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慢性淋巴细胞白血病引起的罕见心脏栓塞病例
Catherine G Raciti1, Hazem Alakhras2, Kateryna Strubchevska2
1Internal Medicine, Oakland University William Beaumont School of Medicine, Royal Oak, USA.
Cureus
|January 30, 2024
概括
在慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL) 中,心脏吸管是罕见的. 这一案例凸显了在CLL/SLL患者中考虑心脏并发症的重要性,这些患者的症状包括胀和呼吸障碍.
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:
- 心脏吸管是固体器官恶性瘤和急性白血病的已知并发症.
- 慢性血液性恶性瘤中很少记录心脏参与,包括慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL).
研究的目的:
- 报告一个罕见的心脏吸管病例,由于心脏周围的参与,在一个患有晚期CLL/SLL的患者中.
- 强调在CLL/SLL患者中识别心脏并发症的重要性.
主要方法:
- 一名66岁的男性患有第四期CLL/SLL,出现心力衰竭症状.
- 心声图显示出一个大的心周溢出,导致出现心周缩.
- 心周活检和流细胞计证实了心周的CLL/SLL参与.
主要成果:
- 患者接受了心脏凝聚,去除了700立方升的液体.
- 组织病理学分析证实了CLL/SLL的心周参与.
- 在诊断时没有发现大细胞淋巴瘤转变的证据.
结论:
- 这一案例强调了CLL/SLL中心脏并发症的可能性,包括吸管.
- 临床医生应考虑在CLL/SLL患者出现症状,如恶化的,骨质疏松和呼吸障碍等症状时,考虑心脏参与.
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