额外的急性髓性白血病呈现与心脏外溢和心律失常
Usman S Najam1, Angela Khidhir1, Leonard Palatnic1
1Internal Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
Cureus
|July 3, 2023
概括
急性髓性白血病 (AML) 的复发很少见,但这种病例显示出心脏的外骨髓性转移. 患者在成功治疗AML后发展出心周和心内质量.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 心脏病学 心脏病学
背景情况:
- 急性髓性白血病 (AML) 是一种常见的成年白血病,其特征是髓性细胞增殖.
- 外骨髓性复发,特别是心脏转移,是AML的罕见并发症.
- 成功治疗AML后,可能会出现罕见的,激烈的复发.
研究的目的:
- 报告一个罕见的AML外骨髓性复发病例与广泛的心脏转移.
- 强调在有AML病史的患者中考虑心脏参与的重要性,即使在缓解期.
- 讨论AML二次性心脏质量的临床表现和管理.
主要方法:
- 案例报告的呈现方式.
- 审查患者的病史,诊断成像 (心声学,CT/MRI) 和组织病理学发现.
- 讨论治疗策略和结果.
主要成果:
- 一位患有AML缓解期的患者呈现出心周溢液和多个心内和心周质量.
- 心脏质量被证实是AML的外骨髓性复发.
- 导电异常被发现是心脏参与的次要原因.
结论:
- 虽然很少见,但AML在心脏中的异常复发甚至在成功治疗和缓解后也可能发生.
- 在AML中心脏转移需要高度的临床怀疑和彻底的诊断评估.
- 这一案例强调了AML复发的各种临床表现,以及需要对患者进行全面的监测.
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