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[微血管病性溶血性贫血和幼粒-幼红细胞增多作为胃腺癌的首发表现]

[Microangiopathic hemolytic anemia and leukoerythroblastosis as the presenting form of a gastric adenocarcinoma].

作者信息

Pasquau Liaño F, Pasquau Liaño J, Amador Prous C, Echevarría Porturas V

出版信息

Rev Esp Enferm Apar Dig. 1989 Oct;76(4):397-400.

PMID:2687982
Abstract

Among the hematologic complications associated to cancer, microangiopathic hemolytic anemia and leukoerythroblastosis are rarely reported together. We present the case of a patient with gastric adenocarcinoma that presented clinically with microangiopathic hemolytic anemia and leukoerythroblastosis in peripheral blood as a result of metastatic invasion of the bone marrow. We discuss the probable etiopathogenic relation of these two entities with cancer, the therapeutic possibilities and the primary role of bone marrow biopsy and examination of the peripheral blood smear as more reliable diagnostic methods.

摘要

在与癌症相关的血液学并发症中,微血管病性溶血性贫血和幼粒-幼红细胞增多症很少同时出现。我们报告了一例胃腺癌患者,该患者临床上出现微血管病性溶血性贫血,外周血出现幼粒-幼红细胞增多症,这是骨髓转移性浸润的结果。我们讨论了这两种病症与癌症可能的病因关系、治疗可能性,以及骨髓活检和外周血涂片检查作为更可靠诊断方法的主要作用。

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Rev Esp Enferm Apar Dig. 1989 Oct;76(4):397-400.
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