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Metaplastic carcinoma of breast is a rare neoplasm. Although it is a tumor of ductal type, the predominant component may have an appearance other than the glandular pattern and usually runs an aggressive course. We report the case of a 36-year-old female patient with a left breast lump. Neither imaging nor fine needle aspiration biopsy was crucial in achieving a diagnosis. The patient underwent MRM with axillary clearance. In consideration of the lymph node status, the patient was subjected to radiotherapy and adjuvant chemotherapy. The patient has been disease free for 2 years now. Literature review has suggested metaplastic carcinoma of breast is rare neoplasm and diagnosis is difficult to make, hence should be managed aggressively with surgery followed by radiotherapy and adjuvant chemotherapy.

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Genital self-mutilation (GSM) is an uncommon self-inflicted injury. GSM is not a single clinical entity, and it can occur in any psychiatric state or condition. The instruments that are used for self-mutilation can vary, and treatment of these injuries requires a detailed clinical evaluation and multi-disciplinary approach. We report here a case report of a 28-year-old psychotic man who came to our emergency with complaint of self-hammered nails in his both scrotum with fear of not able to reproduce child after marriage. He underwent surgical removal of nail under local anaesthesia and was promptly reviewed by the psychiatrists who managed appropriately. To our knowledge this is the first case reported in literature and the rarest type of injury presented as a bilateral scrotal self-mutilation as should be managed wisely.

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