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华西医学  2014 

以骨髓增生症为首发表现的胃癌一例并文献复习

DOI: 10.7507/1002-0179.20140190, PP. 630-634

Keywords: 胃癌,实体瘤,贫血,白细胞增多,血小板增多

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Abstract:

目的 探讨实体瘤合并显著血象异常患者的临床表现、发病机制、预后价值及治疗。方法 2012年4月9日收治1例经消化道内窥镜及病理活检诊断为胃低分化/未分化癌患者,骨髓涂片、活检、染色体及骨髓增生症相关基因突变检查排除骨髓增生症。手术切除胃癌及腹腔内转移肿瘤。结果 肿瘤病变切除后血象得以改善,但患者肿瘤负荷大,广泛转移,长期预后不良。结论 实体瘤可以骨髓增生症类似的血象异常为首发表现,属于副肿瘤综合征,是肿瘤的预后不良因素。

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