Sherif Monib

Sherif Monib
West Hertfordshire Teaching Hospitals NHS Trust

MBBCh - MSc - MRCS - FEBS

About

122
Publications
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382
Citations

Publications

Publications (122)
Article
Full-text available
Background Vacuum-assisted breast biopsy (VABB) has recently been gaining more popularity as a modality to reach the final diagnosis, especially in indeterminate breast lesions, resulting in a decreased number of surgical interventions and unnecessary follow-ups. Objective While our primary aim was to look into the outcomes of the VABB technique,...
Article
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Background: Triple assessment of breast pathologies is a very important pathway to detect breast cancers earlier. Objectives: To ascertain the necessity of clinical-guided core biopsy (CGCB) or fine-needle aspiration cytology (FNAC) for investigating clinically indeterminate breast lesions with no significant imaging findings. Patients and Methods:...
Article
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Phyllodes tumours of the breast are rare fibroepithelial stromal tumours which are morphologically very different from epithelial breast cancer. Its diagnosis and management has always been challenging till the World Health Organization (WHO) divided it into two-three subtypes in 2003, only then it was found that incidence and management and follow...
Article
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Breast reconstruction operations have been on the rise over the last two decades; with recent advances in medical practice, different options of breast reconstruction have been readily available. However, it is challenging for patients to grasp the knowledge and digest differences, advantages, and disadvantages of each and every procedure to be abl...
Article
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Background: Sentinel lymph node biopsy (SLNB) after primary chemotherapy for node-positive breast cancer patients has been gaining popularity as part of the de-escalation of treatment. Aim: The 1 ry aim was to assess the surgical outcome of node-positive patients who received primary chemotherapy followed by SLNB. A 2 ry aim was to determine the ra...
Article
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Background With recent advances in different breast cancer treatment modalities, breast conservation surgery (BCS) has gained popularity and has become the mainstay for the treatment of early breast cancer. The model of dedicated breast surgeons working in breast units is standard in some but not all countries. We have aimed to define surgical outc...
Article
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Background Breast cancer (BC) risk increases with age; about a third of patients are diagnosed in age older than 70. Treatment of this age group remains a thorny issue leading to inferior outcome with lower survival rate compared to younger patients. Aim We aimed to evaluate performance status tools as well as the outcome of management of breast c...
Article
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Breast cancer (BC) risk increases with age; about a third of patients are diagnosed in age older than 65. Treatment of this age group remains controversial, leading to inferior outcomes with lower survival rates than younger patients. We aimed to evaluate performance status tools as well as the outcome of management of breast cancer in the geriatri...
Article
Background While arm lymphedema following breast cancer treatment is a common complication; breast lymphedema following treatment is not uncommon. Several risk factors were found to contribute to breast lymphedema, Aim We aimed to provide a systematic review to help avoiding or management of breast lymphoedema Method The search term 'breast lymph...
Article
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Lactating adenomas (LAs) are uncommon benign breast tumors that typically occur in the late pregnancy or lactation period and are among the most prevalent breast lesions during puerperium. They commonly present with a painless, rapidly growing, large, mobile breast lump either late in pregnancy or the postpartum period. Despite being a condition, a...
Article
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Background While arm lymphedema following breast cancer treatment is a common complication; breast lymphedema following treatment is not uncommon. Several risk factors were found to contribute to breast lymphedema, including axillary surgery, high BMI, increased bra cup size, adjuvant chemotherapy, locoregional and radiotherapy boost and upper oute...
Article
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Breast augmentation has been gaining popularity over the last two decades to correct congenital breast asymmetry or increase breast size and projection. Augmentation options started with saline implants, then silicone implants, and, recently, autologous fat transfer. Unfortunately, breast implants are not without complications, some of which are c...
Article
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Background In general, breast pain is one of the most common causes for referral to breast units; treatment-related breast pain is frequently seen in clinical practice but not well addressed in the literature. While our primary objective was to identify the incidence of persistent breast pain following breast-conserving surgery and possible risk fa...
Article
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Introduction: Breast cancer is considered the most common female cancer. As breast cancer incidence is well known to increase with age, screening programs in most countries stop inviting patients beyond the age of 70 years. Locally advanced breast cancer (LABC) is a clinical challenge with poor outcome as the majority of patients either have metast...
Article
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17 on behalf of the B-MaP-C study collaborative BACKGROUND: The B-MaP-C study aimed to determine alterations to breast cancer (BC) management during the peak transmission period of the UK COVID-19 pandemic and the potential impact of these treatment decisions. METHODS: This was a national cohort study of patients with early BC undergoing multidisci...
Article
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Mondor's disease is a rare, peculiar form of superficial thrombophlebitis which mainly affects the subcutaneous veins of the breast, anterior chest wall, neck, axilla, upper limbs and penis. In most cases, it presents with rapid development of a painful subcutaneous cord-like structure that later becomes less painful, but a fibrous band persists. U...
Article
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Background Radial margin status is considered one of the most important prognostic predictor for patients undergoing breast-conserving surgery (BCT), not only related to regional recurrence but also to 5y survival, especially in patients with invasive disease. Aim While our primary aim was to evaluate whether doing routine radial cavity shaves fol...
Article
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Introduction: Small bowel obstruction (SBO) is a condition with many well-recognized common causes and a distinct set of symptoms, including constipation, vomiting, and abdominal distension. Recent developments in both imaging modalities and minimally invasive techniques have meant that patients can be more appropriately selected for surgical inter...
Article
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Background Following the success of parathyroid autotransplantation, thyroid autotransplantation was introduced, aiming to avoid or reduce the severity of post-thyroidectomy hypothyroidism in noncompliant patients. Aim While our primary aim was to assess the survival and function of heterotopic autotransplanted thyroid tissue after total thyroidec...
Article
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An inguinal hernia is one of the most common surgical conditions accounting for both elective as well as acute admissions. Amyand’s hernia is a rare entity of inguinal hernia, which represents a very small percentage of all inguinal hernias. While in most cases it is an incidental finding encountered during routine repair of an inguinal hernia, in...
Article
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Inguinal hernia is probably one of the most common surgical conditions, with strangulation accounting for a good number of acute surgical admissions. It has always been known that direct hernias are less likely to strangulate due to wide hernial defects in comparison to indirect hernia. For that reason, some surgeons do not attempt repair of direct...
Article
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Gastrointestinal stromal tumours (GISTs) are considered the most common mesenchymal neoplasms of the alimentary tract, yet they account for only 0.2% of all gastrointestinal neoplasms. We are presenting a case of a 68-year-old gentleman who was diagnosed with a 250 mm jejunal GIST only when he presented with abdominal pain and fullness in the upper...
Article
Full-text available
Background While arm lymphedema following breast cancer treatment is a common complication; breast lymphedema following treatment is not uncommon. Several risk factors were found to contribute to breast lymphedema, including axillary surgery, high BMI, increased bra cup size, adjuvant chemotherapy, locoregional and radiotherapy boost and upper oute...
Article
Full-text available
We are presenting a case of a 54-year-old lady who was referred to us following a recent catastrophic incomplete excision done by a general surgeon (Figure 1) for a locally advanced right breast 62 mm invasive ductal carcinoma, grade III, estrogen and progesterone positive, Her2 negative disease, with no axillary procedure initially carried out. We...
Article
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Background: Hypocalcaemia is a common delayed complication after thyroidectomy. Several studies have identified risk factors and possible ways to prevent post-thyroidectomy hypocalcemia. The purpose of our study is to evaluate the effectiveness of an intraoperative methylene blue spray to identify parathyroid glands during thyroidectomy. Materials...
Article
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Abstract Background Solitary thyroid nodule (STN) is a well-documented entity. Autopsy data indicate a 50% prevalence of thyroid nodules >10 mm in patients without clinical evidence of thyroid disease. Prevalence of palpable nodules is 4-7%. Solitary thyroid nodules are often asymptomatic and found incidentally. Fine needle aspiration cytology is r...
Article
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Introduction: Adenocarcinoma of the fourth part of the duodenum is rare, and patients often present with a long history of non-specific symptoms, sometimes with advanced disease.
Preprint
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Background: Triple assessment of breast pathologies is a very important pathway to detect breast cancers earlier. Objectives: To ascertain the necessity of clinical-guided core biopsy (CGCB) or fine-needle aspiration cytology (FNAC) for investigating clinically indeterminate breast lesions with no significant imaging findings. Patients and Methods:...
Article
Full-text available
Introduction: Accidental foreign body ingestion is commonly encountered in clinical practice. Foreign bodies in the appendix are also well recognized but are very uncommon, as the majority of the ingested foreign bodies pass through the whole gastrointestinal tract without complications. Acute appendicitis due to a foreign body is a diagnostic dile...
Article
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Introduction Small bowel lipomas are rarely encountered benign adipose growths found within the small intestine wall or mesentery. Limited up-to-date evidence exists regarding such lipomas. We aim to aid clinical decision-making and improve patient outcomes through this comprehensive review. Methodology The terms ‘small bowel,’ ‘small intestine,’...
Article
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Objectives Clinically suspicious novel coronavirus (COVID-19) lung pneumonia can be observed typically on computed tomography (CT) chest scans even in patients with a negative real-time polymerase chain reaction (RT-PCR) test. The purpose of the study was to describe the CT imaging findings of five patients with negative RT-PCR results on initial a...
Article
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Chyle leak following axillary lymph node clearance is a rarely reported complication. We present a case of chylous leakage following axillary lymph node clearance, which was diagnosed on clinical grounds. Surgical re-exploration was undertaken due to ongoing high output. However, the chylous leak recurred post-operatively, if at a lower rate. The p...
Article
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Oncoplastic breast surgery combines the principles of surgical oncology and plastic surgery to achieve satisfactory cosmetic outcome without jeopardizing oncological safety. Despite innovations in surgical techniques, they were hardly evaluated. We have conducted a case series prospective analysis of 150 breast cancer patients who presented with pa...
Article
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Subungual squamous cell carcinoma (SCC) is a rare malignant tumour with an indolent course and unknown aetiology. It is usually misdiagnosed as a benign lesion, resulting in delayed treatment. Although psoriasis is not a precancerous skin condition, the treatment modalities cyclosporine and psoralen with ultraviolet A (PUVA) might increase the risk...
Article
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Background and objective Novel coronavirus 2019 (COVID-19) outbreak was first reported in Wuhan, Hubei Province in China in December 2019; it has then spread quickly and exponentially beyond the Chinese borders and is now regarded as a global pandemic. We aimed to evaluate the chest CT radiological characteristics and lesion distribution patterns i...
Article
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Its a letter to the editor and published in the Radiology journal under the blog section. It emphasizes high d-dimer positivity not necessarily associated with PE ( on CTPA) patients with confirmed Covid-19.
Article
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It is a letter to the editor regarding high d-dimer Covid -19 patients may not necessarily have PE's. In our small cohort, all RT-PCR patients with considerably high d-dimer did not have PE at all
Article
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Its about Covid - 19 CTPA findings "lack of PE in Covid-19 patients with high D-Dimer test never been reported before in the English literature"
Preprint
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This is a letter to the editor type manuscript submitted to the Radiology journal under review, not published. It's all about and unpublished our data showed high D-dimer test results on Covid-19 RT-PCR test positivity without PE on CT pulmonary angiographic studies. Our results are different from the published research letter article ( they picked...
Article
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Lactating adenomas are benign breast tumours which normally present in the peripartum period. Aetiology, pathogenesis, best diagnostic modality and management are not yet clear in the literature. We present a case of a 32-year-old pregnant patient who was re-referred to us with a progressively increasing left breast lesion, pre-existing prior to pr...
Presentation
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Article
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Breast foreign bodies are rarely reported. Most of these foreign bodies can stay asymptomatic for long time prior to presentation or diagnosis on screening mammograms; some can be harmless while others can lead to serious complications. We cared for a 51-year-old lady who was referred to the breast unit following a screening mammogram which reveale...
Article
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Scar placement has always been a bit of a concern for patients as well as surgeons; therefore, various periareolar oncoplastic techniques were introduced in an attempt to eliminate scars visibility, by limiting them to the periareolar region. Among these oncoplastic techniques, round block mammaplasty has recently been gaining more popularity. Roun...
Article
Background: Therapeutic mammaplasty (TM) may be an alternative to mastectomy, but few well designed studies have evaluated the success of this approach or compared the short-term outcomes of TM with mastectomy with or without immediate breast reconstruction (IBR). Data from the national iBRA-2 and TeaM studies were combined to compare the safety a...
Article
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Introduction: Chyle leaks following surgery to the axilla are seldom encountered with an incidence <0.7%. Management varies with no consensus in the literature. Injury to branching tributaries of the thoracic duct may require lengthy management at significant cost to patient and clinical team. This paper aims to provide an up-to-date review to sup...
Article
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Shingles is a very well-known viral infection caused by the varicella-zoster virus leading to painful skin rash. Although shingles can occur anywhere, it most often appears as a single stripe of blisters around the hypochondriac region. We are presenting a rare atypical presentation of shingles, as our patient presented with a picture of the acute...
Article
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Penile strangulation is a rare clinical entity which if left untreated can cause serious urogenital problems. We present the case of 45-year-old male patient who presented with penile strangulation after applying a metallic ring. Strangulation of the external male genitalia is a serious problem that requires urgent intervention in order to avoid se...
Presentation
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Article
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Current national guidance supports the use of either ultrasound-guided core biopsy (USCB) or ultrasound-guided fine needle aspiration cytology (USFNAC) to detect preoperatively axillary lymph node involvement in early breast cancer but does not support one over the other. To compare the accuracy of USFNAC to USCB in diagnosing axillary lymph node m...
Article
Full-text available
Current national guidance supports the use of either ultrasound-guided core biopsy (USCB) or ultrasound-guided fine needle aspiration cytology (USFNAC) to detect preoperatively axillary lymph node involvement in early breast cancer but does not support one over the other. To compare the accuracy of USFNAC to USCB in diagnosing axillary lymph node m...
Article
Full-text available
Nasogastric tubes (NGTs) have long been used for various indications, most commonly to decompress the stomach of its contents in intestinal obstruction or after abdominal surgery, to provide enteral feeding or to allow enteral liquid medication administration. Recently greater importance has been given to the correct placement NGTs to avoid serious...
Article
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Meckel’s diverticulum (MD) is a remnant of the omphalomesenteric duct attached to the small bowel. It is the most common congenital abnormality of the small intestine, occurring in approximately 2% of the population of whom 4% are symptomatic. We are presenting a case of invaginated Meckel’s diverticulum in a 32-year-old male who presented with rig...
Article
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When mammography screening programs are fully implemented, interval cancers comprise a substantial proportion of incident breast cancers. Interval cancers may have been overlooked at the last mammography examination or become apparent because they grew so rapidly that the detectable preclinical phase (sojourn time) was shorter than the screening in...
Article
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Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone is rare, only a handful of cases having been reported. Management is mainly surgical, but conservative treatment is occasionally appropriate....
Article
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Breast cancer is the most common cancer among females; while incidence of breast cancer increase with age, yet screening programs in most countries stop inviting patients beyond the age of 70 years. In spite all the efforts and resources geared for early detection of breast cancer, fungating locally advanced breast cancer remains a clinical challen...
Article
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Mammo occult breast cancer do occur but Mammographically and MRI occult breast cancer is extremly rare and to the best of our knowledge this is the first publihed case report occult on both modalities in English literature. This case report accepted in this form on 06.06.2019 and will be published soon.
Article
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Male genital tract angiomyofibroblastoma (AMF) is a rare benign tumour, with a total of 34 cases reported in literature. We are presenting a case of AMF of the glans penis in a 68-year-old man who presented with a progressively increasing in size large lesion located on the tip of his penis. Following routine investigations, the lesion was surgical...
Article
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Gallbladders have been reported in various ectopic locations. An intrahepatic gallbladder is one where the gallbladder lies within the liver parenchyma or has a subcapsular location along the anterior inferior right lobe of the liver. Intrahepatic gallbladders can have impaired function leading to the formation of gallbladder stones. We present the...
Technical Report
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Percutaneous endoscopic gastrostomy (PEG) has gained wide acceptance as a relatively safe and efficient method for long-term enteral nutrition. A rather unusual complication of PEG is the buried bumper syndrome (BBS) which was first reported in 1988. A buried bumper is associated with very serious complications, such as perforation of the stomach,...
Presentation
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Article
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Gallbladder perforation is a serious complication of acute calculous cholecystitis. We are presenting a case of a 79-year-old female with severe acute calculous cholecystitis complicated by type II Niemeier gallbladder perforation and sepsis which was managed with intravenous antibiotics, followed by cholecystectomy. The early diagnosis and aggress...
Article
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In addition to the most likely diagnoses for umbilical signs in adults (umbilical hernia, metastatic tumour, endometriosis, congenital abnormalities such as umbilical-urachal sinus and gallstones retained or spilled at the umbilicus), the differential diagnosis should also include epidermoid cyst arising from the skin of the umbilicus. We describe...
Article
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We present a case of a middle-aged Caucasian woman who developed acuteon top of chronic limb ischaemia secondary to thrombotic occlusion of a persistent sciatic artery (PSA). Timely investigation and treatment were instituted resulting in a favourable outcome. PSA is an uncommon congenital, developmental, arterial anomaly which can cause serious lo...
Article
Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on...
Preprint
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A case of a newly diagnosed calcified gallbladder cancer is presented, who had pre-existing porcelain gallbladder. Due to the advanced stage of the disease at presentation, the patient had a poor outcome. The investigation and management of gall-bladder carcinoma is discussed as well as the relationship with porcelain gallbladder. We conclude that...
Presentation
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Article
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Background Use of biological or synthetic mesh might improve outcomes of immediate implant-based breast reconstruction—breast reconstruction with implants or expanders at the time of mastectomy—but there is a lack of high-quality evidence to support the safety or effectiveness of the technique. We aimed to establish the short-term safety of immedia...
Article
Full-text available
A case of a newly diagnosed calcified gallbladder cancer is presented, who had pre-existing porcelain gallbladder. Due to the advanced stage of the disease at presentation, the patient had a poor outcome. The investigation and management of gall-bladder carcinoma is discussed as well as the relationship with porcelain gallbladder. We conclude that...