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Rehabilitation Practice and Science

Translated Title

青少年骨髓性肉瘤初期以背痛呈現:病例報告

Abstract

Myeloid sarcoma (MS) is a rare disease. MS is a malignant solid tumor resulting from the extramedullary proliferation of myeloblasts or immature myeloid cells.It is often described in association with acute myeloid leukemia (AML). In the absence of overt leukemia, MS is rarely considered in the differential diagnosis of a soft-tissue mass, and the diagnosis of MS is usually delayed or misdiagnosed. We present the case of a female adolescent who initially complained of back pain. Conservative treatment including medication and rehabilitation was given to her, but in vain, and the symptoms gradually progressed to severe neurological function loss, including paraplegia, paresthesia and numbness of bilateral low limbs, dysuria and difficulty in stool passage. Magnetic resonance imaging revealed multiple spinal tumors in the thoracic and sacral spines, and bone marrow pathology revealed acute myeloid leukemia. The spine tumors disappeared after chemotherapy, and early intervention of rehabilitation programs was offered for motor and gait training. The patient's functional performance improved significantly, and she was able to walk independently without an assistive device under supervision.

Language

Traditional Chinese

First Page

269

Last Page

275

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