Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Seo-gu, Busan, Republic of Korea.
Department of Pathology, Dong-A University College of Medicine, Seo-gu, Busan, Republic of Korea.
Medicine (Baltimore). 2022 Oct 28;101(43):e31559. doi: 10.1097/MD.0000000000031559.
Myeloid sarcoma (MS) is an extramedullary tumor that consists of myeloblasts and rarely involves the female reproductive organs. Intestinal Behçet's disease (BD) is a chronic, inflammatory illness that is often associated with myelodysplastic syndrome (MDS). When MDS is diagnosed, some patients with intestinal BD experience synchronous gastrointestinal flares.
We report the case of a 49-year-old woman who presented with vaginal bleeding and an incidentally identified MS in the uterine cervix. Subsequent bone marrow biopsy showed simultaneous MDS without chromosomal abnormalities. This is the first reported case of concomitant MS, myelodysplastic disease, and intestinal BD.
The accurate diagnosis of MSs that develop at non-predominant sites is crucial for a positive patient prognosis. MDS should be suspected in patients with a history of intestinal BD diagnosed with MS.
骨髓肉瘤(MS)是一种髓外肿瘤,由髓样母细胞组成,很少涉及女性生殖器官。肠贝切特病(BD)是一种慢性炎症性疾病,常与骨髓增生异常综合征(MDS)相关。当 MDS 被诊断时,一些患有肠 BD 的患者会同时出现胃肠道发作。
我们报告了一例 49 岁女性患者,其出现阴道出血和宫颈意外发现 MS。随后的骨髓活检显示同时存在无染色体异常的 MDS。这是首例并发 MS、骨髓发育不良疾病和肠 BD 的病例。
准确诊断在非优势部位发生的 MS 对患者预后有积极作用。对于诊断为 MS 的患有肠 BD 的患者,应怀疑 MDS。