磁共振成像在一名急性淋巴细胞白血病患儿中的诊断应用
Magnetic resonance imaging as a diagnostic modality in a child with acute lymphoblastic leukemia.
作者信息
Farhad Nishath, Birkemeier Krista, Mallett Lea H
机构信息
Department of Pediatrics, Texas A&M Health Science Center and Baylor Scott & White McLane Children's Medical CenterTempleTexas.
出版信息
Proc (Bayl Univ Med Cent). 2019 May 21;32(3):405-407. doi: 10.1080/08998280.2019.1596509. eCollection 2019 Jul.
Acute lymphoblastic leukemia is the most common form of childhood cancer. It presents with nonspecific symptoms, such as bone pain, that can be easily misdiagnosed at initial presentation. We present a 2-year-old boy with bilateral foot pain that worsened over 6 months. X-rays of the feet showed no obvious abnormalities. Magnetic resonance imaging revealed abnormal bone marrow consistent with an infiltrative process. The patient was found to have precursor B-cell acute lymphoblastic leukemia. Cases such as these highlight the possible future use of magnetic resonance imaging in the early diagnostic workup for bone and muscle pain.
急性淋巴细胞白血病是儿童癌症最常见的形式。它表现为非特异性症状，如骨痛，在初次就诊时很容易被误诊。我们报告一名2岁男孩，双侧足部疼痛6个月来逐渐加重。足部X线检查未发现明显异常。磁共振成像显示骨髓异常，符合浸润性病变。该患者被诊断为前体B细胞急性淋巴细胞白血病。此类病例凸显了磁共振成像在未来骨与肌肉疼痛早期诊断检查中可能的应用。
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