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[绿色瘤(粒细胞肉瘤、成髓细胞瘤)。临床特征与放射学诊断]

[Chloroma (granulocytic sarcoma, myeloblastoma). Clinical aspects and radiological diagnosis].

作者信息

Anders M, Düber C, Teifke A, Gamm H

机构信息

Klinik und Poliklinik für Radiologie, Johannes Gutenberg Universität Mainz.

出版信息

Rofo. 2000 Mar;172(3):282-6. doi: 10.1055/s-2000-106.

Abstract

Six cases of granulocytic sarcoma are presented. A mediastinal chloroma and a tumor of the submandibular gland were observed with two patients as single sign of acute myeloic leukaemia. In one patient a chloroma appeared as first manifestation of acute myeloic leukaemia. Two patients exhibited the tumor as first symptom of a blastic crisis of chronic myelogenous leukaemia (femoral bone, lumbar spine). The sixth patient with a myelodyplastic syndrome showed a chloroma of the breast. Various radiological procedures were applied including plain radiography, MRT, CT and mammography. The results are compared with literature. Principles of therapy were supplemented.

摘要

本文报告了6例粒细胞肉瘤。2例患者分别出现纵隔绿色瘤和下颌下腺肿瘤,作为急性髓系白血病的唯一体征。1例患者的绿色瘤为急性髓系白血病的首发表现。2例患者的肿瘤为慢性粒细胞白血病急变期(股骨、腰椎)的首发症状。第6例骨髓增生异常综合征患者表现为乳腺绿色瘤。应用了多种放射学检查方法,包括X线平片、磁共振成像(MRT)、计算机断层扫描(CT)和乳腺摄影。将结果与文献进行了比较。补充了治疗原则。

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