In general Swelling over sublingual regions will be provisionally diagnosed as Dermoid cyst / Ranula / Mucous retention cyst / Salivary gland tumours. But in rarest of rare cases, there may be chances of a Hydatid cyst. Hydatid disease or Echinococcosis is a zoonotic disease caused by Echinococcus granulosus as seen in this 29years old female with swelling over the sublingual region extending into the neck. Clinically appeared as dermoid cyst and radiological investigations suggestive of the possibility of ranula, so planned for surgery but surprisingly on table after opening the swelling there was a tough brous layer with underneath thick whitish lamellated membrane, anticipated as hydatid cyst which was also conrmed by the histopathological report.
Mucocele of appendix is a rare disease and its correct diagnosis before surgery is very important for the selection of adequate surgical treatment. If mucocele is treated incorrectly pseudomyxoma peritonei, which is characterized by a malignant process, may develop. We present a case of a 55 year old male patient who was admitted with mass per abdomen, initially diagnosed as mesenteric cyst on ultrasonography, later found to be a mucocele of appendix on contrast enhanced computed tomography. Open surgery was performed and a cystic mass of appendix with dimensions 8x3cms was noted. Appendectomy was done along with 0.5cm of adherent cecal wall all around and cecum was closed by primary repair. Histopathology of the specimen conrmed the diagnosis and post operative period was uneventful.
Malignant eccrine poroma is a rare malignancy of eccrine glands , whose diagnosis is an index of high suspicion and challenging to a clinician. A case of 67 year old female with swelling over left cheek since 20 years with no radiation exposure and no comorbidities , was investigated and wide local excision with 5mm margins from the tumor was performed , and specimen sent for biopsy - which revealed tumor cells arranged in lobules with peripheral palisading , ductal and squamous differentiation - suggestive of Porocarcinoma.Wide surgical excision is the mainstay of treatment, resulting in cure rates of 70–80% when the margins are clear. Some studies also reported good outcomes with Mohs micrographic surgery, and this technique could also be considered 1. Other treatments such as chemotherapy and radiotherapy have also been reported in the literature without clear standard guidelines.
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