SPOT diagnosis for abdominal distension

5yr old child having c/o swelling of rt side scrotum for 2 yrs..He has fever occasionally..He was treated here and there but complain not resolved till date..plz help in diagnosis..

Respected doctors plz tell me Dx And Rx,no pain and no any other complaint

CA Breast In Male *Chief Complaints* CA Breast. A 75 yr old male attended Mopd with reports showing raised FBS. O/E I noticed necrotizing lump over chest since 10 yrs. He showed me reports suggestive of CA Breast. But since 3 months he has lump over left inguinal region, cough impulse is absent. Also lump over both Tibia. He is also having Eczema over legs. Also pt is having unilateral pill rolling movement of finger along with stopped posture and mask like face, diminished arm swing and short steps with features of Bradykinesia. Likely to be Parkinson's disease.

We present a very rare case of sacrococcygeal chordoma which was operated in collaboration with plastic surgeon, when a 5 kg tumor was removed from around the sacrum and coccyx. The patient has already undergone 3 previous operations for recurrent tumor in the same region. She has also received radiotherapy before this operation. This fourth operation was particularly challenging as the tumor was extending around the gluteus Maximus and into the pararectal space. Near total removal of the tumor was performed with preserved sciatic nerve and anal sphincter function. We review the current treatment methods for the same. Chordoma is a rare, low-grade malignant bone tumour arising from primitive notochord remnants of the axial skeleton. As the spine develops, notochordal remnants are concentrated at nucleus pulposus. This explains why chordomas are in the midline or the paramedian location.Their incidence rate is 0.1/100,000/year. Chordomasinvolve the sacrococcygeal region in 50–60% of the cases and the clivus or the spheno occipital region in 30–35% cases. They account for over 40% of all sacral tumours. Local invasiveness and destructiveness are characteristic features of the disease. Complete surgical excision is the main therapeutic modality able to effect a cure. Imaging techniques in particular MRI, play a crucial role in surgical planning.Prognosis depends on the resection of the tumour in surgery and postoperative treatment. Although metastases also may occur, most patients who succumb to the disease do so because of local recurrences. 5 year survival rate is 51% and 10 year survival rate is 35%. The curative treatment of chordomas is en bloc surgical resection with negative margins. It is associated with long-term disease control and potential cure. But most often, due to the location, size and the extent of the tumour, margin free resection is not possible. The expected local failure rate in case of a marginal resection is 70%.Chemotherapy is debated. Few studies show that some patients responded to 800 mg Imatinib daily. Images below are showing sacrococcygeal chordoma preoperative( with incision planning ) and postoperative photos

9months baby had lesion over the body Attached image Treatment plz