以胰腺肿瘤为表现的儿童髓外骨髓肉瘤

Pham Thi Viet Huong, Trinh Hong Son
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摘要

背景:髓样肉瘤(MS)是一种发生在髓外部位的由粒细胞前体细胞组成的肿瘤。多发性硬化症是一种罕见的肿瘤,其知识主要基于病例报告。MS最初常常被误诊,最常见的替代诊断是淋巴瘤、未分化癌、恶性黑色素瘤、髓外造血和炎症。免疫组织化学和免疫表型对MS的准确诊断至关重要目的:本研究的目的是介绍一个非常罕见的MS临床病例的男孩在骨髓增生异常综合征的诊断中。病例报告:一名9岁男童于2016年5月至2016年8月在K医院儿科肿瘤科治疗髓外MS。方法:回顾性描述1例临床病例。结果:本病例描述与文献中其他病例相似。患者接受急性髓细胞性白血病常规化疗方案治疗后出院。结论:本病例临床罕见。通过免疫组织化学和免疫表型检查进行准确诊断。全身化疗治疗与他的主要有利生存预后相关。
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Extramedullary Myeloidsarcoma in Children Presenting with Pancreatic Tumor
Background: Myeloidsarcoma (MS) is a tumor composed of granulocytic precursor cells occurring in an extramedullary location.MS are rare neoplasms whose knowledge is largely based on case reports. MS is often initially misdiagnosed, the most common alternative diagnoses being lymphoma, undifferentiated cancer, malignant melanoma, extramedullary hematopoiesis and inflammation. Immunohistochemistry and immunophenotying are crucial for the accurate diagnosis of MS. Aim: The aim of this study is to introduce a boy with a very rare clinical case of MS in the diagnosis of myelodysplastic syndrome. Case report: A 9-year-old boy with extramedullary MS has been treated in Pediatric Oncology Department, K hospital from May, 2016 to August, 2016. Method: Retrospectively describe a clinical case. Result: The patient is described smilar to some other cases in literature. He was treated with an Acute Myeloicytic Leukemia conventional chemotherapeutic protocol and discharged. Conclusion: The case is rare in clinical practice. The exact diagnosis was made by immunohistochemistry and immunophenotying. Treatment with systemic chemotherapy was associated with his primary favorable survival outcome.
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