Unusual site metastasis as a presenting complaint of renal cell carcinoma (RCC) has been reported previously in the literature. RCC is a tumor with notoriously unpredictable behavior. The authors report an unusual case of metachronous bilateral testicular metastasis in a patient who operated for RCC. The case highlights the unique behavior of RCC with an unusual site of metastasis. A 72-year-old patient presented with bilateral scrotal swelling of 1-month duration. There was a history of left radical nephrectomy for RCC 4 years prior. He underwent a bilateral high inguinal orchidectomy and diagnosis of chromophobe RCC was made on histopathological examination.
We report a case of a 44-year-old female with aggressive angiomyxoma arising from right labia majora. The patient presented with a gradually enlarging vulvar mass and was treatment included wide local excision of the mass with R0 resection. Pre operative and final histopathology was consistent with features of aggressive angiomyxoma. Angiomyxoma is a rare, benign, locally infiltrative mesenchymal tumor that occurs in females at reproductive age. Repeated recurrence and locally invasive characteristics of the tumor makes it important to be considered as a part of the differential diagnosis especially in cases of pelvic mass in females.
Abstract:Amyand's hernia, defined as an inguinal hernia with appendix as the content of hernial sac, is a exceedingly rare disease, reported in 1% of cases of inguinal hernia repair. The appendix can be normal or inflamed and acute appendicitis is seen in 0.13% of cases. We hereby report two cases of Amyands hernia which were treated at ESI hospital PGIMSR, Delhi highlighting the fact that rather than simply being an anatomical curiosity, Amyands hernias require individualized attention to decide how to manage both the appendix and the hernia. First case was admitted in emergency as strangulated hernia. Inflamed appendix was noted intraoperatively as hernial content for which appendectomy and herniotomy was done. Our second case was worked up as routine case of right congenital hernia and after seeing the content of hernia sac as appendix, appendix was pushed back and herniotomy was done.
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