Highlights Among the oesophageal tumour, only less than 10% are benign and leiomyoma is the most common tumour representing approximately two-thirds of the cases. Malignant transformation in leiomyomas are rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital. Malignant transformation in leiomyomas is rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital.

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Head and neck cancer is the sixth most common cancer worldwide. The single most important factor affecting prognosis for squamous cell carcinoma is the status of the cervical lymph nodes. Metastasis to the regional lymph nodes reduces the 5-year survival rate by 50% compared with that of patients with early-stage disease. The American cancer society reports that 40% of patients with squamous carcinoma of the oral cavity and pharynx present with regional metastases to the cervical lymph nodes. This activity presents the steps for safe and optimum neck dissection. Objectives of the study were to identify the anatomical structures in neck dissection, review the complications of head and neck surgery and summarize the importance of care coordination and to improve outcomes for patients undergoing head and neck surgery.

Spindle cell sarcoma is a rare tumor that arises most commonly from the peripheral and deep soft tissues. It usually occurs in the extremities but rarely present as a large abdominal mass, and in this case it was a recurrent tumor involving whole of rectus muscle on right side. We report the case of a 42 year old male who presented with abdominal swelling and distention. CT scan showed a mass occupying the whole of the abdomen and pelvis. Exploration of abdomen revealed a hard mass about 13×10×11 cm in size. Complete excision was done, the huge defect was closed by transposition of left side rectus abdominus muscle with prolene mesh, which was a challenging task in this case. On histopathology and immunochemistry a high grade spindle cell carcinoma was confirmed.