Oncocytic papillary cystadenoma (OPC) is a relatively rare benign tumor of the salivary glands, frequently seen in minor salivary glands, and occasionally in major salivary glands, such as the parotid gland. Patients only become symptomatic upon progression of the swelling, causing obstructive symptoms depending on its location. To our knowledge, there are no reports of presentation with bleeding tumor. Herein, we report a case of an OPC of the right torus tubarius in a 54-year-old man who presented with recurrent epistaxis.

Rhabdomyosarcoma (RMS) is a relatively rare malignancy but the most common cause of soft tissue sarcoma in children. It can present anywhere in the body, but most seen in the extremities, head, neck and genitourinary organs. The two most common types of RMS are embryonal RMS and the more aggressive kind, the alveolar RMS. Development of RMS occurring after trauma is uncommon but as children are readily prone for lumps and bumps due to their adventurous and playful nature, it is much important to always keep in mind the possibility of malicious causes of swelling as any delay in diagnosis directly affects the outcome of the disease. Here we present an infant who presented with symptoms suggestive of post trauma swelling but later was confirmed as embryonal RMS. The child underwent chemotherapy as the treatment of option.

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IntroductionUnilateral tonsillar hypertrophy with accompanying cervical lymphadenopathy gives immediate suspicion of lymphoma or squamous cell carcinoma as the most probable diagnosis.AimWe aim to highlight the role of diagnostic tonsillectomy for intact looking tonsil as opposed to incisional biopsy for obvious fungating mass or ulcerative lesion. We also emphasise not to overlook abnormal preliminary blood work up. If leukocytosis is present, a peripheral blood film must be done to rule out ongoing infection or a more cynical haematological disease.Case studyWe report a case of a young female presenting with progressive dysphagia as well as bilateral neck swelling. Examination showed a unilateral tonsillar hypertrophy with bilateral cervical lymph nodes highly suggestive of tonsil lymphoma.Results and discussionShe was opted for tonsillectomy for both diagnostic as well as therapeutic purposes. Histopathological examination (HPE) of the left tonsil removed paired with an elaborated blood workup finally diagnosed her with a rare case of mixed phenotype acute leukemia.ConclusionsA multidisciplinary team approach and early intervention are crucial to arrive at the correct diagnosis allowing prompt treatment and better prognosis and symptomatic relief.