A large non functioning malignant phaeochromocytoma with extensive lymph node metastases in a 65-yearold female is reported. An incidental colloid nodule of the thyroid was found. This is the largest such tumour reported from the Asian region.

Sri Lanka is no stranger to calamities, man-made or otherwise. It has weathered a civil war of thirty years, the Boxing Day tsunami and the Easter Sunday bombings just a year ago. The country has paid a colossal price in human lives, material losses and attendant adverse socioeconomic consequences. The COVID 19 pandemic, declared by the World Health Organisation (WHO) 7 weeks ago, is the latest, and probably one of the gravest challenges to the nation in general and the health services in particular.