摘要
目的分析以髓外浸润为首发表现的白血病的临床特点。方法回顾性分析138例白血病患者髓外浸润的临床表现、实验室及影像学检查资料。结果 138例患者中,脾浸润83例,肝浸润14例,淋巴结浸润57例,软组织浸润10例,肺部浸润并感染7例,骨浸润6例,胸腺浸润6例,颅内浸润3例,胸腔浸润3例,直肠、眼、牙龈、前列腺、子宫颈、乳腺、甲状腺、鼻咽部、腮腺等浸润各1例。均经骨髓细胞形态学检查确诊为白血病,局部病灶经病检证实。结论以髓外浸润为首发表现的白血病早期诊断困难,需对这一类白血病提高警惕。
Objective To study the clinical features of leukemia with extramedullary infiltration as initial manifestation.Methods The clinical manifestations,laboratory and imaging data of 138 leukemia patients with extramedullary infiltration were retrospentively analyzed. Results Among 138 patients,there were 83 patients with spleen infiltration,14 patients with liver infiltration,57 patients with lymph node infiltration,10 patients with tissue infiltration,7 patients with pulmonary infiltration and infection,6 patients with bone infiltration,6 patients with thymus infiltration,3 patients with infiltrating brain,3 patients with pleural cavity,and rectum,gingiva,prostate,cervix,lacteal,thyroid,pharynx nasalis,parotid infiltration respectively had 1 patient. All patients were diagnosed as leukemia by cytological examination of bone marrow and local disease were confirmed by pathological biopsy. Conclusion Early diagnosis of leukemia with extramedullary infiltration as initial manifestation is difficult,and more attention should be paid to this type of leukemia.
出处
《实用癌症杂志》
2015年第1期130-132,共3页
The Practical Journal of Cancer
关键词
白血病
髓外浸润
首发表现
影像学检查
Leukemia
Extramedullary infiltration
Initial manifestation
Image examination
