Cardoso Filipe Sousa, Pires João Veríssimo, Miranda José Simão, Araújo João Mascarenhas
Department of Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal.
BMJ Case Rep. 2011 Aug 4;2011:bcr0520114220. doi: 10.1136/bcr.05.2011.4220.
Primary myelofibrosis is one of the entities that may manifest with lesions of extramedullary haematopoiesis, especially in spleen and liver. The authors report a case of primary myelofibrosis presenting incidentally as an intrahepatic focal lesion of extramedullary haematopoiesis, a rare occurrence that highlights the challenge of hepatic nodule differential diagnosis, and allows reflection about the diagnostic criteria and prognostic factors of this myeloproliferative disease.
原发性骨髓纤维化是可能表现为髓外造血病变的疾病之一,尤其是在脾脏和肝脏。作者报告了一例原发性骨髓纤维化,偶然表现为肝内髓外造血的局灶性病变,这种罕见情况凸显了肝结节鉴别诊断的挑战,并引发了对这种骨髓增殖性疾病的诊断标准和预后因素的思考。