Faculty of Medicine

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    Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report
    (Centre for Evaluation in Education and Science (CEON/CEES), 2021)
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    Paneva, Iva
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    The uterine leiomyomas are monoclonal tumours of myometrial smooth muscle cells that are oestrogen dependent. A 43-year-old patient was referred by her gynaecologist under a suspected diagnosis of ovarian tumour. She complained of prolonged and profuse, regular menstrual bleeding that leaded to anaemia. The ultrasound examination showed a complex tumour mass with dimensions 68 x 85 mm, with several cystic formations fulfilled with clear fluid, which protrudes from the posterior wall of the uterus. Therefore, the diagnosis of leiomyoma with a cystic degeneration was considered preoperatively. In the case of cystic degeneration of the myoma, the ultrasound shows a combination of cystic and solid components with irregular shape and variable echogenicity. The ovarian malignancy should be ruled out in the presence of a large cystic mass with irregular septa and solid nodular parts filling the small pelvis. Ultrasound characteristics of degenerative myomas should always be considered, so as not to replace it with an ovarian mass, especially if it is subserosal and on the loop.
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    Female patient with sarcoidosis first diagnosed with asthma (case report)
    (Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2016)
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    Abstract Introduction: Sarcoidosis is a disease in which are present restrictive changes, the functional properties of lung and reduced values of diffusion capacity. Some authors showed the presence of airway obstruction in 2/3 of patients with a confirmed diagnosis of sarcoidosis who were not smokers. Case presentation: A female patient IT, from Skopje, born 09.16.1983 year, pharmacy technician, employed, non-smoker, does not consume alcohol, denied food or drugs allergies.Complaining of shortness of breath, cough with scant sputum, wheezing, the appearance of red spots on the legs, mutual, which withdrawn after two weeks. First she was diagnosed as asthma and a therapy was recommended.Her health situation has not improved and then a computered tomography of lung was performed. After that a bronchoscopy was performed and sarcoidosis histopathological was confirmed. She received corticosteroid therapy for one year, and her health situation become better. Conclusions:Sarcoidosis should be considered in the differential diagnosis of poorly responsive asthma. Obstructive symptoms resulting from airway involvement can occur in patients with pulmonary sarcoidosis but less frequently than a decrease in DLCO and restrictive disease.