Cerebellar liponeurocytoma is a rare cerebellar tumor, with only about 20 cases reported under many different names. Although the few cases described in the literature support the relatively benign nature of this lesion, the optimum treatment strategy and long-term behavior still have to be defined. A 39-year old man presented with a 6-month history of headache and gait disturbance. Magnetic resonance imaging (MRI) studies disclosed a midline cerebellar mass. Gross total resection of the tumor was accomplished through a suboccipital craniotomy. The histopathological diagnosis was cerebellar liponeurocytoma. The postoperative course was uneventful and the patient was discharged six days after the surgery. No radiotherapy was given. Cerebellar liponeurocytoma is a rare, benign neuroepithelial tumor that occurs exclusively in the cerebellum of adults. The morphological appearance of this neoplasm can be confused with that of oligodendroglioma, neurocytoma, ependymoma, medulloblastoma, solid hemangioblastoma and metastatic carcinomas. This tumor should be added to the differential diagnosis of mass lesions of the posterior fossa. The small number of patients with reported cerebellar liponeurocytomas limits our understanding of the tumor's natural history. Most of the information available from case reports indicates that this tumor has benign biological behavior. The available follow-up data suggest a favorable prognosis, but this has yet to be confirmed in a larger series of cases.
The presence of intrauterine bone fragments is rare. These patients may present with pelvic pain, dysmenorrhoea, abnormal uterine bleeding and secondary infertility. We present a case of a 36-year old woman complaining of dysfunctional uterine bleeding with secondary infertility of six years duration.Detailed history, pelvic ultrasonography, hysteroscopy and histopathological examination of the hysteroscopically evacuated uterine cavity fragments were performed. Morphological examination revealed interesting presence of some tiny bony chips along with endometrial tissue. Intrauterine retained foetal bony chips due to previous medical termination of pregnancy was identified to be the cause of secondary infertility in the present case. Our case reiterates the importance of analyzing detailed clinical history in the evaluation of patients with secondary infertility.
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