BARNES R D, O'GORMAN P
J Clin Pathol. 1962 May;15(3):264-8. doi: 10.1136/jcp.15.3.264.
Two cases are presented in which aplastic anaemia was associated with thymus tumours. In Case 1 the patient had a pancytopenic aplastic anaemia and was treated with A.C.T.H. The marrow showed regeneration at necropsy. The thymoma in this case was unusual as there was thymic regression with fat replacement which may have been related to A.C.T.H. Case 2 was initially of a pure red cell anaemia with but little tendency to produce a leucocytosis in response to infection and was found at necropsy to have a lymphoepithelioma of the thymus. Previously reported cases are reviewed and the role of A.C.T.H. in treatment is discussed.
本文报告两例再生障碍性贫血合并胸腺瘤的病例。病例1患者患有全血细胞减少性再生障碍性贫血,接受促肾上腺皮质激素(ACTH)治疗。尸检时骨髓显示有再生迹象。该病例中的胸腺瘤较为特殊,存在胸腺萎缩伴脂肪替代,这可能与ACTH治疗有关。病例2最初表现为纯红细胞贫血,对感染几乎没有产生白细胞增多的倾向,尸检发现患有胸腺淋巴上皮瘤。对先前报道的病例进行了回顾,并讨论了ACTH在治疗中的作用。