A benign left supraclavicular mass with malignant features O Olaleye, B Fu, M Black From the William Harvey Hospital, Ashford Management Excision biopsy of the mass was performed. This was technically difficult, as the mass invaginated around the brachial plexus and extended posteriorly through the prevertebral fascia. The patient recovered well post-operatively, with no neurological deficits. Conclusion Spindle cell lipomas are rare, benign tumours. Establishing a pre-operative diagnosis based

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... on clinical context, imaging and immunohistochemistry is crucial for pre-operative surgical planning and subsequent management. Ball-valving, transforming liposarcoma of the cervical oesophagus D Black, D Sandooram, J Weighill From Brighton and Sussex University Hospitals Radiology Computed tomography scanning confirmed a hypopharyngeal and submucosal swelling with the density of fat. Management Rigid endoscopy showed the lesion to be projecting upwards from the posterolateral wall of the cervical oesophagus. Large biopsies were taken, and the hypopharyngeal component was debulked with a laser.