Goh T S, LeQuesne G W, Wong K Y
Am J Dis Child. 1978 Dec;132(12):1204-5. doi: 10.1001/archpedi.1978.02120370056012.
A 3-year-old boy with acute lymphoblastic leukemia had enlarged kidneys with impairment of renal function and hypertension as the presenting features of relapse. Ultrasound demonstrated multiple nodular areas of echolucency within enlarged kidneys that reverted to normal when the patient was in remission but then recurred during relapse. This noninvasive procedure may be useful in patients with acute lymphoblastic leukemia to determine the incidence and prognostic significance of renal involvement at the time of diagnosis, and to follow the course of those who have demonstrable changes.
一名3岁急性淋巴细胞白血病男孩复发时，以肾脏肿大、肾功能损害和高血压为表现。超声显示肿大肾脏内有多个无回声结节区，患者缓解时恢复正常，但复发时再次出现。这种非侵入性检查方法对于急性淋巴细胞白血病患者确定诊断时肾脏受累的发生率及预后意义，以及追踪有明显变化的患者病程可能有用。
