The primary breast lymphoma (PBL) is a rare manifestation of extranodal non-Hodgkin's lymphoma. The clinical features are indistinguishable to that of breast carcinoma. They usually do not have characteristic clinical and imaging findings. The preoperative diagnosis of PBL is difficult and the diagnosis is based on biopsy and immunohistochemical staining. Diffuse large B-cell lymphoma is the most common histological diagnosis. We retrospectively analyzed four cases of PBL who attended at our center, between 1997 and 2019 and discussed to determine the common clinical features and therapy. These cases were originally treated by chemotherapy, that is, rituximab-cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP/CHOP) or combined chemotherapy and radiotherapy and had recurrence in the central nervous system (CNS). Due to the high incidence of CNS involvement in these patients, many authors strongly believe that patients with aggressive forms of PBL should receive CNS prophylaxis, even in the early stages, as this may improve the outcome and significantly reduce the risk of a CNS relapse.

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Background: The rate of twin's births continues to increase and the number of higher order multiple births has plateaued. Twin pregnancies are associated with a variety of maternal and fetal complications several studies suggest that twin gestation imposes greater demands on the maternal physiological system than do singleton pregnancies. The aim of this study to maternal and perinatal outcome of twin pregnancies at our institution. Materials & Methods: The study was undertaken in 180 patients with twin pregnancies attending the Jay Kay Loan Hospital attached to Govt. Medical College, Kota during October 2011 to September 2013 time period. Ante partum, intrapartum, postpartum complications were noted. Data was analyzed using Microsoft excel and SPSS v 16 software. Results: In present study observed that out of 140 cases of 1 st twin presenting as vertex there were 27 (19.28%) perinatal deaths whereas out of 116 cases of 2 nd twin presenting as vertex there were 26 (22.41%) perinatal deaths. Apart from preterm labor patients needed preterm induction/caesarian section for other obstetric or medical reasons hence the total no. of preterm deliveries was 82.21%. Conclusion: Antenatal care needs to be further improved so that all pregnant women are covered. However bigger and multi centric trails are needed to compare the outcome after vaginal delivery and caesarian section.

BACKGROUNDA 25-year-old female with 34 weeks' gestation and intestinal obstruction was diagnosed to have paraduodenal hernia during laparotomy. Paraduodenal hernia is a congenital anomaly where the small intestine is trapped in the internal hernial sac. Only if high suspicion is kept in mind, this rare entity may be diagnosed preoperatively. All modern imaging modalities including USG, CT scan and MRI suggest only intestinal obstruction along with gravid uterus.