This report presents a rare case of late-presenting CDH with herniated appendix along with caecum, ascending colon and transverse colon. Unusual presentation of chest pain was due to an attack of acute appendicitis. Late-presenting CDH is a very intriguing defect with a wide spectrum of clinical manifestations. It should be suspected in cases of unexplained acute or chronic respiratory or gastrointestinal symptoms, and abnormal chest radiographic findings. The prognosis is favorable with correct diagnosis and prompt surgical repair.
Phyllodes tumor are fibroepithelial lesions accounting for less than 0.5% of female breast tumors. They are known to recur locally in upto 19% of patients. Surgery is the mainstay of the treatment and inadequate local excision has been associated with local recurrence. The aim of this study is to prevent local recurrence in a post operative case of recurrent phyllodes tumor of breast, with histopathology report suggestive of atypical ductal hyperplasia. We present a 23 year old nulliparous female with recurrence of malignant phyllodes tumor who underwent mastectomy, following which there are no signs of recurrence till date.
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