Faculty of Medicine
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Item type:Publication, The Role of Ultrasound in the Diagnosis of Soft Tissue Tumors(Georg Thieme Verlag KG, 2020-04); Fanti, StefanoThe vast majority of soft tissue masses are benign. Benign lesions such as superficial lipomas and ganglia are by far the most common soft tissue masses and can be readily identified and excluded on ultrasound (US). US is an ideal triaging tool for superficial soft tissue masses. Compared with magnetic resonance imaging (MRI), High-resolution US is inexpensive, readily available, well tolerated, and safe. It also allows the radiologist to interact with the patient as a clinician. In this review, we describe and illustrate the lesions with typical (diagnostic) US features. When the appearances of the lesion are not typical as expected for a benign lesion, lesions are deep or large, or malignancy is suspected clinically, MRI and biopsy are needed. The management of suspicious soft tissue tumors has to be carefully planned by a multidisciplinary team involving specialized surgeons and pathologists at a tumor center. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, LIPOSUCTION - ASSISTED LIPECTOMY(Macedonian Association of Anatomists and Morphologists, 2016); ; Background. Lipomas are the most common benign neoplasms originating from adipose tissue, usually subcutaneously located. Patients seek removal, mainly for aesthetic reasons as they often disfigure body contours mutilating natural appearance. Historically, surgical removal comprises the standard of treatment. Liposuction emerges as a new successful treating method in selected cases. Objective. The primary objective is to evaluate the effectiveness of liposuction in removing lipomas in terms of success rate of total removal, risk of eventual recurrences and patients‘ satisfaction. Additionally, observation of postoperative events and their resolution is to be done. Method. This is a retrospective – prospective study comprising 5 cases of liposuction - assisted lipectomies. Thorough analysis of the cases was conducted: preoperative assessment and diagnostics, operative technique and postoperative follow-up. Postoperative period was divided in short term (up to 4 weeks) when early postoperative complications were observed, and long term (up to 12 months) when remnants and eventual recurrences can be seen. Satisfaction was assessed as a questioned inquiry. Results. Summarizing the results, descriptive statistic was used. In short term follow- up, self-resolving bruising, edema and mild pain were noted. There was no case of infection. In period of up to 12 months followup, total lipoma removal and 0% recurrence in all cases was pointed. Satisfaction rate of the patients was high. Conclusion. Liposuction can be as effective as open surgical removal when treating conventional lipomas. High satisfaction rate, due to small incisional scars, can be achieved. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Carpal tunnel syndrome caused by lipoma(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-03); ; ; Georgieva GCarpal tunnel syndrome as a result of space occupying masses is very rare. Lipomas located in the carpal tunnel were found in small number of cases. In this case report, we present a case of a middle-aged woman with progressive muscle atrophy of the thenar and loss of sensation on the right hand innervated by the median nerve. Clinical examinations, electromyography and MRI were done, and a soft tissue mass, the most likely lipoma, was found in the carpal tunnel making pressure to the median nerve. Surgery was performed, decompression of the median nerve was provided, and results after two months showed complete improvement of the motor end sensory function of the hand.