CASE REPORTno history earache, hearing impairment and neurological deficit. She did not give any history of trauma. On examination she was found to have a 2cmX2cm solid nodule. Detail ENT examination including facial nerve foundations was normal. CT scan revealed focal thickness at the outer aspect of the left mastoid process (Figure-1). There was no bony exostosis in the external cannal. The was no other osteomas elsewhere in the skull.CT scan revealeda focal thickness at the outer aspect of the left mastoid process. (Figure 1 IntroductionOstemoas are benign tumor. They arises from cancellous bone. They are solitary often unilateral and usually arise spontaneously. These can present in the squamous part of temporal bone, mastoid, internal auditory meatus, the middle ear and other bone. 1,2,3 In the literature only 130 cases has been reported between 1861 and 2004. 3 They are usually asymptomatic but may enlarge to cause cosmetic deformity. The etiology in poorly understood and may be due to trauma, infection and herditrary. Computed tomography is the gold standard for diagnosis subsequently confirmed by histopathological diagnosis. Treatment should be surgical excision for cosmetic purpose or if there is any symptoms. 5,6,7 Case Report A 23 year old female patient otherwise normal presented with otolaryngologically asymptomatic swelling in left mastoid region for 5 years. It was found in shape painless, very hard, overlying skin is free and adherent to the underlying bone. There is Osteoid ostemoa is benign bone tumor and third most common benign neoplasm of bone. Young male are frequently affected three times more than females. It can occur in any bone but most common in long bone such as femer and tibia. In routine ENT practice osteoma are infrequently found in temporal bones most commonly seen in external ear canal. Osteoid ostemoa in mastoid are rare. We present such a rare presentation of ostema arising form the left mastoid in a young female. Osteoma Left Mastoid Bone: A Case Report ConclusionWe present here a comparatively rare case of osteoid ostemoa in young female at left mastoid for record with a caution that appropriate diagnosis with early surgical intervention is needed and it should be kept in mind as it may go up to intracranial.

Synovial Sarcoma is a rare malignancy. It presents in adolescents and young adults. It occurs in soft tissue of extremities usually near to the large joints, heart, lung, mediastinum, head and neck. A 23-year-old female presented with a big hard fixed swelling in right supraclavicular region for 15 years. X-Ray chest posterior-anterior view presented Homogenous opacity in upper lobe of right lung. USG of neck showed large heterogeneous lobulated almost avascular solid mass in right side of root of neck and anterior upper mediastinum may be associated with Schwannoma/ paraganglioma/soft tissue sarcoma. Spindle cell lesion was reported by FNAC. MRI showed large slightly lobulated mass along right side of root of neck and right side of superior mediastinum. A large soft tissue density mass along right side of neck and superior mediastinum was found in CT scan. Surgical excision was done successfully. Histopathological examination revealed spindle cell tumor favoring synovial sarcoma in the neck tissue and metastatic spindle cell tumor in the lung lesion.

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Objective: To describe the characteristics of stomach cancer among patients admitted to the surgical departments of teaching hospitals in Sana'a city, Yemen.Methods: This retrospective, descriptive study was conducted to identify the characteristics of stomach cancer among patients admitted to the surgical departments of two major teaching hospitals in Sana'a; namely,