Cystic neoplasm of pancreas ,a unique entity is gaining its importance due to increased incidence of it's diagnosis .The increased frequency of the diagnosis can be attributed to the heightened usage of the cross sectional imaging such as Computed Tomography ( CT ) and Magnetic Resonance Imaging ( MRI ) .However elucidating the malignant potential of those cysts in a pre operative imaging still remains a challenge and thus a line of demarcation between surveillance and surgery is still undetermined.The differentiation between a serous and mucinous cyst is possible to a certain extent with cross sectional imaging. Mucinous cystic neoplasm carries a high malignant potential compared to the serous neoplasms and hence augmented tissue sampling is required to ascertain malignant potential. Herein presenting a 43 year old female who presented with vague abdominal pain and incidental finding of cystic lesion of the pancreas in Ultrasonography diagnosed with mucinous cystic neoplasm of pancreas in further followup
Primary lymphoma of the colon ,a not so surgical entity at times can be one of the differential diagnosis of the Right Iliac Fossa mass. Lymphoma of the gastrointestinal tract are more commonly seen in stomach , small intestine followed by large intestine . Among large intestine it is more commonly seen in caecum followed by rectum and ascending colon . The clinical significance lies in the rarity of these conditions and mimicking a adenocarcinoma colon. So high index of suspicion is required in diagnosing these conditions preoperatively and guiding in the right path of management . Lymphoma can be of their B cell or T cell origin . B cell lineage are the most commonly occuring entity accounting for 90% ;of which Diffuse Large B cell Lymphoma and MALToma are most common .Hereby presenting a case of 74 year old female who presented with Right iliac fossa mass and loss of weight posing a diagnostic challenge preoperatively and turned out to be a Primary Lymphoma of the colon in Post op Histopathology
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