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我们治疗喉恶性纤维组织细胞瘤的经验:临床诊断、治疗方法及文献综述。

Our experience in the treatment of Malignant Fibrous Hystiocytoma of the larynx: clinical diagnosis, therapeutic approach and review of literature.

作者信息

Testa Domenico, Motta Sergio, Marcuccio Giuseppina, Paccone Marianna, Rocca Aldo, Ilardi Gennaro, Tafuri Domenico, Mesolella Massimo, Motta Gaetano

机构信息

Department of Anesthe-siologic, Surgical and Emergency Sciences; Otolaryngology, Head and Neck Surgery Unit; Second University of Naples, Italy.

University of Naples Federico II, Department of Otorhi-nolaryngology, Naples, Italy.

出版信息

Open Med (Wars). 2016 Jun 23;11(1):208-214. doi: 10.1515/med-2016-0040. eCollection 2016.

Abstract

Hereditary spherocytosis (HS) and Chronic myelocytic leukemia (CML) are both life threatening hemotologic diseases. They are rarely seen to occur simultaneously in one individual patient. Here we demonstrate a case of HS associated with CML in this study. The patient is a young female, diagnosed with HS in 2005, and was given partial embolization of the splenic artery. She got significant remission after the procedure. In 2008, she was found abnormal in blood routine test, after bone marrow routine, chromosome and fusion gene tests, she was diagnosed with CML (chronic phase). She did not receive regular treatment until 3 months prior, and is currently being treated with Dasatimib. She achieved hematological remission, but had no significant improvement in chromosome and fusion gene figures. Due to her severe condition of hemolysis, a splenectomy or an allogeneic hematopoietic stem cell transplantation is considered.

摘要

遗传性球形红细胞增多症(HS)和慢性粒细胞白血病(CML)都是危及生命的血液系统疾病。它们很少在同一个体患者中同时出现。在本研究中,我们展示了一例与慢性粒细胞白血病相关的遗传性球形红细胞增多症病例。该患者为年轻女性,2005年被诊断为遗传性球形红细胞增多症,并接受了脾动脉部分栓塞术。术后病情显著缓解。2008年,她血常规检查异常,经骨髓常规、染色体及融合基因检测后,被诊断为慢性粒细胞白血病(慢性期)。直到3个月前她才开始接受正规治疗,目前正在接受达沙替尼治疗。她实现了血液学缓解,但染色体和融合基因指标没有明显改善。由于她溶血情况严重,考虑进行脾切除术或异基因造血干细胞移植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d7/5329827/51cde576c344/j_med-2016-0040_fig_001.jpg

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