Primary chondrosarcoma of breast

Mammary sarcomas are heterogeneous group of malignant neoplasms that arise from the mammary stroma. They are uncommon tumours and most of these occur as a component of other tumours. Of the malignant breast mesenchymal tumours, pure sarcomas which lack epithelial component are rarer as these comprise only 0.5% of the breast tumours. Of these, the most common are angiosarcomas, liposarcomas and osteosarcomas. Pure, primary and De novo chondrosarcomas features as one of the rarer types of sarcomas of breast and should be differentiated from Phylloides tumours with chondromatous areas by extensive sampling which also excludes ductal elements in the tumour. This case report describes very rare primary breast sarcoma i.e. chondrosarcoma in a female aged 40 years which was treated by simple mastectomy

Primary hydatid cyst of the neck

Hydatid cysts in the neck are relatively exceptional, even in areas where Echinococcus granulosis is endemic, such as Asia. Although liver and lung are frequent sites of involvement, it can involve all tissues, with neck remaining one of the most rare sites. It should come in the differential diagnosis of cystic lesion of neck, as the treatment options differ widely from common neck cysts. The role of radiological investigation is important and, in these cases, the involvement of other organs should be investigated. Serological tests may be helpful. The major treatment modality is surgical and the cyst should be excised as a whole, without being ruptured, to prevent any treatment complications, as the cyst fluid can initiate an anaphylactic reaction. Postoperative albendazole therapy is recommended particularly when there is intra-operative spillover. We report a case of an isolated hydatid cyst localized in the anterior triangle of the neck without any pulmonary or hepatic involvement.

Cervical metastatic glioblastoma multiforme

Glioblastoma multiforme [GBM] is the most common and most malignant primary brain tumour in adults. In spite of the hostile nature of glioblastoma multiforme [GBM], extracranial spread is not a common event. With improving management choices and survival times, reports of extracranial occurrence of GBM have increased. Most commonly these metastases are to the lungs, lymph nodes, neck/skull, scalp, liver, and bones; may be evident on routine follow-up images of the original lesion. Head and neck metastasis of GBM can be debilitating. We present a case of cervical metastasis of GBM and discuss possible mechanisms of extraneural spread of this tumour