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恶性胸腺瘤并红细胞增多症1例及文献复习
引用本文:刘喆隆,邓金牛,刘文励,孙汉英,万婕. 恶性胸腺瘤并红细胞增多症1例及文献复习[J]. 内科急危重症杂志, 2005, 11(2): 75-77
作者姓名:刘喆隆  邓金牛  刘文励  孙汉英  万婕
作者单位:华中科技大学同济医学院附属同济医院,武汉,430030
摘    要:目的:提高对恶性胸腺瘤合并红细胞增多症的认识。方法:报告1 例恶性胸腺瘤并红细胞增多症,并且复习有关文献。结果:该病十分罕见。其发病机制与恶性肿瘤分泌促红细胞生成素有关,也可能是胸腺瘤所致T细胞免疫功能紊乱所致。结论:真性红细胞增多症的诊断必须排除原发病因,特别是中老年患者,一定要常规筛查胸、腹等各部位的肿瘤,以免漏诊。

关 键 词:恶性胸腺瘤  红细胞增多症  促红细胞生成素  真性红细胞增多症
修稿时间:2005-03-01

Erythrocytosis Associated With Malignant Thymoma. A Case Report and Review of the Literature
LIU Zhe long,DENG Jin niu,LIU Wen li,et al.. Erythrocytosis Associated With Malignant Thymoma. A Case Report and Review of the Literature[J]. Journal of Internal Intensive Medicine, 2005, 11(2): 75-77
Authors:LIU Zhe long  DENG Jin niu  LIU Wen li  et al.
Affiliation:LIU Zhe long,DENG Jin niu,LIU Wen li,et al. Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective: To improve the understanding of erythrocytosis associated with malignant thymoma. Methods: A case of erythrocytosis associated with malignant thymoma was reported and discussed with literature reviewed. Results: This kind of disease wac very rare. The pathogenesis related to the erythropoietin secretion from malignant tumors, while another factor might be the immunological disturbance of T-lymphocyte caused by thymoma. Conclusions: The diagnosis of polycytaemia vera should be made carefully, excluding the possibility of potential causes. It is necessary to make screening for tumors routinely in the middle aged and old patients to avoid misdiagnosis.
Keywords:Malignant thymoma Erythrocytosis Erythropoietin Polycytaemia vera
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