B. Balev - Academia.edu (original) (raw)
Papers by B. Balev
Introduction: One of the most frequent and troublesome complication following laryngectomy is pha... more Introduction: One of the most frequent and troublesome complication following laryngectomy is pharyngocutaneous fistula (PCF). There are a lot of different risk factors for PCF suspected and evaluated, but only few proven. Objective: Evaluation the role of different pharynx closure techniques on [for full text, please go to the a.m. URL]
Current Diabetes Reviews, 2020
Abstract- und Posterband – 90. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Digitalisierung in der HNO-Heilkunde, 2019
All patients were subjected to TL for advanced laryngeal carcinoma. Table 1 represents the TNM st... more All patients were subjected to TL for advanced laryngeal carcinoma. Table 1 represents the TNM staging [8].
Scripta Scientifica Medica, 2007
Mathews Journal of Case Reports, 2021
Peliosis hepatis is a rare condition characterized by numerous vascular formations in the liver m... more Peliosis hepatis is a rare condition characterized by numerous vascular formations in the liver measuring from a few millimeters to several centimeters in diameter. Such formations may also be found in the spleen, lymph nodes, lungs, kidneys, adrenals, bone marrow and other parts of the gastrointestinal tract. The condition is typically asymptomatic and diagnosed accidentally. Rarely, patients present with severe symptoms such as jaundice, hepatomegaly, liver failure and haemoperitoneum. Clinical case: We present the case of a 5 months old infant who presented to her family physician with gastroesophageal reflux. An abdominal ultrasound was performed which showed numerous oval lesions in the liver parenchyma. The patient's physical examination was remarkable for a palpable solid mass localized above the umbilicus. Further imaging and laboratory investigations revealed that the patient was suffering from neuroblastoma with concurrent peliosis hepatis. Conclusion: Peliosis hepatis is typically a benign condition, which may be caused by infectious diseases, malignancy, prolonged intake of medicines or toxins. Treating the underlying disease often leads to resolution of the vascular lesions. This necessitates the formation of a wide differential diagnosis and through investigation.
Rentgenologiya i Radiologiya, Jul 1, 2005
Rentgenologiya i Radiologiya, 2006
Germinomas are the most frequent type of germ cell tumors that constitute only 2-5 % of all centr... more Germinomas are the most frequent type of germ cell tumors that constitute only 2-5 % of all central nervous sys-tem malignancies. Most of them arise in the pineal and su-prasellar regions but in about 5 % to 10 % the simultane-ous location is found. Although their strategic location, they respond well to surgery, radiation and chemotherapy and the prognosis is very good. We report a case of 23-years young male presented with gait disturbance, weak-ness in lower extremities, visual impairment and moderate fatigue. His medical history revealed that he was sympto-matic by DI (polyuria, polydypsia and weight loss) and received treatment with adiuretin for a period of 3 years. Computed tomography (CT) scans demonstrated well cir-cumscribed tumor lesions with a homogeneous contrast enhancement in the suprasellar and pineal regions. A ger-minoma was verified histologically. A good treatment re-sponse to surgery, radiation, chemotherapy and manage-ment of endocrine insufficiency was achieve...
Forschung heute – Zukunft morgen
Journal of B.U.ON. : official journal of the Balkan Union of Oncology
Gastric teratoma is an extremely rare neoplasm accounting for less than 2% of all teratomas in ch... more Gastric teratoma is an extremely rare neoplasm accounting for less than 2% of all teratomas in children. Clinical manifestations usually consist in vomiting, palpable abdominal tumor and/or bleeding from the upper gastrointestinal tract. Considering its rareness and the scarce information in the literature we present a case of gastric teratoma in a 2-month-old boy with vomiting after feeding, persisting since birth. The child was referred for examination with clinical suspicion of hypertrophic pyloric stenosis. He also suffered from septic meningitis with fulminant course which caused his death 5 days after the diagnosis of teratoma was done. Imaging studies were indicative of the diagnosis.
Hepato-gastroenterology
ABSTRACT
Hepato-gastroenterology
ABSTRACT
We present a clinical case of locally advanced achromatic sinonasal melanoma with achieved local ... more We present a clinical case of locally advanced achromatic sinonasal melanoma with achieved local tumor control (LTC), following combined treatment (mediofacial resection, postoperative radiotherapy to a total dose of 70 Gy; 5 courses chemotherapy and re-operation). Following diagnostic aspects were discussed: immunohistochemical (IHH) analysis for differential diagnosis (DD) of undifferentiated neoplasms and specification of the status of supraclavicular and neck lymph nodes. Despite the negative lymph nodes status, in locally advanced tumors is stressed on the assessment for elective cervical dissection, or elective regional radiotherapy of supraclavicular and neck lymph nodes, because of the high risk for late lymph metastases. After complex treatment /operations and radiotherapy/ was achieved 7 years (LTC) without radiation-induced demyelinising syndrome of the right eye nerve. The conducted 7 years ago radiotherapy was with volume: right eye with retrobulbar space to a total dos...
Introduction: The SWS, also called encephalo- trigeminal angiomatosis, is an extremely rare neuro... more Introduction: The SWS, also called encephalo- trigeminal angiomatosis, is an extremely rare neurocutaneous disorder. The most frequent neurological manifestations include intractable seizures, focal deficits, headaches, and developmental disorders. Although the angioma progression is very rare, it may cause alteration of seizures type, frequency and extension. Case presentation: We report a 25-year young male admitted to the hospital with increased frequency
Journal of Neurological Surgery Part A: Central European Neurosurgery, 2014
Akusherstvo i ginekologii͡a, 2012
Our aim was to demonstrate the diagnostic difficulties as well as the atypical clinical developme... more Our aim was to demonstrate the diagnostic difficulties as well as the atypical clinical development of ovarian tumours in combination with pregnancy. We present a rare case of large mucinous cystadenoma in 32-year old patient, who is 20 gestational weeks pregnant. Ultrasound examination and MRI were performed, which visualized a huge multilocular ovarian tumour formation with a small amount of ascites. We performed laparatomy adnexectomy which included the ovarian cyst, partial omentectomy and we took 4 samples of smears from the whole abdominal cavity, as well as ascites samples for cytology. The pregnancy was preserved. The histological examinations reported: mucinous cystadenoma without morphological data for malignant transformation. In our rare case the organ preserving operation was a completely sufficient surgical staging procedure.
Hepato-gastroenterology
In 1958 Caroli was the first to define exactly in literature the congenital dilatations of the in... more In 1958 Caroli was the first to define exactly in literature the congenital dilatations of the intrahepatic bile ducts, concerning a segment, a lobe, or both lobes of the Liver. Later Todani involved it in his classification of the bile duct cysts as type V. Caroli's disease (CD) is quite a rare entity (about 150 cases reported in literature). In CD, stenosis and dilatation cause initially biliary stasis, leading to intrahepatic biliary lithiasis and secondary infection. The spontaneous course of CD is dominated by biliary infection: cholangitis (cholangiohepatitis), septicemia and intrahepatic and subphrenic abscesses. That is why the disease must be recognized before serious complications develop. The authors report about 5 cases of Caroli's disease--2 women and 3 men. Diffuse spread in one patient (25-year-old man) and in four--left lobe involved predominantly. Most common signs and symptoms were: fever, cholangitis, upper quadrant abdominal pain, hepatosplenomegaly, obst...
Introduction: One of the most frequent and troublesome complication following laryngectomy is pha... more Introduction: One of the most frequent and troublesome complication following laryngectomy is pharyngocutaneous fistula (PCF). There are a lot of different risk factors for PCF suspected and evaluated, but only few proven. Objective: Evaluation the role of different pharynx closure techniques on [for full text, please go to the a.m. URL]
Current Diabetes Reviews, 2020
Abstract- und Posterband – 90. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Digitalisierung in der HNO-Heilkunde, 2019
All patients were subjected to TL for advanced laryngeal carcinoma. Table 1 represents the TNM st... more All patients were subjected to TL for advanced laryngeal carcinoma. Table 1 represents the TNM staging [8].
Scripta Scientifica Medica, 2007
Mathews Journal of Case Reports, 2021
Peliosis hepatis is a rare condition characterized by numerous vascular formations in the liver m... more Peliosis hepatis is a rare condition characterized by numerous vascular formations in the liver measuring from a few millimeters to several centimeters in diameter. Such formations may also be found in the spleen, lymph nodes, lungs, kidneys, adrenals, bone marrow and other parts of the gastrointestinal tract. The condition is typically asymptomatic and diagnosed accidentally. Rarely, patients present with severe symptoms such as jaundice, hepatomegaly, liver failure and haemoperitoneum. Clinical case: We present the case of a 5 months old infant who presented to her family physician with gastroesophageal reflux. An abdominal ultrasound was performed which showed numerous oval lesions in the liver parenchyma. The patient's physical examination was remarkable for a palpable solid mass localized above the umbilicus. Further imaging and laboratory investigations revealed that the patient was suffering from neuroblastoma with concurrent peliosis hepatis. Conclusion: Peliosis hepatis is typically a benign condition, which may be caused by infectious diseases, malignancy, prolonged intake of medicines or toxins. Treating the underlying disease often leads to resolution of the vascular lesions. This necessitates the formation of a wide differential diagnosis and through investigation.
Rentgenologiya i Radiologiya, Jul 1, 2005
Rentgenologiya i Radiologiya, 2006
Germinomas are the most frequent type of germ cell tumors that constitute only 2-5 % of all centr... more Germinomas are the most frequent type of germ cell tumors that constitute only 2-5 % of all central nervous sys-tem malignancies. Most of them arise in the pineal and su-prasellar regions but in about 5 % to 10 % the simultane-ous location is found. Although their strategic location, they respond well to surgery, radiation and chemotherapy and the prognosis is very good. We report a case of 23-years young male presented with gait disturbance, weak-ness in lower extremities, visual impairment and moderate fatigue. His medical history revealed that he was sympto-matic by DI (polyuria, polydypsia and weight loss) and received treatment with adiuretin for a period of 3 years. Computed tomography (CT) scans demonstrated well cir-cumscribed tumor lesions with a homogeneous contrast enhancement in the suprasellar and pineal regions. A ger-minoma was verified histologically. A good treatment re-sponse to surgery, radiation, chemotherapy and manage-ment of endocrine insufficiency was achieve...
Forschung heute – Zukunft morgen
Journal of B.U.ON. : official journal of the Balkan Union of Oncology
Gastric teratoma is an extremely rare neoplasm accounting for less than 2% of all teratomas in ch... more Gastric teratoma is an extremely rare neoplasm accounting for less than 2% of all teratomas in children. Clinical manifestations usually consist in vomiting, palpable abdominal tumor and/or bleeding from the upper gastrointestinal tract. Considering its rareness and the scarce information in the literature we present a case of gastric teratoma in a 2-month-old boy with vomiting after feeding, persisting since birth. The child was referred for examination with clinical suspicion of hypertrophic pyloric stenosis. He also suffered from septic meningitis with fulminant course which caused his death 5 days after the diagnosis of teratoma was done. Imaging studies were indicative of the diagnosis.
Hepato-gastroenterology
ABSTRACT
Hepato-gastroenterology
ABSTRACT
We present a clinical case of locally advanced achromatic sinonasal melanoma with achieved local ... more We present a clinical case of locally advanced achromatic sinonasal melanoma with achieved local tumor control (LTC), following combined treatment (mediofacial resection, postoperative radiotherapy to a total dose of 70 Gy; 5 courses chemotherapy and re-operation). Following diagnostic aspects were discussed: immunohistochemical (IHH) analysis for differential diagnosis (DD) of undifferentiated neoplasms and specification of the status of supraclavicular and neck lymph nodes. Despite the negative lymph nodes status, in locally advanced tumors is stressed on the assessment for elective cervical dissection, or elective regional radiotherapy of supraclavicular and neck lymph nodes, because of the high risk for late lymph metastases. After complex treatment /operations and radiotherapy/ was achieved 7 years (LTC) without radiation-induced demyelinising syndrome of the right eye nerve. The conducted 7 years ago radiotherapy was with volume: right eye with retrobulbar space to a total dos...
Introduction: The SWS, also called encephalo- trigeminal angiomatosis, is an extremely rare neuro... more Introduction: The SWS, also called encephalo- trigeminal angiomatosis, is an extremely rare neurocutaneous disorder. The most frequent neurological manifestations include intractable seizures, focal deficits, headaches, and developmental disorders. Although the angioma progression is very rare, it may cause alteration of seizures type, frequency and extension. Case presentation: We report a 25-year young male admitted to the hospital with increased frequency
Journal of Neurological Surgery Part A: Central European Neurosurgery, 2014
Akusherstvo i ginekologii͡a, 2012
Our aim was to demonstrate the diagnostic difficulties as well as the atypical clinical developme... more Our aim was to demonstrate the diagnostic difficulties as well as the atypical clinical development of ovarian tumours in combination with pregnancy. We present a rare case of large mucinous cystadenoma in 32-year old patient, who is 20 gestational weeks pregnant. Ultrasound examination and MRI were performed, which visualized a huge multilocular ovarian tumour formation with a small amount of ascites. We performed laparatomy adnexectomy which included the ovarian cyst, partial omentectomy and we took 4 samples of smears from the whole abdominal cavity, as well as ascites samples for cytology. The pregnancy was preserved. The histological examinations reported: mucinous cystadenoma without morphological data for malignant transformation. In our rare case the organ preserving operation was a completely sufficient surgical staging procedure.
Hepato-gastroenterology
In 1958 Caroli was the first to define exactly in literature the congenital dilatations of the in... more In 1958 Caroli was the first to define exactly in literature the congenital dilatations of the intrahepatic bile ducts, concerning a segment, a lobe, or both lobes of the Liver. Later Todani involved it in his classification of the bile duct cysts as type V. Caroli's disease (CD) is quite a rare entity (about 150 cases reported in literature). In CD, stenosis and dilatation cause initially biliary stasis, leading to intrahepatic biliary lithiasis and secondary infection. The spontaneous course of CD is dominated by biliary infection: cholangitis (cholangiohepatitis), septicemia and intrahepatic and subphrenic abscesses. That is why the disease must be recognized before serious complications develop. The authors report about 5 cases of Caroli's disease--2 women and 3 men. Diffuse spread in one patient (25-year-old man) and in four--left lobe involved predominantly. Most common signs and symptoms were: fever, cholangitis, upper quadrant abdominal pain, hepatosplenomegaly, obst...