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  1. AU="Carâp, Alexandru Constantin"
  2. AU="Gruber-Wackernagel, Alexandra"
  3. AU="Ye, Sining"
  4. AU="Bekele, B Nebiyou"
  5. AU="Bolognesi, Martino"
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  1. Article ; Online: Morphometric study in thyroid tumors.

    Mohorea, Iuliana / Socea, Bogdan / Carâp, Alexandru Constantin / Șerban, Dragoş / Ceaușu, Zenaida / Ceauşu, Mihail

    Experimental and therapeutic medicine

    2023  Volume 26, Issue 4, Page(s) 497

    Abstract: Various morphonuclear studies using digital image analysis have been taken into account in order to establish the malignancy of thyroid lesions based on their size and on the chromatographic characteristics of tumor cell nuclei. Nuclear morphometry ... ...

    Abstract Various morphonuclear studies using digital image analysis have been taken into account in order to establish the malignancy of thyroid lesions based on their size and on the chromatographic characteristics of tumor cell nuclei. Nuclear morphometry involves the measurement of nuclear parameters to obtain diagnostically important information in an objective and reproducible manner. The aim of the present study was to evaluate the detailed morphometric analysis of histopathological preparations with lesions of the thyroid gland and to investigate its role in differentiating between benign and malignant thyroid lesions. The present study included 10 benign and 26 malignant thyroid cases with different selected thyroid lesions. Using a microscope connected to a computerized video system, nuclear morphometric parameters including the nuclear area, perimeter, average intensity, red average, width and roundness, were measured and analyzed. The main parameters used in the statistical calculation were significant in distinguishing between benign and malignant thyroid lesions. The association of morphometry in cytological smears for suspected malignant follicular lesions led to increased accuracy in establishing a suspicious malignant diagnosis for follicular lesions. Nuclear morphometry provides an unbiased point of view that increases diagnosis accuracy. Computerized morphometry can positively influence diagnostic accuracy, allowing for a better correlation with clinical and imaging data.
    Language English
    Publishing date 2023-09-06
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 2683844-8
    ISSN 1792-1015 ; 1792-0981
    ISSN (online) 1792-1015
    ISSN 1792-0981
    DOI 10.3892/etm.2023.12196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Current Management of Colon Trauma at a Level II Trauma Center - A Single Center Review of Cases from the Last Two Decades.

    Carâp, Alexandru-Constantin / Crăciun, Roxana-Ionela / Socea, Bogdan / Păun, Ion / Moculescu, Cezar / Constantin, Vlad Denis

    Chirurgia (Bucharest, Romania : 1990)

    2021  Volume 116, Issue 6, Page(s) 718–724

    Abstract: Introduction: ...

    Abstract Introduction:
    MeSH term(s) Colon/surgery ; Colostomy ; Humans ; Male ; Prospective Studies ; Retrospective Studies ; Trauma Centers ; Treatment Outcome ; Wounds, Penetrating/epidemiology ; Wounds, Penetrating/surgery
    Language English
    Publishing date 2021-12-30
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.116.6.718
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Inflammatory Bowel Diseases

    SOCEA Bogdan / DUMITRESCU Dan / BRATU Ovidiu Gabriel / CARAP Alexandru Constantin / BADIU Dumitru Cristinel / BOLOCAN Alexandra / PADURARU Dan Nicolae / MISCHIANU Dan / CONSTANTIN Vlad Denis

    Modern Medicine, Vol 26, Iss 1, Pp 13-

    the Surgical Perspective

    2019  Volume 16

    Abstract: Inflammatory bowel diseases (IBD), namely Crohn’s disease and ulcerative colitis, are relatively rare diseases in our country, known as a low prevalence geographic region. IBD are a multidisciplinary problem, that implies gastroenterologists, as well as ... ...

    Abstract Inflammatory bowel diseases (IBD), namely Crohn’s disease and ulcerative colitis, are relatively rare diseases in our country, known as a low prevalence geographic region. IBD are a multidisciplinary problem, that implies gastroenterologists, as well as surgeons. Surgical management in inflammatory bowel disease is often impaired by a high complication rate and a significant recurrence rate, specific mostly for Crohn’s disease. Indications for surgery include failure of medical therapy (including delayed puberty for young patients and drug intolerance), toxic megacolon, bowel perforation, obstruction, enteric fistula and abdominal or perianal abscess. Advances in medical treatment options for IBD are continuously accumulating. However, a large number of patients still require surgical procedures during lifetime.
    Keywords inflammatory bowel disease ; Crohn’s disease ; ulcerative colitis ; surgery ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2019-03-01T00:00:00Z
    Publisher Media Med Publicis
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: A histopathological and immunohistochemical approach of surgical emergencies of GIST. An interdisciplinary study.

    Constantin, Vlad Denis / Socea, Bogdan / Popa, Florian / Carâp, Alexandru Constantin / Popescu, Gheorghe / Vlădescu, Teodora / Ceauşu, Zenaida / Berteşteanu, Şerban Vifor Gabriel / Ceauşu, Mihail Constantin

    Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie

    2014  Volume 55, Issue 2 Suppl, Page(s) 619–627

    Abstract: The tailored approach to gastrointestinal stromal tumors (GISTs) has led to better prognosis for these types of tumors. Also, finding out GIST's pathology has led to a better understanding of oncogenesis and cancer therapy in general. The rapid expansion ...

    Abstract The tailored approach to gastrointestinal stromal tumors (GISTs) has led to better prognosis for these types of tumors. Also, finding out GIST's pathology has led to a better understanding of oncogenesis and cancer therapy in general. The rapid expansion of molecular and pathological knowledge of GISTs has given this disease a promising future. We analyze 30 cases of GISTs operated on in our clinic with confirmed diagnosis by immunohistochemistry. Most of the cases were acute cases that required urgent surgical therapy. An extended analysis of these cases is performed in order to underline their special features. We recorded 17 GISTs of the stomach, 12 GISTs of the small bowel and one esophageal GIST. Of the 30 cases, 15 cases required urgent surgery presenting with GI bleeding or shock following intraperitoneal rupture and bleeding or intestinal obstruction. Of the 15 cases that required urgent surgery 12 cases presented with serosal involvement. Twenty-four cases presented spindle cell histology, four cases were epithelioid and two cases presented mixed cellularity. Although acute presentation of GISTs is not the rule, 15 of 30 of our cases required immediate surgery and a high proportion of them (12/15) presented with serosal involvement. Serosal involvement may warrant the need for a macroscopic classification of GISTs and correlation to therapy. While overall mortality was not high in our series, morbidity is affected by acute presentation, though not specifically pertaining to the diagnosis of GIST. Acute presentations were more frequent, in our series, for small bowel GISTs, compared to gastric GISTs. Serosal involvement was more frequent in the group with acute presentation compared with non-acute GISTs and was present at the most cases of small bowel GISTs with acute onset. The Ki-67 index showed no difference between acute and non-acute onset of GISTs.
    MeSH term(s) Adult ; Aged ; Emergency Service, Hospital ; Female ; Follow-Up Studies ; Gastrointestinal Stromal Tumors/pathology ; Gastrointestinal Stromal Tumors/surgery ; Humans ; Immunohistochemistry ; Interdisciplinary Studies ; Male ; Middle Aged
    Language English
    Publishing date 2014
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 1062519-7
    ISSN 2066-8279 ; 1220-0522 ; 0035-4007
    ISSN (online) 2066-8279
    ISSN 1220-0522 ; 0035-4007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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