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A 22 year old male presenting with change of voice and dysphagia was found to have an exophytic pedunculated growth arising from the base of the tongue. A per oral biopsy revealed it to be a leiomyosarcoma. Wide surgical excision by an anterior pharyngotomy was done and the patient administered radiotherapy post- operatively. At five years of follow-up he was disease free. This is the first such documented case in literature.

Leiomyisarcomas are rarely encounter ed in otolaryngological practice and primary lesions of the bone are rarer still. Until 1982 only 20 documented cases of primary leiomyosarcoma of bone had been reported (Kratochvil, 1982). In eight of these cases the tumour occurred in the mandible or maxilla. Orbital involvement is extremely uncommon, only five cases having been reported so far (Wojno et al, 1983). In the English literature available to date we have been unable to find any case of primary leiomyosarcoma of the zygoma, additionally involving the orbit. Our experience with such a case is being reported.

Scleroma is a chronic granulomatous inflammatory disease of the upper respiratory tract caused by Klebisella rhinoscleromatis. Scleromatous involvement of lymph node is rare. The smears on fine-needle aspiration reveal a characteristic picture. The cytomorphologic features of this rare lymph node lesion are reported.

Summary This paper describes a case of functional, malignant branchiomeric paraganglioma, the third such to be reported. The patient presented with malignant hypertension and symptoms suggestive of excessive catecholamine secretion.