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A BSTRACT Introduction: Intramedullary lipomas are rare, representing 1% of spinal cord tumors. There are less than 25 case reports about cord lipoma extending into brain. Due to paucity of literature, etiology and management are not well established. Case report: A 14-month-old baby girl was brought with complaints of torticollis toward right side, left upper limb monoplegia, and swallowing difficulty for 6 months. Magnetic resonance imaging brain and spine confirmed the diagnosis of cervicothoracic intramedullary lipoma extending till pontomedullary junction, invading subcutaneous fat. She underwent partial resection of lesion along with decompression. The recovery was good. Conclusion: Such lipoma needs extensive pre-, intra-, and postoperative planning. The goal should be decompression, rather than excision. Outcome is good with partial resection.

Background: Craniofacial fibrous dysplasia (FD) is a benign lesion. It presents as bony swelling. Even after complete excision, it has a tendency to recur due to some residual lesion in normal bone. Recurrence at same site is common, but it recurs in bone. We are reporting a rare case of recurrent FD engulfing titanium mesh. Case Description: A 22-year-old girl, who underwent frontal FD excision and reconstruction using titanium mesh surgery 2 years back, came with complaint of progressive bony swelling at same site for 1 year. CT head confirmed bony lesion involving mesh, frontal air sinus. She underwent complete excision of lesion and cranioplasty using bony cement. Biopsy confirmed recurrence of FD and invasion of titanium mesh. Conclusion: Recurrence of FD, involving cranioplasty titanium mesh, is extremely rare. It suggests local invasiveness of lesion. Recurrence can be prevented by excision of lesion with free bony margins.

Lymphadenopathy is of great clinical significance as underlying diseases may range from a treatable infectious etiology to malignant neoplasms. In fact, it is also essential to establish that the swelling in question is a lymph node. Fine Needle Aspiration Cytology (FNAC) plays a vital role in solving these issues, nowadays being recognized as a rapid diagnostic technique because of its simplicity, cost effectiveness, early availability of results, accuracy and minimal invasion. This study was conducted to evaluate the usefulness of FNAC as a diagnostic tool in the management of patients with superficial lymphadenopathy. The study was also carried out to know the distribution of various lesions among the different age groups. The present randomized study was undertaken to study cytological features of non-neoplastic and neoplastic lesions of enlarged lymph nodes by FNAC in 182 patients presenting with lymphadenopathy in the Maharaja Agrasen Medical College, Agroha village over a period of one year from January to December 2011. There were 100 male and 82 female patients with an age range of 1-70 years. Tuberculous lymphadenitis, reactive hyperplasia, metastatic carcinoma, suppurative lymphadenitis and lymphomas were seen in 35.7%, 31.3%, 20.3%, 9.9% and 2.7% respectively. Reactive hyperplasia was seen most often (60%) in first two decades of life, 58.9% tuberculous lymphadenitis in the second and third decades (66%) and incidence of metastatic carcinoma are high during and after 40 years of age. Cervical lymph nodes were involved in all types of lymphadenopathy. Metastatic lesions of lymph nodes were seen to be more common in males. Squamous cell carcinoma is the most common metastatic lesion.