological disorders. Patients with Poland's syndrome who have developed breast cancer have been reported incidentally. Here we report a case of Poland's syndrome associated with breast cancer.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371372","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e122713
Stamatis S Papadatos, Antigoni Mitselou, Evangeli Lampri, Christina Bali, Antonia Betzou, Anna Varouktsi, Konstantinos Katsanos, Vasiliki Galani
Aims: To highlight possible correlations of type 2 diabetes mellitus (T2DM) with microscopic / macroscopic characteristics of colorectal cancer tissues, along with the expression of Ten-Eleven Translocation 2 (TET2) and glutathione-S-transferase pi (GST-pi) proteins.
{"title":"Expression of ten-eleven translocation 2 and glutathione-S-transferase pi in colorectal cancer patients with and without type 2 diabetes mellitus.","authors":"Stamatis S Papadatos, Antigoni Mitselou, Evangeli Lampri, Christina Bali, Antonia Betzou, Anna Varouktsi, Konstantinos Katsanos, Vasiliki Galani","doi":"10.3897/folmed.66.e122713","DOIUrl":"10.3897/folmed.66.e122713","url":null,"abstract":"<p><strong>Aims: </strong>To highlight possible correlations of type 2 diabetes mellitus (T2DM) with microscopic / macroscopic characteristics of colorectal cancer tissues, along with the expression of Ten-Eleven Translocation 2 (TET2) and glutathione-S-transferase pi (GST-pi) proteins.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371446","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e121395
Asen Cekov, Ivan Tarev, Anastas Kanev
Aneurysmal bone cysts are benign neoplastic lesions that are extensively vascularized and can occasionally exhibit destructive and expanding activity. They typically affect young people, with a small predilection toward females, and most frequently arise during the second decade of life. Aneurysmal bone cysts account for about 1% of all bone tumors and usually develop in long tubular bones, with the spine being much less commonly affected.
{"title":"Spinal aneurysmal bone cysts - case series.","authors":"Asen Cekov, Ivan Tarev, Anastas Kanev","doi":"10.3897/folmed.66.e121395","DOIUrl":"10.3897/folmed.66.e121395","url":null,"abstract":"<p><p>Aneurysmal bone cysts are benign neoplastic lesions that are extensively vascularized and can occasionally exhibit destructive and expanding activity. They typically affect young people, with a small predilection toward females, and most frequently arise during the second decade of life. Aneurysmal bone cysts account for about 1% of all bone tumors and usually develop in long tubular bones, with the spine being much less commonly affected.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371375","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e120418
Ivoslav A Ivanov, Dimo B Mitev
Introduction: Surgical repair of the anterior abdominal wall hernia is the most common intervention in general surgery practice. The introduction of synthetic prostheses reduces the frequency of recurrences, but in many cases, they are associated with complications that could seriously impair the quality of life of patients. To reduce perioperative complications, we introduced in our practice innovative prostheses made of a highly inert polymer, polyvinylidene fluoride (PVDF), and conducted an observational study.
{"title":"Polyvinylidene fluoride prosthetic reinforcement in abdominal wall hernia surgery.","authors":"Ivoslav A Ivanov, Dimo B Mitev","doi":"10.3897/folmed.66.e120418","DOIUrl":"10.3897/folmed.66.e120418","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical repair of the anterior abdominal wall hernia is the most common intervention in general surgery practice. The introduction of synthetic prostheses reduces the frequency of recurrences, but in many cases, they are associated with complications that could seriously impair the quality of life of patients. To reduce perioperative complications, we introduced in our practice innovative prostheses made of a highly inert polymer, polyvinylidene fluoride (PVDF), and conducted an observational study.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371373","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e126192
Atanas Baltadjiev, Maria Orbetzova, Tsvetanka Petleshkova, Zdravka Harizanova, Maria Ilieva-Gerova, Ferihan Ahmed-Popova
Aim: The aim of this study was to investigate how type 1 diabetes mellitus affects adult Bulgarians' body composition.
目的:本研究旨在调查 1 型糖尿病如何影响保加利亚成年人的身体组成。
{"title":"Assessment of body composition of adult Bulgarian patients with type 1 diabetes mellitus by bioelectrical impedance analysis.","authors":"Atanas Baltadjiev, Maria Orbetzova, Tsvetanka Petleshkova, Zdravka Harizanova, Maria Ilieva-Gerova, Ferihan Ahmed-Popova","doi":"10.3897/folmed.66.e126192","DOIUrl":"10.3897/folmed.66.e126192","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to investigate how type 1 diabetes mellitus affects adult Bulgarians' body composition.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371440","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e124998
Jasmin Gurung, Mladen Doykov, Gancho Kostov, Bozhidar Hristov, Peter Uchikov, Krasimir Kraev, Daniel Doykov, Katya Doykova, Siyana Valova, Emiliya Nacheva-Georgieva, Eduard Tilkiyan
The ongoing growth of artificial intelligence (AI) involves virtually every aspect of oncologic care in medicine. Although AI is in its infancy, it has shown great promise in the diagnosis of oncologic urological conditions. This paper aims to explore the expanding role of artificial intelligence in the histopathological diagnosis in urological oncology. We conducted a focused review of the literature on AI in urological oncology, searching PubMed and Google Scholar for recent advancements in histopathological diagnosis using AI. Various keyword combinations were used to find relevant sources published before April 2nd, 2024. We approached this article by focusing on the impact of AI on common urological malignancies by incorporating the use of different AI algorithms. We targeted the capabilities of AI's potential in aiding urologists and pathologists in histological cancer diagnosis. Promising results suggest AI can enhance diagnosis and personalized patient care, yet further refinements are needed before widespread hospital adoption. AI is transforming urological oncology by improving histopathological diagnosis and patient care. This review highlights AI's advancements in diagnosing prostate, renal cell, and bladder cancer. It is anticipated that as AI becomes more integrated into clinical practice, it will have a greater influence on diagnosis and improve patient outcomes.
{"title":"The expanding role of artificial intelligence in the histopathological diagnosis in urological oncology: a literature review.","authors":"Jasmin Gurung, Mladen Doykov, Gancho Kostov, Bozhidar Hristov, Peter Uchikov, Krasimir Kraev, Daniel Doykov, Katya Doykova, Siyana Valova, Emiliya Nacheva-Georgieva, Eduard Tilkiyan","doi":"10.3897/folmed.66.e124998","DOIUrl":"https://doi.org/10.3897/folmed.66.e124998","url":null,"abstract":"<p><p>The ongoing growth of artificial intelligence (AI) involves virtually every aspect of oncologic care in medicine. Although AI is in its infancy, it has shown great promise in the diagnosis of oncologic urological conditions. This paper aims to explore the expanding role of artificial intelligence in the histopathological diagnosis in urological oncology. We conducted a focused review of the literature on AI in urological oncology, searching PubMed and Google Scholar for recent advancements in histopathological diagnosis using AI. Various keyword combinations were used to find relevant sources published before April 2nd, 2024. We approached this article by focusing on the impact of AI on common urological malignancies by incorporating the use of different AI algorithms. We targeted the capabilities of AI's potential in aiding urologists and pathologists in histological cancer diagnosis. Promising results suggest AI can enhance diagnosis and personalized patient care, yet further refinements are needed before widespread hospital adoption. AI is transforming urological oncology by improving histopathological diagnosis and patient care. This review highlights AI's advancements in diagnosing prostate, renal cell, and bladder cancer. It is anticipated that as AI becomes more integrated into clinical practice, it will have a greater influence on diagnosis and improve patient outcomes.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371377","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}
Pityriasis lichenoides is a rare inflammatory skin condition presenting with diffuse red-brown papules with evolution polymorphism and mica-like crust on older skin lesions. We present a 60-year-old female patient with pityriasis lichenoides chronica that manifested ten days after streptococcal pharyngitis. Initially, palpable purpura appeared on the lower extremities and later, erythematous-squamous papules and plaques appeared at the site of the palpable purpura and on the upper limbs and trunk. The patient had no history of hematological malignancy, viral hepatitis, kidney involvement, systemic rheumatic disease, or ANCA-associated vasculitis. After administration of methylprednisolone 20 mg for one month and an antimalarial agent (hydroxychloroquine 200 mg, 1 tablet bid) for three months, the skin lesions subsided without recurrence.
{"title":"A clinical case of pityriasis lichenoides chronica presenting with palpable purpura after streptococcal infection.","authors":"Rada Gancheva, Joana Pozharashka, Atanas Koundurdjiev, Milena Nikolova-Vlahova, Petya Yankova, Liubomir Marinchev","doi":"10.3897/folmed.66.e111548","DOIUrl":"https://doi.org/10.3897/folmed.66.e111548","url":null,"abstract":"<p><p>Pityriasis lichenoides is a rare inflammatory skin condition presenting with diffuse red-brown papules with evolution polymorphism and mica-like crust on older skin lesions. We present a 60-year-old female patient with pityriasis lichenoides chronica that manifested ten days after streptococcal pharyngitis. Initially, palpable purpura appeared on the lower extremities and later, erythematous-squamous papules and plaques appeared at the site of the palpable purpura and on the upper limbs and trunk. The patient had no history of hematological malignancy, viral hepatitis, kidney involvement, systemic rheumatic disease, or ANCA-associated vasculitis. After administration of methylprednisolone 20 mg for one month and an antimalarial agent (hydroxychloroquine 200 mg, 1 tablet bid) for three months, the skin lesions subsided without recurrence.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371437","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e122790
Andreas Kontny, Dimo Stoyanov, Pavel Pavlov, Neele Wagner, Nikola Kolev, Alexander Zlatarov, Turgay Kalinov, Anton B Tonchev
Introduction: Thick histological samples are difficult to image without proper tissue clearing methods. Among these methods ethyl cinnamate (ECi)-based clearing preserves antigenicity and is compatible with immunofluorescent labeling. In contrast to many other clearing protocols, ECi-based clearing is fast and is done as a final step after standard immunofluorescent labeling protocols.
{"title":"On-slide clearing and imaging of 100-µm-thick histological sections using ethyl cinnamate and epifluorescence.","authors":"Andreas Kontny, Dimo Stoyanov, Pavel Pavlov, Neele Wagner, Nikola Kolev, Alexander Zlatarov, Turgay Kalinov, Anton B Tonchev","doi":"10.3897/folmed.66.e122790","DOIUrl":"10.3897/folmed.66.e122790","url":null,"abstract":"<p><strong>Introduction: </strong>Thick histological samples are difficult to image without proper tissue clearing methods. Among these methods ethyl cinnamate (ECi)-based clearing preserves antigenicity and is compatible with immunofluorescent labeling. In contrast to many other clearing protocols, ECi-based clearing is fast and is done as a final step after standard immunofluorescent labeling protocols.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371371","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}
Pub Date : 2024-06-30DOI: 10.3897/folmed.67.e125812
Emral Kyosebekirov, Dimitar Kazakov, Siyana Nikolova-Kamburova, Valentin Stoilov, Emil Mitkovski, Georgi Pavlov, Chavdar Stefanov, Angelina Mollova-Kyosebekirova
Aim: The aim of this study was to assess the usefulness of bioimpedance analysis in fluid status evaluation in patients with sepsis and septic shock admitted to the adult ICU.
{"title":"Bioimpedance analysis for fluid status assessment in critically ill septic patients.","authors":"Emral Kyosebekirov, Dimitar Kazakov, Siyana Nikolova-Kamburova, Valentin Stoilov, Emil Mitkovski, Georgi Pavlov, Chavdar Stefanov, Angelina Mollova-Kyosebekirova","doi":"10.3897/folmed.67.e125812","DOIUrl":"10.3897/folmed.67.e125812","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to assess the usefulness of bioimpedance analysis in fluid status evaluation in patients with sepsis and septic shock admitted to the adult ICU.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371442","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}
Pancreatic acinar cell carcinoma (PACC) is a rare subgenre of pancreatic adenocarcinoma, where the cells show acinar architecture. Specified causes of this neoplasia have not yet been deduced and it usually appears with nonspecific symptoms. Diagnosis is based on its characteristics in various imaging techniques, on its histological characteristics and the expression of specific immunohistochemical biomarkers. Surgical excision of the tumor is usually performed with high chances of recurrence, whereas the benefits of radiotherapy and chemotherapy are still ambiguous. In this paper, a 51-year-old female patient with a mass in the head of the pancreas was taken as a case study. She presented with icterus and imaging showed a defined mass in the head of the pancreas accompanied by dilation of the biliary tree. Biopsy and histological assessment done after the surgical excision showed components of PACC differentiation. The patient was regulated after surgery, especially regarding endocrinology and immunology.
{"title":"Acinar cell pancreatic carcinoma: a rare case of pancreatic tumor and short review of literature.","authors":"Spiros Delis, Dimosthenis Chrysikos, Dimitris Liatsos, Eugenia Charitaki, Ameer Shehade, Alexandros Samolis, Theodore Troupis","doi":"10.3897/folmed.66.e114880","DOIUrl":"https://doi.org/10.3897/folmed.66.e114880","url":null,"abstract":"<p><p>Pancreatic acinar cell carcinoma (PACC) is a rare subgenre of pancreatic adenocarcinoma, where the cells show acinar architecture. Specified causes of this neoplasia have not yet been deduced and it usually appears with nonspecific symptoms. Diagnosis is based on its characteristics in various imaging techniques, on its histological characteristics and the expression of specific immunohistochemical biomarkers. Surgical excision of the tumor is usually performed with high chances of recurrence, whereas the benefits of radiotherapy and chemotherapy are still ambiguous. In this paper, a 51-year-old female patient with a mass in the head of the pancreas was taken as a case study. She presented with icterus and imaging showed a defined mass in the head of the pancreas accompanied by dilation of the biliary tree. Biopsy and histological assessment done after the surgical excision showed components of PACC differentiation. The patient was regulated after surgery, especially regarding endocrinology and immunology.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371439","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}