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子宫粒细胞肉瘤:急性髓系白血病髓外复发的罕见表现及磁共振成像的重要性

Granulocytic Sarcoma of the Uterus: A Rare Presentation of Extramedullary Relapse of AML and Importance of MRI.

作者信息

Ucar Murat, Guryildirim Melike

机构信息

Department of Radiology, Gazi University School of Medicine, Besevler, 06500 Ankara, Turkey.

出版信息

Case Rep Radiol. 2014;2014:501342. doi: 10.1155/2014/501342. Epub 2014 Dec 30.

DOI:10.1155/2014/501342
PMID:25614846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4293779/
Abstract

Granulocytic sarcoma (GS) is a solid tumor that is the extramedullary presentation of acute myelogenous leukemia, other myeloproliferative disorders, or myelodysplastic syndromes. Less commonly, it also may arise as an isolated mass. In this report, we describe a 23-year-old female patient, with a GS in the uterus and we stress the value of diffusion weighted imaging for the evaluation of uterine neoplasms. To our knowledge, our case is the first in the literature to report diffusion weighted imaging (DWI) findings of GS.

摘要

粒细胞肉瘤(GS)是一种实体瘤,是急性髓系白血病、其他骨髓增殖性疾病或骨髓增生异常综合征的髓外表现。较少见的情况下,它也可能以孤立肿块的形式出现。在本报告中,我们描述了一名23岁的女性患者,其子宫内有粒细胞肉瘤,我们强调扩散加权成像在评估子宫肿瘤中的价值。据我们所知,我们的病例是文献中首例报告粒细胞肉瘤扩散加权成像(DWI)结果的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48de/4293779/142c0de0422f/CRIRA2014-501342.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48de/4293779/2d1ce354e580/CRIRA2014-501342.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48de/4293779/142c0de0422f/CRIRA2014-501342.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48de/4293779/2d1ce354e580/CRIRA2014-501342.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48de/4293779/142c0de0422f/CRIRA2014-501342.002.jpg

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本文引用的文献

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Pearls and pitfalls in MRI of gynecologic malignancy with diffusion-weighted technique.磁共振弥散加权技术在妇科恶性肿瘤中的应用及陷阱
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2
MRI for evaluation of myeloid sarcoma in adults: a single-institution 10-year experience.MRI 用于评估成人骨髓肉瘤:单机构 10 年经验。
AJR Am J Roentgenol. 2012 Dec;199(6):1193-8. doi: 10.2214/AJR.12.9057.
3
Aleukemic granulocytic sarcoma presenting at multiple sites: ovary, breast and soft tissue.多部位出现的无白血病性粒细胞肉瘤:卵巢、乳腺和软组织。
Rare Tumors. 2012 Jun 26;4(3):e36. doi: 10.4081/rt.2012.e36.
4
Myeloid Sarcoma of the Uterine Cervix as Presentation of Acute Myeloid Leukaemia after Treatment with Low-Dose Radioiodine for Thyroid Cancer: A Case Report and Review of the Literature.子宫颈髓系肉瘤作为甲状腺癌低剂量放射性碘治疗后急性髓系白血病的表现:一例报告并文献复习
Case Rep Oncol. 2009 Jan 17;2(1):1-6. doi: 10.1159/000191215.
5
Successful treatment of a granulocytic sarcoma of the uterine cervix in complete remission at six-year follow-up.成功治疗宫颈粒细胞肉瘤,在 6 年随访时完全缓解。
J Oncol. 2010;2010:812424. doi: 10.1155/2010/812424. Epub 2010 Apr 29.
6
Diffusion-weighted MRI in cervical cancer.宫颈癌的扩散加权磁共振成像
Eur Radiol. 2008 May;18(5):1058-64. doi: 10.1007/s00330-007-0843-3. Epub 2008 Jan 12.
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J Magn Reson Imaging. 2007 Sep;26(3):682-7. doi: 10.1002/jmri.20997.
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Granulocytic sarcoma manifested as a parametrial mass mimicking a haemorrhagic abscess: a case report with CT and MR findings.粒细胞肉瘤表现为子宫旁肿块,酷似出血性脓肿:一例伴有CT和MR表现的病例报告
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