神经母细胞瘤骨髓转移17例骨髓象及临床表现分析

Analysis of Bone marrow Smear and clinical performance in 17 cases bone marrow metastasis neuroblastoma

目的探讨神经母细胞瘤骨髓转移骨髓象及临床表现特征。方法对17例神经母细胞瘤骨髓转移患者的骨髓象及临床检查进行分析。结果本组神经母细胞瘤最常见的原发部位为腹部，其次位于后纵隔，多以贫血或全血细胞减少为首发表现。骨髓转移神经母细胞瘤形态多样，本组主要为淋巴细胞型、粒细胞型。结论骨髓细胞形态学既可确定诊断，又可观察疗效，骨髓穿刺应为首选检查方法。

Objective To investigate the bone marrow metastasis of neuroblastoma and clinical performance characteristics. Methods To analyse 17 cases of neurobhstoma bone metastasis and clinical examination. Results Neuroblastoma in this groupthemost eommonprnnary site in the abdomen,followed in the posterior mediastinum, anemia or pancytopemaare initial manifestations. The modality of Bone marrow metastasis are vailous, most are lymphocyte type and granulocyte cell type. Conclusion The morphology of bone marrow cells can confirm the diagnosis, but also observe the efficaey. Bone marFow smear should be the preferred screening method.