Blau A, Kaplinsky N
Postgrad Med J. 1982 Jun;58(680):362-3. doi: 10.1136/pgmj.58.680.362.
A 42-year-old woman presented with a huge benign pelvic tumour and recurrent pulmonary emboli associated with severe microangiopathic haemolytic anaemia (MAHA). Following removal of the tumour and anticoagulation, all signs of MAHA disappeared. MAHA may occur when red blood cells pass through abnormal blood vessels in tumours. This patient is unusual in that the tumour was benign, rather than malignant. A further site of microangiopathy was the pulmonary vasculature.
一名42岁女性因巨大盆腔良性肿瘤及复发性肺栓塞就诊,伴有严重的微血管病性溶血性贫血(MAHA)。肿瘤切除并抗凝治疗后,MAHA的所有症状均消失。当红细胞通过肿瘤内异常血管时,可能会发生MAHA。该患者的特殊之处在于肿瘤为良性而非恶性。微血管病的另一个部位是肺血管系统。