A case of bilateral adrenal myelolipoma

We reported a case of bilateral adrenal myelolipoma. Low height, obesity and and elevation of 17-KS were found in this case. Tumors were hypovascular adrenal masses with low attenuation numbers on CT. MRI was useful in demonstrating the relation of tumors to adjacent organs. It should be considered that, although very rare, bilateral myelolipoma is possible.     

A case of bilateral primary fallopian tube carcinoma

A 60 years old postmenopausal woman was presented with complaints of intermittent watery discharge from vagina, and of cramping pain at the lower abdomen. On pelvic examination, blood tinged watery discharge was seen coming out of os. But, ultrasonography revealed bilateral adenexal masses and pyometra. The serum CA-125 level in blood was raised. Cervical smear showed inflammatory changes, but endometrial histopathology was negative for malignant cells. Suspecting ovarian malignancy, laparotomy was done that revealed the bilateral tubal growth with normal ovaries; the right adenexal mass was of the size (6.8×4.8) cm while, the left adenexal mass was the size of (4.2×2.6) cm. Histopathology study revealed bilateral serous cyst adenocarcinoma of fallopian tubes. The case of bilateral primary fallopian tube carcinoma was presented here for its rarity.     

Malignant tumours in Mozambican Africans with special reference to primary liver carcinoma

The relative frequency of malignant disease as diagnosed by autopsy, biopsy or cytology in the Pathology Department, Central Hospital/Eduardo Mondlane University, Maputo, Mozambique, has been calculated for 1977 and compared with similar findings over the period 1956–1970 (ICD codes 140–209). The figures relate to African patients mainly from the South Mozambican area. A decrease of relative frequency of primary liver carcinoma was observed in men (from over 50% to 35%) but not in women. Other malignancies tend to be constant over the years, in accordance with the general pattern of malignancies for most African countries south of the Sahara. No explanation for the decrease of primary liver carcinoma in men can be given, assuming an unchanging high incidence of viral hepatitis, liver cirrhosis and food contamination by aflatoxin. Curiously, the relative frequency figure for primary carcinoma of the liver in females shows no gross alterations in the 1956–1977 period, fluctuating around 20%, which is about the same as the relative frequency of carcinoma of the uterine cervix.