Faculty of Medicine

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Author: search.filters.author.Daskalov, Darko

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    MANAGEMENT OF A GIANT LIPOMA IN THE AXILLA: A CASE REPORT
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023)
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    Toleska, Natasha
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    Daskalov, Darko
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    Angjushev, Darko
    Lipomas are the most common benign mesenchymal tumors in adults.Generally,they are less than 5 cm in size but sometimes they can present as giant lipomas.Axillary region is an unusual localization for lipomas in general, especially for giant lipomas.A case of a 62-year-old male with a giant lipoma in the axillary region is presented.The tumor was located in the left axillary region beneath the pectoralis major muscle and extended all along to the scapula. It was adjacent to the axillary vessels and the brachial plexus, but did not invade the neurovascular bundle.A team of a plastic and thoracic surgeon performed the operation.The pathology report confirmed a benign lipoma weighting 454 grams and measuring 13.5x8x7 cm. Follow-up examinations (clinical examination and ultrasound) revealed no recurrence three years after the operation.The mechanism of lipoma formation is not completely clear. It includes twopotential and overlapping mechanisms in which trauma seem to have the major role.The treatment includes surgical excision or liposuction. However,excision of large lipomas can sometimes be a surgical challenge.Giant lipomas in axillary region should beremoved in order to establish the pathohistological diagnosis and to prevent possible compression of the neurovascular structures. In our opinion, surgical excision is a preferred method of treatmentbecause there is less possibility of damaging vital structures and it offers better control against local tumor recurrence.
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    BLEPHAROPLASTY - OUR EXPERIENCE
    (Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2021)
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    One of the most popular aesthetic surgery procedures is blepharoplasty. Preoperative planning and tissue resection can reduce complications and improve outcomes. Although some patients want blepharoplasty to address age-related changes in the skin of their eyelids, the procedure is more of a sculpture and contouring of the overall aesthetic unit. In this paper we present the history, basic anatomy, indications and surgical technique of upper and lower blepharoplasty. The importance of the preoperative patient evaluation for blepharoplasty has also been stated. We present our experience in blepharoplasty surgery done at the University Clinic for Plastic and Reconstructive Surgery in a three-year period, along with the complication rate and outcome. We have briefly described the techniques of standard upper and lower eyelid blepharoplasty. Practically, the rejuvenation of this complex anatomical area requires a combination of therapies including fat excision, repositioning or transfer, simultaneous brow or midface lift, and adjunctive treatment for skin resurfacing and periorbital hollows.
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    Multiple primary melanomas: a case report
    (Македонско лекарско друштво - Macedonain Medical Association, 2022)
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