Faculty of Medicine

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    Extranodal Diffuse Large B-Cell Lymphoma of the Small Bowel in Female Patient Causing Intestinal Obstruction: A Case Report
    (Vilnius University Press, 2022-12-30)
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    Dukovski, Dushko
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    Diffuse large B cell lymphoma is the most common extranodal non-Hodgkin lymphoma of the small intestine accounting for more than 50% of cases. Forty percent of these cases initially present with small bowel obstruction. Therefore, the diagnosis is usually established after surgery for bowel obstruction. The treatment is then continued with a certain chemotherapy regimens. We present a case of a 46-years-old female patient with signs of small bowel obstruction due to previously undiagnosed diffuse large B-cell lymphoma. Postoperatively, the patient was treated with 7 cycles of R-CHOP protocol and complete response was achieved in the short follow-up period.</jats:p>
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    INEFFECTIVE ERYTHROPOIESIS IN PATIENT WITH BETA THALASSEMIA AND MYELODYSPLASTIC SYNDROME CASE REPORT
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2024)
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    Ridova, Nevenka
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    Popova Labacevska, Marija
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    FIRST-LINE IMMUNOCHEMOTHERAPY FOR FOLLICULAR LYMPHOMA PATIENTS- SINGLE CENTER EXPERIENCE
    (Macedonian Association of Anatomists, 2024)
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    Ridova, Nevenka
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    Stojanovska Jakimovska, Simona
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    CLL-393 Outcomes of COVID-19 Infections in Patients With Hematological Malignancies in Republic of North Macedonia
    (Elsevier BV, 2022-10)
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    Ridova, Nevenka
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    Stojanovska, Simona
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    Labachevska, Marija Popova
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    Scrofuloderma- a rare but serious diagnostic challenge
    (Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2024-04)
    Mitreski, Vladimir
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    Zejnel, Sead
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    Shurbevska, Biljana
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    Stojkovska J., Aleksandra
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    Flag-IDA regimen as salvage chemotherapy before haematopoetic stem cell transplantation in the treatment of refractory/relapsed acute myeloblastic leukaemia: single-centre experience
    (2011)
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    Dukovski, Dushko
    During the past several decades, improvements in chemotherapeutic regimens and supportive care have resulted in signifi cant but modest progress in treating AML.Conventional chemotherapy is highly effective in the treatment of acute myeloblastic leukemia (AML). About 50-80% of adult patients with de novo acute myeloblastic leukemia achieve complete remission (CR) with currently available chemotherapy regimens consisting of antracyclines and cytarabine. However, relapse develops in more that 40% of the cases within two years, and 15-25% of patients fail to achieve complete remission because resistant to treatment or death. The management of cases with primary refractory and /or relapse disease is very diffi cult and prognosis in this subset of patients after several different chemotherapy combinations is still very poor with a CR rate 33-41%. We evaluated effi cacy and toxicity profi les of FLAG-Ida combination chemotherapy as salvage chemotherapy before hematopoietic stem cell transplantation in patients with refractory/ relapsed AML. At the University Hematology Clinic in Skopje, Macedonia, in the period 2006-2009, twenty patients with refractory/relapsed acute myeloblastic leukemia were treated with FLAG-Ida regiment. Patients were between 16-52 years old, 6 female and 14 male. They were treated with fl udarabine 30 mg/m2, cytosine arabinoside (AraC) 2 g/m2 for 5 days, Idarubicin 10 mg/m2 for 3 days, and granulocyte colony stimulating factor G-CSF 5 mikrog/kg from day 0 till neutrofi l recovery (ANC >1.0 x109/l). Complete remission were achieved in 9 patients (45%), four patients (25%) died of post chemotherapy complications, and 7 failed to achieve complete remission. Out of 9 patients who achieved complete remission, 4 went autologous bone marrow transplantation, 4 went allogeneic bone marrow transplantation, and 1 is being evaluated for the same. Major complication encountered were mucosistis, transient hepatic toxicity, fungal and bacterial infections. Our experience confi rmed that FLAG-IDA regimen is well tolerated and effective therapy in relapsed/refractory acute myeloid leukemia. FLAG-Ida is a good choice in cases with refractory/relapsed acute myeloblastic leukemia for salvage chemotherapy and it is wise to consolidate it with hematopoietic stem cell transplantation. Those patients included in the hematopoietic progenitor transplant program, clearly benefi t from allogeneic or autologous BMT, obtaining a longer disease free survival and overall survival.
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    10-year experience in the treatment of multiple myeloma with autologous stem cell transplantation
    (2011)
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    Ivanovski, Martin
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    Background: Multiple myeloma (MM) is a plasma-cell proliferative neoplasm.The second most common hematologic cancer, with 5 years prevalence about 183 000. Incidence is 5,7 /100 000 in EU. 5-years survival is 28%. Treatment with HDT and single autologous transplantation is a category I recommendation of the NCCN. In young patients, the impact of dose intensity has been demonstrated, and single HDT supported with ASCT using a conditioning regimen with Melphalan should be considered a standard of care. Double transplantation can be proposed to patients failing to achieve a VGPR after a fi rst ASCT. Material and methods: during a 10 years period we have performed 195 stem-cell transplantation in different hematological malignancies. 34 (17,5%) high dose chemotherapy and autologous stem-cells transplantation were performed in 30 patients (4 tandem transplantation) with multiple myeloma. In this trial we retrospectively analyzed the epidemiology characteristic of this patients. Gender: Female: 16 Male: 14. Median age: 51 years (from 43- 64 years). Results: Diagnose was made according to Salmon and Durie criteria. 25 patients with IgG, 4 with IgA, and 1 with light chain myeloma. Bence-Jones positive myeloma was diagnosed in 8 patient, 5 of them were with chronic renal failure. Fracture of spine was presented in 12 patients and 2 patients has fracture of hip. For the induction of remission we used VAD regimen in 20 patients, Cy-Tal-Dex in 10 patients. As a second line therapy in the case of failure to achieve complet remission we introduce Thal/Dex regimen. in 10 patient Only in two patient we use Bortezomib, Alkeran, Dexamethason. Conditioning regimen consisted Melphalan 200 mg/m2. In tandem transplantation the dose of second conditioning was 140 mg/m2.The volume of CD34+ cells was 3,88 x 108/Kg.bw. Period from diagnose to transplantation is 12 months. From 30 patients 80% are alive, 6 died (3 renal failure, 2 fatal cerebral bleeding and 1 multiorgan failure). The DFS is 24 months, OS is 48 months and survival after transplantation is 35 months. Conclusion: novel agents such as thalidomide, bortezomib, or lenalidomide have been introduced to improve high-dose therapy, and promising results have been reported. Conversely, results from myeloablative allogeneic stem cell transplantation remain disappointing due to high TRM, justifying the exploration of strategies such as RIC, which have been shown to be feasible but for which proof of effi cacy requires continued study.
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    Item type:Publication,
    Extranodal Diffuse Large B-Cell Lymphoma of the Small Bowel in Female Patient Causing Intestinal Obstruction: A Case Report
    (Vilnius University Press, 2022-12-30)
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    Dukovski, Dushko
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    Diffuse large B cell lymphoma is the most common extranodal non-Hodgkin lymphoma of the small intestine accounting for more than 50% of cases. Forty percent of these cases initially present with small bowel obstruction. Therefore, the diagnosis is usually established after surgery for bowel obstruction. The treatment is then continued with a certain chemotherapy regimens. We present a case of a 46-years-old female patient with signs of small bowel obstruction due to previously undiagnosed diffuse large B-cell lymphoma. Postoperatively, the patient was treated with 7 cycles of R-CHOP protocol and complete response was achieved in the short follow-up period.</jats:p>
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    Item type:Publication,
    Histological and immunohistochemichemical study of malignant lymphomas in Macedonia - Study of 222 cases
    (Macedonian Association of Pathology, 2013)
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    Ivkovski, Ljube
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