. "K\u0159en, L." . . . . . "RIV/61989592:15110/14:33150109" . "P\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky pancytopenie" . "15110" . "Transfuze a hematologie dnes" . "Navr\u00E1til, M." . . "Kadl\u010Dkov\u00E1, Eva" . "1"^^ . "Pal\u00ED\u0161ek, J." . "P\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky pancytopenie"@cs . "Differential diagnosis of pancytopenia - a case report"@en . . "sarkom; (pan)cytopenia; myelodysplastic syndrome, (pan)cytopenia, sarcoma myelodysplastic syndrome, (pan)cytopenia, sarcoma myelodysplastic syndrome, (pan)cytopenia, sarcoma myelodysplastic syndrome"@en . . "S" . "Roho\u0148, Peter" . "P\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky pancytopenie" . "39431" . . "N\u00E1pln\u00ED sd\u011Blen\u00ED je p\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky 47let\u00E9ho pacienta, kter\u00FD byl v srpnu 2012 p\u0159ijat na Intern\u00ED kliniku Krajsk\u00E9 nemocnice Tom\u00E1\u0161e Bati ve Zl\u00EDn\u011B pro t\u011B\u017Ekou pancytopenii. Proto\u017Ee \u00FAvodn\u00ED vy\u0161et\u0159en\u00ED sm\u011B\u0159uj\u00EDc\u00ED k vylou\u010Den\u00ED z\u00E1n\u011Btu, tumoru, infekce a syst\u00E9mov\u00E9ho onemocn\u011Bn\u00ED byla negativn\u00ED, bylo vysloveno podez\u0159en\u00ED na myelodysplastick\u00FD syndrom. Aspir\u00E1t kostn\u00ED d\u0159en\u011B byl nev\u00FDt\u011B\u017En\u00FD, trepanobiopsie v\u0161ak nepotvrdila p\u0159\u00EDtomnost myelodysplastick\u00E9ho syndromu. Pacient se rychle stal z\u00E1visl\u00FDm na transfuz\u00EDch, opakovan\u011B prod\u011Bl\u00E1val infekce. Dal\u0161\u00ED diferenci\u00E1ln\u011B diagnostick\u00FD proces komplikoval s\u00E1m pacient sv\u00FDmi opakovan\u00FDmi negativn\u00EDmi reversy stran intern\u00ED hospitalizace. Na opakovan\u00FDch vy\u0161et\u0159en\u00EDch po\u010D\u00EDta\u010Dovou tomografii (CT) byla patrn\u00E1 nar\u016Fstaj\u00EDc\u00ED splenomegalie a pot\u00E9 i v\u00EDce\u010Detn\u00E1 osteoplastick\u00E1 a sm\u00ED\u0161en\u00E1 lo\u017Eiska ve skeletu p\u00E1nve, kter\u00E1 ukazovala na pravd\u011Bpodobnou malignitu. Pacient byl proto odesl\u00E1n k dal\u0161\u00EDmu do\u0161et\u0159en\u00ED na Intern\u00ED hematoonkologickou kliniku Fakultn\u00ED nemocnice Brno-Bohunice. Zde bylo indikov\u00E1no celot\u011Blov\u00E9 vy\u0161et\u0159en\u00ED pozitronovou emisn\u00ED tomografi\u00ED v kombinaci s CT a nalezeno rozs\u00E1hl\u00E9 lo\u017Eisko viabiln\u00ED n\u00E1dorov\u00E9 tk\u00E1n\u011B v hrudn\u00ED st\u011Bn\u011B. Byl proveden odb\u011Br histologie a zapo\u010Data pref\u00E1ze kortikoidy, po kter\u00E9 ale n\u00E1sledovalo ren\u00E1ln\u00ED selh\u00E1n\u00ED p\u0159i syndromu n\u00E1dorov\u00E9ho rozpadu. Pacient zem\u0159el pod obrazem multiorg\u00E1nov\u00E9ho selh\u00E1n\u00ED a diseminovan\u00E9 intravaskul\u00E1rn\u00ED koagulopatie v den stanoven\u00ED histologick\u00E9 diagn\u00F3zy diseminovan\u00E9ho nediferencovan\u00E9ho sarkomu." . . . "8"^^ . "N\u00E1pln\u00ED sd\u011Blen\u00ED je p\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky 47let\u00E9ho pacienta, kter\u00FD byl v srpnu 2012 p\u0159ijat na Intern\u00ED kliniku Krajsk\u00E9 nemocnice Tom\u00E1\u0161e Bati ve Zl\u00EDn\u011B pro t\u011B\u017Ekou pancytopenii. Proto\u017Ee \u00FAvodn\u00ED vy\u0161et\u0159en\u00ED sm\u011B\u0159uj\u00EDc\u00ED k vylou\u010Den\u00ED z\u00E1n\u011Btu, tumoru, infekce a syst\u00E9mov\u00E9ho onemocn\u011Bn\u00ED byla negativn\u00ED, bylo vysloveno podez\u0159en\u00ED na myelodysplastick\u00FD syndrom. Aspir\u00E1t kostn\u00ED d\u0159en\u011B byl nev\u00FDt\u011B\u017En\u00FD, trepanobiopsie v\u0161ak nepotvrdila p\u0159\u00EDtomnost myelodysplastick\u00E9ho syndromu. Pacient se rychle stal z\u00E1visl\u00FDm na transfuz\u00EDch, opakovan\u011B prod\u011Bl\u00E1val infekce. Dal\u0161\u00ED diferenci\u00E1ln\u011B diagnostick\u00FD proces komplikoval s\u00E1m pacient sv\u00FDmi opakovan\u00FDmi negativn\u00EDmi reversy stran intern\u00ED hospitalizace. Na opakovan\u00FDch vy\u0161et\u0159en\u00EDch po\u010D\u00EDta\u010Dovou tomografii (CT) byla patrn\u00E1 nar\u016Fstaj\u00EDc\u00ED splenomegalie a pot\u00E9 i v\u00EDce\u010Detn\u00E1 osteoplastick\u00E1 a sm\u00ED\u0161en\u00E1 lo\u017Eiska ve skeletu p\u00E1nve, kter\u00E1 ukazovala na pravd\u011Bpodobnou malignitu. Pacient byl proto odesl\u00E1n k dal\u0161\u00EDmu do\u0161et\u0159en\u00ED na Intern\u00ED hematoonkologickou kliniku Fakultn\u00ED nemocnice Brno-Bohunice. Zde bylo indikov\u00E1no celot\u011Blov\u00E9 vy\u0161et\u0159en\u00ED pozitronovou emisn\u00ED tomografi\u00ED v kombinaci s CT a nalezeno rozs\u00E1hl\u00E9 lo\u017Eisko viabiln\u00ED n\u00E1dorov\u00E9 tk\u00E1n\u011B v hrudn\u00ED st\u011Bn\u011B. Byl proveden odb\u011Br histologie a zapo\u010Data pref\u00E1ze kortikoidy, po kter\u00E9 ale n\u00E1sledovalo ren\u00E1ln\u00ED selh\u00E1n\u00ED p\u0159i syndromu n\u00E1dorov\u00E9ho rozpadu. Pacient zem\u0159el pod obrazem multiorg\u00E1nov\u00E9ho selh\u00E1n\u00ED a diseminovan\u00E9 intravaskul\u00E1rn\u00ED koagulopatie v den stanoven\u00ED histologick\u00E9 diagn\u00F3zy diseminovan\u00E9ho nediferencovan\u00E9ho sarkomu."@cs . "20" . . . "Ry\u0161av\u00FD, I." . "[C3D2067F0862]" . "RIV/61989592:15110/14:33150109!RIV15-MSM-15110___" . "1213-5763" . "The aim of this paper is to report the differential diagnosis undertaken in a 47-year-old patient who was admitted for severe pancytopenia at the Department of Internal Medicine, Tomas Bata Regional Hospital in Zl\u00EDn in August 2012. As the initial examinations regarding inflammation, tumours, infections and systemic diseases were negative, myelodysplastic syndrome was suspected. Trephine biopsy was performed, but myelodysplastic syndrome was not confirmed. The patient quickly became dependent on transfusions and suffered from recurrent infections. The differential diagnostic process was further complicated by the patient's repeated refusal to be hospitalized at the department of Internal Medicine. Repeated CT scans showed increasing splenomegaly and eventually multiple osteoplastic and mixed deposits in the pelvic bone appeared, pointing to a probable malignancy. The patient was referred for further investigation to the Department of Internal Medicine, Haematology and Oncology Clinic, University Hospital Brno-Bohunice. The indicated whole-body PET/CT found extensive deposits of viable tumour tissue in the chest wall. Histological samples were taken and corticosteroid treatment was started. However, this resulted in tumour lysis syndrome followed by kidney failure. The patient developed multiple organ failure with disseminated intravascular coagulopathy and died on the day that the histological diagnosis of undifferentiated sarcoma was made."@en . . "8"^^ . "Stan\u00ED\u010Dek, J." . . "CZ - \u010Cesk\u00E1 republika" . "Differential diagnosis of pancytopenia - a case report"@en . "3" . "Zimov\u00E1, I." . "P\u0159\u00EDpad diferenci\u00E1ln\u00ED diagnostiky pancytopenie"@cs .