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急性髓性白血病:气管的一个不寻常的表现
Joseph Celidonio1, Rohini Bahethi1, Raj Malhotra1
1Department of Otolaryngology - Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey USA.
Laryngoscope investigative otolaryngology
|March 25, 2024
概括
急性髓性白血病 (AML) 很少最初呈现为气管恶性瘤. 这一案例突显出不寻常的气管表现是AML的第一个迹象,强调在这种罕见的情况下需要进行彻底的呼吸道评估.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
背景情况:
- 血液性恶性瘤中气管的参与是不常见的.
- 主要在气管中呈现的外骨髓性急性髓性白血病 (AML) 是非常罕见的.
研究的目的:
- 报告一种罕见的急性髓性白血病 (AML) 病例,最初具有突出的气管表现.
- 为对涉及气管的外骨髓性AML的有限文献做出贡献.
主要方法:
- 进行了直接喉腔镜和支气管镜检查,以可视化呼吸道病变.
- 为了诊断,进行了活检和实验室分析,包括外围涂抹和骨髓活检.
主要成果:
- 直接喉腔镜和支气管镜显示了气管中的粉红色白色不规则病变,与气管AML的文献发现一致.
- 周围涂抹显示57%的爆发,骨髓活检证实了AML的诊断.
结论:
- 不寻常的气道病变需要全面评估,包括实验室检测和活检,以确立准确的诊断.
- 早期识别出气管中出现的外骨髓性AML对于适当的管理至关重要.
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