胰腺髓状肉瘤导致阻塞性黄:一个病例报告和文献综述
Laura E Lavette1, Angela G Niehaus2, Clancy J Clark3
1Department of Internal Medicine, University of Virginia Medical Center, 1215 Lee St., Charlottesville, Virginia 22903, USA.
Case reports in gastrointestinal medicine
|March 19, 2024
概括
胰腺骨髓性肉瘤 (MS) 是一种罕见的急性骨髓性白血病 (AML) 的异常形式,可以引起阻塞性黄. 早期诊断至关重要,以区分它与胰腺癌或胰腺炎.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 骨髓状肉瘤 (MS) 是骨髓状细胞爆发的外骨髓状瘤.
- 这是急性髓性白血病 (AML) 的罕见表现.
- 胰腺多发性硬化异常罕见,报告的病例很少.
研究的目的:
- 要呈现一种导致阻塞性黄的胰腺MS病例.
- 审查和综合关于胰腺MS的现有文献.
- 强调在胰腺质量的差异诊断中考虑MS的重要性.
主要方法:
- 一个70岁的男性患有胰腺MS的病例报告.
- 诊断程序包括内镜超声波 (EUS) 和内镜逆行胆血管细胞造影 (ERCP).
- 关于胰腺多发性硬化症病例的综合文献综述.
主要成果:
- 患者出现了由于胰腺MS引起的症状阻塞性黄.
- EUS和ERCP对于诊断和管理至关重要.
- 文献审查确定了常见的临床表现和管理策略.
结论:
- 在患有阻塞性黄和血液病史的患者中,必须考虑胰腺MS.
- 及时诊断和区分胰腺癌至关重要.
- 胰腺MS可以先于AML或进展到AML,需要警的随访.
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