Share your views on this rare case of Endometrial Stromal Nodules by Dr. Jagriti Bhardwaj Learn the art of handling such cases through her experience. Follow us for more such updates!

A 45 years man suffering with erectile disfunction but sex desire is high for last 1 year. Chilly pt Tendency to Overgrowth ( warts and cyst) Tendency to take cold easily Appetite-good Craving- Salty and bitter Thirst- moderate Perspiration- moderate Stool-regular Urine- normal Mind- Depressed Want company Please respected doctors suggest your views on this case

*History* A 69 y/o female had h/o ovarian adenocarcinoma IC2 15 years back. She had underwent chemotherapy and surgery at that time. Her reports were fine after chemotherapy. *Chief Complaint* Yesterday she came with abdominal pain, fever & bloating. *Investigations* Her serum CA-125 level raised to 94 U/ml. CT shows enlarged (2.2 cm) right internal mammary lymph node. *Treatment* What should be done now?

*Chief Complaint* A 69 y-o-f came with the complaint left sided numbness over the face and arm. She is not able to chew food properly on left side or use her left arm to perform routine activities. *History* History positive for breast cancer and underwent surgery and chemotherapy. *Vitals* BP-125/80 mmhg, HR-74 bpm, Breathing-17 breaths/min, Temp-98.1 degree F *Physical examination* Examination shows paresis in left hand. Lab reports wnl. CT & MRI Brain was done which show multiple 1 cm - 1.5 cm nodular lesions in the brain, CT chest shows a 2cm × 2.5cm × 3cm mass in the left lung. Biopsy of the lung mass shows central nervous system metastasis. *Treatment* How the case should be managed.

*Chief Complaint* A 63 year old male presented with the complaint of a small nodular mass in the left axilla for 1 year. He said it never caused any problem but not became painful and started causing discomfort for the past 1 month. *History* He has h/o hypertension. No family history of malignancy. *Examination* Physical examinations shows a 1*1.5 cm ulcerated nodular mass in the left axilla which was painful on touch. Bilateral breast examination normal and no lymphadenopathy noted. *Investigations* Excision biopsy was done which shows well-differentiated adenocarcinoma. *Treatment* Advise the further line of management.