Background: Most diseases of the breast present as a palpable mass. The majority of breast lesions are not malignant, and most benign lesions do not progress to cancer; however, the accuracy of diagnosis can be increased by a combination of preoperative tests like physical examination, mammography, fine-needle aspiration cytology (FNAC), and Trucut needle biopsy (TGNB) or core needle biopsy (CNB). FNAC has grown in popularity and became the first initial used procedure after history taking and clinical examination for diagnosis of solid and cystic breast lumps. This study was designated to investigate the accuracy of FNAC in comparison to TCNB for diagnosis of breast masses, Design: Retrospective Study.Methods: In this study, 62 patients having breast lumps were studied during the period from January 2014 to January 2017 in terms of FNAC and Trucut Biopsy and were compared with tissue diagnosis. Variables like age, marital status, duration, size, menstrual status and site were analyzed using statistical analysis.Results: Out of 62 patients with breast lump, 32 were diagnosed with Benign Breast lesions, and 30 with malignant lesions. Sensitivity of FNAC and TRUCUT biopsy were 84.34% and 97.1% respectively. TRUCUT was more accurate when compared to FNAC.Conclusions: Both FNAC and Core Needle Biopsy are complimentary to each other and are useful in diagnosis of breast lesions.

Multiple distant nodular cutaneous metastases from carcinoma breast is a very rare entity. In the English literature few references are present about this subject. Here we present a case of distant nodular cutaneous metastasis from carcinoma breast. KEYWORDS: Carcinoma breast, distant cutaneous metastasis. INTRODUCTION:Distant Cutaneous metastasis from carcinoma breast is a very rare entity. Often, the direct invasion of the anterior chest wall and/or local infiltration presenting as skin metastasis, although rarely seen in an area outside of the chest wall. Scalp involvement is very rare in breast cancer. (1,2) We report a case of distant nodular cutaneous metastasis to scalp over frontal region and skin over the neck from carcinoma of left breast without local breast skin or chest wall involvement and without clinically palpable axillary lymph nodes.

Aim: To present our experience with use of bipolar cautery in thyroid surgery. Methods and materials:The study was done between August2011-August2013. Study included all patients undergoing thyroid surgeries for various benign and malignant conditions of thyroid. This study included all age group and both gender. Vascular pedicles were cauterized using conventional bipolar cautery without knot tying. Postoperative outcomes were analyzed. Results: Out of 108 cases, 41 male (37.96%), 67 female (62.04%) patients. M:F 1:1.6. 50(46.29%) cases were malignant and 58(53.70%) benign. Among carcinoma thyroid 56% are papillary, 30% follicular, 10% anaplastic and 4% medullary.52 (48.14%) cases undergone total thyroidectomy, 34(31.48%) lobectomy, 22(20.37%) total thyroidectomy with functional neck dissection. Mean operating time for lobectomy was 20min; total thyroidectomy 35min, total thyroidectomy with functional neck dissection was 90min. Postoperative complications were observed in 11(10.18%) cases. No case of severe bleeding which required re-exploration. 2 (1.85%) surgical site infections. 2(1.85%) cases of unilateral recurrent laryngeal nerve injuries have occurred. Hypoparathyroidism seen in 4(3.7%) cases; 3 transient, 1 permanent due to infiltration by anaplastic carcinoma. Conclusion: Use of conventional bipolar cautery is safe, effective and time saving in thyroid surgeries.

Lipomas are benign tumours consisting of mature fatcells and are perhaps the most common neoplasm. It can be solitary or multiple occurring throughout the whole body, but it can rarely originate in the intestinal mesentery. These tumours have very little potential for malignancy with the incidence of sarcomatous change in less than 1% of cases. Concurrent occurrence of gastrointestinal stromal tumour which arises from the mesenchymal components of the gastric and small bowel mucosa is a rarity. Here we present a rare case of mesenteric lipomatosis presenting as mass per abdomen which on evaluation and exploration of abdomen turned out to be multiple mesenteric lipomas with another hard mass arising from the antimesenteric border of the small intestine (ileum), for which mesenteric lipoma excision and resection of hard mass along with the segment of ileum and end to end anastomosis was done.

Peritoneal encapsulation is an exceedingly rare developmental abnormality in which the small bowel is completely encased in an accessory peritoneal sac. Diagnosis is intraoperative as the clinical signs rarely help in diagnosis and in majority excision of sac and release of adhesions is all that is required.