在患有骨髓发育综合征的患者中模仿肌肉内的髓状骨髓瘤肉瘤:一个诊断挑战
Margarida Mourato1, Marta Machado1, Miguel Achega1
1Internal Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Cureus
|November 6, 2025
概括
骨髓瘤 (MS) 是一种不成熟骨髓细胞的罕见瘤,可以模仿感染. 早期活检对于诊断MS呈现为软组织病变与细胞衰竭的诊断至关重要.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 骨髓性肉瘤 (MS) 是一种罕见的非成熟骨髓细胞的外骨髓性瘤.
- 多发性硬化症往往伴有急性髓性白血病 (AML),骨髓显样性综合征 (MDS) 或其他骨髓性瘤.
- 这一案例突出显示了不典型的多发性硬化,没有明显的白血病.
研究的目的:
- 报告一个独特的骨髓状肉瘤病例.
- 在非典型的呈现中强调诊断挑战.
- 为了强调骨髓性肉瘤及时诊断的重要性.
主要方法:
- 一个63岁的男性的病例报告,呈现异常.
- 使用CT,MRI和PET-CT成像.
- 进行骨髓评估,肌肉活检和免疫型.
主要成果:
- 蜂炎的初始诊断演变为怀疑骨髓性肉瘤.
- 骨髓活检显示了骨髓显样性综合征 (MDS).
- 肌肉活检证实了骨髓性肉瘤,后来进展为急性髓性单细胞白血病.
结论:
- 髓状肉瘤可以呈现为模仿感染的软组织病变.
- 无法解释的细胞衰竭和非典型的病变使人们对MS产生高度怀疑.
- 及时的活检和免疫类型定型对于准确的MS诊断至关重要.
更多相关视频
08:57Author Spotlight: Genetically Engineered Mouse Models and Pathological Characterization of Neurofibromatosis Type 1 Associated Tumors
Published on: May 17, 2024
2.5K
06:33Author Spotlight: Analyzing Bone Marrow Microenvironment in Murine Hematological Malignancies
Published on: November 10, 2023
1.8K
相关概念视频
Bone Disorders
8.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
8.0K
Disorders of the Skeletal Muscle
2.2K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
2.2K
Bone Marrow Sampling and Transplants
3.0K
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...
3.0K
