Excess amounts of blood glucocorticosteroids, either exogenous or endogenous, results in Cushing’s syndrome (CS). the current study presents a 45-year-old man, ACTH dependent Cushing’s syndrome. The basal cortisol and urine free cortisol level were significantly suppressed following high dose dexamethasone suppression test and pituitary MRI showed microadenoma with a size of less than 6 mm. After bilateral inferior petrosal sinus sampling, we investigated the ectopic source of ACTH production. The computed tomography revealed a mediastinal lymph node, and the whole body octreotide scan revealed octreotide avid lesion in the medial aspect of the left lung. The patient underwent left lung lobectomy and the pathological study indicated the carcinoid tumor of the left lung.

Basal cell carcinoma (BCC) is the most common skin cancer, but significant differences exist in its incidence in the various anatomical locations. Unusual sites include the axillae, breasts, perianal area, genitalia, palms, and soles the axilla is one of the most sun-protected body sites and represents a rare location at which BCC develops, up to 2014, 70 cases of axillary BCC were reported in 69 patients (4) then in 2017, 6 new cases were reported in a Japanese study out of a total of 333 CBC, probably the real incidence is underestimated because no systematic study of axillary BCC has generally been conducted.

Beguez Cesar syndrome was first reported by Antonio Beguez Cesar, and he called it chronic malignant familial neutropenia with atypical leukocyte granulations. The most common manifestations of Beguez Cesar syndrome are neutropenia, oculocutaneous albinism, and the susceptibility to infections, particularly Staphylococcus aureus, and Streptococci. Beguez Cesar syndrome is a rare disorder that has not been described or documented in Iraq. The aim of this chapter is to describe the first case of the syndrome in Iraq.

Chronic hepatitis C virus (HCV) is considered as a major cause of liver diseases. The standard treatment of HCV infection is a combination of direct-acting antiviral agents (DAAs). Relapse is defined where HCV RNA remained undetectable at the end of therapy but rebounded to pre-treatment levels once DAA therapy was discontinued. This study was performed summarizes our current understanding of HCV treatment, particularly with those of NS3 inhibitors and patent status and approvals of Simeprevir.

Amyands hernia is vermiform appendix in inguinal hernia.This usually presents as an unexpected intraoperative finding. Case Report: A 21 year old male had right inguinal hernia.Diagnosis of Amyands hernia was made introperatively.Appendix was entering through deep ring lying outside hernia sac.Appendectomy with herniorraphy done Conclusion: Appendix lying outside sac in Amyands hernia is rare.Adhesions of appendix with hernia sac leads Incaceration .