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空肠和大网膜原发性髓系肉瘤致小肠梗阻

Primary myeloid sarcoma of the jejunum and greater omentum causing small intestine obstruction.

作者信息

Ioannidis O, Cheva A, Kakoutis E, Rafail S, Kotronis A, Chatzopoulos S, Makrantonakis N

机构信息

First Surgical Department, General Regional Hospital 'George Papanikolaou', Thessaloniki, Greece.

出版信息

Acta Gastroenterol Belg. 2009 Jul-Sep;72(3):369-72.

Abstract

Myeloid sarcoma, which is highly associated with acute myeloid leukemia, is defined as an extramedullary discrete tumor mass, consisted by immature myeloid cells or myeloblasts. Myeloid sarcoma usually involves the skin, lymph node, bone, soft tissue and testis, while involvement of the gastrointestinal tract is rather uncommon. The diagnosis depends on histological features and immunohistochemical results. We present a rare case of myeloid sarcoma, with synchronous involvement of the jejunum and the greater omentum, manifesting with small bowel obstruction.

摘要

髓系肉瘤与急性髓系白血病高度相关,定义为髓外离散性肿瘤块,由未成熟髓细胞或原始粒细胞组成。髓系肉瘤通常累及皮肤、淋巴结、骨、软组织和睾丸,而累及胃肠道则相当少见。诊断取决于组织学特征和免疫组化结果。我们报告一例罕见的髓系肉瘤病例,空肠和大网膜同时受累,表现为小肠梗阻。

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