一个白血病患者的右心脏质量的复杂案例:一个病例报告
Xiaoning Wang1, Mahsa Fatahichegeni2, Mohammad Amin Ansarian2
1Department of Hematology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Journal of cardiothoracic surgery
|January 10, 2025
概括
一名患有急性髓性白血病 (AML) 的患者在干细胞移植前发展出不明原因的心脏质量. 尽管进行了广泛的成像,但它们的性质仍然未知,这凸显了白血病患者的诊断挑战.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 一名33岁的男性被诊断患有急性髓性白血病 (AML),出现心脏质量.
- 这些质量是在移植前查中发现的,用于全源造血干细胞移植 (allo-HSCT).
研究的目的:
- 在AML患者中报告心脏质量的复杂病例.
- 讨论白血病罕见心脏并发症的诊断挑战和多学科管理.
主要方法:
- 利用心声回声学,MRI和PET/CT进行全面的心脏质量评估.
- 通过广泛的检查,排除了白血病透,感染和瘤.
- 尽管质量的性质未知,但执行了合金-HSCT.
主要成果:
- 在右心室和心室中识别了移动的,结节质量与化囊.
- 图像显示持续,非典型的特征,没有MRI序列之间的信号变化.
- 尽管在移植后两年内心脏质量增加了化,但心脏质量仍然不明.
结论:
- 这位AML患者心脏质量的确切性质仍然难以捉摸.
- 强调诊断的复杂性和对这种罕见的心脏并发症的持续研究的需要.
相关概念视频
Disorders of Leukocytes
846
Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
846
Bone Marrow Sampling and Transplants
279
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
279
Imbalances in Cardiac Output
1.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.3K


