Pilomatricoma is a benign, uncommon, subcutaneous tumor arising from the outer root sheath cell or hair matrix cells. Pilomatrixoma, benign calcifying epithelioma of Malherbe, trichomatricoma are synonyms for pilomatricoma. They occur mostly on head, neck and upper limb extremities. Histologically they classically consist of peripheral basiloid cells and central enucleated ghost or shadow cells. Malignant changes are rare in pilomatricomas. However, the proliferative variety is aggressive and considered to be precursor of malignancy. Here we present a case of benign proliferative pilomatricoma over sternum for which the patient underwent wide local excision, diagnosis was later confirmed by histopathological examination. We have not come across any cases of pilomatricoma occurring over sternum in literature.
Unlike other gastrointestinal neoplasms, small bowel tumours are often rare. Of this, leimyosarcoma of jejnum is extremely uncommon. Most of these patients are asymptomatic however in few cases may present with acute presentation such as intestinal obstruction, bleeding and perforation. A 35 years old female presented to the hospital with complaints of pain and vomiting. On palpation, an irregular 21x18cms lump with variable consistency and irregular borders which was intraabdominal and intraperitoneal. CECT revealed heterogenous, hypoechoic mass extending from epigastric to hypogastric region with probable diagnosis of mesenchymal tumour (probably GIST/LEIOMYOSARCOMA), however exact site of origin couldn’t be traced. Patient underwent exploratory laprotomy, 25x20cms irregular mass arising from jejunum was resected and sent for histopathological examination. HPE and immunohistochemistry revealed grade 3 leiomyosarcoma.
The term ‘liposarcoma’ refers to a spectrum of neoplastic lesions that can be benign to malignant and likely to recur or metastasize. Liposarcoma is a common soft tissue sarcoma found in adults and occurs mostly in extremities especially thigh followed by retroperitoneum. Here we present a case of spindle cell variant of well differentiated liposarcoma of mesorectum and underwent Anterior resection for the same. The treatment of choice for liposarcomas of retroperitoneum remains debatable and there are no clear-cut guidelines available regarding the same. However, considering the higher rates of local recurrence we advise a complete surgical excision following anatomical principles.
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