Multinodular goiter: an unusual case presentation.

Goitrous enlargement of the thyroid gland usually presents as a nontender anterior neck mass. Asymptomatic patients may be treated medically, which often reduces the size of the gland or avoids progression of the disease. Neglected or ineffectively treated cases may grow beyond the confines of the gland, which primarily occurs caudally into the mediastinum. In this paper, we present a patient with multinodular goiter with a large retrosternal component.

Bilateral phyllodes tumor of the breast in a young nulliparous woman.

Cystosarcoma phyllodes is a rare breast tumor with incidence of 1% of all the mammary tumors. Bilateral occurrence is very rare. Median age of presentation is 40-50 years. We present a case of 24 years old nulliparous female with phyllodes tumour developing in both the breasts one after another with a gap of five years. Patient underwent simple mastectomy on both sides. Histopathology report confirmed benign variety of cystosarcoma phyllodes on both sides.