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孕晚期胎儿肝脾肿大:唐氏综合征胎儿白血病的一个迹象

[Fetal hepatosplenomegaly in the third trimester: A sign of leukemia in fetuses with Down syndrome].

作者信息

Fouché C, Ramos A, Esperandieu O, Briault S, Martin J-G, Desroches A

机构信息

Pôle mère-enfant, service gynécologie-obstétrique, centre hospitalier régional d'Orléans, BP 2439, 45032 Orléans cedex 1, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2010 Dec;39(8):667-71. doi: 10.1016/j.jgyn.2010.06.002. Epub 2010 Aug 6.

DOI:10.1016/j.jgyn.2010.06.002
PMID:20692111
Abstract

Risk for leukemic conditions increases in individuals with Down syndrome. We report a third trimester antenatal diagnosis of leukemia in a Down syndrome fetus. The third trimester ultrasound examination revealed a hepatosplenomegaly, which may suggest a myelopoiesis disorder. A review of the literature of eight cases described antenatally and 14 cases in the immediate neonatal period is presented.

摘要

唐氏综合征患者患白血病的风险会增加。我们报告了一例唐氏综合征胎儿在孕晚期的产前白血病诊断。孕晚期超声检查显示肝脾肿大,这可能提示骨髓造血障碍。本文综述了8例产前描述病例和14例新生儿期病例的文献。

相似文献

1
[Fetal hepatosplenomegaly in the third trimester: A sign of leukemia in fetuses with Down syndrome].孕晚期胎儿肝脾肿大:唐氏综合征胎儿白血病的一个迹象
J Gynecol Obstet Biol Reprod (Paris). 2010 Dec;39(8):667-71. doi: 10.1016/j.jgyn.2010.06.002. Epub 2010 Aug 6.
2
Prenatal diagnosis of 46,XX,DER(13;21)(Q10;Q10),+21 and transient abnormal myelopoiesis in a fetus with hepatosplenomegaly and spontaneous resolution of fetal ascites.46,XX,DER(13;21)(Q10;Q10),+21的产前诊断及一名患有肝脾肿大胎儿的短暂异常髓系造血和胎儿腹水的自发消退
Taiwan J Obstet Gynecol. 2009 Mar;48(1):84-7. doi: 10.1016/S1028-4559(09)60044-9.
3
Hypoechoic hepatomegaly associated with transient abnormal myelopoiesis provides clues to trisomy 21 in the third-trimester fetus.与短暂性异常髓系造血相关的低回声性肝肿大为孕晚期胎儿21三体综合征提供线索。
Ultrasound Obstet Gynecol. 2001 May;17(5):442-4. doi: 10.1046/j.1469-0705.2001.00362.x.
4
Elevated delta OD 450 due to transient abnormal myelopoiesis in a Down syndrome fetus with hepatosplenomegaly on ultrasound.一名唐氏综合征胎儿因短暂性异常骨髓造血导致450波长吸光度差值升高,超声检查显示肝脾肿大。
Prenat Diagn. 2014 Mar;34(3):299-301. doi: 10.1002/pd.4299. Epub 2014 Jan 13.
5
Fetal hydrops and hepatosplenomegaly in the second half of pregnancy: a sign of myeloproliferative disorder in fetuses with trisomy 21.妊娠后半期胎儿水肿和肝脾肿大:21三体胎儿骨髓增殖性疾病的一个体征
Ultrasound Obstet Gynecol. 2001 May;17(5):403-9. doi: 10.1046/j.1469-0705.2001.00384.x.
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Prenatal diagnosis of congenital leukemia in a fetus at 25 weeks' gestation with Down syndrome: case report and review of the literature.
Ultrasound Obstet Gynecol. 2003 May;21(5):486-9. doi: 10.1002/uog.87.
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Fetal hepatosplenomegaly: an isolated sonographic sign of trisomy 21 in a case of myeloproliferative disorder.胎儿肝脾肿大:骨髓增殖性疾病病例中21三体综合征的孤立超声征象。
Ultrasound Obstet Gynecol. 1998 Jun;11(6):453-5. doi: 10.1046/j.1469-0705.1998.11060453.x.
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Natural history of trisomy 21 fetuses with increased nuchal translucency thickness.颈部半透明厚度增加的21三体胎儿的自然病史。
Ultrasound Obstet Gynecol. 1995 Jun;5(6):381-3. doi: 10.1046/j.1469-0705.1995.05060381.x.
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Abnormal prenatal hematological findings in congenital leukemia of Down syndrome with hepatosplenomegaly.
Prenat Diagn. 2007 Dec;27(13):1266-7. doi: 10.1002/pd.1893.
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[Ultrasound screening for Down syndrome and other chromosomal abnormalities by fetal nuchal translucency measurement between 11-14 weeks of gestation].[孕11至14周通过测量胎儿颈部透明带厚度进行唐氏综合征及其他染色体异常的超声筛查]
Akush Ginekol (Sofiia). 2005;44(1):32-7.

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Mosaic complete tetrasomy 21 in a fetus with complete atrioventricular septal defect and minor morphological variations.胎儿完全性房室间隔缺损并伴有轻微形态学变异的镶嵌性完全 21 三体。
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