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机械性肠梗阻的一种罕见病因:肠道髓系肉瘤。

A rare cause of mechanical obstruction: Intestinal myeloid sarcoma.

作者信息

Yoldaş Tayfun, Erol Varlık, Demir Batuhan, Hoşcoşkun Cüneyt

机构信息

Department of General Surgery, Ege University Faculty of Medicine, İzmir, Turkey.

出版信息

Ulus Cerrahi Derg. 2013 Jul 9;30(3):176-8. doi: 10.5152/UCD.2013.31. eCollection 2014.

Abstract

Myeloid sarcoma is a rare aggressive tumour that originates from immature extramedullary myeloid cells. It can be seen as a relapse in patients with acute myeloid leukaemia. Sometimes it can be seen in the form of a solid tumour without any evidence of leukaemia. A case of a 44-year-old male patient who was admitted with symptoms and signs of mechanical intestinal bowel obstruction was operated on. The operation findings showed small bowel obstruction due to a mass. The mass was then resected with end-to-end intestinal anastomosis. The resected mass pathology results were consistent with myeloid sarcoma. The post-operative period was uneventful and adjuvant therapy was applied. In this case report we aimed to evaluate the clinical signs and treatment modalities of small intestinal myeloid sarcoma.

摘要

髓系肉瘤是一种罕见的侵袭性肿瘤,起源于未成熟的髓外髓样细胞。它可表现为急性髓系白血病患者的复发。有时它可以以实体瘤的形式出现,而没有任何白血病的证据。一名44岁男性患者因机械性肠梗阻的症状和体征入院并接受了手术。手术结果显示因肿块导致小肠梗阻。随后切除肿块并进行肠端端吻合术。切除肿块的病理结果与髓系肉瘤一致。术后恢复顺利并进行了辅助治疗。在本病例报告中,我们旨在评估小肠髓系肉瘤的临床体征和治疗方式。

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本文引用的文献

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Isolated myeloid sarcoma of the gastrointestinal tract.孤立性胃肠道髓系肉瘤
Intern Med. 2010;49(9):853-6. doi: 10.2169/internalmedicine.49.2874. Epub 2010 Apr 30.
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Granulocytic sarcoma of the small intestine.小肠粒细胞肉瘤
Arch Pathol Lab Med. 2006 Oct;130(10):1570-4. doi: 10.5858/2006-130-1570-GSOTSI.
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Isolated chloroma: the effect of early antileukemic therapy.孤立性绿色瘤:早期抗白血病治疗的效果
Ann Intern Med. 1995 Sep 1;123(5):351-3. doi: 10.7326/0003-4819-123-5-199509010-00005.
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Granulocytic sarcoma: a clinicopathologic study of 61 biopsied cases.粒细胞肉瘤:61例活检病例的临床病理研究
Cancer. 1981 Sep 15;48(6):1426-37. doi: 10.1002/1097-0142(19810915)48:6<1426::aid-cncr2820480626>3.0.co;2-g.

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