ABSTRACT
INTRODUCTION: Myopericytoma (MPC) is an uncommon benign smooth muscle cell neoplasm which frequently arises in lower extremities, sparsely they can be found in upper extremities and head and neck region. Very few case reports are available in the literature documenting hand localization of this tumor. CASE PRESENTATION: In this report, we present a case of 83-year-old male individual with a mass lesion on the proximal phalanx of index finger of the right hand. Recent trivial trauma led the patient to medical assistance. Imaging mimicked Giant cell tumor of tendon sheath due to site of the lesion. The lesion was excised surgically. The final diagnosis of the specimen confirmed by histopathology was MPC, a benign smooth-muscle cell neoplasm. CONCLUSION: MPC is a rare entity; however, definitive diagnosis is often challenging because it mimics some malignant soft-tissue neoplasms. A multidisciplinary approach is required to identify this lesion as being benign and thus define the correct modality of treatment.
ABSTRACT
Introduction: Extrapulmonary tuberculosis (TB) mainly involves the spine and weight-bearing joints and sternal TB accounts for only 1% of musculoskeletal TB cases. Diagnosis and management of sternal TB propose a challenge at times due to the rarity and unfamiliarity of the presentations. Case Report: We present two cases of TB of sternum that presented to our institute. The first patient was a 52-year-old male with 2 months history of swelling over the chest wall and the second was a 19-year-old female who presented with swelling for 1 week. Both patients were managed with anti-tubercular drugs for 12 months and had complete resolution of the disease. The patients were not on any medication prior to their presentations. Conclusion: Isolated sternal TB is an exceedingly rare form of TB which usually presents as a chest wall swelling without any constitutional symptoms. Antitubercular medication is the mainstay of treatment and surgical intervention is reserved for only few cases.