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三名急性髓细胞白血病患儿中的t(10;11)(p14;q21)易位

The t(10;11)(p14;q21) translocation in three children with acute myeloblastic leukemia.

作者信息

Carter M, Kalwinsky D K, Mirro J, Behm F G, Head D, Huddleston T F, Raimondi S C

机构信息

Department of Hematology-Oncology, St. Jude Children's Research Hospital, Memphis, TN 38101.

出版信息

Leukemia. 1991 Jul;5(7):561-5.

PMID:2072741
Abstract

A total of 161 cases of pediatric de novo acute myeloblastic leukemia (AML) have been reviewed, for which complete karyotyping was available and three cases (2%) were identified with t(10;11)(p14;q21). Two of the three children were infants with monoblastic (FAB M5) leukemia and the third was an adolescent with undifferentiated myeloid (FAB M1) leukemia. Both infants presented with increased levels of lactate dehydrogenase. None of these cases had increased eosinophils. One of the infants is in remission 18+ months after diagnosis and intensive chemotherapy; the two other children attained brief initial remissions but succumbed to their disease within 11 months of diagnosis. The prognosis of such children appears to be similar to that of cases of AML lacking this translocation.

摘要

共回顾了161例小儿初发性急性髓细胞白血病(AML)病例,这些病例均有完整的核型分析结果,其中3例(2%)被鉴定为t(10;11)(p14;q21)。这3例患儿中有2例为婴儿,患单核细胞白血病(FAB M5),第3例为青少年,患未分化髓细胞白血病(FAB M1)。两名婴儿的乳酸脱氢酶水平均升高。这些病例中无一例嗜酸性粒细胞增多。其中一名婴儿在诊断和强化化疗后18个多月处于缓解期;另外两名儿童最初获得了短暂缓解,但在诊断后11个月内死于该病。这类儿童的预后似乎与缺乏这种易位的AML病例相似。

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