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晚期实体肿瘤侵犯骨髓并不少见,但以酷似急性白血病(AL)而原发肿瘤不明为首发临床表现的较为罕见,极易误诊;偶有明确诊断的,但因患者严重的血液和出血并发症无法耐受有效治疗而失去治疗时机。本文报道了1例以全血细胞减少、弥散性血管内凝血(DIC)、弥漫性骨髓侵犯为首发表现的乳腺横纹肌肉瘤患者的诊治经过。1病历资料患者女,35岁。因“鼻衄、皮肤淤斑及全血细胞减少1个月”于2014-05-29入院就诊。患者2014
Advanced solid tumor invasion of bone marrow is not uncommon, but resembles acute leukemia (AL) and the primary tumor is unknown as the first clinical manifestations of the more rare, easily misdiagnosed; occasionally diagnosed, but due to serious patient blood and bleeding complications Can not tolerate effective treatment and lose treatment timing. This article reports the diagnosis and treatment of a patient with rhabdomyosarcoma of the breast, which is characterized by pancytopenia, disseminated intravascular coagulation (DIC) and diffuse bone marrow infiltration. Patient information Female patient, 35 years old. Because of “epistaxis, skin ecchymosis and pancytopenia 1 month ” in 2014-05-29 admission. Patient 2014