Syringocystadenoma papilliferum is a benign hamartomatous adnexal tumour. Most of the patients present with solitary lesions in the head and neck region at birth or in early childhood. Multiple lesions are rarely seen and those which arise outside the head and neck region are even more uncommon. A case of syringocystadenoma papilliferum with multiple verrucous lesions and which was located in the right flank, an unusual site, has been presented.

A 15-year-old teenager girl presented to the surgery outpatient department with complaint of swelling over the left parotid region for 1.5 years, which was slowly progressive in nature. Further she gave a history of previous such swelling which was of four months duration and excised two years back (diagnosed as a benign nerve tumour). On examination, the current swelling was 3×2 cm in size, present below the ear lobule in the left parotid region. It was ill defined, non-tender and freely mobile with normal looking overlying skin. There was no intraoral swelling or defect in salivary secretions. There was no family history or other swellings over the body or associated signs and symptoms suggestive of neurofibromatosis or facial nerve compromise.Fine Needle Aspiration cytology was inconclusive. The lesion was suspected clinically to be pleomorphic adenoma and superficial parotidectomy was carried out sparing the facial nerve. No radiological investigations were done.The specimen received for histopathology was irregular, greyish brown in colour and measured 5 × 4 × 2 cms. On microscopic examination, the sections showed normal serous parotid glands and acini arranged in lobules, part of skin and underlying subepithelial tissue with a subcutaneous circumscribed growth, comprising of abundant fibrous tissue and scattered nerve bundles. Immunohistochemistry for S-100 showed positivity for the nerve bundles admixed with the fibrous tissue of the tumour mass [Table/ Fig-1].Hence, a final diagnosis of neurofibroma (NF) of the parotid region was rendered. CASE REPORT 2A 15-year-old female patient presented with a swelling over the external genitalia since one year, which was gradually progressive. On examination, the swelling was 1x1 cm in size, well defined, firm, immobile, non-tender and located over the mons pubis. The lesion was clinically suspected to be a benign cyst, in view of its location. No associated skin pigmentation, clitoromegaly, any other swellings or family history for neurofibromatosis was elicited.FNAC was inconclusive, while radiological examination was not carried out. The lesion was excised and sent for histopathological examination. The specimen received was skin covered and greyish white in colour, measuring 1.5 × 1cm with a solid grey-white cut surface. Microscopic examination revealed a circumscribed un- ABSTRACTSolitary neurofibromas are rare occurrence in salivary gland region as well as mons pubis of females. We present two cases of teenage girls with swelling in parotid region and mons pubis. Fine needle aspiration cytology was inconclusive in both cases. They were both managed surgically and a diagnosis of neurofibroma was ascertained histopathologically and also confirmed with S-100 immunohistochemistry. The patients were followed up for a period of six months, however, no recurrence was noted. Though, one patient had a previous history of recurrence. We report these cases in view of their rarity of site and age as well as no correlation with neurofibromatosis and clitoromegaly.

Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

Central giant cell granuloma (CGCG) is an intraosseous lesion which occurs as an uncommon benign condition in jaws. World health organization defines this intraosseous lesions as "a lesion that contains multiple foci of hemorrhage," consisting of cellular fibrous tissue, and there is trabeculae of woven bone. It may become aggressive leading to expansion and perforation of the cortex. Mobility and displacement of the involved teeth and root resorption are often observed. Here is a case report of an 18-year-old female patient who is diagnosed with an aggressive type of CGCG.

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