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肠道绿色瘤

Intestinal Chloroma.

作者信息

Páez Hernández Erick Martín, Zúñiga Vázquez Luis Abraham, Jiménez Herevia Aldo Edyair, Hinojosa Ugarte Diego, Obregón Moreno Enrique

机构信息

Surgery, Hospital Regional De Alta Especialidad Del Bajío, León, Guanajuato, MEX.

Surgical Oncology, Hospital Regional De Alta Especialidad Del Bajío, León, Guanajuato, MEX.

出版信息

Cureus. 2020 Dec 14;12(12):e12080. doi: 10.7759/cureus.12080.

DOI:10.7759/cureus.12080
PMID:33489498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7805528/
Abstract

Chloromas are an atypical cellular infiltrate of immature granulocytic cells that can occur specially in patients with acute myelogenous leukemia (AML), but can be present in nonleukemic patients. Its clinical course will be dependent on its size and location, from asymptomatic to simulating a malignant gastrointestinal neoplasia. Definitive diagnosis is made upon an immunoprofile that is similar to that present in the blasts and precursor cells of acute myeloid leukemia. Endoscopic and CT images are variable being only part of the protocol panel. Treatment is the same as to AML, but surgery and radiation must be used in order to maintain low relapse and better overall survival.

摘要

绿色瘤是未成熟粒细胞的一种非典型细胞浸润，特别见于急性髓系白血病（AML）患者，但也可出现在非白血病患者中。其临床病程取决于其大小和位置，从无症状到类似恶性胃肠道肿瘤。明确诊断基于与急性髓系白血病的原始细胞和前体细胞相似的免疫表型。内镜和CT图像各不相同，只是诊疗方案的一部分。治疗与AML相同，但必须采用手术和放疗以维持低复发率并提高总体生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/57d00e2dce7b/cureus-0012-00000012080-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/5b963fbdf840/cureus-0012-00000012080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/50060292be33/cureus-0012-00000012080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/bf6373191082/cureus-0012-00000012080-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/57d00e2dce7b/cureus-0012-00000012080-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/5b963fbdf840/cureus-0012-00000012080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/50060292be33/cureus-0012-00000012080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/bf6373191082/cureus-0012-00000012080-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9786/7805528/57d00e2dce7b/cureus-0012-00000012080-i04.jpg

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A Rare Case of Partial Small Bowel Obstruction Secondary to Intestinal Myeloid Sarcoma.一例罕见的继发于肠道髓系肉瘤的部分性小肠梗阻病例。
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本文引用的文献

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Cutaneous Myeloid Sarcoma.
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Dig Liver Dis. 2017 Nov;49(11):1280. doi: 10.1016/j.dld.2017.05.012. Epub 2017 May 24.
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Small-bowel myeloid sarcoma: Report of a case with atypical presentation.小肠髓系肉瘤：1例非典型表现病例报告
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Is there a "gold" standard treatment for patients with isolated myeloid sarcoma?对于孤立性髓肉瘤患者，是否存在“黄金”标准治疗方法？
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Blood. 2011 May 12;117(19):5019-32. doi: 10.1182/blood-2011-01-293050. Epub 2011 Feb 7.
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Granulocytic sarcoma of bowel: CT findings.肠道粒细胞肉瘤：CT表现
Radiology. 2007 Jun;243(3):752-9. doi: 10.1148/radiol.2433060747. Epub 2007 Apr 19.
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Myeloid sarcoma: clinico-pathologic, phenotypic and cytogenetic analysis of 92 adult patients.髓系肉瘤：92例成年患者的临床病理、表型及细胞遗传学分析
Leukemia. 2007 Feb;21(2):340-50. doi: 10.1038/sj.leu.2404491. Epub 2006 Dec 14.
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Granulocytic sarcoma in childhood leukemia: imaging features.儿童白血病中的粒细胞肉瘤：影像学特征
Radiology. 1994 Mar;190(3):698-702. doi: 10.1148/radiology.190.3.8115614.