髓瘤:对查和早期诊断的呼吁
Harikrishna Choudary Ponnam1, Pallavi Shirsat2, Saketh Parsi3
1Internal Medicine, Summa Health, Akron, USA.
Cureus
|December 17, 2025
概括
髓性瘤 (RMC) 是一种与状细胞特征 (SCT) 相关的罕见癌症,在年轻人中经常表现出模糊的症状. 在SCT患者中早期识别腹痛和出血症的RMC至关重要.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血液学 血液学 血液学
背景情况:
- 髓性瘤 (RMC) 是一种侵袭性癌.
- RMC与状细胞特征 (SCT) 密切相关.
- 它主要影响年轻人,由于非特异性症状,往往被晚诊.
研究的目的:
- 报告一个患有SCT的年轻成年人的RMC病例.
- 强调早期诊断和RMC的管理的重要性.
主要方法:
- 一个年轻的成年男性出现腹部疼痛的病例报告.
- 诊断工作包括实验室检测,对比增强计算机断层扫描 (CT) 和脏活检.
- 确认了转移性疾病的RMC的诊断.
主要成果:
- 患者出现了突然的腹痛,轻度贫血和微观的血.
- 扫描显示了右质量和逆皮质淋巴腺病变.
- 脏活检证实了RMC,表明了晚期疾病.
结论:
- 应考虑在SCT的年轻患者中进行RMC,这些患者表现为腹痛和出血症.
- 早期识别和多学科护理对于管理这种罕见的恶性瘤至关重要.
- 鉴于晚期和有限的治疗选择,支持性护理至关重要.
相关概念视频
Acute Kidney Injury IV: Diagnostic Studies and Prevention
243
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
243
Chronic Kidney Disease III: Interprofessional Care
320
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
320
Urinary Tract Calculi III: Medical Management
174
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
174
Chronic Kidney Disease I: Introduction
541
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
541
Urinary Tract Calculi V: Nursing Management
254
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
254
Chronic Kidney Disease IV: Nursing Management
296
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
296


