Kasim A Behranwala

Publications (11)16.45 Total impact

• Article: Pharyngojejunal tubes for feeding after upper gastrointestinal surgery: the way forward.

  Kasim A Behranwala, Mark Fullard, Jeremy I Livingstone
  Annals of The Royal College of Surgeons of England 09/2010; 92(6):529. · 1.23 Impact Factor
• Source

  Available from: PubMed Central

  Article: Intestinal obstruction secondary to torsion of an appendix epiploica: a case report.

  Kasim A Behranwala, Tushar Agarwal, Charlotte Treacy, Avril Chang
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  ABSTRACT: Appendices epiploicae are affected by spontaneous torsion, calcification, primary or secondary inflammation, enlargement by lipomas or metastases and incarceration in hernias. A 20-year-old Asian man was admitted with non-specific abdominal pain, which later evolved to intestinal obstruction. Operative findings showed the small bowel obstruction was due to an omental band adhered to a nodule. Histopathology of the nodule revealed an infarcted appendix epiploica. Heightened suspicion and increased awareness of this entity would have led to an earlier diagnosis. Acute torsion of an appendage usually manifests as localised abdominal pain in one of the lower quadrants. Untreated, peritonitis or intestinal obstruction may result. Use of diagnostic laparoscopy in non-resolving abdominal pain would help to resolve the issue at an earlier stage and prevent additional morbidity.
  Cases Journal 01/2009; 2:6475.
• Article: Laparoscopic resection of mucinous cystadenoma of appendix: a careful decision.

  Kasim A Behranwala, Tushar Agarwal, Dima El-Sharkawi, David Shorvon, Avril Chang
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  ABSTRACT: Appendiceal mucoceles are mainly due to cystadenoma or cystadenocarcinoma. Definite diagnosis is difficult preoperatively and is usually peroperatively. Surgical excision, either by laparoscopy or by laparotomy, is the mainstay of treatment. Rupture of the lesion causes pseudomyxoma peritonei. We present a case to highlight this point and especially deplore the use of laparoscopy if the tumor clearly extends beyond the appendix.
  Surgical laparoscopy, endoscopy & percutaneous techniques 11/2006; 16(5):347-8. · 1.23 Impact Factor
• Source

  Available from: PubMed Central

  Article: Breast carcinoma and malignant melanoma metastasis within a single axillary lymph node.

  Kirstin A Carswell, Kasim A Behranwala, Ashutosh Nerurkar A, Gerald P H Gui
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  ABSTRACT: A 58 year old lady presented with a right breast cancer and a prior history of malignant melanoma excised from the right chest wall eight years previously. An abnormal axillary lymph node resected contained features of both metastatic breast carcinoma and malignant melanoma. Following oncologic breast cancer management, the patient is well with no evidence of recurrence at three years.
  International Seminars in Surgical Oncology 02/2006; 3:32.
• Source

  Available from: PubMed Central

  Article: Retroperitoneal myolipoma.

  Kasim A Behranwala, Krissen Chettiar, Mona El-Bahrawy, Gordon Stamp, Ajay K Kakkar
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  ABSTRACT: Myolipoma is a benign tumour in which smooth muscle cells are mixed with adipocytes. A 34-year old lady presented with a mass in the right iliac fossa detected on computerised tomographic (CT) scan. Wide excision of the retroperitoneal mass was done. Histopathology showed features of myolipoma. There was no recurrence or metastasis at three years. Myolipoma is a rare benign entity; hence a benign course and good prognosis are expected.
  World Journal of Surgical Oncology 12/2005; 3:72. · 1.12 Impact Factor
• Article: Intra-abdominal metastases from soft tissue sarcoma.

  Kasim A Behranwala, Pratik Roy, Victoria Giblin, Roger A'hern, Cyril Fisher, J Meirion Thomas
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  ABSTRACT: To define the clinical features and prognosis of patients with abdominal metastasis from primary soft tissue sarcoma (STS) at other sites. All patients with abdominal metastasis from STS were identified from the Royal Marsden Hospital Sarcoma Unit prospective database from January 1990 to July 2001. Nineteen patients developed abdominal metastasis out of a cohort of 2127 patients (0.9%) evaluated during the study interval. The median age was 49 (19-71) years. The median time to abdominal metastasis from diagnosis of the primary was 27 (8-91) months. The presenting complaints were incomplete intestinal obstruction (n = 5), abdominal pain (n = 4), mass (n = 2), gastrointestinal bleed (n = 2), urinary obstruction (n = 2), anorexia (n = 1), and abdominal distension (n = 1). Emergency laparotomy was done for perforative peritonitis (n = 2), intussusception (n = 2), and bleed in spleen (n = 1). Two patients were asymptomatic. The common histologies were myxoid liposarcoma (n = 6) and leiomyosarcoma (n = 4). The median follow-up of survivors post metastasis was 12 months. Abdominal metastatectomy was performed in 16 patients, 3 of these patients had abdominal recurrences. The 1- and 2-year overall disease specific survival for the 19 patients was 66% (SE = 11%) and 43% (SE = 13%) with a median survival of 13 months (95% CI = 11.8-14.7). Metastasectomy was associated with slight improved median post-metastasis survival (33 months vs. 8 months for unresected patients). Although abdominal metastasis is rare, vigilance is warranted. Symptomatic patients should be examined and investigated thoroughly for metastases. Surgery is the treatment of choice for patients with an acute presentation; however, survival is dismal.
  Journal of Surgical Oncology 10/2004; 87(3):116-20. · 2.10 Impact Factor
• Article: Prognosis of lymph node metastasis in soft tissue sarcoma.

  Kasim A Behranwala, Roger A'Hern, Al-Muderis Omar, J Meirion Thomas
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  ABSTRACT: We defined the tumor characteristics and prognosis of patients with regional lymph node metastasis (RLNM) from soft tissue sarcoma. All patients with RLNM from soft tissue sarcoma were identified from the Royal Marsden Hospital Sarcoma Unit prospective database from January 1990. A total of 73 (3.4%) of 2127 patients had RLNM. Fifty-seven patients (78.1%) had RLNM as the first site of spread, and 16 patients (21.9%) presented with RLNM and distant metastasis synchronously. The most common histologies were rhabdomyosarcoma, epithelioid sarcoma, and angiosarcoma. There were 9 T1 and 36 T2 tumors, and tumor size was not available in 28 patients. There were 6 grade 1, 16 grade 2, and 51 grade 3 tumors. Forty-two patients presented with RLNM along with the primary tumor. Of the remaining patients, the median time to development of RLNM from diagnosis of the primary tumor was 13.5 months (95% confidence interval [CI], 1-100 months). The 1-year survival for patients with isolated RLNM was 77.49% (95% CI, 62.99%-86.88%), compared with 36.27% (95% CI, 13.32%-60.04%) for patients who presented with RLNM and distant metastasis (P =.005). The 1-year survival for metachronous and synchronous RLNM was 94.44% (95% CI, 66.64%-99.20%) and 67.54% (95% CI, 47.89%-81.12%), respectively (P =.05). Lymph node metastasis is rare. Patients who present with isolated RLNM have an improved survival compared with patients who present with regional and distant metastasis at diagnosis. Synchronous RLNM with the primary tumor have a poorer outcome than metachronous RLNM in the absence of distant metastasis.
  Annals of Surgical Oncology 08/2004; 11(7):714-9. · 4.17 Impact Factor
• Article: Primary malignant tumors of the iliopsoas compartment.

  Kasim A Behranwala, Roger A'Hern, J Meirion Thomas
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  ABSTRACT: Primary malignant tumors of the iliopsoas compartment are rare entities that have been infrequently reported. We present our experience of iliopsoas malignancy to better characterize and define the natural history of this condition. Primary iliopsoas tumors occurring from January 1990 were identified from the Royal Marsden Hospital's (RMH) Sarcoma Unit prospective database. Nineteen malignant tumors (11 limited to the psoas muscle only, 1 involving only the iliacus muscle and 7 involving both the iliacus and psoas) of the iliopsoas compartment were evaluated and treated at the RMH during this period. Leiomyosarcoma (n = 5) and liposarcoma (n = 3) were the most frequent histologic types. There were 3 G1, 5 G2, 10 G3 tumors and grade could not be assessed in 1 patient. There were 17 T2 tumors and size was not available in 2 patients. Surgery was done in 14 patients (negative microscopic margins-7, positive microscopic margins-3, and positive gross margins-3 and the margin of excision was not known in 1 patient). Five of 14 surgically treated patients had local recurrence and 6 of 19 patients developed metastases. Ten patients died of their disease at a median follow-up of 12 months. The estimated 2 and 5 year survival rates were 44 and 23%, respectively. Tumors in this location have a poor prognosis due to the lack of early diagnosis, large size at presentation, multiple attachments of the psoas muscle, and being relatively surgically inaccessible.
  Journal of Surgical Oncology 06/2004; 86(2):78-83. · 2.10 Impact Factor
• Source

  Available from: Jeremy N Thompson

  Article: Small bowel gastrointestinal stromal tumours and ampullary cancer in Type 1 neurofibromatosis.

  Kasim A Behranwala, Duncan Spalding, Andrew Wotherspoon, Cyril Fisher, Jeremy N Thompson
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  ABSTRACT: Type 1 neurofibromatosis (NF-1) is an autosomal dominant disorder with variable penetrance; approximately 50% of cases present as new mutations We report a case of a 56 year-old man with Von Recklinghausen's disease, carcinoma of the ampulla of Vater and incidental benign gastrointestinal stromal tumours of the jejunum. Coexistence between ampullary carcinoid, ectopic pancreatic tissue in the jejunum and neurofibroma of the jejunum in NF-1 has been previously described however; the association of synchronous carcinoma of the ampulla of Vater and gastrointestinal stromal tumour of the jejunum in NF-1 has not been previously reported.
  World Journal of Surgical Oncology 02/2004; 2:1. · 1.12 Impact Factor
• Article: Division of the psoas tendon in the management of benign psoas tumors.

  Kasim A Behranwala, Joseph Meirion Thomas
  Journal of Surgical Oncology 11/2002; 81(2):105-7. · 2.10 Impact Factor
• Article: The Koebner phenomenon in a myocutaneous flap following immediate breast reconstruction.

  Kasim A Behranwala, Gerald P H Gui
  British Journal of Plastic Surgery 05/2002; 55(3):267-8. · 1.29 Impact Factor