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KMID : 0383820080650010049
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 1 p.49 ~ p.51
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A Case of Acute Myeloid Leukemia with Multilineage Dysplasia accompanying Malignant Pleural Effusion
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Seo Young-Ik
Won Jong-Ho
Park Hee-Sook
Choi Tae-Youn
Lee Nam-Su
Shin Jeong-Won
Park Ro-Jin
Lee Sang-Cheol
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Abstract
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We report a case of acute myeloid leukemia with multilineage dysplasia accompanying malignant pleural effusion.
A 73 year-old male patient was admitted complaining of febrile sensations and right chest pain. The cytology of the pleural fluid revealed malignant pleural effusion showing many blasts, which had previously been identified in his bone marrow when he was diagnosed with acute myeloid leukemia with multilineage dysplasia two months earlier. His age and poor general condition had precluded chemotherapy with the exception of hydroxyurea and conservative treatment. Unfortunately, he succumbed to the disease 4.5 months after diagnosis. This case highlights the importance of determining if the pleural effusion of acute leukemia is malignant or not because it can suggest a pleural metastasis and influence the prognosis.
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KEYWORD
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Malignant pleural effusion, Acute myeloid Leukemia with multilineage dysplasia, Extramedullary involvement
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