Sarcomas of the genitourinary tract are extremely uncommon and accounts for only 1-2% of genito urinary malignancies. Sarcomas of the para testicular region, comprising tissues such as the epididymis, spermatic cord, inguinal canal and testicular tunica are also extremely rare. epidydimal leiomyosarcoma accounted only for 4 percentage of all para testicular tumours and only 16 cases are reported so far in literature and they account 4% of all Para testicular sarcomas. We are presenting a 61-year-old patient presented with a hard welling of 1 year duration, with no other associated symptoms. On ultrasound evaluation, it was reported as extra testicular lesion, possibly from epididymal tail. We performed a high inguinal orchidectomy. Histopathological examination revealed a para testicular leiomyosarcoma arising from epididymis. This case has discussed because of the rarity of the disease and possible cure if diagnosed early and treated aggressively.
Bilateral Chylothorax following neck dissection is an extremely rare complication. We report a case of bilateral chylothorax detected after neck dissection for carcinoma of lower alveolus. A 61 year Indian female underwent wide excision with segmental mandibulectomy with comprehensive neck dissection for carcinoma of left lower alveolus clinically staged T4N0. Evaluated for dyspnea in post operative period, she was found to have bilateral chylothorax that was managed conservatively. This case report presents potentially life threatening complication following neck dissection that often responds to non surgical management.
Background: Desmoid tumors (aggressive fibromatoses) are rare soft tissue tumors seen in abdominal and chest regions. We report a patient with a rare significantly larger desmoid tumor of the chest wall with bone encasement and diaphragmatic involvement. Case Report: We are reporting a 25-year-old lady who presented with complaints of pain and swelling over right lower chest since last 2 years. MRI and Trucut biopsy revealed it to be a spindle cell neoplasm. Histopathological and immunohistochemistry following wide surgical excision revealed it to be a desmoid tumor. Conclusion: This case is discussed because of the rarity of desmoid tumors of the chest wall, complexity of rib and diaphragmatic involvement and surgical challenges.
Hyperparathyroidism may rarely present as Brown tumor of maxilla, which at times is difficult to differentiate from malignancy. In situations, where multiple biopsies are inconclusive for malignancy, a high index of suspicion should be there to rule out hyperparathyroidism. Morbid surgery of maxilla is not to be done in such a scenario.
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