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顆粒性細胞肉瘤以頭頸部腫塊表現-病例報告

Granulocytic Sarcoma Presenting as Head and Neck Tumors – Case Report

摘要


顆粒性細胞肉瘤是顆粒性白血球之前驅細胞,而在骨髓外聚集成的腫瘤。它常常會與急性骨髓性白血病或其他骨髓增殖性疾病合併發生。本院經歷一62歲女性病患,患有雙側頸部腫瘤,經切片證實為顆粒性細胞肉瘤,同時合併有急性骨髓性白血病。由於以頭頸部腫瘤表現之白血病相當罕見,特對此病例提出報告。

並列摘要


Granulocytic sarcoma is an extramedullary tumor composed of granulocytic precursor cells. It usually occurs in association with leckemia or other myelopro-liferative disorders. We present a 62-year-old woman who suffered from bilateral submandibular and parotid tumors. An incision biopsy revealed granulocytic sarcoma of the parotid gland. Acute myelocytic leukemia was also diagnosed simultaneously. Therefore, this patient received prophylactic antibiotics, granulocyte colony-stimulating factor injection and chemotherapy. Unfortunately, this patient died one month later due to septic shock. The manifestation of leukemia presenting as head and neck tumors is a rare event. We suggest that the possibility of leukemia should be considered, particularly in head and neck tumors presenting with abnorrnal hematologic findings.

並列關鍵字

granulocytic sarcoma leukemia parotid gland

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