血液性恶性瘤的胸内表现:一个叙述性回顾
Kshama Bhyravabhotla1, Gregory Gaskey1, Jeremy R Walder1
1Division of Pulmonary, Critical Care Medicine and Sleep Medicine, McGovern Medical School at University of Texas Health, Houston, TX, USA.
Annals of translational medicine
|January 8, 2026
概括
非传染性胸内问题在血液性恶性瘤中很常见,通常呈现为淋巴腺病变或胸腔溢出. 早期诊断对于有效治疗这些多样化的肺部并发症至关重要.
科学领域:
- 血液学 血液学 血液学
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 由于寿命延长和先进的治疗方法,血液性恶性瘤正在增加.
- 胸内表现可能是初始诊断症状或治疗副作用.
- 在这些癌症中,非传染性病因占肺部发现的近一半.
研究的目的:
- 审查目前有关血液恶性瘤非传染性胸内表现的文献.
- 总结这些疾病的治疗策略.
主要方法:
- 从2014年1月到2024年1月进行了文献综述.
- 利用了PubMed Central和谷歌学者,使用了特定的医学科目标题.
- 包括各种类型的文章:教科书章节,评论,指南,RCT和回顾性研究.
主要成果:
- 常见的发现包括淋巴腺病和血清膜疾病.
- 胸腔溢出 (恶性或与治疗相关) 通过胸腔切除或IPCs进行管理.
- 帕伦基马性疾病:原发性肺淋巴瘤,白血病透,骨髓性肉瘤,PAP和白血病细胞溶解性肺病.
- 肺血管疾病:白血静止,血栓栓塞性疾病,肺高血压,SVC综合征和伪氧化症.
- 还注意到与治疗相关的后果.
结论:
- 胸内表现是多样化的,需要在差异诊断中考虑.
- 管理策略根据具体的表现有很大的差异.
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