Ewing sarcoma of the cervix: an unusual site of presentation.

Ewing sarcoma is an exceedingly rare form of cancer that affects the cervix. It falls within the spectrum of neoplastic diseases known as Ewing's family of tumours, typically observed in osseous tissues. A woman in her 40s, experiencing symptoms of leucorrhoea and transvaginal bleeding that commenced 3 months before her consultation, was referred to our gynaecological oncology clinic with a preliminary diagnosis of ovarian teratoma. A colposcopy procedure was conducted unveiling a complete loss of cervical anatomy with friable and malodorous tissue. Pelvic ultrasound identified a lesion of uncertain origin in the cervix, suggestive of malignancy. Histopathological assessment of cervical biopsy specimens confirmed the presence of a small, round, blue cell neoplasm consistent with Ewing sarcoma. She underwent chemotherapy and pelvic radiotherapy, achieving complete remission 9 months after diagnosis, without experiencing any systemic adverse effects or sequelae.

Scleromyositis: A Novel Entity Beyond Systemic Sclerosis and Autoimmune Myositis.

Scleromyositis is a new clinical entity, which not only has clinical and histopathological components of systemic sclerosis and inflammatory myopathy but is also characterized by presenting unique characteristics, which may not be in the previously mentioned diseases. Up until now, there are no specific classification criteria proposed by the American College of Rheumatology or the European League Against Rheumatism (ACR/EULAR). This paper presents a case report of a female patient in her 60s who was admitted to our institution due to muscle weakness in her legs and dysphagia. Within her diagnosis approach, clinical characteristics compatible with autoimmune myopathy were found; however, she presented with anti-PM/Scl75 antibody-positive results. In this paper, we emphasized the clinical characteristics and forms of presentation of scleromyositis, additionally discussing the available treatment for this entity.

Caracterización de los factores de riesgo cardiovascular para infarto agudo de miocardio en población Garífuna / Characterization of cardiovascular risk factors for myocardial acute infarction in a Garifuna Population

RESUMEN Introducción. La enfermedad cardiovascular se caracteriza por una etiología multifactorial, siendo los factores de riesgos generalmente potenciados entre sí y con frecuencia asociados. Se tuvo como objetivo, caracterizar los factores de riesgo cardiovascular para infarto agudo de miocardio en una población de raza Garifuna, tomando en cuenta factores de riesgo modificables y no modificables. Los resultados de este estudio, facilitarán la creación de programas de intervención para prevención de enfermedades cardiovasculares y la disminución de factores de riesgo en la población de Ciriboya y/o poblaciones similares. Métodos. Se realizó una investigación cuantitativa de tipo observacional, descriptivo, de corte transversal. La muestra fue conformada por 139 personas, calculada con un nivel de confianza del 95%, seleccionadas mediante un muestreo de tipo probabilístico aleatorio. Se utilizó la Encuesta de la Asociación Colombiana de Cardiología como instrumento de recolección de datos, la cual asigna puntaje a los factores de riesgo según su magnitud; se aplicó casa por casa a los miembros del hogar en el rango etario estudiado. Resultados. Se encontró que 67% de los encuestados presenta riesgo cardiovascular; de las mujeres encuestadas, 64% presenta riesgo, mientras que 71% de los hombres presenta riesgo. Los factores de riesgo con mayor prevalencia son sobrepeso (58%), antecedente familiar de hipertensión arterial (43%), antecedente familiar de diabetes mellitus (35%) e hipertensión arterial diagnosticada (32%). Conclusiones. En la población estudiada los hombres poseen mayor riesgo cardiovascular que las mujeres. Entre los factores de riesgo el más significativo fue sobrepeso.

ABSTRACT Introduction. Cardiovascular disease is characterized by a multifactorial etiology, with risk factors generally being strengthened among themselves and frequently associated. The objective of this study was to characterize cardiovascular risk factors for acute myocardial infarction in a Garifuna population, taking into account modifiable and non-modifiable risk factors. The results of this study will facilitate the creation of intervention programs for the prevention of cardiovascular diseases and the reduction of risk factors in the population of Ciriboya and / or similar populations. Methods. A quantitative observational, descriptive, cross - sectional study was performed. The sample consisted of 139 individuals, calculated with a confidence level of 95%, selected by random probabilistic sampling. The Colombian Cardiology Association Survey was used as a data collection instrument, which assigns scores to the risk factors according to their magnitude; Was applied house to house to the members of the household in the studied age range. Results. It was found that 67% of the respondents presented cardiovascular risk; Of the women surveyed, 64% are at risk, while 71% of men are at risk. The most prevalent risk factors were overweight (58%), family history of hypertension (43%), family history of diabetes mellitus (35%) and diagnosed hypertension (32%). Conclusions. In the studied population, men have a higher cardiovascular risk than women. Among the risk factors the most significant was overweight.