Shikha Das

Ileal Mesenteric Leiomyosarcoma—Report of a Rare Neoplasm

Leiomyosarcomas, malignant mesenchymal tumors with differentiation towards smooth muscle, usually arise in the retroperitoneum, the uterus, or the medium or large veins, such as the inferior vena cava. Other sites of origin include the subcutaneous tissue of the extremities and the gastrointestinal tract [1]. Origin of such tumor from the mesentery is extremely rare. Mesenteric leiomyosarcomas have a reported incidence of 1:350,000 [2]. They are most frequently found in the transverse mesocolon, followed by the jejunal, sigmoidal, and ileal mesenteries [3]. Usually, the patient is a female in the fifth or sixth decade [4]. The common symptoms include a palpable mass, abdominal pain, and abdominal fullness [3]. In the present article, a case of leiomyosarcoma arising from the ileal mesentery is being reported.

Spontaneous rupture of benign cystic teratoma.

Operation. Laparotomy: found foul smelling pus with hairs in the peritoneal cavity (Figure I). Omentum adherent to loops of intestine. Ruptured left sided ovarian tumour (12cm x 8cm) containing hair and foul smelling pus. Done: Left oophorectomy, peritoneal toilet and drainage. Her post-operative progress was stormy with a chest infection, and a wound infection caused dehiscence and required secondary suture.

Argyrophilic nucleolar organizer regions (AgNOR) in tumours of pharynx and larynx

Benign and Malignant squamous cell tumours from pharynx and larynx have been studied by silver colloidal staining technique for quantitative analysis of argyrophilic nucleolar organizer regions (AgNOR) per nucleus and to assess its significance in differentiating the benign from malignant tumours. A total of 23 neoplasms including 8 squamous papillomas from larynx, 5 squamous cell cracinomas from larynx and 10 squamous carcinomas from pharynx have been studied. AgNOR count from benign papillomas showed a mean count of 2.56 whereas that in squamous cell carcinoma of Pharynx and larynx was 12.61 and 11.43 respectively. This simple staining method can be used to differentiate benign from malignant tumours in pharynx and larynx.