Rajaretnam Niroshini, Malcolm Paul, Aroori Somaiah
Derriford Hospital Plymouth UK.
Clin Case Rep. 2019 Jan 31;7(3):469-473. doi: 10.1002/ccr3.1779. eCollection 2019 Mar.
Granulocytic sarcoma rarely arises from adrenal glands. Its necrosis can lead to systemic inflammatory response syndrome (SIRS), causing clinical difficulty in diagnosis without imaging and both biochemical and histological analysis. Compressive effects of the tumor may mask its source, and therefore, prompt resuscitation, symptom control, and investigation are vital in preventing clinical deterioration.
粒细胞肉瘤很少起源于肾上腺。其坏死可导致全身炎症反应综合征(SIRS),在没有影像学检查以及生化和组织学分析的情况下造成临床诊断困难。肿瘤的压迫效应可能掩盖其来源,因此,迅速复苏、控制症状和进行检查对于防止临床病情恶化至关重要。