Bhagavathi Sharathkumar, Borromeo Vidal, Desai Harsha, Crisan Domnita
Department of Clinical Pathology, William Beaumont Hospital, West 13 Mile Road, Royal Oak, MI 48073, USA.
Ann Clin Lab Sci. 2008 Autumn;38(4):405-9.
Chronic lymphocytic leukemia (CLL) and chronic myeloid leukemia (CML) are the most common leukemias of the elderly. However, the sequential occurrence of CML followed by CLL in the same patient is extremely rare. In the present report, a 71-yr-old man was diagnosed with Philadelphia (Ph) chromosome positive CML and treated with imatinib mesylate. He went into morphologic, cytogenetic, and molecular remission. Seven years after the diagnosis of CML, he developed CLL. We describe the morphologic, immunophenotypic, cytogenetic, and molecular findings in this patient.
慢性淋巴细胞白血病(CLL)和慢性髓性白血病(CML)是老年人中最常见的白血病。然而,同一患者先后发生CML和CLL的情况极为罕见。在本报告中,一名71岁男性被诊断为费城(Ph)染色体阳性的CML,并接受甲磺酸伊马替尼治疗。他实现了形态学、细胞遗传学和分子学缓解。在诊断CML七年后,他又患上了CLL。我们描述了该患者的形态学、免疫表型、细胞遗传学和分子学检查结果。