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[输血及感染后四倍体染色体的再生障碍性白血病出现持续四个月的自发缓解]

[Spontaneous remission of four months' duration in hypoplastic leukemia with tetraploid chromosome after blood transfusions and infection].

作者信息

Maekawa T, Fujii H, Horiike S, Okuda T, Yokota S, Ueda K, Urata Y

出版信息

Nihon Ketsueki Gakkai Zasshi. 1989 Aug;52(5):849-57.

PMID:2588945
Abstract

Spontaneous complete remission of four months' duration was observed in a 51-year-old male with hypoplastic leukemia. Cytogenetical analysis revealed that leukemia cells of this patient were tetraploid. The diameter of leukemia cells involving myeloid cells ranged from 30 to 50 mu. The remission was apparently associated with repeated blood transfusions and severe infection. Complete remission was confirmed by normal morphology and karyotype of the bone marrow cells, although in vitro marrow stem cell growth did not return to normal. Thus, normal hematopoiesis may not have recovered when the diagnosis of spontaneous remission was made.

摘要

在一名51岁的再生障碍性白血病男性患者中观察到持续四个月的自发完全缓解。细胞遗传学分析显示该患者的白血病细胞为四倍体。累及髓细胞的白血病细胞直径为30至50微米。缓解显然与反复输血和严重感染有关。尽管体外骨髓干细胞生长未恢复正常,但骨髓细胞正常形态和核型证实了完全缓解。因此,在做出自发缓解诊断时,正常造血可能尚未恢复。

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