Epithelioid leiomyosarcoma: An unusual presentation.

Uterine mesenchymal tumors are a heterogeneous group of neoplasms that can be diagnostically challenging. Thorough investigations and histopathological findings are highly significant to arrive at the correct diagnosis, thus ensuring appropriate and prompt treatment to the patient. Leiomyosarcoma (LMS) is an uncommon uterine malignancy, which arises from the smooth muscle of the uterine wall. They usually present in postmenopausal women with abnormal uterine bleeding. It follows an aggressive clinical course with an extremely poor prognosis. Surgical management followed by adjuvant chemotherapy is usually the treatment for such cases. Here, we report the case of a 57-year-old menopausal female who presented with a large abdominal swelling that was seen infiltrating the adjacent structures. On resection and histopathological evaluation, a diagnosis of epithelioid LMS was made, which was confirmed by immunohistochemistry.

A rare association of serous cystadenoma of the pancreas with mediastinal lipoma: a case report.

Cystic lesions of pancreas include a myriad of different conditions ranging from the common pseudocyst to unusual cystic neoplasm. With the development of better imaging modalities, cystic neoplasms are diagnosed with greater frequency and accuracy leading on to better understanding of the natural course of these lesions. Serous cystadenoma is one of the rare neoplasms of the pancreas that is unique for its benign nature. Most of the time surgery is indicated for the symptom of pain when the lesion enlarges. Surgery may also be indicated due to the fact that, it may not always be possible to dogmatically differentiate it from the potentially malignant counterpart radiologically. One of the interesting aspects about serous cystadenoma is its association with other systemic disorders like von Hippel Lindau syndrome. Herein we report a rare association of serous cystadenoma with mediastinal lipoma, which has not been reported in the literature.