The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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Tuesday, May 23 2017 @ 05:47 EEST

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Talking About Malpractice: A Possible Future Case

2015-02

Dan Mischianu, Ovidiu Bratu, Alexandru Aungurenci, Dragos Marcu, Agnes Ciucă, Robert Popescu, Dan Spīnu

The medical profession is certainly there for thousands of years, the first documented therapeutic methods being used since prehistoric times. Although to date there has been significant advance in this area, current treatments are not infallible, which means that in medical practice there are certain errors. Sometimes patients may interpret these errors as malpractice, accusing the physician with certain charges related to his work, or rather the lack of his work.

In terms of ethical norms, the Medical College of Physicians in Romania’s Code of Ethics has been prepared in accordance with the Geneva Declaration issued in 1948 and has a complementary legislative role stated above, the purpose of regulating the fundamental principles of professional conduct for doctors. All these laws are meant to guide medical staff attitudes in clinical practice and are relevant in a medical malpractice case.

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An Unusual Presentation of Primary Cutaneous Aggressive Epidermotropic CD8+ T Cell Lymphoma

2015-02

Mihai Lupu, Vlad Voiculescu, Laura Papagheorghe, Cornelia Nițipir, Ana Maria Neagu, Liliana Gabriela Popa, Călin Giurcăneanu

Primary cutaneous aggressive epidermotropic CD8+ T cell lymphoma is an extremely rare type of cytotoxic lymphoma reported for the first time by Berti et al. in 1999, (1) who described the tumor as a distinct clinico-pathologic entity with an aggressive clinical course. It presents as widespread, rapidly evolving papules, plaques, and tumors, often showing central necrosis and ulceration, histologically characterized by epidermotropism of CD8+ CD4- T cells. The condition has an increased tendency of spreading to extranodal sites, usually responds poorly to conventional therapies for classic CD4+ cutaneous T cell lymphomas (CTCLs), and has an unfavorable prognosis. (1-4)

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Cytoreductive Surgery for Peritoneal Carcinomatosis from Endometrial Cancer - A Case Report and Literature Review

2015-02

N. Bacalbașa, C. Anghel, I. Barbu, I. Dudus, M.I. Ionescu, M. Pautov, M. Motthor, Irina Bălescu, V. Brașoveanu

Endometrial cancer is one of the most common malignancies of the genital tract in women, with an increasing incidence in the last few years. The reported incidence in the United States surpassed 40.00 cases/year while the death rate reached almost 7500 deaths/year (1,2). The most important prognostic factors are thought to be diabetes, estrogen secreting tumors, nulliparity and the higher number of overweight persons (2). While up to 70% of patients are diagnosed in an early stage of the disease and report an excellent outcome (5 year overall survival of 90%), patients diagnosed in an advanced stage of the disease have a poor prognosis associated with low rates of survival - 67% and 23%, respectively, for cases with regional or distant disease (3). However, in these cases it seems that an aggressive surgical approach similar to the one performed in advanced ovarian cancer is perfectly justified (2,4).

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Histopathology and Forensic Diagnostics Difficulties in a Patient with Multiple Affections and Double Cranio-Cerebral Injuries

2015-02

Cris Precup, Mircea Ifrim, Ovidiu Bulzan, Csongor Toth, Gyori Zsolt, Hategan Ovidiu

This paper is a case presentation. This case was chosen because it presented several problems with indicating, with certainty, the cause of death and therefore establishing the tanato-generating mechanism. The patient is a female from the rural environment who dies after a hospitalization (03 March 2013) in the Clinical Emergency Hospital in Arad, Department of Neurology. The patient is admitted through the emergency unit due to a cranio-cerebral trauma in the left parietal-temporal region, assisted respiratory failure and second degree coma.

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Treatment Management of Bilateral Lower Eyelids Basal Cell Carcinomas with Total Lower Eyelid Reconstruction

2015-02

L. Răducu, R. Jecan, C. Cozma, D. Hernic, I. Lascăr

Basal cell carcinoma (BCC) is known as the most common type of skin cancer with a rapidly rising incidence, 90 % of the cases occurring in the head and neck region. (1) The eyelids are involved in 10% of these cases, making it the most prominent eyelid malignancy. (2)

It predominantly affects fair-skin individuals, notably type I and II Fitzpatrick photo types, most of them presenting with a positive history of chronic sunlight exposure. Etiology may be multifactorial, but sun exposure has been involved in most of the cases. (3) Basal cell carcinomas arise from the basal layer of the epidermis, probably as a result of activating the proto-oncogenes and inactivating the suppressor genes in the keratinocytes. (4)

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