Compliance with ethical standard Conflict of Interests Igor J. Koralnik was supported in part by NIH grants R01 047029 and R01 074995. The other authors all declare that they have no conflict of interest. Ethics Ethics approval was not required for this study. Contributorship statement KC, SA, NV, ST, IK and BB identified and managed the two cases. KC, SA, IK and BB wrote the first draft. JC, MR, LM, MG and AM were responsible for radiological (JC), surgical (MG) and pathological (LM, MR, AM) management and interpretation, and contributed these sections to the manuscript. All authors contributed substantially to reviewing, revising, and finalising the manuscript. Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors. Declaration Dr Crossley affirms that the manuscript is an honest, accurate, and transparent account of the study being reported, and that no important aspects of the study have been omitted. Licence and copyright The corresponding author has the right to grant on behalf of all authors and does grant on behalf of all authors, a worldwide licence to the publishers and its licensees in perpetuity, in all forms, formats and media (whether known now or created in the future), to (i) publish, reproduce, distribute, display and store the contribution,( ii) translate the contribution into other languages, create adaptations, reprints, include within collections and create summaries, extracts and/or, abstracts of the contribution, (iii) create any other derivative work(s) based on the contribution, (iv) to exploit all subsidiary rights in the contribution, (v) the inclusion of electronic links from the contribution to third party material where-ever it may be located; and, (vi) licence any third party to do any or all of the above. Copyright is retained by the authors of this article.