数字性缺血是转移性卵巢癌的一个表现特征
Jonathan Harry Miller1,2, Peter Merry3
1Rheumatology, Norfolk and Norwich University Hospital, Norwich, UK jonathan.miller@doctors.org.uk.
BMJ case reports
|December 7, 2023
概括
数字缺血,以指尖疼痛和变色为特征,可以信号潜在的癌症. 及时的癌症诊断和治疗,如在这个卵巢癌病例中所见,可以导致数字缺血症症状完全消失.
科学领域:
- 在瘤学瘤学.
- 血管医学 血管医学
背景情况:
- 数字性缺血 (DI) 呈现为四肢急性疼痛和变色.
- DI可以是恶性瘤的早期迹象,影响高达15%的癌症患者.
- 这一案例突出显示了在没有其他连接组织疾病特征的患者中DI.
研究的目的:
- 调查数字缺血和潜在恶性瘤之间的关联.
- 强调癌症查在出现新发数字缺血症的患者中的重要性.
- 报告一个数字缺血病例二次传播卵巢癌.
主要方法:
- 一个50多岁的女性呈现双边数字缺血的案例研究.
- 诊断工作包括炎症标志物,自身抗体,血清蛋白电泳,补充水平和瘤标志物CA125.
- 通过CT腹部和骨盆进行成像,以调查疑似恶性瘤.
主要成果:
- 连接组织疾病的初步调查结果是负面的.
- CA125水平升高表明对卵巢癌的高度怀疑.
- 电脑扫描显示出一个巨大的卵巢质量与腹膜和膜转移和瘤,证实了扩散的卵巢癌.
结论:
- 数字性缺血可能是隐性恶性瘤,特别是卵巢癌的呈现症状.
- 在患有新发或恶化的数字缺血症的患者中,应该怀疑癌症.
- 抗癌疗法可以导致数字缺血的完全消失.
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