[髓样肉瘤的耳鼻喉表现]。

Dr Samy Belaidi, Mercy George, Francesco Ceppi, Carole Gengler, Gregory Schurmann
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引用次数: 0

摘要

髓样肉瘤(MS)是急性髓性白血病(AML)的一种罕见髓外表现,表现为首发、进展或复发。它主要发生在骨骼中,通过模仿常见的病理特征而进入耳鼻喉科领域,从而导致诊断和治疗的延误。我们在临床实践中遇到的乳突受累病例(临床小故事)显示了识别这种病变的复杂性,文献中报道的病例极少。包括急性髓细胞性白血病病史在内的病史和临床检查有助于指导检查。在本病例中,CT/MRI 结合病灶活检和骨髓穿刺,通过有针对性的成像来进行诊断。化疗是治疗的指征,应迅速启动。
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[ENT manifestations of myeloid sarcoma].

Myeloid sarcoma (MS) is a rare extra-medullary manifestation of acute myeloid leukaemia (AML) in the form of a first manifestation, progression or recurrence. Mostly located in the bones, it has the particularity of reaching the ENT sphere by mimicking common patho-logies, leading to a delay in diagnosis and treatment. The -mastoid involvement that we have encountered in our clinical -practice (clinical vignette) shows the complexity of identifying this pathology, with very few cases reported in the literature. The anamnesis, including a -history of AML, and the clinical examination help to guide the investigations. Targeted imaging, in this case CT/MRI combined with a biopsy of the lesion and a marrow puncture, is used to make the -diagnosis. Treatment with chemotherapy is indicated and rapidly initiated.

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来源期刊
Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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