侵略性的前体B细胞 ALL的宫与阻塞性尿路病变
Anupama Bahadur1, Rajlaxmi Mundhra2, Poonam Gill1
1Obstetrics and Gynaecology, All India Institute of Medical Sciences - Rishikesh, Rishikesh, Uttarakhand, India.
BMJ case reports
|April 3, 2024
概括
本病例报告详细介绍了一种罕见的急性淋巴细胞白血病 (ALL) 病例,最初呈现为宫质量与阻塞性泌尿病变. 对前体B细胞ALL的诊断是偶然的,强调了一个独特的临床表现.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 妇科瘤学 妇科瘤学
背景情况:
- 急性淋巴细胞白血病 (ALL) 很少涉及子宫.
- 宫质量通常是瘤或炎症性,很少呈现为白血病透.
研究的目的:
- 报告一种罕见的前体B细胞ALL病例,主要表现为宫质和阻塞性尿路病变.
- 突出诊断挑战和ALL的非典型表现.
- 为增加关于宫白血病透的有限文献做出贡献.
主要方法:
- 一名年轻女性的病例报告,她患有下腹痛和阴道出血.
- 临床检查和成像显示出一个大的宫质量.
- 流细胞测量用于对CALLA阳性前体B细胞ALL的周围血液诊断.
- 宫活检的组织病理学检查和免疫组织化学.
主要成果:
- 偶然诊断的前体B细胞ALL在周围血液.
- 确认B细胞ALL参与子宫质.
- 演示模仿了晚期宫癌与阻塞性尿路病变.
- 患者的病史缺乏典型的白血病症状.
结论:
- 这种病例代表了前体B细胞ALL的罕见初始呈现,具有宫质量和阻塞性尿路病变.
- 宫白血病透应在宫瘤的差分诊断中考虑,特别是在年轻女性中.
- 综合性血液学和病理学评估对于非典型的表现是必不可少的.
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