Mondita Borgohain

Background: Dysgerminomas are the most common of the primitive germ cell tumours. They account for nearly half of such tumours, 1% of all ovarian cancers. About 10% of these tumours are grossly bilateral. Though rare, dysgerminoma can metastasize to fallopian tube. Case Report: A 20 year old female presented to the gynaecology OPD with complain of abdominal swelling, was found to have bilateral abdomino-pelvic lump. On CT-Scan heterogeneously enhancing solid SOL was noted in abdomino-pelvic cavity. During operation bilateral ovarian mass with lymphadenopathy was seen and resected mass was sent for histopathological examination. Microscopically both the ovaries showed the picture of Dysgerminoma with involvement of the left tube. Conclusion: This case of dysgerminoma with tubal metastasis has been reported in view of its rarity. However, diagnosis of these tumours should only be given after proper extensive sectioning to rule out any other germ cell component.

Liposarcomas are common soft tissue sarcomas arising predominantly in deep soft tissue and the retroperitoneum. Inflammatory variant of Well differentiated liposarcoma (inflammatory atypical lipomatous tumor) is a rare type of low grade liposarcoma, occurring most often in the retroperitoneum. We are presenting a case of inflammatory atypical lipomatous tumor in a 54 year old male patient who presented with a soft tissue mass in the thigh. The tumor was encapsulated measuring about 8 * 6*4 cms. Histopathology revealed picture consistent with inflammatory atypical lipomatous tumor. Immunohistochemistry showed S-100 positivity in lipoblasts and Vimentin positivity in the stromal cells and was negative for Smooth muscle actin.

Appendicitis is the most common-intra-abdominal condition requiring emergency surgery, with a 7% lifetime risk. We have retrospectively studied the histomorphology of different disease process affecting the appendix over a period of two years from april 2016 to april 2014. The appendectomies done primarily for appendicular pathology, received at histopathology section of our department were included and those resected along with other organs like hysterectomy and colectomy specimens were excluded from the study.The tissues were processed in routine manner and paraffin embedded blocks were prepared. Serial sections of 4µm to 5µm were cut from the block and processed and stained with haematoxylin and eosin stains. Zeihl Neelson stain was done to confirm the presence of acid fast bacilli in one case. Pathological reports were analyzed for the following parameters: age, gender, and pathological diagnosis. A total of 116 specimens were analyzed. 44 % cases were males and 56% were females. The histopathological examination showed acute inflammation in 57.75% cases , chronic inflammation in 37.93% cases , granulomatous appendicities in 1 case .Parasites were found in 2 cases and carcinoid tumor in 1 case . The vermiform appendix continues to be frequently encountered surgical pathology specimen. Our knowledge about diseases of appendix, is far from complete. This organ therefore requires careful and systematic study both by the clinician and the pathologist.