Publications by authors named "Umair Arshad Malik"

Introduction: Oral squamous cell carcinoma (OSCC) is the most prevalent type of head and neck cancer and is associated with high mortality, particularly in Southeast Asian countries. Areca nut usage, smoking, and alcohol consumption are the most common risk factors for OSCC. Areca nut chewing is highly prevalent in Pakistan and has been attributed to an increase in OSCC cases.

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Introduction: Metaplastic breast carcinoma (MBC) is a rare subgroup of breast neoplasms associated with adverse outcomes because of its aggressive nature. Typically, MBCs show triple-negative hormone receptor (HR) status. Determining the HR status of breast cancer is an integral part because it is an important prognostic factor and helps in the treatment course of the disease.

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Objectives: Intraoperative frozen-section evaluation is a valuable technique for detecting positive margins intraoperatively for oral squamous cell carcinoma. We conducted this study to determine the diagnostic accuracy of frozen section in detecting margin status and the effect of tumor grade and stage on diagnostic accuracy.

Results: A total of 251 biopsy-proven cases of oral squamous cell carcinoma were included in this study.

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Introduction Phyllodes tumor (PT) is an uncommon fibroepithelial neoplasm of the breast. It is a biphasic tumor with stromal and epithelial components, with a tendency to recur. Because of its wide range of disease manifestations, it has been subclassified into three categories, i.

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  • MSI is linked to mutations in mismatch repair (MMR) genes, leading to two types of colorectal carcinoma (CRC): MMR deficient (dMMR) and microsatellite stable (MSS).
  • In a study of 135 biopsy-proven CRC cases, researchers examined various clinicopathological features and found that 40.7% were dMMR while 59.3% were pMMR.
  • Key findings indicated that dMMR CRC often presented at older ages (over 50), and exhibited lower rates of perineural and lymphovascular invasion compared to pMMR CRC, with significant associations to tumor grade and staging.
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Introduction Colorectal carcinoma (CRC) is one of the most common cancers that involve the human body. Young-onset CRC (YO-CRC) or early-onset CRC (EO-CRC) is defined as CRC that develops before the age of 50 years, as opposed to CRC that is diagnosed after the age of 50, referred to as late-onset CRC (LO-CRC). EO-CRC is sparsely studied in our population.

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  • Squamous cell carcinoma (SCC), specifically head and neck squamous cell carcinoma (HNSCC), is a prevalent form of cancer, but there is limited data on biomarker expression in this region, particularly in the local population.
  • A study conducted at Liaquat National Hospital involved 308 cases of HNSCC and evaluated the immunohistochemical expression of biomarkers p16, EGFR, p27, and p53, examining their associations with clinical and pathological features.
  • Results showed that positive expressions of p16, EGFR, and p53 were noted in 22.1%, 18.8%, and 66.2% of cases, respectively, with significant associations found between p16 and factors like
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Introduction Squamous cell carcinoma (SCC) is the most common type of malignancy of the head and neck region arising from the mucosal epithelium of the oral cavity and oropharynx. It is a multifactorial disease with a high rate of mortality. Lymph node metastasis is an important prognostic parameter associated with adverse prognosis.

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  • The study investigates the effectiveness and safety of vitamin K antagonists (VKAs) compared to direct oral anticoagulants (DOACs) in patients with antiphospholipid syndrome (APS).
  • A meta-analysis of four randomized trials, involving 625 patients, found no significant difference in recurrent thrombosis risk between VKAs and DOACs, but indicated a concerning higher risk of stroke associated with DOACs.
  • The findings suggest that while DOACs may lead to more strokes, the overall differences in thrombotic events remain unclear, necessitating further research in APS treatment regimens.
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Introduction Malignant melanoma (MM) is potentially a fatal type of skin cancer and a major health concern for the Caucasian population. It is a heterogeneous disease with a wide spectrum of manifestations. Therefore, in this study, we evaluated the clinicopathological characteristics of MM.

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Introduction Ovarian tumors remain one of the leading malignancies of the female genital tract, with a high mortality rate due to their insidious onset and lack of detection at an earlier stage. These tumors metastasize by direct extension into the neighboring pelvic organs; hence, the detection of peritoneal metastasis is valuable for staging and prognostic purposes. Peritoneal wash cytological analysis is an effective predictor of the involvement of the ovarian surface and peritoneal dissemination even in subclinical involvement of the peritoneum.

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Background: BackgroundThe effectiveness of non-invasive respiratory strategies, namely CPAP and HFNO, in reducing the risk of mortality and tracheal intubation in patients with severe COVID-19 is not well established.

Methods: A thorough literature search was conducted across 3 electronic databases (Medline, EMBASE and Cochrane Central) from inception through July 2022. Randomized controlled trials (RCTs) and observational studies assessing the impact of CPAP or HFNO on clinical outcomes in patients infected with COVID-19 were considered for inclusion.

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Introduction Mesenchymal tumors of the lower female genital tract (FGT) are a miscellaneous group of tumors that include aggressive angiomyxoma (AAM), angiomyofibroblastoma (AMFB), cellular angiofibroma (CAF), and related entities. Histologically, these tumors are composed of stromal cells admixed with vessels, with some minor histological differences. An accurate diagnosis of these tumors is important owing to the differences in the outcome.

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  • * A retrospective study of 104 patients at Liaquat National Hospital revealed that alopecia primarily affected females under 35, with 88.5% having scarring forms.
  • * The most prevalent diagnoses were discoid lupus erythematosus and pseudopelade of Brocq, each at 23.1%, with specific histological features linked to different types of alopecia highlighted in the findings.
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Introduction Intraoperative sentinel lymph node (SLN) evaluation is the standard of care in patients with clinically node-negative breast cancer. The most common histological subtype of breast carcinoma is invasive ductal carcinoma (IDC), followed by invasive lobular carcinoma (ILC). Alternatively, histological grades vary from grades G1 to G3.

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  • Vesiculobullous lesions of the skin are diverse dermatological disorders that may arise from infections, inflammation, drug reactions, genetic factors, and autoimmune conditions, making precise diagnosis crucial for effective treatment and patient outcomes.
  • A study involving 150 patients at Liaquat National Hospital analyzed the clinicopathological characteristics of these lesions, with a majority of cases among elderly females, and identified various conditions with bullous pemphigoid and pemphigus vulgaris being the most prevalent.
  • The involvement of direct immunofluorescence studies revealed that complement protein C3c was the most frequently identified protein, highlighting the importance of skin punch biopsy as a key diagnostic tool for managing vesiculobullous disorders.
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Karyotype is one of the main constituents of the International Prognostic Scoring System (IPSS) and revised-IPSS that are the cornerstones for the prognostication of patients with myelodysplastic syndromes (MDS). Del(5q), -7/del(7q), +8 and -Y are among the most extensively studied cytogenetic abnormalities in MDS. The same applies for normal karyotype.

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