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  

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

作　　者：卢卫红 吴湘涛 徐亚利 郭喜霞[1] 李树军[1] 李晶[1] Lu Weihong;Wu Xiangtao;Xu Yali;Guo Xixia;Li Shujun;Li Jing(Department of Pediatrics, the First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, China)

机构地区：[1]新乡医学院第一附属医院儿科,河南新乡453100

出　　处：《临床荟萃》2020年第5期458-461,共4页Clinical Focus

基　　金：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)。

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。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.

关 键 词：肉瘤 髓样 儿童 免疫表型分型 诊断 

分 类 号：R733.72[医药卫生—肿瘤]