Accès ouvert
2026
article
OpenAlex
G. Gergov, Magdalena Alexieva, Evgeni Mekov, Nikolay Yanev et autres
Abstract Pulmonary carcinoid tumors are a rare subgroup of neuroendocrine lung neo-plasms, accounting for approximately 1-2% of all primary lung cancers. The occurrence of synchronous primary malignancies involving pulmonary carcinoid and colorectal adeno-carcinoma is exceptionally uncommon. We report a 78-year-old woman initially …
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Accès ouvert
2026
article
OpenAlex
Georgi Yankov, Iulian Rangachev, Magdalena Alexieva, Mila Kovacheva-Slavova et autres
BACKGROUND: Patients with parastomal recurrence have poor prognosis and pose a great challenge to the surgeons. Surgical resection is the only curable choice. Treating this patient group with a patent tracheostoma and a stable airway is the main objective. CASE PRESENTATION: We …
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Accès ouvert
2025
article
OpenAlex
Magdalena Alexieva, Georgi Gergov, Evgeni Mekov, Elitsa Yankova et autres
Intrathoracic lipomas are uncommon, and dumbbell (hourglass) lesions with contiguous extra- and intrathoracic components are exceedingly rare. Surgery is indicated for enlarging or symptomatic tumors or when imaging raises concern for malignancy (e.g., infiltration). Complete resection - via thoracotomy or video-assisted thoracoscopic …
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Accès ouvert
2025
article
OpenAlex
Magdalena Alexieva, Evgeni Mekov, Silvia Ivanova, A. Vlahova et autres
Retroperitoneal schwannomas are rare benign tumors of peripheral nerve sheath origin. We report a 72-year-old woman presenting with abdominal pain, altered bowel habits, and intermittent fever. CT imaging revealed a large (83 × 83 × 104 mm), well-circumscribed retroperitoneal mass with calcifications …
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Accès ouvert
2025
article
OpenAlex
Stefka Ivanova, Radostina Cherneva, R. Krasteva, Zaharinka Makshutova et autres
Abstract Adenocarcinoma of the lung is the most common lung tumor, accounting for about 40% of the cases. Minimally invasive adenocarcinoma may be a part of a continuum of morphological changes, leading to the development of invasive adenocarcinoma of the lung. It …
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Accès ouvert
2025
article
OpenAlex
Magdalena Alexieva, Georgi Gergov, Evgeni Mekov, Silvia Ivanova et autres
Localized sternal plasmacytoma is a rare and aggressive oncologic condition. Surgical resection followed by radiotherapy offers the highest chance of cure. Radical resection of the chest wall is technically feasible and is associated with improved outcomes. Subsequent reconstruction using meshes, plates, and …
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2025
article
OpenAlex
Georgi Yankov, Magdalena Alexieva, Borislav Vladimirov, Evgeni Mekov
Hiatal hernia is defined as the movement of internal organs and more commonly the stomach from the abdominal cavity to the mediastinum. Laparoscopic techniques introduced in the early 1990s have completely changed the approach to the treatment of hiatal hernias, and they …
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Accès ouvert
2025
article
OpenAlex
Georgi Yankov, Magdalena Alexieva, Zaharinka Makshutova, Evgeni Mekov
Abstract Reconstruction of postoperative chest wall defects with a rectus abdominis muscle flap is a relatively rare technique. We present a case of a 78-year-old woman who was operated 11 years ago for solid papillary carcinoma of the left mammary gland with …
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Accès ouvert
2025
article
OpenAlex
Georgi Yankov, Viktoria Ilieva
Abstract Current treatment for Parkinson’s disease (PD) includes: levodopa, dopamine agonists, monoamine oxidase type B inhibitors, catechol-O-methyltransferase inhibitors, amantadine, anticholinergics, clozapine and deep brain stimulation. A lot of patients with PD undergo surgery under general anesthesia for abdominal operations with a long …
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Accès ouvert
2025
article
OpenAlex
Georgi Yankov, Magdalena Alexieva, Zaharinka Makshutova, Radostina Cherneva
Gangrenous lung abscess (LA) is a limited form of lung gangrene. Although its frequency has decreased dramatically in recent years, it occupies an important place in clinical practice. Delaying its diagnosis or incorrect treatment leads to a risk to the patient's life. …
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2025
article
OpenAlex
Stefka Yankova, Georgi Yankov, Evgeni Mekov, Galya ZLATANOVA
BACKGROUND: IgA nephropathy (IgAN) is the most common primary chronic glomerulopathy worldwide. The clinical presentation and progression of the disease range widely from asymptomatic hematuria to rapidly progressive glomerulonephritis or development of terminal renal failure.METHODS: A retrospective analysis of 49 children with …
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Accès ouvert
2025
article
OpenAlex
Georgi Yankov, Magdalena Alexieva, Zaharinka Makshutova, Stefka Yankova et autres
Achalasia is a rare, chronic disorder of esophageal motility characterized by the lower esophageal sphincter's inability to relax and a lack of normal esophageal peristalsis. We present a 70-year-old man with longstanding achalasia, a previous open myotomy, and adenocarcinoma in the lower …
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