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Biomedical subjects

S Sabanović

Publications and source records attributed to S Sabanović.

7 recordsLinked to original sources

[Acute myeloblastic leukemia and adenocarcinoma of the rectum as secondary malignancies after treatment of rhabdomyosarcoma].

It is shown very rare case of eight years old girl with two secondary sicknesses: myeloic leucosis and adenocarcinoma of rectum that developed after six years of successful treatment. The diagnose of embryonal Rhabdomyosarcoma was set up in Sarajevo six years ago after surgical extirpation of tumor from orbitae and its pathohistology finding. Complete chemo and radiotherapy was performed in Germany (Bonn) according protocol (CWS 91). Diagnoses of acute myeloic leucosis and adenocarcinoma of rectum was set up according: clinical picture, peripheral blood smear, bone marrow smear and biopsy of bleeding polyp of rectum.

Adenocarcinoma↗

[Peripheral insertion of central catheters in the treatment of pediatric patients with leukemia].

UNLABELLED: In this paper we analyzed group of patients with leukemias in which was implanted peripherally inserted central catheters (PICC), which is safe and permanent intravenous line necessary for treatment in these patients. MATERIAL AND METHODS: In the period from January 1999. to September 2000. at the Oncology Department on Pediatric Clinic in Sarajevo we placed PICC in 18 patients with leukemia. Catheters were introduced through vena cubitalis and EMLA was used like local anestetic, All these manipulations were done with respect to asepsa rules. Tip of the catheter had to be situated in vena cava superior and its right position was checked by ultrasound. Management of catheter included everydays heparinisation, according strictly ordered rules and respect asepsa rules. RESULTS: PICC was placed in 18 patients with average of 6.5 years. According sex there were 61.1% males, and 38.9% females. Average period of using catheter was 2.7 months. In 44.4% cases catheter was taken out after finished treatment, but in 22.2% cases we had mechanical complications (spontaneous breakage of catheter or stop in it). In 33.3% patients catheter is still in function. CONCLUSION: Using PICC in patients with leukemia made significantly easier their treatment regarding decreasing of their traumatisation, regarding simplier vein access and reduction of the infection. In our investigated group we had not infection what was very important fact for outcome of this serious disease.

Arm↗

[Cat-scratch disease].

We report a case of fourteen years old boy with cat scratch disease. He was treated at Pediatric Clinic in January and February 2000. Cat scratch disease is benign infectious chronic disease which appears in all ages. It begins after contact with cat and its scratch. Yearly incidence of this disease for whole population is 0.77-0.86/100.000. The cause is bacillus Bartonella which is also called genus Rochalimaea. It is Gram negative, mobile, aerobe bacillus with ten flagellas on one pole. Our patient was admitted at hospital because of high temperature, paleness, fatigue, bad appetite and pains in his joint. Ultrasound and magnet resonance scans of liver and spleen showed enlarged but regulary contured liver and two focal changes with diameter 16 mm, 12 mm and 7 mm in spleen. All those focal changes were described as abscesses. Diagnose was set up according increasing titre of IF-Bartonella hensalae IgG 1:256 (positive). This diagnostic test was performed at Institute for microbiology and Immunology at Medical Faculty in Ljubljana. Disease had long lasting course, and was cured by antibiotics without surgical intervention.

Adolescent↗

[Hypoparathyroidism].

Hypoparathyreoidism of different etiology is the most common disorder of parathyreoidea. Symptoms caused by hypocalcemia are dominant and they are sign of disturbed neuromuscular balance. Alopecia is frequent disorder which occurs in the course of the illness. We report a case of five year old girl sent from Mostar because seizures incurable by phenobarbitone. Total alopecia was obvious. At admission total serum calcium level was 1.23 mmol/l. The level of parathormon was measured two times, and both results were under lowest value of normal range (< 10 pg/ml). After introducing calcitriol (Rocaltrol) in therapy, serum calcium level was almost normal and child was without symptoms.

Alopecia↗

[Epidemiology of childhood leukoses at the Pediatric Clinic in Sarajevo over the past 2 years].

In retrospective study we analyzed 19 patients who were diagnosed and cured because of leukemia at Pediatric clinic in Sarajevo during last two years. From that number, 15 children (78.9%) were with acute lymphoblastic leukemia (ALL), 3 (15.7%) were with acute myeloic leukemia (AML) and 1 was with chronic myeloic leukemia. Among all pediatric malignancies percent of leukemias was 40.4%. Most of children with leukemia from Canton of Zenica-Doboj (42.1%) and then from Canton of Sarajevo (31.5%). Illness began mostly in winter months (36.5%), than in early spring (26.3%), and in autumn (26.3%), but there were no newly diagnosed in summer (July and August). More children with leukemia were from rural areas (57.8%), than from urban areas (42.2%).

Adolescent↗

[Ewing's soft-tissue sarcoma--case report].

This paper reports a very rare case of 5-years old girl with a tumor of the right kidney and metastatic changes in the inferior vena cava and right heart. Following the nefrectomy Wilms' tumour diagnosis was established. There was no an adequate answer on chemotherapy according to SIOP i.v. protocol. Three months later metastatic changes spreaded to lungs, pelvic bones and distant lymphonodes of the neck and axillas. The patient in a very severe condition was evacuated to England (Alder Hay Children's Hospital, Liverpool). After numerous tests the diagnosis of Wilms's tumor was excluded and diagnosis of Ewing's sarcoma (soft tissue) was established.

Child, Preschool↗

[Wilm's tumor in a 3-year-old boy].

We report a case of 3,5 year-old boy with tumor of the left kidney which presented metastatica changes in upper stomach and in the lungs. After performed nephrecomy and confirmed P-H diagnosis: Tu-Wilms, intensive chemo and radiotherapy was started according brand new protocol UKW3. Therapy was performed partially in Liverpool (UK) and final part at our hospital. Now, there are no signs of disease in patient and according prognostic criteria he has a good chance of cure.

Child, Preschool↗