Malignant chondroid syringoma: An unusual scalp tumor

Chondroid syringomas are similar to mixed parotid tumors and present in both benign and malignant forms. Malignant chondroid syringoma (MCS) is a rare skin tumor that has a predilection for extremities, particularly in young women. It is even rarer to present as a scalp tumor with very few reported cases in the literature. We present a middle-aged woman, with a history of increasing fatigability of her right arm for the past 3 months who, on examination, was found to have scalp swelling and matted right posterior triangle lymph nodes. The working diagnosis on her was a large sebaceous cyst with secondary in the neck from an occult primary/non-Hodgkin抯 lymphoma. Preliminary fine-needle aspiration was inconclusive. Imaging followed by wide excision of the tumor and the nearby occipital node was done. The final histopathological diagnosis was MCS with secondary in the lymph node. These tumors are aggressive and metastasize early. Radical surgery is the only hope of cure as adjuvant treatment is yet to be standardized

A rare case report of strangulated spigelian hernia mimicking an abdominal mass

A Spigelian hernia, an infrequent occurrence, is an abdominal wall hernia that occurs through the Spigelian fascia, an aponeurotic sheet located medially by rectus muscles and laterally by the semilunar line. The hernial sac lies either deep to the internal oblique muscles or between the oblique muscles. A Spigelian hernia requires repair due to the risk of incarceration with its relatively narrow neck. The below case report provided shows a 67-year-old female patient, who came with an abdominal mass that was diagnosed as a strangulated Spigelian hernia and managed with emergency surgery.