A bstract Cardiac myxomas are rare benign tumors found predominantly in the left atrium and in females. Here, we report a case of left atrial myxoma and rare co-occurrence with brain meningioma complicated by mitral valve obstruction, brain infarcts, and mass effect of the tumor. A 48-year-old woman presented with clinical features of stroke and subsequently developed generalized body weakness, exertional dyspnea, and episodes of syncope. Brain magnetic resonance imaging showed multifocal infarcts in the brain and meningioma affecting the optic chiasm. Echocardiography revealed a left atrial myxoma, 2.7 cm × 2.0 cm, with a ball valve effect on the mitral valve. She was managed conservatively but deteriorated and died while awaiting open-heart surgery for excision of the myxoma. Co-occurrence of cardiac myxoma and cerebral meningioma is very rare. Complications from the combined effects of both tumors could be averted by timely diagnosis and surgical treatment for better outcomes.
A bstract Background: Child adoption is an important social and legal mechanism for caring for orphans and vulnerable children. It establishes legal rights for adopters and adoptees to become a family, enabling children to enjoy improved care and quality of life in a stable home. Despite the Child Rights Act (2003), which regulates child welfare and adoption practices in Nigeria, public understanding of adoption procedures and policies remains limited. Objectives: This study assessed knowledge, attitudes, and acceptability of child adoption and identified factors associated with acceptance of adoption among adults in Ohaukwu Local Government Area, Ebonyi State, Nigeria. Materials and Methods: A descriptive cross-sectional study was conducted among 430 adults selected through multistage sampling. Data were collected using interviewer-administered questionnaires and analyzed with the Statistical Package for the Social Sciences. Descriptive statistics summarized the variables, whereas the chi-square test assessed associations between categorical variables and child adoption acceptability at 5% significance level. Results: The mean age of respondents was 38.0 ± 3.4 years, and 4.2% had previously adopted a child. Most participants (79%) demonstrated good knowledge of child adoption, and 54% had positive attitudes. However, acceptability was low (37.2%). Misconceptions ( P = 0.008), cultural beliefs ( P < 0.0001), religion ( P < 0.0001), level of education ( P = 0.009), family influence ( P = 0.005), and financial factors ( P < 0.0001) were significantly associated with the acceptability of child adoption. Conclusion: Although knowledge and attitudes toward child adoption were relatively favorable, acceptability remains low due to sociocultural and information barriers. Increased public education and community-based advocacy are needed to improve awareness and promote adoption as a social responsibility that enhances child survival and well-being in Nigeria.
Abstract Unilateral retinal detachment (RD) in young adults is uncommon, especially when accompanied by lens pathology such as posterior capsule microcalcifications. We report the case of a 20-year-old male who presented with visual disturbances in the right eye, where multimodal imaging—including slit-lamp examination, B-scan ultrasonography, and optical coherence tomography (OCT)—revealed minimal exudative RD, posterior lens capsule microcalcifications visible both clinically and on imaging, and vitreous opacities. OCT confirmed neurosensory elevation with subretinal fluid pockets and irregular outer retinal architecture. Systemic investigations showed proteinuria and mildly elevated C-reactive protein, without other systemic or autoimmune markers. Follow-up is ongoing, and initial management involves close ophthalmologic monitoring and further immunological workup. This case underscores the diagnostic importance of multimodal imaging and a high index of suspicion for isolated ocular inflammation in atypical retinal presentations.
Background: Striae distensae (SD) is a connective tissue disorder manifesting as skin lesions or scars of linear patterns. Its role in the development of cardiovascular disorders has not been well researched. Objective: This study aims to determine if there is any significant association between serum lipid profile, systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI) in development of SD in some young adult females. Materials and Methods: Thirty young adult females with SD and thirty controls participated in this case control study. For each participant, SBP, DBP, and BMI were determined. The serum lipid profile was also determined using the spectrophotometric method. Data were analyzed using Statistical Package for the Social Sciences version 23. A p value < 0.05 was considered statistically significant. Results: There were significantly higher levels of SBP (124.80 +/- 8.78 versus 113.73 +/- 5.81 mm Hg, P = 0.001), DBP (79.20 +/- 10.98 versus 68.86 +/- 7.05 mm Hg, P = 0.000), and BMI (27.92 +/- 3.31 versus 22.21 +/- 2.19, P = 0.000) in young adult females with SD compared to controls. There were significantly higher blood levels of total cholesterol (194.60 +/- 21.59 versus 156.20 +/- 27.40, P = 0.000), and low-density lipoprotein (111.19 +/- 26.51 versus 85.56 +/- 32.67, P = 0.022), but a significantly lower level of high-density lipoprotein (25.37 +/- 22.55 versus 51.26 +/- 32.56, P value = 0.008) in the cases with SD compared to controls. There was no significant difference in the blood level of triglycerides (44.80 +/- 21.62, versus 53.20 +/- 40.25, P value = 0.635). Correlation studies revealed a significant positive association between BMI, SBP, and DBP and altered serum lipid profile (p < 0.05). Conclusion: Young adult females with SD are at higher risks of SBP, DBP, BMI, and abnormal lipid profile, suggesting possible susceptibility to cardiovascular disorders.
Background: Electronic nursing care plan (ENCP) applications are integral tools in modern healthcare settings, offering standardized documentation, enhanced communication, and improved patient care. Objective: This review evaluated the development, nursing diagnosis features, and suitability of existing ENCP applications for rural African settings. Materials and Methods: We searched PubMed and Scopus databases for relevant articles published between 1983 and 2025. Out of an initial 315 identified records, six articles met the inclusion criteria and were reviewed. Key features assessed include the design phases, design tools applied, nursing diagnosis features, nursing speciality intended, and the suitability of ENCP applications for rural African nursing settings. Results: Findings indicate that six ENCP applications were available, each with varying features and functions. While the applications offer robust features for care planning and documentation, gaps existed in the comprehensiveness of nursing diagnosis support. One out of the six included studies (16%) consulted the end-user (clinical nurses) before planning the flow diagram (a requirement for a user-centered software development life cycle). Five out of the six included studies (83%) reported ENCP applications with a limited list of nursing diagnosis expressions. The only ENCP application with an extensive nursing diagnosis list had not been tested outside the simulation room, hence causing a knowledge gap. One (16%) of the ENCPs was potentially suitable for Africa as it could function both online and offline. Conclusion: Future developments in ENCP applications should prioritize end-user consultation and an extensive nursing diagnosis list to optimize the use across all nursing specialties and settings. The review protocol was registered on the Open Science Framework (OSF): http://doi.org/10.17605/OSF.IO/CZA7D.
Background: Illness duration and increasing functional decline in mentally ill patients increase the extent of care, which creates stress that can result in increased caregiver burden and compassion fatigue. Objectives: This study examines the relationship between the burden of care and compassion fatigue among caregivers of mentally ill patients, while also assessing the moderating role of illness duration. Materials and Methods: A cross-sectional design was used, with 300 adult participants (141 men, 159 women; M = 35.39 years, SD = 11.44) drawn from two teaching and two psychiatric hospitals in southeast Nigeria. Data were collected using the Professional Quality of Life Survey (ProQol-5) for compassion fatigue and the Zarit Burden Inventory (ZBI-12) for caregiver burden. Results: Regression analysis revealed that the burden of care significantly predicted compassion fatigue (beta = 0.12, P < 0.01), indicating that as caregiver burden increased, compassion fatigue also increased. Although illness duration alone did not predict compassion fatigue, its interaction with the burden of care produced a significant moderating effect (beta = 0.00, P < 0.05) suggesting that prolonged illness intensifies the association between caregiver burden and compassion fatigue. Conclusion: The findings highlight the risks faced by primary caregivers, particularly when caring for individuals with long-term severe mental illness. Thus, healthcare professionals should educate caregivers on the dangers of compassion fatigue and provide necessary interventions. This may help mitigate compassion fatigue, and improve caregiver well-being and patient care.
Cushing syndrome (CS) is a multi-systemic disorder caused by overproduction of endogenous glucocorticoids or chronic exposure/intake of high doses of exogenous glucocorticoids. In the pediatric age group, intake of exogenous glucocorticoids is the main etiology of iatrogenic CS. We report three cases of iatrogenic CS with adrenal suppression in three female Nigerian adolescents following prolonged intake of oral and parenteral steroids for chronic medical conditions. The medications (prednisolone and dexamethasone) were taken over several months, during which they developed clinical features of CS as well as adrenal suppression, necessitating presentation to our hospital facility. In all cases, biochemical indices were in keeping with CS with adrenal suppression, and treatment with parenteral and oral hydrocortisone at physiologic doses resulted in marked clinical improvement. The patients are currently on follow-up at the Paediatric Endocrinology Clinic of our hospital.
Background:Older adults are disproportionately impacted during public health crises, especially in rural settings where healthcare access is limited. Understanding their health behaviors and healthcare utilization is essential for improving geriatric care.Objectives:This study investigates the understanding of health behavior and the healthcare experiences of older adults using outpatient services in a rural Nigerian hospital during the COVID-19 pandemic.Materials and Methods:The study employed an exploratory qualitative research design through 13 face-to-face semi-structured interviews with older adults aged 60-80 using outpatient health services in a University Teaching Hospital in rural south-eastern Nigeria. The data generated from these interviews were then analyzed using qualitative content analysis, which led to two overarching themes.Results:Our findings revealed a complex interplay of personal, interpersonal, societal, and environmental factors that influence health behavior and healthcare utilization among older adults in rural Nigeria during the COVID-19 pandemic. While negative behaviors, such as heightened emotions, poor help-seeking behavior, self-medication for COVID-19 symptoms, and poor diets, were observed due to ignorance and misinformation, there were also positive influences. These included an increased focus on hygiene and enhanced family relationships through staying active, consequently improving physical activity behavior.Conclusion:These findings suggest that a resilient healthcare system in rural Nigeria may encourage a proactive stance toward positive behavior and increase healthcare utilization among older adults during crises. We recommend intensifying health literacy campaigns, including digital health literacy, eliminating the digital divide, and creating care protocols tailored for older adults to facilitate optimum healthcare access during crises in rural settings.
Background:Prehypertension, the "precursor of hypertension," offers an opportunity for intervention, thereby preventing progression to full-blown hypertension, and downregulates the pathophysiological mechanisms that lead to the development of cardiovascular diseases. However, despite many studies done among the general population, there is a dearth of data among the priestly community, who may be seen as "spiritually immune" from life stressors and some cardiovascular risk factors.Objectives:To assess the prevalence of prehypertension as compared with hypertension and the cardiovascular risk factor correlates among clergymen and women in Ideato Diocese, Imo State, Nigeria.Materials and Methods:This was a cross-sectional study of all consenting clergymen at the medical outreach in Ideato Diocese, Imo State, Nigeria. An interviewer-administered questionnaire was used to obtain information on socio-demographic and behavioral risk factors for hypertension. Also, lipid analysis, anthropometry, blood pressure (BP), and fasting blood glucose measurements were recorded.Results:There were 287 participants, 156 (54.4%) males and 131 (45.6%) females, with an age range of 20-90 years (41-50 years being the majority [44.4%]), and the median age of 55.5 years. The prevalence of prehypertension was 37.6%, and that of hypertension was 41.8%. The hypertension awareness rate was 48.3%, while the control rate was 50%. The mean body mass index (BMI) of those with hypertension (28.78 kg/m & sup2;) was significantly higher than that of those with prehypertension (26.22 kg/m & sup2;) (P = 0.002). Both BMI and waist circumference (WC) are positively correlated with systolic BP in prehypertension and hypertension groups (P = 0.002) and (P = 0.001), respectively.Conclusion:BMI and WC are strongly associated with BP levels. Therefore, weight control may serve as an interventional tool in the prevention of hypertension.
Background: A healthy professional environment is an utmost desire for the holistic well-being of a person. Occupational stress is a risk factor for various physical and mental illnesses. Nursing is a stressful occupation due to its nature. Objectives: To measure occupational stress among the nursing staff of a rural tertiary care hospital using the modified Expanded Nursing Stress Scale (ENSS) and find out the determinants of occupational stress among them. Materials and Methods: A hospital- based survey had been conducted on 186 nursing staff of Bankura Sammilani Medical College using the modified ENSS. A self-administered questionnaire was used to collect data. Collected data were entered in MS Excel spreadsheet and analyzed using SPSS 22 version. Results: Among the nursing staff, 53% had mild stress, 41% moderate, and 6% severe stress. Among the nursing staff working in the pediatric ward, 85.2% were suffering from moderate-to-severe stress, which is highest among all other working places of this hospital. Bivariate analysis revealed that residence, designation, working place, night duties, SES, having children, and support at home are the determinants of moderate to severe degree of occupational stress among the nursing staff (p < 0.05). Multivariate analysis showed a significant relationship between occupational stress of nursing staff with residence, working place, and support at home (p < 0.05) while considering the effect of various confounders. Conclusion: More nursing staff of rural background, training before posting to specialty wards and counseling sessions to manage home and workplace, are required to lessen the occupational stress among the nursing staff of rural hospitals.
Background:Obesity and hypertension constitute two important risk factors for non-communicable diseases worldwide, including Nigeria.Objective:The objective of the study was to assess the prevalence of obesity and hypertension among adults in South-South Nigeria.Materials and Methods:This descriptive cross-sectional study, conducted in Akwa Ibom and Cross River States, South-South, Nigeria, adopted multi-stage sampling techniques to select participants. Measurements of weight, height, waist circumference, and blood pressure (BP) were conducted following standard procedures. General obesity and abdominal obesity (AOB) were assessed using body mass index (BMI) and waist circumference. Hypertension was indicated by systolic BP >= 140 mm Hg and/or diastolic BP >= 90 mm Hg. Descriptive and inferential statistics were performed, and statistical significance was established at P < 0.05.Results:The study included 1179 adults (32.8 +/- 8.6 years old), comprising 63.9% rural dwellers and 50.3% females. Overweight, general obesity, and AOB were 20.1%, 12.6%, and 20.9%, respectively. Pre-hypertension and hypertension were 48.3% and 27.0%, respectively. Increased BMI and AOB related significantly with hypertension, P < 0.001. Physical activity related significantly with increased BMI (P < 0.001) and AOB (P = 0.004), but not with hypertension. Increased BMI, AOB, and hypertension all differed by age, P < 0.001. Increased BMI (P = 0.006) and hypertension (P = 0.003) differed by income.Conclusion:Obesity and hypertension were prevalent among adults in South-South Nigeria. Sociodemographic factors were important in prevalence of both obesity and hypertension in the population. Wider screening and follow-up care for obesity and hypertension are needed to forestall possible outbreak of chronic diseases in the region.
Background: Vitamin D has been suggested to provide benefits for maintaining left ventricular (LV) geometry, which is critical among individuals with hypertension. Objectives: To assess the association between serum vitamin D and left ventricular geometry, and the impact of supplementation on cardiac remodeling in hypertension. Materials and Methods: A systematic search was conducted across five databases up to June 7, 2024, by adhering to the PRISMA guideline. Eligible studies included observational or interventional designs reporting LV structural parameters in relation to vitamin D status or supplementation. Standardized mean differences (SMD) or mean differences (MD) were pooled using a restricted maximum-likelihood model. Heterogeneity was estimated based on I2-statistics. Results: Five studies met the inclusion criteria, consisting of three observational studies (n = 349 participants) and two clinical trials (n = 181 participants). Observational studies showed a significant association between low serum vitamin D levels and increased LV mass index (LVMI), LV end-diastolic diameter, interventricular septum thickness, and posterior wall thickness, all with P < 0.001. A significant inverse correlation was found between serum vitamin D and LVMI (r = −0.31, P < 0.001). Lower vitamin D levels were linked to reduced LV ejection fraction (LVEF) (SMD = −0.38, P = 0.038). However, clinical trials showed no significant effect of vitamin D supplementation on LVMI (SMD = 0.03, P = 0.753). Conclusion: Vitamin D deficiency is significantly associated with adverse changes in left ventricular geometry and reduced cardiac function. However, current evidence from clinical trials suggests that vitamin D supplementation does not significantly improve these parameters. Protocol registration: https://osf.io/5kyfx.
Background:Hypertensive disorders of pregnancy (HDP) are among the leading causes of maternal mortality globally and are also recognized causes of adverse fetal outcomes.Objectives:We aimed to determine and quantify the risk of adverse fetal outcomes associated with HDP.Materials and Methods:A 5-year retrospective study was conducted at the Delta State University Teaching Hospital from May 2019 to April 2024. Cases included all deliveries that met the criteria for HDP during the study period, whereas controls comprised normotensive mothers without any comorbidities. Data on maternal age, parity, mode of delivery, place of delivery, supervised/unsupervised delivery, birth weight, Apgar score, gestational age, and delivery outcomes were collected. The prevalence and odds ratios of stillbirth, low birth weight (LBW), preterm delivery, and birth asphyxia were determined.Results:Out of 826 deliveries, 134 (16.2%) met the criteria for HDP, whereas 408 (49.4%) were classified as controls. The incidence of stillbirth was significantly higher among women with HDP (P = 0.0004; AOR = 4.16; 95% CI = 1.89-9.13). Similarly, the incidence of LBW was significantly higher in women with HDP (P < 0.0001; AOR = 10.19; 95% CI = 6.53-15.92), as was the incidence of preterm delivery (P < 0.0001; AOR = 4.86; 95% CI = 3.17-7.40). Additionally, the incidence of birth asphyxia was significantly higher in newborns delivered to mothers with HDP (P < 0.0001; AOR = 3.4; 95% CI = 2.06-5.07).Conclusion:The HDP significantly contributed to the incidence of stillbirths, LBW, preterm deliveries, and birth asphyxia in Delta state, Nigeria.
Background:Low back pain (LBP) is one of the most frequently reported chronic health problems affecting adults in Sub-Saharan Africa (SSA). Among other risk factors, age, sex, and body mass index (BMI) have been associated with a rise in the incidence of LBP in Nigeria, with resultant increasing disability and morbidity. Magnetic resonance imaging (MRI) has been found to be very useful in evaluating the abnormalities in the lumbosacral spine due to its excellent soft tissue resolution. Despite this burden, SSA-specific MRI-based data are scarce.Objectives:The aim of this study was to correlate age, sex, and BMI with MRI features in patients with LBP in Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.Materials and Methods:A cross-sectional prospective study of 150 adults with LBP was carried using a 1.5Tesla MRI scanner (Toshiba Excelart Vantage March 2015). The picture archiving and communication system was utilized for data collection. Analysis of data was done using Statistical Package for Social Sciences version 25.0 (SPSS Inc. IL USA).Results:The mean age and BMI of the participants were 59.9 +/- 13.2 years and 28.2 +/- 4.4 kg m-2, respectively. Ninety-six (64%) were males, whereas 54 (36%) were females. Degenerative disease of the spine was the most common finding and was observed in 126 (84%) of the participants. There was a statistically significant correlation of MRI findings with the age of participants (r = 0.074, P = 0.0001), but not with sex and BMI.Conclusion:There is significant positive correlation between MRI findings and age of the patients with LBP, but not with sex or BMI.
Background:Adolescents engage in sexual risk behaviors predisposing them to sexually transmitted infections and unwanted pregnancy. The role of family function in these behaviors is poorly understood.Objectives:This study determined the relationship between family function and sexual risk behaviors among adolescents in Ekiti State, Nigeria.Materials and Methods:A cross-sectional study was conducted among 546 in-school adolescents selected through multi-stage sampling from public secondary schools in Ekiti State. Their family function and sexual behaviors were assessed using a validated, self-administered, semi-structured questionnaire. Data was analyzed using Epi-Info 7, and univariate, bivariate, and multivariate analyses were conducted to determine the relationship between family function and sexual risk behaviors at a 95% confidence interval (CI).Results:The mean age of respondents was 15.0 +/- 1.6 years; the majority 361 (66.7%) were females, and 188 (34.4%) were from dysfunctional families. A total of 98 (18.0%) respondents had initiated sex, 56 (10.3%) had sex 3 months preceding the survey, and 29 (5.3%) had sex under the influence of alcohol. Among the sexually active, 57 (58.8%) had multiple sex partners in their lifetime, while 32 (32.7%) used a condom at their last sexual exposure. Adolescents from dysfunctional families were 1.89 times more likely to have initiated sex (aOR: 1.89, 95% CI: 1.18-3.03), 2.81 times more likely to have sex influenced by alcohol (aOR: 2.81, 95% CI: 1.25-6.09), and 1.88 times more likely to have had sex within the past 3 months (aOR: 1.88, 95% CI: 1.06-3.33) compared with those from functional families.Conclusion:A dysfunctional family is a significant risk factor for adolescents' high-risk sexual behaviors.
Situs inversus totalis is a condition when thoracic along with abdominal organs is mirrored (reversed). The diagnosis of this condition is often an incidental one discovered during the investigation of another associated ailment. Although it may not be a life threatening condition, the recognition of its presence holds importance in patients undergoing surgical/radiological interventions. We present a case report of a 34-year-old chronic smoker and occasional alcoholic male patient who presented to the emergency department with a 10 h history of sudden onset, severe upper abdominal pain associated with nausea and multiple episodes of non-bilious vomiting. Abdominal examination revealed diffused guarding and rigidity with absent bowel sounds. After resuscitation and subsequent biochemical and radiological investigations, he was diagnosed as a case of situs inversus totalis with hollow viscous perforation. Exploratory laparotomy with Graham’s repair was done for duodenal perforation with an uneventful postoperative course.
Juvenile ossifying fibromas constitute a group of heterogenous, rare, benign fibro-osseous lesions that affect the craniofacial skeleton including the jawbones. These tumors are distinguished due to their predilection for affecting younger age groups, non-specificity and also, overlapping clinico-radiologic presentation, and their potential, locally aggressive behavior. The authors report two distinct cases of aggressive juvenile ossifying fibroma of the mandible in pediatric patients who were referred for evaluation of their large expansile growths in the mandible. A brief overview of the varied clinical presentations, histopathological appearances, radiological features and management, and reconstructive options is discussed at length in the present case series.
Background: Malaria in pregnancy is common but some other illnesses mimic its clinical manifestation. This underscores the need for its diagnosis before treatment. Objectives: The objectives of the study were to compare the accuracy of urine-based malaria test (UMT) with blood-based rapid diagnostic test (RDT) in detecting malaria among pregnant women with clinical features of malaria. Materials and Methods: This was a comparative cross-sectional study, in which urine and venous blood were collected from 310 eligible participants at a teaching hospital in Abakaliki, Nigeria, between June and November, 2019. UMT, blood-based RDT and microscopy (gold standard) were performed for each participant. Each selected participant served as her own control. Data analysis was done using Statistical Product and Service Solutions version 20. Chi-square test was used for comparison of categorical variables. P < 0.05 was considered statistically significant. Results: The prevalence of malaria parasitaemia among the participants was 91.6% (n = 284/310). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy of UMT were 85.0%, 76.2%, 97.9%, 27.6%, and 81.9%, respectively, while the sensitivity, specificity, PPV, NPV, and overall accuracy of blood-based RDT were 87.2%, 81.8%, 98.4%, 33.3%, and 84.8%, respectively. There was no difference between the accuracy of UMT and blood-based RDT (P = 0.56). The area under the receiver operating characteristic curve of both UMT and blood-based RDT was 0.83 and 0.86, respectively. Conclusion: UMT performance is comparable to blood-based RDT in diagnosing malaria and could be considered as a non-invasive alternative to RDT in settings where microscopy is lacking.
Thymic tumors are very rare in children, and when present, mainly occur in adolescents. Less than 300 pediatric cases have been reported worldwide in literature. There are no reports regarding deep vein thrombosis (DVT) and intra-cardiac clots among the pediatric cases. We report a case of DVT of the right axillary and subclavian veins, with a clot in the right atrium in a 16-year-old male child with thymoma, which was misdiagnosed as non-Hodgkin’s lymphoma on histology but found to be a thymoma on immunohistochemistry. This case report aims to improve awareness regarding DVT and thymomas in children and encourage routine assessment and treatment of DVT for these children for improved outcomes.
Sertoli-Leydig cell tumor (SLCT) is a rare sex cord-stromal tumor accounting for <0.5% of all primary ovarian neoplasms. It occurs in all age groups, with majority occurring in the reproductive age group, mostly in the second and third decades. It is the most common virilizing ovarian tumor, autonomously secreting testosterone, leading to androgenic manifestations. A 17-year-old single nulliparous female presented with a 2-year history of oligomenorrhea, followed by amenorrhea, abdominal swelling, and features of virilism. A computed tomographic scan diagnosed a right complex ovarian mass with obstructive uropathy. She underwent a right salpingo-oophorectomy and omentectomy for a stage 1A tumor. Histopathological examination confirmed the diagnosis of poorly differentiated SLCT with a predominance of heterologous mesenchymal elements. The postoperative period was uneventful, with resumption of menstruation and regression of the androgenic signs and symptoms. Unfortunately, symptoms recurred 5 months after the initial surgery, and patient succumbed.
