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Background: Rhabdomyosarcomas, particularly those of gynecologic origin, are very rare in adults. As a result, there is little literature on the optimal staging procedure and treatment modalities for this population., Case: A 43-year-old woman presented with a long-standing history of menorrhagia and was subsequently diagnosed with embryonal rhabdomyosarcoma of the cervix. She underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy, lymph node dissection, omentectomy, and appendectomy, which also revealed a synchronous tubular carcinoid tumor of appendiceal origin. Plans for treatment involve adjuvant chemotherapy with vincristine, dactinomycin, and cyclophosphamide., Conclusion: This case adds to the small body of literature surrounding cervical embryonal rhabdomyosarcoma in women over the age of 40 years and proposes that appendectomy be considered during surgical management.

Bold and innovative educational programs are essential to prepare nurses who will effectively meet the demands of health care delivery in the 1990s. The authors describe the process used to develop the guiding documents for a future-oriented curriculum. The key concepts in the statement of philosophy--nurse, consumer, environment, health, and unification--are depicted in the conceptual model of nursing as dynamic relationships. The content of the model and how it was derived from the faculty members' beliefs about nursing are discussed.