Torrential bleed from lingual thyroid: an unusual cause of IUD

Lingual thyroid is rare anomaly which results from failure of descent of thyroid gland to normal position in neck. The common mode of presentation is foreign body sensation, dyspnoea, dysphagia or rarely haemrrhage. Acute severe haemorrhage causes hypotensive shock which may lead to intra-uterine foetal distress or foetal death. We hereby present, a case of 22 year old primigravida who presented with massive oral haemorrhage secondary to hypertrophied lingual thyroid. Patient was successfully managed conservatively with oral thyroxine.

A novel technique for surgery of extracranial schwannoma to preserve neurological function

Schwannomas are benign encapsulated tumor arising from Schwann cells of the nerve sheath. Large schwannomas of the neck present as neck mass and arise from major nerve such as vagus and cervical sympathetic chain. Surgical excision is the standard of management of such tumors but result in permanent nerve damage. Here, we present a case of 35-year-old female with schwannoma arising from vagus nerve with the intact neurological function of the nerve. We removed the tumor by intracapsular dissection, leaving behind the capsule, preserving the function of the nerve

A rare case of synovial sarcoma of the neck with review of literature

Synovial sarcoma (SS) is a malignant tumor of pluripotent/undifferentiated cells. Only 3% of all SSs are found in the neck. We present a case of a 16-year-old male presenting neck swelling for 6 months which was diagnosed as biphasic SS of the neck on fine-needle aspiration cytology. Complete surgical resection with lateral partial pharyngectomy was done followed by postoperative radiotherapy. We also present the recent reviews on diagnosis and management on SS of head and neck

Unusually delayed recurrence of a low grade mucoepidermoid carcinoma of the maxillary sinus

Mucoepidermoid carcinoma (MEC) is a malignant epithelial neoplasm composed of both mucus secreting cells and epidermoid-type cells. Mucoepidermoid carcinoma arising from mucous glands of maxillary sinus is extremely rare and accounts for 13% of all malignancies occurring in maxillary sinus. While the high-grade MEC is a highly aggressive tumor, its low-grade counterpart usually demonstrates a more benign nature. However, both local recurrence and an aggressive clinical course have been reported to occur even with low-grade tumors. We report a case of low grade mucoepidermoid carcinoma of the maxillary sinus who presented to us with a recurrence 20 years after undergoing a total maxillectomy and post-operative adjuvant radiotherapy. The patient was successfully managed with wide excision of the tumor