Kadikoylu Gurhan, Onbasili Alper, Barutca Sabri, Tekten Tarkan, Bolaman Zahit
Department of Haematology, Adnan Menderes University Medical Faculty, Aydin, Turkey.
Leuk Lymphoma. 2003 Apr;44(4):723-5. doi: 10.1080/1042819021000047029.
In chronic myelogenous leukemia (CML), pericardial effusions are rarely seen. Pericardial tamponade may occur in many of the patients with pericardial effusion. Here in a 45-year-old male with newly diagnosed chronic phase of Philadelphia chromosome (the Ph)-positive CML, asymptomatic pericardial effusion was detected by echocardiography. The pericardial effusion disappeared after chemotherapy without pericardiocentesis, within six months. Pericardial effusion should always be suspected in patients with chronic phase of CML, even though they are asymptomatic. In our case the pericardial effusion was probably due to extramedullary haematopoiesis because it improved with chemotherapy. Follow-up with echocardiography was sufficient in this case.
在慢性粒细胞白血病（CML）中，心包积液很少见。心包积液的许多患者可能会发生心包填塞。在此报告一名45岁男性，新诊断为费城染色体（Ph）阳性CML慢性期，经超声心动图检测发现无症状心包积液。化疗后未进行心包穿刺，心包积液在6个月内消失。即使慢性期CML患者无症状，也应始终怀疑有心包积液。在我们的病例中，心包积液可能是由于髓外造血所致，因为化疗后病情有所改善。本病例经超声心动图随访就足够了。
