胸腺瘤_____胸腺瘤;_纯红细胞再生障碍性贫血;

胸腺瘤合并单纯红细胞再生障碍性贫血1例及文献复习

http://www.100md.com 《新疆医科大学学报》 2006年第2期

胸腺瘤,,胸腺瘤;,纯红细胞再生障碍性贫血;,外科治疗,1临床资料,2讨论,参考文献:

     摘要: 目的：探讨胸腺瘤合并单纯红细胞再生障碍性贫血 (PRCA)的临床特征及治疗效果。方法：对1例胸腺瘤合并PRCA患者的临床资料进行回顾性分析,并对国内已报道的这类病例进行文献复习和讨论。结果：本组胸腺瘤合并PRCA 34例，男性21例，女性13例，年龄47岁。32例接受手术治疗(其中1例术前行免疫治疗)，1例单纯放射治疗，1例治疗不详。术后3个月内死亡3例，术后复发8例，术后生存1年且无复发15例，生存3年8例，生存5年6例。结论：胸腺瘤合并PRCA是一种少见疾病,外科治疗是本病的首选治疗手段,综合性治疗将使患者获得长期的缓解。

    关键词：胸腺瘤; 纯红细胞再生障碍性贫血; 外科治疗

    Thymoma associated with pure red cell aplasia: a cases report and

    review of Chinese literatures

    ZHANG Changming, ZHANG Zhu, LI Desheng, et al

    (Department of Throracic Surgery, Affiliated Hospital, Xinjiang Medical University,Urumqi 830054, China)

    Abstract: Objective: To explore the clinical features of thymoma associated with pure red cell aplasia (PRCA) and to evaluate outcome of surgical treatment. Methods: A case of thymoma associated with PRCA was accepted thymosectomy in our hospital on 26 Nov. 2004. The clinical data was analysed and the Chinese literature was reviewed. Results: The hemoglobin concentration and reticulocyte counts increased significantly after the operation. 3 cases died in 3 months, 8 cases relapsed within 1 to 10 months. The patients who survived 1, 3 and 5 years were 15, 8 and 6 respectively. Conclusion: Thymoma associated with PRCA is a rare disease. Surgical procedure is first choice and comprehensive treatment makes patient get longterm survival. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/04/12/96/67/20.htm

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