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Ectopic breast tissue may be affected by the same diseases and alterations that affect topical breast tissue. Nevertheless, reports of fibroadenoma of the axilla are rare. OBJECTIVETo describe a case of fibroadenoma in an axillary ectopic breast tissue. CASE REPORTA 21 yrs. old woman presented with mass in left axilla since 1 yr., which was gradually increasing in size and not associated with menstrual cyclical disturbance. O/E: Lump of size 4×3 present in left axilla, mobile and non-tender. Breast USG and mammography was reported normal. HPE revealed findings consistent with fibroadenoma.

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Background: Endoscopic endonasal approach (EEA) and keyhole transcranial approaches are being increasingly used in anterior skull base meningioma (ASBM) surgery. Objective: We compare tumor resection rates and complication profiles of EEA and supraorbital key hole approach (SOKHA) against conventional transcranial approaches (TCA). Methods: Fifty-four patients with ASBM [olfactory groove (OGM), n=19 and planum sphenoidale/tuberculum sellae (PS/TSM), n=35) operated at a single centre over 7 years were retrospectively analyzed. Results: The overall rate of GTR was higher in OGM (15/19, 78.9%) than PS-TSM group (23/35, 65.7%, p=0.37). GTR rate with OGM was 90% and 75% with TCA and EEA. Death (n=1) following medical complication (TCA) and CSF leak requiring re-exploration (n=2, one each in TCA and EEA) accounted for the major complications in OGM. For the PS/TSM group, the GTR rates were 73.3% (n=11/15), 53.8% (n=7/13) and 71.4% (n=5/7) with TCA, EEA and SOKHA respectively. Seven patients (20%) of PS-TSM developed major postoperative complications including 4 deaths (one each in TCA, SOKHA and 2 in EEA group) and 3 visual deteriorations. Direct and indirect vascular complications were common in lesser invasive approaches to PS-TSM especially if the tumor has encased intracranial arteries. Conclusions: No single approach is applicable to all ASBMs. TCA is still the best approach to obtain GTR but has tissue trauma related problems. SOKHA may be a good alternative to TCA in selected PS-TSMs while EEA may be an alternate option in some OGMs. A meticulous patient selection is needed to derive reported results of EEA for PS-TSM.

Papillary glioneuronal tumors are rare neoplasm, accounting only <0.02% of all intracranial tumors. They are generally low grade usually occur in the temporal lobe near the third ventricle. We report an extremely rare case of intraventricular tumor with a high proliferation index. CD 117 expression found in our case is the first study to the best of our knowledge to be described in these tumors. The clinical and diagnostic significance of this finding is subject to further studies.

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A Salivary Duct Carcinoma (SDC) is an uncommon high grade, aggressive malignant with high rate of recurrence having frequent perineural and lymphovascular invasion. Salivary duct carcinoma accounts for 1% to 3% of all malignant salivary gland tumours. About 200 cases have been reported in the English literature. Histologically SDC is similar to a breast ductal carcinoma. Due to rarity of this malignancy, no consistent therapeutic concept and protocol is available in literature. However, total parotidectomy with neck dissection and adjuvant radiotherapy appear to be appropriate treatment for a salivary duct carcinoma.

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