Trombocitosis
Paciente femenina 87 años de edad. Conteo de plaquetas el 13 Mayo 2009: 896 mil ,
al día siguiente ( 14-Mayo 2009 ) 868 mil ( normal entre 150-45o mil ).
Fosfata alcalina 100 gr/l
Colesterol HDL 47.8
Trigliceridos 67,
Glucosa 128 ,
Creatinina 0.79
GOT 19 GPT 12,
Proteinas totales 6.85 ( normal entre 6.6 -8.7 ) con Albumina de 3.60 grs/l:
Examen Orina Normal.
CA 15-3- 13.2 uds/mls ( normal 0.0-35 )
CA 19-9- 15.0 uds/l ( normal menos de 37)
CEA 0.28
Alfa Feto Proteina 3.55 ngs/ml ( normal menos de 10 )
HCV ( negativo )
En lóbulo derecho se visualiza masa solida, ecogena, localizada en la porción inferior del lóbulo derecho, esta rodeada de halo an-ecogeno, mide aprox: 6.7 X 6.4 X 6.2 cms.
El departamento de Hematologia opina que el cuadro puede deberse a: Cuadro Para-Neoplasico o Sindrome mieloproliferativo tipo trombocitopenia esencial
al día siguiente ( 14-Mayo 2009 ) 868 mil ( normal entre 150-45o mil ).
Fosfata alcalina 100 gr/l
Colesterol HDL 47.8
Trigliceridos 67,
Glucosa 128 ,
Creatinina 0.79
GOT 19 GPT 12,
Proteinas totales 6.85 ( normal entre 6.6 -8.7 ) con Albumina de 3.60 grs/l:
Examen Orina Normal.
CA 15-3- 13.2 uds/mls ( normal 0.0-35 )
CA 19-9- 15.0 uds/l ( normal menos de 37)
CEA 0.28
Alfa Feto Proteina 3.55 ngs/ml ( normal menos de 10 )
HCV ( negativo )
HIV negativo
HBSAG ( negativo )
Clinica al ingresar: Mareos y Afasia Motora. La radiografia de torax mostró Cardiomegalia severa con dilatacion y calcificacion ligera de boton aortico y discreto sindrome intesticial pulmonar. La tomografia axial computerizada ( TAC ) de craneo : evento vascular antiguo en lobulo temporal izquierdo con cambios vasculares difusos y atrofia cortical.
El ecocardiograma insuficiencia tricuspide , signos de cardiopatia hipertensiva y dilatacion de cavidades derechas con insuficiencia mitral moderada y funcion sistolica normal.
En la sonografia Hígado aumentado de tamaño con heterogeneidad focal por la presencia de múltiples imagenes quisticas, tabicadas, con micro-calcificaciones en sus paredes.La lesión quistica de mayor tamaño se localiza en lóbulo derecho, mide aprox: 4.9 X 3.9 X 4.1 cm, con volumen de 36.69 c.c, el de menor tamaño mide aprox: 2.6 X 2.2 X 2.0 cm con volumen de 5.49 c.c.HBSAG ( negativo )
Clinica al ingresar: Mareos y Afasia Motora. La radiografia de torax mostró Cardiomegalia severa con dilatacion y calcificacion ligera de boton aortico y discreto sindrome intesticial pulmonar. La tomografia axial computerizada ( TAC ) de craneo : evento vascular antiguo en lobulo temporal izquierdo con cambios vasculares difusos y atrofia cortical.
El ecocardiograma insuficiencia tricuspide , signos de cardiopatia hipertensiva y dilatacion de cavidades derechas con insuficiencia mitral moderada y funcion sistolica normal.
En lóbulo derecho se visualiza masa solida, ecogena, localizada en la porción inferior del lóbulo derecho, esta rodeada de halo an-ecogeno, mide aprox: 6.7 X 6.4 X 6.2 cms.
El departamento de Hematologia opina que el cuadro puede deberse a: Cuadro Para-Neoplasico o Sindrome mieloproliferativo tipo trombocitopenia esencial
Thrombocytosis
Female patient 87 years old. Platelets 13 May 2009: 896 thousand, the next day (14 May 2009) 868 thousand (normal 150-45o thousand).
Alkaline phosphate 100 g / l
Triglycerides 47.8
HDL Cholesterol 67
Glucose 128 mlg,
Creatinine 0.79
GOT 19 GPT 12,
Total protein 6.85 ( normal 6.6 -8.7) with albumin 3.60 g / l:
Urine examen: Normal.
CA 15-3 - 13.2 uds / mls (normal 0.0-35)
CA 19-9 - 15.0 uds / l (normal less than 37)
CEA 0.28
NGS 3.55
Alpha Feto Protein 3.55 ng/ ml (normally less than 10)
HCV (negative)
HIV negative
HBsAg (negative)
Enter the clinic: Dizziness and Motor Aphasia.
Chest radiography showed severe cardiomegaly with a dilated aortic calcification lightweight and discrete button interstitial pulmonary syndrome.
Computed axial tomography (CT) brain: a vascular event in the old left temporal lobe with vascular changes and diffuse cortical atrophy.
The echocardiogram tricuspid insufficiency and signs of hypertensive cardiopathy dilated right cavities with moderate mitral insufficiency and normal systolic function.
Liver sonography in the enlarged focal heterogeneity with the presence of multiple cystic images, enclosed, with micro-calcifications in their walls. The larger cystic lesion located in the right lobe, measures approx: 4.9 X 3.9 X 4.1 cm with a volume of 36.69 ccs, the smallest measures approx: 2.6 X 2.2 X 2.0 cm with a volume of 5.49 cc
The right lobe is shown in a solid mass, echogenic, located in the lower right lobe, is surrounded by an an-echogenic halo, measures approx: 6.7 X 6.4 X 6.2 cms.
Hematologia department believes that the painting may be due to: -Picture-neoplastic -Myeloproliferative syndrome type essential thrombocytopenia
Alkaline phosphate 100 g / l
Triglycerides 47.8
HDL Cholesterol 67
Glucose 128 mlg,
Creatinine 0.79
GOT 19 GPT 12,
Total protein 6.85 ( normal 6.6 -8.7) with albumin 3.60 g / l:
Urine examen: Normal.
CA 15-3 - 13.2 uds / mls (normal 0.0-35)
CA 19-9 - 15.0 uds / l (normal less than 37)
CEA 0.28
NGS 3.55
Alpha Feto Protein 3.55 ng/ ml (normally less than 10)
HCV (negative)
HIV negative
HBsAg (negative)
Enter the clinic: Dizziness and Motor Aphasia.
Chest radiography showed severe cardiomegaly with a dilated aortic calcification lightweight and discrete button interstitial pulmonary syndrome.
Computed axial tomography (CT) brain: a vascular event in the old left temporal lobe with vascular changes and diffuse cortical atrophy.
The echocardiogram tricuspid insufficiency and signs of hypertensive cardiopathy dilated right cavities with moderate mitral insufficiency and normal systolic function.
Liver sonography in the enlarged focal heterogeneity with the presence of multiple cystic images, enclosed, with micro-calcifications in their walls. The larger cystic lesion located in the right lobe, measures approx: 4.9 X 3.9 X 4.1 cm with a volume of 36.69 ccs, the smallest measures approx: 2.6 X 2.2 X 2.0 cm with a volume of 5.49 cc
The right lobe is shown in a solid mass, echogenic, located in the lower right lobe, is surrounded by an an-echogenic halo, measures approx: 6.7 X 6.4 X 6.2 cms.
Hematologia department believes that the painting may be due to: -Picture-neoplastic -Myeloproliferative syndrome type essential thrombocytopenia
Referencias:
http://es.wikipedia.org/wiki/Trombocitosis
http://www.infodoctor.org/www/meshc15.htm?idos=12980
http://www.paraqueestesbien.com.mx/sintomas/sangre/sangre22.htm
http://www.tuotromedico.com/temas/plaquetas.htm
http://www.bago.com/BagoArg/Biblio/clmedweb627.htm
http://www.lookfordiagnosis.com/mesh_info.php?term=Trombocitosis&lang=2
