HighlightsNodular Fasciitis, also known as infiltrative or pseudosarcomatous fasciitis, is a benign soft tissue tumour of fibroblastic/myofibroblastic differentiation.Magnetic Resonance Imaging was done and showed an irregular mass in the right axilla in the muscular- subcutaneous plane measuring 10.8 × 8.8 × 12 cm.Positive staining with alpha smooth muscle actin(SMA) is a feature of nodular fasciitis suggesting a myofibroblastic differentiation and less possibility of a sarcoma.Treatment options include, observation, as spontaneous regression has been reported, intra-lesional steroid or wide local excision.Magnetic Resonance Imaging along with histopathology and immunohistochemistry are key to diagnosis.
HighlightsEsophageal Tuberculosis accounts for only 2.8% of all cases of Gastrointestinal Tuberculosis.Upper gastrointestinal endoscopy revealed an ulcerative growth in the distal esophagus.Dysphagia is the commonest presenting feature of esophageal tuberculosis.Histopathology and TB-PCR are the key to confirm the diagnosis.
Colorectal neuroendocrine tumors are rare entities, with large cell neuroendocrine carcinomas occurring less frequently. We report a case of an 83-year-old male who presented with symptoms of intestinal obstruction. A computed tomography scan of the abdomen and pelvis revealed a high-grade large bowel obstruction secondary to an irregular exophytic soft tissue mass within the ascending colon, with extensive metastatic disease. He subsequently underwent a right hemicolectomy. Histologic evaluation revealed large cell neuroendocrine carcinoma of the colon. Standardized treatment modalities have not been established; however, chemotherapy is often used as the first-line or adjuvant therapy with surgery. Unfortunately, our patient succumbed to postoperative complications on day 30 of the hospital stay.
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