Paolino W, Rossi M, Infelise V, Degani G, Levis A
Minerva Med. 1976 Apr 14;67(18):1196-203.
Nineteen association of leukaemia and tumour were noted in a series of 502 cases of leukaemia: 12/180 (6.6%, compared with 4.7% of 5136 cases in the liteature) for Chr. L.L. (hypogammaglobulinaemia, reduction in single Ig. serious herpes zoster and the T-lymphocyte nature of leukaemia were not more frequent in these associations); 2/102 (1.9%, compared with 2.6% of 1267 cases in the literure) for Chr. M.L.; 5/220 (2.2%, compared with 2.19% of 1138 cases in the literature) for A.L. The mean age of the overall leukaemia series was virtually the same for A.L. (47 yr in a group composed of subjects aged over 12 yr) and Chr. M.L. (48 yr), with the same incidence of association (2.2 and 1.9%), whereas it was 64 yr and 6.6% incidence in Chr. L.L. The bilogarithmic increase in the incidence of tumours with age may itself explain the higher incidence of Chr. L.L. associations. The duration of leukaemia and the age of incidence must be taken into account in any discussion of the significance of such associations.
在502例白血病病例中发现了19例白血病与肿瘤的关联:慢性淋巴细胞白血病(Chr. L.L.)为12/180(6.6%,文献中5136例病例的该比例为4.7%)(低丙种球蛋白血症、单一免疫球蛋白降低、严重带状疱疹以及白血病的T淋巴细胞性质在这些关联中并不更常见);慢性髓细胞白血病(Chr. M.L.)为2/102(1.9%,文献中1267例病例的该比例为2.6%);急性白血病(A.L.)为5/220(2.2%,文献中1138例病例的该比例为2.19%)。急性白血病组(由12岁以上受试者组成,平均年龄47岁)和慢性髓细胞白血病组(平均年龄48岁)的总体白血病系列平均年龄基本相同,关联发生率也相同(分别为2.2%和1.9%),而慢性淋巴细胞白血病组的平均年龄为64岁,关联发生率为6.6%。肿瘤发生率随年龄呈双对数增加这一现象本身可能解释了慢性淋巴细胞白血病关联发生率较高的原因。在讨论此类关联的意义时,必须考虑白血病的病程和发病年龄。