一个新生儿出现了巨大的腹部质量:一种罕见的先天性白血病病例
Bablu K Gaur1, Chirag Varshney, Rupa R Singh
1Department of Pediatrics, Teerthanker Mahaveer Medical College and Research Center, TMU, Moradabad, Uttar Pradesh, India.
Journal of pediatric hematology/oncology
|January 10, 2025
概括
先天性白血病是一种罕见的婴儿癌症,可以在出生时呈现异常,并出现腹部质量. 这一案例突出了这种新生儿白血病的不寻常症状,强调了早期诊断的挑战.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 血液学 血液学 血液学
背景情况:
- 先天性白血病是一种罕见的恶性瘤,在生命的前4周内被诊断出来.
- 它经常表现为非特异性症状,使得早期诊断具有挑战性.
研究的目的:
- 报告一个先天性白血病病例,在出生时呈现异常.
- 突出诊断挑战和考虑新生儿腹部质量的白血病的重要性.
主要方法:
- 一个满期新生儿患有先天性白血病的案例介绍.
- 诊断工作包括腹部超声波,外周血液涂抹分析和骨髓吸收.
主要成果:
- 新生儿出现了来自肝脏的大量腹部质量和极高的白细胞计数.
- 骨髓吸收证实先天性白血病与42%的爆细胞.
- 婴儿在生命的第四天死于压倒性的败血症.
结论:
- 先天性白血病可以表现为不寻常的症状,如大腹部质量.
- 及时识别和诊断至关重要,尽管新生儿期的表现异常.
- 这一案例强调了在新生儿中怀疑白血病的高指数的必要性,这些新生儿有着无法解释的腹部发现.
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