Pritinanda Mishra

Idiopathic scrotal calcinosis diagnosed by fine needle aspiration cytology—Report of a rare case

Calcinosis cutis is a rare entity caused by precipitation of hydroxyapatite crystals of calcium phosphate within the subcutaneous tissues of the body. Scrotal calcinosis (SC) is a subtype of calcinosis cutis and was first described by Lewinski in 1883. It is a rare and benign condition characterized by multiple calcified and usually asymptomatic nodules of scrotal skin. Although it commonly occurs between third and fourth decade but a wide age range has been described in the literature. The pathogenesis of this rare entity is still controversial. To date, there are

Lipoleiomyoma of the left broad ligament with dermoid cyst in ipsilateral ovary and synchronous multiple benign lesions of female genital tract: An unusual association

Lipoleiomyoma of the uterus is a rare variant of leiomyoma, and lipoleiomyoma of the broad ligament is still rarer, with only a handful of cases being reported. The present case was a perimenopausal woman who presented with a huge lower abdominal mass. Ultrasonography and computed tomography showed a heterogeneous solid mass in the left adnexa. The histopathological findings confirmed the nature of the lesions as a benign lipoleiomyoma with dermoid cyst of the left ovary and its other associated benign lesions, were the interesting features seen in this case which were not suspected clinically and radiologically.

Ancient Schwannoma of Ansa Cervicalis: A Rare Clinical Entity and Review of the Literature

Ancient schwannoma is an uncommon variant of schwannoma, a benign tumor arising from the nerve sheath. It is reported to arise from any nerves except optic and olfactory. However, only six cases of ancient schwannomas arising from ansa cervicalis nerve have been reported to date in English literature. Proper preoperative evaluation is necessary to rule out other causes of neck mass such as thyroid lesions, lymphadenopathy, and carotid body tumor. We report a case of ancient schwannoma arising from the ansa cervicalis nerve. The origin of the lesion from ansa cervicalis was confirmed by intraoperative finding. Postoperative histopathological examination revealed degenerative changes including pleomorphism, cellular atypia, large nuclei with prominent nucleoli, and paucity of mitotic figures. Periphery of the mass showed nuclear palisading with characteristic verocay bodies. Immunohistochemical evaluation for S-100 showed diffuse positivity of the tumor cells, thereby confirming the diagnosis of schwannoma. We consider that schwannoma of cervical region can have origin from any nerve and should try to identify the origin pre- and intraoperatively. The postoperative complications depend on the nerve of origin and the precision of the surgery performed.

Giant endometrioma of the ovary: a case report

Endometriosis is a common gynaecological condition, affecting between 6%-10% of women in the reproductive age group. Ovarian endometrioma is seen in approximately 17%-44% of women with endometriosis. While the ovaries remain the commonest site of endometriosis, the size of ovarian endometriomas is typically not large, usually ranging from 1-6 cm. Huge ovarian endometriomas are extremely rare, with only a few case reports being described. We report a case of giant ovarian endometrioma in a 38-year-old multiparous woman, and discuss the challenges in diagnosis and management.

Bilateral Serous Psammocarcinoma of Ovary: Rare Variant Low Grade Serous Carcinoma

Serous psammocarcinoma is a rare variant of serous carcinoma arising from either ovary or peritoneum, characterized by massive psammoma body formation, low grade cytologic features, and invasiveness. Its clinical behavior is similar to serous borderline tumors with relatively favorable prognosis. We report herein a case of a 60-year-old postmenopausal woman who presented with abdominal distension. Contrast enhanced computed tomography (CECT) revealed calcified pelvic masses with ascites. Elevated serum CA-125 (970 U/mL) suggested malignant ovarian neoplasm. Patient underwent exploratory laparotomy with primary debulking surgery. Histopathology showed bilateral serous psammocarcinoma of ovary with invasive implants on omentum. Adjuvant chemotherapy was advised in view of advanced stage disease, although its benefits are poorly defined due to rarity of the tumor. However, patient opted out of it and is now on follow-up.