B P International

  This is a case report of a large swelling over the posteromedial aspect of the right thigh, which progressively increased over a period of 10 months. Lipoma is the most common benign soft tissue tumor. It can be of variable size, but it is mostly slow-growing, mobile, and of soft mass. Most lipomas are small, often measuring less than two centimeters in diameter and weighing only a few grams We report a case of a 52-years old patient from Bargarh, Odisha, came to Surgery OPD with the chief complaint of swelling over the right thigh over a period of 10 months ago. An MRI showed the swelling to be in the subcutaneous plane. Several core needle biopsies showed the presence of fat necrosis with calcification. Excision of the swelling was carried out, which showed on histopathological examination as lipoma. Lipomas can have varied presentations, and in this case, they masqueraded as an accessory breast. Author(s) Details: Abhishek Soham Satpathy, Department of Surgery, S.C.B Medi...

Less than 200 cases of para-testicular liposarcoma (PTL) have been reported. PTL may present with painless or painful intra-scrotal or inguinoscrotal mass of long duration or recent onset but the most common presentation is a painless mass. Para-testicular liposarcomas does mimic various common intra-scrotal and inguinoscrotal masses, some of which include: inguinal hernia, lipoma, fibroma, fibrosarcoma, leiomyoma, leiomyosarcoma, rhabdomyosarcoma, various types of testicular tumours and other non-common intra-scrotal lesions. The symptoms tend to be non-specific. PTLs tend to be unilateral but bilateral cases have been reported. Radiology imaging would define the features of the lesion. Fine needle aspiration cytology could establish the diagnosis but the diagnosis tends to be established by pathology examination of the excised specimen of the tumour which would show spindled-tumoral cells with atypical features and mitotic activity and lipoblasts. Immunohistochemistry staining stud...