Cavernous hemangiomas occur frequently in the intracranial structures but they are rare in the spine, with an incidence of 0.22 cases/million/year, which account for 5 -12% of the spinal vascular lesions, 51% of which are extradural. Most of the epidural hemangiomas are secondary extensions from the vertebral lesions. The spinal cavernous hemangiomas which do not involve the vertebrae are referred to as "pure" types. The pure epidural hemangiomas are rare, which account for only 4% of all the epidural lesions.A case of a Pure spinal epidural cavernous hemangioma in a 50 year old male, with the clinical picture of a slowly progressive compressive myelopathy, has been presented here.The imaging studies showed a well-defined, enhancing epidural lesion at the T7 -T8 level, with dorsal cordedema and myelomalacic changes. A radiological diagnosis of a meningioma was considered. Histopathologically, the lesion was diagnosed as a hemangioma. The patient improved dramatically after the excision of the lesion. CASe RepoRTA 50 year old male presented with a history of progressive weakness in both the lower limbs since 1 year. He also complained of inability in walking, lifting or appreciating sensations in the lower limbs, as well as loss of the bowel and bladder control. The general examination revealed no significant abnormalities. A detailed Central Nervous System (CNS) examination showed no neurological deficit in the upper limbs. The lower limbs were flaccid, with a reduced bulk and a power of grade 1/5. A loss of sensation was observed upto the groin crease. An examination of the spine revealed no tenderness or deformity. The systemic examination showed no abnormality. The routine haematological investigations showed mild anaemia. Magnetic Resonance Imaging (MRI) of the dorsal spine showed a well-defined, oval, enhancing lesion which measured 4.4 x 1.3 x 2.0 cm, in the posterior epidural compartment, at the T7 -T8 level, with dorsal cord oedema and early myelomalacia. The lesion was homogenously iso-intense in the T1 images and it was hyperintense in the T2 images, with effacement of the subarachnoid space posteriorly. The spinal cord showed mild extension into the neural foramina. The radiological diagnosis which was offered was meningioma [Table/ Fig-1].The patient underwent laminectomy from the T7-T8 level. Peroperatively, an epidural reddish brown mass which measured 6x2 cm at the T7-T8 level, with no dural attachment, or spinal extension or bony involvement, was observed. The excised mass was subjected to a histopathological examination.the histopathological examination findings were as follows: The gross examination of the specimen showed a single, brownish black, soft tissue mass which measured 3.5 x 1.5 x 0.5 cm. The cut section showed a brown black colour with a spongy appearance. The microscopic examination showed a benign tumour which was composed of vascular spaces of variable sizes, with fibrocollagenous walls which were lined by a single layer of flattened endothelial cells. The lumina containe...

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Primary neuroendocrine (NE) carcinoma of the male breast is very rare. NE breast cancers encompass a heterogeneous group of tumors exhibiting morphological features similar to those of NE tumors of the gut and lung. They express one or more NE markers in at least 50% of the tumor cells. They are rare lesions representing about 2-3% of all breast cancers and more frequently affecting elderly patients. The present case report deals with a NE breast carcinoma in an 80-year-old male who presented with a right breast mass and axillary lymphadenopathy. The cytological features were suggestive of NE carcinoma. A thorough clinical evaluation helped confirm the primary nature of the tumor. The histopathology and immunohistochemistry helped confirm the cytological diagnosis. The histogenesis and prognostic implications of this rare breast tumor with predominant NE differentiation, unusually occurring in a male, is discussed here.