Faculty of Medicine

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Author: search.filters.author.Adem, Xhem

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    Gastric metastasis from high-grade soft tissue sarcoma: a rare occurrence with literature review
    (Oxford University Press and JSCR Publishing Ltd, 2025-03-15)
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    Angelovska, Tamara
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    Adem, Xhem
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    Todorova, Teodora
    Metastasis of high-grade soft tissue sarcoma to the stomach is an extremely rare occurrence. While sarcomas can spread to distant organs,they most commonly metastasize to the lungs,liver,and bones.We report a unique case of gastric metastasis from a high-grade soft tissue sarcoma,occurring 4 years after the initial diagnosis of fibrosarcoma in the right femoral region.The patient did not undergo adjuvant chemotherapy and developed a large soft tissue metastasis in the left gluteal region 2 years later. After 4 years, he presented with a second soft tissue metastasis and suspected metastatic lung nodules. Symptoms of melena and severe anemia prompted a gastroscopic examination, which revealed gastric metastasis from a high-grade soft tissue sarcoma. Due to severe anemia, a palliative gastric resection was performed.A review of the literature indicates that metastatic leiomyosarcomas are the most frequently reported sarcoma subtype metastasizing to the stomach.
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    IMPLEMENTATION OF SHEAR WAVE ELASTOGRAPHY AS A NEWMETHOD IN THE CLINIC OF GASTROENTEROHEPATOLOGY – SKOPJE
    (SHMSHM/AAMD, 2022-04)
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    Bina, Arta
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    Adem, Xhem
    Despite the fact that liver biopsy is so far considered as “ a golden standard” when diagnosing diffuse liver diseases,recently it has been replaced by non-invasive methods, such as serum markers of liver fibrosis and elastography,due to smallest amount of complications risk, and the likelihood for larger liver surface analysis.Our study comprises 40 patients, with confirmed liver scarring, based on previous laboratory findings, clinicalfeatures, and abdominal ultrasound.Based on the etiology and the stage of scarring, patients have been divided into three groups: patients withsteatosis (alcoholic and non-alcoholic), patients with hepatitis, and patients with liver cirrhosis. Generally therehas been established a positive correlation between elastography values and corresponding liver disease, exceptfor small number of patients with more aggressive liver lesions than expected, resulting in higher elastographyvalues.