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以截瘫为首发的髓系肉瘤1例并文献复习

Myeloid sarcoma with paraplegia as initial manifestations: case report and review

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【作者】 孙方方李文倩韩国雄陈绍斌冯建明

【Author】 SUN Fangfang LI Wenqian HAN Guoxiong et al

【机构】 青海大学医学院青海省人民医院血液科

【摘要】 <正>白血病是血液科常见的恶性肿瘤,在我国的发病率约为2.76/10万,其中2%~8%的急性白血病和4.2%~4.5%的慢性髓系白血病患者可发生髓系肉瘤(MS)。MS的发生部位多样,椎管内少见,而以椎管内MS白血病为首发临床表现的则更为罕见。现将我院以截瘫为首发的MS 1例报道如下。

【Abstract】 A twenty-year-old female was manifested with paraplegia and uracratia as initial and primary signs,accompanied by T6and T7spinous process tenderness to palpation +,lower extremity myodynamia 0,no tendon reflex,and Babinski+.Magnetic resonance imaging demonstrated intraspinal occupying lesions from T3to T5with spinal cord compressed.Bone marrow aspiration indicated M2b,and whole blood cell analysis showed cell numbers were normal in which 34%of them were juvenile.Bcr-abl fusion gene was AML1/ETO positive.M2bwith intraspinal myeloid sarcoma.

【关键词】 白血病髓系肉瘤
【Key words】 leukemiamyeloid sarcoma
  • 【文献出处】 临床血液学杂志 ,Journal of Clinical Hematology , 编辑部邮箱 ,2013年01期
  • 【分类号】R733.7
  • 【被引频次】1
  • 【下载频次】139
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