A rare presentation of primary cardiac myxofibrosarcoma: Case report and literature review

BACKGROUND

Primary cardiac myxofibrosarcoma is a rare and aggressive malignancy, with the majority of approaching strategies relying on case reports. This article provides insights into its diagnosis and treatment.

CASE PRESENTATION

This paper presents the case of a 40-year-old man with sudden onset hemoptysis, leading to the diagnosis of primary cardiac myxofibrosarcoma. Treatment involved open-heart surgery to excise the left atrium tumor, followed by 6 cycles of adjuvant chemotherapy. Unfortunately, brain metastasis developed, leading to the patient's death 1 year after initial diagnosis.

CONCLUSION

Primary cardiac myxofibrosarcoma remains a clinical challenge with an unfavorable prognosis. Early diagnosis through advanced imaging is crucial, and research is needed to explore innovative treatments. This case underscores the complexities of managing this rare cardiac malignancy and highlights the necessity for ongoing investigations to enhance patient outcomes.

The uterine adenosarcoma with postoperative residual in a woman treated by total abdominal hysterectomy/bilateral salpingo-oophorectomy: A case report and review of literature

BACKGROUND

In patients with uterine adenosarcoma, a total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy (BSO) is typically recommended as an initial treatment. There is no consensus on adjuvant therapies.

CASE

We report the case of a patient with uterine adenosarcoma with postoperative residual disease. We performed four courses of adjuvant chemotherapy, including Ifosfamide, Mesna, and Adriamycin, and whole pelvic radiation with a dose of 50.4 Gy/28 Fr.

CONCLUSION

A combination of chemotherapy and radiotherapy may be a promising treatment option for uterine adenosarcoma with postoperative residual disease.

Behavioral Intention to Avoid Drug Abuse Works as Protective Factor among Adolescent

BACKGROUND

Young people engage in risky behaviors unintentionally and these behaviors might be reduced or inhibited by preventative behaviors. Although adolescents' risky behaviors are known as unplanned or unintentional, preventative behaviors are intentional. The aim of the present study was to assess students' behavior intentions to avoid drug abuse.

METHODS

This study was a cross sectional design that male high school students (n= 176) in Tehran, Iran completed a questionnaire assessing behavior intentions to avoid drug abuse, self-control, selfefficacy, perceived susceptibility, and negative attitudes toward drug abuse, peer resistance skills and substance abuse related behaviors.

RESULTS

Peer resistance skills, negative attitude toward drugs, perceived self- efficacy, and high selfcontrol were four predictors on intention against drug abuse. Moreover, students' educational status, interested in school and truancy and spending with friends were other predictors for intention against drug abuse.

CONCLUSION

Healthy behaviors are intentional. As a result improving behavior intentions to avoid drug abuse would act as a protective factor for preventing drug abuse among adolescents as well as preventing high-risk behaviors.