Primary ovarian leiomyoma is a rare benign tumour of the ovary, which is seen in women who are aged between 20 years to 65 years. Ovarian leiomyomas can be confused with other spindle cell tumours which display gross anatomical and histological similarities. A case of a primary leiomyoma of the ovary in a pre-menopausal female is being presented here, due to its huge size and unusual presentation.

Background: India has one of the largest road networks in the world and an estimated 5 million long distance lorry drivers. These men are away from their families for long durations, and in the unhealthy environment along the highways they become easy prey for commercial sex workers. Methods: This study is based on information collected from a sample survey of long-distance truck drivers and their assistants by pre-coded questionnaire administered to each respondent in a face-to-face interview. Result: In our study 73.3 % truckers were in 21-40 age group. 77 % truckers were married. 95.1 % truckers have heard name of HIV/AIDS. The truckers generally knew that HIV could be transmitted by infected needles /blood transfusion (90.8%) or from sexual route (88.0 %), or from mother to child during pregnancy (65.8 %). However 15.1 % of the men thought mosquito bites could transmit HIV and 5.3 % believed that one could get infected by sharing meals. Almost one-third (26.1%) reported intercourse with at least one 'commercial' partner (partner with whom sex was exchanged for money) in last 3 months. Though 75.0 % truckers knew that HIV can be prevented by use of condom, only 70.3 %(out of sexual promiscuous) used a condom while having sexual intercourse with a commercial partner. Conclusion: The study highlights high-risk behavior of long distance truck drivers in-spite of having knowledge regarding route of transmission and prevention of HIV. The HIV/AIDS prevention projects in truck drivers should focus on behavior change and enhancing condom use both with commercial and casual partners.

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