Waselewski Alexander, Joiner Michael, Miller Steven Raymond
School of Medicine, Wayne State University, Detroit, Michigan, USA.
Department of Oncology, Wayne State University, Detroit, Michigan, USA.
BMJ Case Rep. 2018 Nov 1;2018:bcr-2018-224419. doi: 10.1136/bcr-2018-224419.
A 50-year-old woman previously diagnosed with acute myeloid leukaemia presented with a 3-month history of shortness of breath and a right-sided facial rash. A chest CT revealed an intracardiac mass in the right atrium extending into her superior and inferior vena cava. Surgery was performed to remove the mass and pathology was consistent with myeloid sarcoma. After surgery, adjuvant radiation therapy was directed to the residual disease. The patient eventually relapsed in other sites not including the right atrium and eventually succumbed to her disease.
一名先前被诊断为急性髓系白血病的50岁女性,出现了3个月的呼吸急促和右侧面部皮疹病史。胸部CT显示右心房有一个心内肿块,延伸至上下腔静脉。进行了手术切除肿块,病理结果与髓系肉瘤一致。手术后,对残留病灶进行了辅助放疗。患者最终在不包括右心房的其他部位复发,最终死于该疾病。