临床荟萃

• 病例报告 • 上一篇    下一篇

误诊为脊柱结核的白细胞共同抗原阴性儿童髓系肉瘤1例并文献分析

  

  1. 新乡医学院第一附属医院 儿科, 河南 新乡 453100
  • 出版日期:2020-05-20 发布日期:2020-04-27
  • 通讯作者: 卢卫红, Email:512788849@qq.com
  • 基金资助:
    河南省医学科技攻关计划项目----蓝光通过美乐托宁影响新生儿生理节律的形成进而干预生长激素分泌(2018020355)

Leukocyte common antigen negative pediatric myeloid sarcoma misdiagnosed  as spinal tuberculosis: a case report and literature analysis

  1. Department of Pediatrics, the First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, China
  • Online:2020-05-20 Published:2020-04-27
  • Contact: Corresponding author: Lu Weihong, Email:512788849@qq.com

摘要: 通过1例儿童髓系肉瘤(myeloid sarcoma,MS)病例,分析该误诊病例临床的起病特点、影像学特点、病理学特点及目前MRI在诊断髓系肉瘤的局限性做一探讨,以期对该类疾病获得更深刻的认识。MS是急性髓系白血病的一特殊类型,儿童罕见,因其起病及表现多样,临床易误诊,组织病理诊断为金标准,组织活检联合影像学检查是其确诊的关键,尽早进行肿物活检可有效减少误诊和判断预后。

关键词: 肉瘤,  , 髓样, 儿童, 免疫表型分型, 诊断

Abstract: To analyze the clinical characteristics,  imaging characteristics,  pathological characteristics of the misdiagnosed case and the limitations of MRI in the diagnosis of myeloid sarcoma (MS)  to gain deeper understanding of  MS. MS is a special type of acute myeloid leukemia, which is rarely seen in children. Due to its diverse onset and manifestations,  MS is easy to be misdiagnosed clinically. Histopathological diagnosis is the gold standard. Biopsy combined with imaging examination is the key to the diagnosis of MS. Early biopsy of the tumor can effectively reduce misdiagnosis and determine prognosis.

Key words: sarcoma, , myeloid;child;immunophenotyping;diagnosis