一名囊性纤维化患者残留肿块神经母细胞瘤的长期随访
A long-term follow-up of residual mass neuroblastoma in a patient with cystic fibrosis.
作者信息
Naselli Aldo, Cresta Federico, Favilli Federica, Casciaro Rosaria
机构信息
IRCCS Giannina Gaslini, Cystic Fibrosis Centre, Genova, Italy.
出版信息
BMJ Case Rep. 2015 Jan 5;2015:bcr2014205284. doi: 10.1136/bcr-2014-205284.
PURPOSE
To report a long-term follow-up of a young woman affected by cystic fibrosis (CF) with a residual retroperitoneal mass of neuroblastoma (NBL) after treatment.
CASE REPORT
We reviewed the patient's database and analysed a 20-year follow-up by considering pulmonary exacerbation, nutritional condition, pulmonary function (forced expiratory volume in 1 s), microbiological data and residual retroperitoneal mass volume. We observed stable pulmonary and nutritional conditions. No variation was found in the residual retroperitoneal mass volume.
DISCUSSION
We report this case of a patient with CF with previous NBL because such a long time of follow-up of a NBL with a stable retroperitoneal remaining tumour is uncommon and needs to be reported. Multidisciplinary management has been crucial in this case because of the presence of concomitant diseases and consequently, differential diagnosis challenges.
目的
报告一名患有囊性纤维化（CF）的年轻女性在治疗后残留腹膜后神经母细胞瘤（NBL）肿块的长期随访情况。
病例报告
我们查阅了患者数据库，并通过考虑肺部加重情况、营养状况、肺功能（1秒用力呼气量）、微生物学数据和残留腹膜后肿块体积，分析了20年的随访情况。我们观察到肺部和营养状况稳定。残留腹膜后肿块体积未发现变化。
讨论
我们报告了这例患有CF且既往有NBL的患者，因为对具有稳定腹膜后残留肿瘤的NBL进行如此长时间的随访并不常见，需要报告。由于存在合并症以及随之而来的鉴别诊断挑战，多学科管理在该病例中至关重要。
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