Kocevska, Ana
Preferred name
Kocevska, Ana
Official Name
Kocevska, Ana
Main Affiliation
89 results
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Item type:Publication, ACUTE MESENTERIC VENOSUS THROMBOSIS IN A PREGNANT WOMAN(University Ss. Cyril and Methodius in Skopje, 2023) ;Eftimova, Aleksandra; ;Shpisikj Pushevska, AnamarijaChelebieva, Jasmina - Some of the metrics are blocked by yourconsent settings
Item type:Publication, OBESITY AS A RISK FACTOR FOR ENDOMETRIAL PATHOLOGICAL CHANGES(University Ss. Cyril and Methodius in Skopje, 2023); ;Shpisikj Pushevska, Anamarija ;Ilievski, Zoran ;Eftimova Kitanova, Aleksandra - Some of the metrics are blocked by yourconsent settings
Item type:Publication, LIGASURE HEMORRHOIDECTOMY (LH) WITH “NEAR BASE“ TECHNIQUE(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023); ; ;Jovanovska, Frosina ;Limani, NimetulaMustafova, Alma - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PRIMARY SINONASAL MENINGIOMA MIMICKING BENIGN NASAL LESIONS - A CASE REPORT AND LITERATURE REVIEW(Macedonian Association of Pathology and North Macedonia Division of IAP, 2025) ;H. Sulejmani; ; ; Jovcheva, AIntroduction: Primary extracranial meningiomas are rare neoplasms, accounting for less than 2% of all meningiomas. The sinonasal tract represents an uncommon site of origin and frequently presents diagnostic challenges due to nonspecific clinical and radiological features. Case Presentation: A 79-year-old male presented with a unilateral nasal cavity mass. Computed tomography revealed diffuse polypoid mucosal thickening with near-complete opacification of paranasal sinuses and obliteration of aeration. Histopathology showed a circumscribed neoplastic proliferation arranged in lobular and whorled patterns beneath intact respiratory epithelium. Tumor cells displayed uniform morphology with oval nuclei, eosinophilic cytoplasm, and inconspicuous nucleoli. Psammoma bodies and delicate vascular channels were present. Necrosis, nuclear atypia, and mitotic activity were absent. Immunohistochemistry showed strong positivity for epithelial membrane antigen (EMA), vimentin, p63, and progesterone receptor, while cytokeratin AE1/AE3, CD34, smooth muscle actin (SMA), S100, SOX10, desmin, and synaptophysin were negative. The proliferative index (Ki-67) was <5%. Discussion: Extracranial meningiomas are rare neoplasms with poorly understood histogenesis, presumably arising from displaced meningothelial cells during embryonic development. Sinonasal meningiomas may mimic other nasal masses including nasal polyps, inverted papilloma, olfactory neuroblastoma, or carcinoma. In this case, the morphological features combined with the supportive immunohistochemical profile confirmed the diagnosis of WHO Grade I meningothelial meningioma with angiomatous features. Conclusion: Primary sinonasal meningioma should be included in the differential diagnosis of sinonasal masses. Accurate recognition through comprehensive histopathological and immunohistochemical analysis is essential for proper diagnosis and management. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, INCIDENTAL HEMATOPERITONEUM IN LAPAROSCOPIC APPENDECTOMY IN PREGNANT PATIENT(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2025-04); ;Shurlani, Arben; ;Ismaili, BashkimAcute appendicitis is the most common non obstetric emergency in pregnant women and often associated with a late diagnosis and complications such as perforation and fetal loss. We present a case of a 25-year-old primigravida, with epigastric pain radiating to the lower right quadrant that appeared 12 hours before admission, nausea, vomiting, white tongue and foetor ex ore. The laboratory values: WBC 18.000, RBC 4.12, HCT 36.2, CRP 22. Ultrasound examination: fetal biometry corresponded to 7 gestational weeks, positive cardiac activity, a small amount of peritoneal fluid was present in the right paracolic, ileocecal region and in Douglas's space, thickening of the wall of appendix vermiformis, surrounding inflammation of fatty tissue. The patient was observed in the next 6 hours, pain persisted in the lower right quadrant with propagation to the left quadrant. An indication for laparoscopic intervention for acute appendicitis has been made. The patient was placed in the supine position with the first camera and extraction port supraumbilically (10 mm) and the second port (5 mm) suprapubically. On laparoscopic exploration, 200 ml of bloody content was found in the pelvis and the vermiform appendix with reactive changes in the middle part towards the apex. An infundibular paraovarian cyst with a diameter of 20 mm was present on the right fallopian tube. The right ovary was ruptured with bleeding on one side. A third port (5 mm) was placed left pararectally. Aspirated pelvic blood was sent in the laboratory for beta HCG determination and partial resection of the right ovary and appendectomy were performed. After lavage, a Redon drain was placed in the pelvis through the suprapubic port. Postoperative course was normal and the drain was removed on the second postoperative day. Gynecological ultrasound was performed on the third postoperative day, the findings were normal and patient was discharged home. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Sociodemographic Risk Factors for Gestational Diabetes Mellitus(Македонско лекарско друштво = Macedonian medical association, 2020-11); ; Borka Kocevska - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SQUAMOUS CELL CARCINOMA ARISING IN A KELOID SCAR: A CASE REPORT AND LITERATURE REVIEW(Macedonian Association of Pathology and North Macedonia Division of IAP, 2025) ;Boshkova E; ; ; Angelovska TIntroduction: Keloids are characterized by abnormal fibroblast proliferation and excessive collagen deposition. While typically benign, they have been recognized as potential predisposing factors for cutaneous neoplasia. Case Presentation: We present a rare case of squamous cell carcinoma (SCC) arising within a keloid scar in a 38-year-old female with a history of exuberant keloid formation on the feet. Histopathological examination of the excised lesion revealed moderately differentiated SCC developing within keloid tissue, marked by invasive nests of atypical squamous cells and keratin pearl formation embedded in dense keloidal stroma. Conclusion: Although exceedingly rare, malignant transformation of keloid scars into SCC can occur, particularly in lesions exposed to chronic irritation, inflammation, ulceration, repeated trauma, or ultraviolet radiation. Clinicians should maintain a high index of suspicion when evaluating morphological changes in long-standing keloids. Early biopsy of suspicious lesions is crucial for timely diagnosis and appropriate management. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ПАТОХИСТОЛОШКИ НАОДИ НА ПРИМЕРОЦИ ОД ФРАКЦИОНИРАНА ЕКСПЛОРАТИВНA КИРЕТАЖА КАЈ ПАЦИЕНТКИ ВО ПОСТМЕНОПАУЗА(2017-05-12); ;Dimitar GeorgievBashkim Ismaili - Some of the metrics are blocked by yourconsent settings
Item type:Publication, A CASE OF CORNUAL ECTOPIC PREGNANCY SUCCESSFULLY TREATED BY LAPAROSCOPY(Macedonian Association of Anatomists, 2022) ;Dimitar Georgiev ;Bashkim Ismaili; ; Cornual pregnancy is a rare type of ectopic pregnancy where the embryo implants in the junction between the fallopian tube and the uterus. Only 2% to 3% of all tubal pregnancies are cornual. Uterine rupture may occur in up to 20% of the cases of cornual pregnancy that progress beyond 12 weeks of amenorrhea, resulting in massive hemorrhage due to high vascularity in this region through the branches of the uterine artery. Despite the availability of modern diagnostic modalities including transvaginal ultrasonography, there is difficulty in the early diagnosis because of its location. We present a case of unruptured cornual ectopic pregnancy in a 40-year- old woman with amenorrhea of 7 weeks. In our case, the diagnosis was made early and laparoscopic cornuostomy with removal of the gestational sac and ipsilateral salpingectomy were performed, followed by laparoscopic repair of the cornuostomy incision. Hemostasis was achieved with electrocoagulation. This caused minimal hemorrhage without intraoperative and postoperative complications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, A case report of fetal spinal meningomyelocella(2022-09); ;Bashkim Ismaili; ;Dimitar GeorgievNeural tube defects are congenital malformations of the CNS resulting from defective closure of the neural tube during early embryogenesis between 3rd and 4th week of intrauterine life. It involves defect in the skull, vertebral column, the spinal cord and other portion of CNS. It occurs about 1 to 5 per 1000 live births. Myelomeningocele is most common and severe form of spina bifida cystica, characterised by protrusion of spinal cord through the open vertebrae into the amniotic fluid. We present a case of a 25-year-old pregnant woman who came into our hospital in the 17th week of pregnancy with characteristic ultrasound signs for the presence of fetal spina bifida. Lumbosacral meningomyelocella was present. The anterior part of the head started to develop ‘‘the lemon sign’’ and cerebellum showed ‘‘the banana sign’’. Dilated lateral ventricle was also present. There was anamnesis for folic acid supplementation starting at 6 weeks of gestation. We performed induction of labour with oxytocine and termination of this pregnancy. The autopsy report showed the presence of spina bifida in the lumbosacral region, with a defect of the skin and the vertebral arches, measuring 1.7 × 1 cm, with protrusion of meninges and the spinal cord.
