Howaida Elhakeem | University of Toronto (original) (raw)

Papers by Howaida Elhakeem

Research paper thumbnail of Pattern of skin cancer in Southwestern Saudi Arabia

Research paper thumbnail of Cytopathological pattern of cervical Pap smear according to the Bethesda system in Southwestern Saudi Arabia

Saudi medical journal, 2005

Cervical carcinoma is an important women's health problem worldwide. The aim of this study is... more Cervical carcinoma is an important women's health problem worldwide. The aim of this study is to evaluate the abnormal cytological entities detected by cervical Pap smear in Al-Baha region of KSA, to reclassify the cytological findings according to the recently recommended Bethesda system and to discuss the significance of Pap smear's screening programs. A retrospective study was designed to review the Pap smears from the archives of the Department of Pathology, King Fahad Hospital, Al-Baha over the last 10 years starting from 1994 to 2003 with correlation to the Bethesda system. Cytopathological aspects of Pap smears were reviewed with age distribution. Of the 2100 cases reviewed there were 166 cases (7.9%) with epithelial abnormalities that included: atypical squamous cells of undeterminate significance (ASCUS) were seen in 58 cases (2.76%) with age peak incidence (API) between 30-39 years; atypical squamous epithelium, cannot exclude high squamous intraepithelial lesion (...

Research paper thumbnail of Pattern of skin cancer in Southwestern Saudi Arabia

Saudi medical journal, 2004

Skin cancer is a common malignant neoplasm in the Kingdom of Saudi Arabia (KSA) and it is the mos... more Skin cancer is a common malignant neoplasm in the Kingdom of Saudi Arabia (KSA) and it is the most common malignant neoplasm in Al-Baha area. This study was performed to determine the pattern of skin cancers seen at King Fahad Hospital, Al-Baha, KSA. Histologically diagnosed skin cancers, seen between 1990 and 2003, were reviewed and analyzed according to age, gender, race and site of distribution. Of a total of 193 patients, there were 79 (41%) cases of basal cell carcinoma (BCC), 56 (29%) cases of squamous cell carcinoma (SCC) and 34 (18%) cases of Kaposi's sarcoma. Malignant melanomas represent 4.1% of the cases. The male to female ratio for all cancer was 1.6:1. The peak age distribution was in the 70-80-year group. The most common site involved in BCC was the head and neck (90%) and in Kaposi's sarcoma were the lower limbs (59%). Acral distribution of malignant melanoma was seen in 62% cases. The most common skin cancers seen are BCC and SCC followed by Kaposi's sar...

Research paper thumbnail of Pancreatic heterotopia in the gallbladder associated with chronic cholecystitis: a rare combination

JOP : Journal of the pancreas, 2010

Pancreatic heterotopia is a rare pathologic entity, previously reported in the stomach, duodenum ... more Pancreatic heterotopia is a rare pathologic entity, previously reported in the stomach, duodenum and jejunum. It is mostly asymptomatic and rarely gives rise to complications. Localization of pancreatic heterotopia in the gallbladder is extremely rare and can be associated with cholecystitis or cholecystolithiasis. We herein describe a case of a 39-year-old man who presented with biliary type pain with ultrasonographic evidence of a gallbladder polyp. Laparoscopic cholecystectomy was performed with uneventful recovery. Pathologic examination of the gallbladder detected a heterotopic focus of pancreatic tissue in its wall, associated with chronic cholecystitis with no gallstones. Pancreatic heterotopia of the gallbladder is a very rare entity with unknown clinical significance. Awareness of this condition may facilitate its recognition which may shed more light on its clinical significance.

Research paper thumbnail of Pattern of skin cancer in Southwestern Saudi Arabia

Research paper thumbnail of Cytopathological pattern of cervical Pap smear according to the Bethesda system in Southwestern Saudi Arabia

Saudi medical journal, 2005

Cervical carcinoma is an important women's health problem worldwide. The aim of this study is... more Cervical carcinoma is an important women's health problem worldwide. The aim of this study is to evaluate the abnormal cytological entities detected by cervical Pap smear in Al-Baha region of KSA, to reclassify the cytological findings according to the recently recommended Bethesda system and to discuss the significance of Pap smear's screening programs. A retrospective study was designed to review the Pap smears from the archives of the Department of Pathology, King Fahad Hospital, Al-Baha over the last 10 years starting from 1994 to 2003 with correlation to the Bethesda system. Cytopathological aspects of Pap smears were reviewed with age distribution. Of the 2100 cases reviewed there were 166 cases (7.9%) with epithelial abnormalities that included: atypical squamous cells of undeterminate significance (ASCUS) were seen in 58 cases (2.76%) with age peak incidence (API) between 30-39 years; atypical squamous epithelium, cannot exclude high squamous intraepithelial lesion (...

Research paper thumbnail of Pattern of skin cancer in Southwestern Saudi Arabia

Saudi medical journal, 2004

Skin cancer is a common malignant neoplasm in the Kingdom of Saudi Arabia (KSA) and it is the mos... more Skin cancer is a common malignant neoplasm in the Kingdom of Saudi Arabia (KSA) and it is the most common malignant neoplasm in Al-Baha area. This study was performed to determine the pattern of skin cancers seen at King Fahad Hospital, Al-Baha, KSA. Histologically diagnosed skin cancers, seen between 1990 and 2003, were reviewed and analyzed according to age, gender, race and site of distribution. Of a total of 193 patients, there were 79 (41%) cases of basal cell carcinoma (BCC), 56 (29%) cases of squamous cell carcinoma (SCC) and 34 (18%) cases of Kaposi's sarcoma. Malignant melanomas represent 4.1% of the cases. The male to female ratio for all cancer was 1.6:1. The peak age distribution was in the 70-80-year group. The most common site involved in BCC was the head and neck (90%) and in Kaposi's sarcoma were the lower limbs (59%). Acral distribution of malignant melanoma was seen in 62% cases. The most common skin cancers seen are BCC and SCC followed by Kaposi's sar...

Research paper thumbnail of Pancreatic heterotopia in the gallbladder associated with chronic cholecystitis: a rare combination

JOP : Journal of the pancreas, 2010

Pancreatic heterotopia is a rare pathologic entity, previously reported in the stomach, duodenum ... more Pancreatic heterotopia is a rare pathologic entity, previously reported in the stomach, duodenum and jejunum. It is mostly asymptomatic and rarely gives rise to complications. Localization of pancreatic heterotopia in the gallbladder is extremely rare and can be associated with cholecystitis or cholecystolithiasis. We herein describe a case of a 39-year-old man who presented with biliary type pain with ultrasonographic evidence of a gallbladder polyp. Laparoscopic cholecystectomy was performed with uneventful recovery. Pathologic examination of the gallbladder detected a heterotopic focus of pancreatic tissue in its wall, associated with chronic cholecystitis with no gallstones. Pancreatic heterotopia of the gallbladder is a very rare entity with unknown clinical significance. Awareness of this condition may facilitate its recognition which may shed more light on its clinical significance.