鞍区占位为首发表现的髓系肉瘤1例并文献复习

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【中图分类号】R651;R726.1 【文献标志码】B 【文章编号】1672-7770（2025）05-0569-03

Abstract：ObjectiveExploring the diagnostic and therapeutic process and treatment strategies of myeloid sarcoma（MS）brain metastasis.MethodsAretrospectivecaseanalysis was performed ona patient diagnosed with myeloidsarcoma presenting withcerebralmetastasis，who wasadmited totheAfliated on May27，2O24.Theintracranial lesion was successfullyresectedthrough a neuroendoscopic transsphenoidalapproach，folowedbypostoperativeconsolidation with systemic chemotherapyadministeredatalocal medicalinstitution.ResultsPostoperative histopathological analysis confirmed thediagnosis of myeloid sarcoma. Follwing chemotherapy，the patient exhibited a marked improvement in clinical symptoms.ConclusionsMyeloid sarcomabrain metastasis isanexceedinglyrarecondition，andmisdiagnosisis frequentlyencounteredduring the diagnostic process．Currently，thereisnoestablished standardized treatmentprotocol for myeloid sarcomabrain metastasis.Irrespective of whether surgical interventionis selected，patients shouldbe initiated onchemotherapyat theearliest opportunity.Moreover，patients who receive chemotherapy necessitate long-term follow-up to facilitate he timely detection and management of potential recurrences or other complications.

Key words：acute myeloid leukemia；myeloid sarcoma；central nervous system； cranium and brain

髓系肉瘤（myeloidsarcoma，MS）是白血病、骨髓增生性肿瘤或骨髓增生异常综合征的罕见表现，其肿瘤组织由髓外部位的未成熟髓单核细胞组成。（剩余5758字）