Solid pseudopapillary neoplasm (SPN) is an extremely rare tumor with low malignant potential which is generally located in the tail of the pancreas. The prevalence of SPN has increased with the recent advancement in radiological imaging. CECT abdomen and Endoscopic ultrasound-FNA are excellent modalities in preoperative diagnosis. Surgery is the main treatment modality of choice and a successful R0 resection is curative. We present a case of solid pseudopapillary neoplasm and included a summary of the current literature to provide a reference for the management of this rare clinical entity.
Schwannoma is a tumor of soft tissue originating from Schwann cells that rarely appears in the retroperitoneum. Presentation depends on the site of disease leading to mostly pressure symptoms, sometimes with distal manifestations. Because of its complex location, it has varied presentations and is always a diagnostic dilemma. We reported a rare case of retroperitoneal schwannoma having mild difficulty in walking due to flexion deformity of left hip joint as the only initial presenting symptoms. Following imaging studies, a retroperitoneal mass was found. Partial excision of the tumor was performed, with the histology finding consistent with the retroperitoneal schwannoma. Patient was followed up for the last 2 years and had no evidence of recurrence.
Isolated diaphragmatic injury in blunt trauma occurs acutely and can be associated with other life-threatening organ injuries. A sudden increase in abdominal pressure causes injury in the membranous or muscular part of the diaphragm. Isolated left diaphragmatic injury after blunt trauma is rarely seen, its diagnosis can be overlooked frequently. Early diagnosis is the most important step in the treatment thereby reducing morbidity and mortality. The most critical point during the diagnosis is the suspicion for clinical diaphragm injury like respiratory distress. Single or serial plain chest radiographs with a high index of suspicion are diagnostic in most cases. Computed tomography of the abdomen and thorax can be a guide for identifying the size of diaphragmatic injury and the contents. In this case report, we presented an isolated left side diaphragmatic rupture after blunt abdominal trauma and treated with an urgent surgical operation.
Differentiated thyroid cancer make up the vast majority of thyroid cancers with papillary thyroid cancer representing 84% of all thyroid cancer diagnoses. Papillary carcinoma of the thyroid presenting primarily as lateral neck swelling is rare. In the absence of thyroid swelling further evaluation should be done to exclude the primary tumors of scalp and head and neck region. Diagnosis of this condition is made by ultrasound guided FNAC. Surgery is the main treatment modality of choice. Here, we reported a case of an adult female who presented with isolated cervical lymphadenopathy and FNAC revealed metastatic papillary carcinoma of thyroid. Total thyroidectomy with central and posterolateral cervical neck dissection was done, with histology confirming as papillary thyroid carcinoma with local lymphnode metastasis.
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