Cardiac sarcoidosis causing sudden death.

Sarcoidosis is a systemic disease of young adults. Cardiac involvement is rarely diagnosed clinically. In most cases it presents with arrhythmias and conduction disorders. We report a case of sudden death of a young female, wherein sarcoidosis with prominent cardiac involvement was diagnosed at autopsy. The other organs involved were lung and liver. Cardiac sarcoidosis should be considered in young patients with unexplained conduction disorders.

Serous microcystic adenoma of the pancreas.

Serous microcystic adenoma (SMA) is a rare benign neoplasm. It accounts for 1-2% of all exocrine pancreatic tumors. It is thought to arise from the ductal epithelial cells. It is usually located in the body and the tail of the pancreas. It is important to identify SMAs and distinguish them from mucinous cystic neoplasm, which can be premalignant or malignant, and pseudocyst, which is a non neoplastic condition. We present one such rare case of SMA occurring in the head of the pancreas, an infrequent location requiring a Whippel's resection.

Squamous Cell Carcinoma Arising From Mature Cystic Teratoma of Ovary.

Malignancy occurring in a mature cystic teratoma is extremely a rare entity. Preoperative diagnosis of malignant transformation with in a mature cystic teratoma is extremely difficult and poses a great challenge to current clinical surgical practice. Factors such as age, tumor size, tumor markers and tumor imaging characteristics help in preoperative risk assessment. It is important to be aware of this entity when cystic teratomas are encountered in a peri or postmenopausal women for proper management of the case. We encountered a 45 years female, with vaginal bleeding. Right ovary was enlarged. The mass excised from the right ovary had cystic and solid areas. Its wall was markedly thickened. Histopathological examination of the cyst revealed an invasive squamous cell carcinoma in a preexisting mature cystic teratoma. A thorough search for primary focus of squamous cell carcinoma elsewhere was made to rule out a possibility of metastasis into the ovary.

Isolated polycystic liver disease--a rare entity: report of a case.

A 45-year-old woman presented with a mass in the right hypochondrium and shortness of breath. The mass was felt up to 4.5 inches below the right costal margin and its dullness on percussion was continuous with liver dullness. Ultrasonography (USG) of abdomen revealed enlargement of the left lobe of the liver with multiple cysts of varying sizes. Left liver lobectomy was done, histology of which showed multiple cysts lined by cuboidal to columnar epithelium. A small amount amount of normal liver parenchyma between the cysts was observed. A diagnosis of Adult polycystic liver disease (APLD) was given.

Primary malignant melanoma of the ovary--a case report.

Primary malignant melanoma arising in the ovary is extremely rare. It is known to occur in association with benign cystic teratoma especially in post menopausal women. We report one such case of a primary malignant melanoma of the ovary, occurring in a premenopausal woman, after thorough examination of the patient to rule out a primary elsewhere.