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患有异常表现的儿科恶性乳色细胞瘤视力变化,肺转移和复发:一个病例报告

Kaijun Zhang¹, Penghui Yang¹, Mi Li¹

¹Department of Cardiovascular Medicine, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Zhongshan 2nd Road, No.136, Yuzhong District, Chongqing, 400014, China.

Journal of medical case reports

|March 4, 2024

概括

一个罕见的恶性染细胞瘤的儿童呈现出视力变化和肺转移. 由于复发风险,早期诊断和长期随访至关重要.

科学领域:

儿科内分泌学儿科内分泌学
在瘤学瘤学.
眼科医生眼科眼科

背景情况:

这份病例报告详细介绍了一名10岁的女孩,诊断出患有恶性黄细胞瘤.
最初的表现涉及异常症状的视力变化.

研究的目的:

为了突出考虑患有异常症状的儿科患者恶性花色细胞瘤的重要性.
为了强调需要警的长期后续由于复发的风险.

主要方法:

通过对比度增强的计算机断层扫描和尿液中香曼代利酸水平来确认诊断.
组织学证实包括上腺体缩放分数 (PASS) 系统的染细胞瘤.
基因分析发现了一个苏酸脱酶复合体铁硫子单元B (SDHB) 突变.

主要成果:

患者最初对药物治疗和手术反应良好,症状消失.
确定了具有肺转移和复发迹象的恶性血红细胞瘤.
由于复发风险很高,进行了非计划性手术.

结论:

非典型的表现,如儿童的视力变化,需要考虑染细胞瘤.
患有高PASS分数和SDHB突变的儿童的恶性血红细胞瘤需要长期监测和潜在的无计划手术以预防复发.

关键词:

这种SDHB突变是SDHB突变.案例报告案例报告恶性发红细胞瘤 (pheochromocytoma) 是一种恶性发红细胞瘤.视力变化视力变化

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