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霍奇金淋巴瘤治疗后发生的急性髓系白血病

[Acute myeloid leukemia after treatment of Hodgkin's disease].

作者信息

Carneiro P C, Pereira E D, Mitteldorf C S, Martinez G A, Beitler B, Pozzi D H

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1989 Mar-Apr;44(2):87-90.

PMID:2616992
Abstract

The development of acute leukemia, particularly acute myeloid leukemia, represents a serious complication in patients treated with radio and/or chemotherapy for Hodgkin's disease. It has been reported with increasing frequency in the last years. Two such cases, that occurred in 87 patients treated for Hodgkin's disease, are reported. Complete autopsy was performed in both. The patients were less than 30 years old, received combined therapy during a prolonged time (more than 12 months), with an interval superior to 44 months between the diagnosis of Hodgkin's disease and the appearance of acute myeloid leukemia. The survival time was less than 12 months. Residual Hodgkin's disease was not observed.

摘要

急性白血病,尤其是急性髓系白血病的发生,是霍奇金淋巴瘤患者接受放疗和/或化疗时出现的一种严重并发症。近年来其报道频率不断增加。本文报告了在87例接受霍奇金淋巴瘤治疗的患者中发生的2例此类病例。对这2例均进行了完整的尸检。患者年龄小于30岁,接受了长时间(超过12个月)的联合治疗,从霍奇金淋巴瘤诊断到急性髓系白血病出现的间隔超过44个月。生存时间小于12个月。未观察到残留的霍奇金淋巴瘤。

相似文献

1
[Acute myeloid leukemia after treatment of Hodgkin's disease].霍奇金淋巴瘤治疗后发生的急性髓系白血病
Rev Hosp Clin Fac Med Sao Paulo. 1989 Mar-Apr;44(2):87-90.
2
The risk of acute leukemia in patients treated for Hodgkin's disease is significantly higher aft [see bined modality programs than after chemotherapy alone and is correlated with the extent of radiotherapy and type and duration of chemotherapy: a case-control study.一项病例对照研究表明,接受霍奇金淋巴瘤联合治疗方案的患者发生急性白血病的风险显著高于单纯接受化疗的患者,且该风险与放疗范围、化疗类型及疗程相关。
Haematologica. 1998 Sep;83(9):812-23.
3
Fifteen-year experience in Hodgkin's disease: role of combined modality treatment and splenectomy in the incidence of secondary acute leukemia.霍奇金淋巴瘤十五年经验:综合治疗及脾切除术在继发性急性白血病发病率中的作用
Haematologica. 1991 Jul-Aug;76(4):305-10.
4
[Second neoplasms as a late complication of the treatment of Hodgkin's disease].[作为霍奇金病治疗晚期并发症的第二原发性肿瘤]
Sangre (Barc). 1992 Dec;37(6):429-33.
5
[Non-Hodgkin's lymphoma secondary to Hodgkin's disease treated with chemo- and radiotherapy. Report of a case].[化疗和放疗治疗霍奇金病继发非霍奇金淋巴瘤。病例报告]
Rev Invest Clin. 1992 Jul-Sep;44(3):393-8.
6
Hodgkin's disease and the risk of acute leukemia in successfully treated patients.霍奇金淋巴瘤与成功治疗患者患急性白血病的风险
Haematologica. 1998 Sep;83(9):769-70.
7
Hodgkin's disease and acute leukemia. Is it a true association?霍奇金病与急性白血病。这是一种真正的关联吗?
Arch Med Res. 1992 Spring;23(1):65-8.
8
High-dose BEAM chemotherapy with autologous haemopoietic stem cell transplantation for Hodgkin's disease is unlikely to be associated with a major increased risk of secondary MDS/AML.大剂量BEAM化疗联合自体造血干细胞移植治疗霍奇金淋巴瘤不太可能会显著增加继发骨髓增生异常综合征/急性髓系白血病的风险。
Br J Cancer. 1999 Oct;81(3):476-83. doi: 10.1038/sj.bjc.6690718.
9
[Acute leukemia in patients treated for Hodgkin's disease].[接受霍奇金病治疗患者中的急性白血病]
Recenti Prog Med. 1988 Jan;79(1):32-7.
10
Hodgkin's disease, splenectomy and secondary leukemia.霍奇金淋巴瘤、脾切除术与继发性白血病。
Haematologica. 1993 Jul-Aug;78(4):258-9.