摘要
Abstract
Objective:To understand the clinical feature and laboratory examination of metastases cancer of bone marrow(MCBM)which bone metastasis as first symptom and to enhance the cognition of MCBM.Methods:Retrospective analysis of 57 cases of MCBM.Results:In MCBM patients,the most common clinical symptom is anemia,then bone pain and fever;the abnormal hemogram include anemia,thrombocytopenia;immature erythrocytes and granulocyte were seen on the peripheral blood smear;ESR,AKP,LDH and tumor markers increased and with coagulation disorders;all of patients were found cancer cells in heaps or single cancer cell in marrow cytological examination.Conclusion:The clinical symptom of MCBM patients is commonly include anemia,bone pain, fever,immature erythrocytes and granulocyte were seen on the peripheral blood smear,ESR,AKP,LDH and tumor markers increased. When we found patients with above mentioned symptom,we should consider there may be MCBM and do marrow cytological examination earlier.It’s necessary to pay much attention to coagulation disorders in MCBM patients to avoid bone marrow necrosis.关键词
骨髓转移癌/临床表现Key words
Metastases cancer of bone marrow/Clinical manifestation分类
医药卫生
