超越CKD相关的:ESRD中揭示CLL/SLL的副瘤:一个案例报告
Julia Kacperczyk1, Monika Dąbek1, Agnieszka Makówka2
1Faculty of Medicine, Medical University of Łódź, Łódź, Poland.
The American journal of case reports
|December 30, 2025
概括
透析患者持续的可能表明潜在的癌症,而不仅仅是脏疾病. 重新评估对于高风险个体的早期恶性瘤检测至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血液学 血液学 血液学
- 皮肤病学 皮肤病学
背景情况:
- 是慢性透析患者的常见并发症,通常归因于慢性病 (CKD) 相关的 (CKD-aP).
- 尽管透析得到优化,实验室结果稳定,但仍然存在时,必须调查其他原因.
研究的目的:
- 突出考虑恶性瘤作为透析患者耐火性的病因的重要性.
- 强调重新评估CKD-aP之外的持续性的诊断价值.
主要方法:
- 一个66岁的男性患有末期脏病 (ESRD) 在腹腔透析中经历了耐治疗性的病例报告.
- 诊断工作包括成像 (CT扫描) 和骨髓活检.
- 排除皮肤病因和标准CKD-aP病因.
主要成果:
- 患者出现了普遍的,疲劳,,和全细胞减小.
- CT检测出淋巴腺病变和缩;骨髓活检证实慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL).
- 由于ESRD和活跃恶性瘤,该患者无法接受标准的癌症治疗或移植.
结论:
- 透析患者的持续性,特别是那些有未知的CKD病因和血液异常的患者,需要重新评估潜在的恶性瘤.
- 瘤性可能是癌症的早期指标,使风险人群的早期诊断成为可能.
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