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骨髓增殖性疾病

Myeloproliferative disorders.

作者信息

Young K M

出版信息

Vet Clin North Am Small Anim Pract. 1985 Jul;15(4):769-81. doi: 10.1016/s0195-5616(85)50035-2.

Abstract

Myeloproliferative disorders are uncommon in the dog and may be classified as chronic or acute. Excessive proliferation of mature cells leads to an overproduction of terminally differentiated blood cells (chronic MPD). Inability of cells to mature results in the accumulation of poorly differentiated blast cells in the peripheral blood and bone marrow (acute MPD). Because the lesion appears to be at the level of the hematopoietic stem cell, all cell lines in the bone marrow may be affected. Diagnosis depends upon the accurate identification of neoplastic cells and the absence of other diseases associated with bone marrow hyperplasia. The prognosis for chronic MPD is guarded, whereas for acute MPD it is grave. Accurate identification of these disorders in animals is important. Investigation and greater understanding of the pathophysiologic mechanisms may lead to more lasting therapeutic successes in the future.

摘要

骨髓增殖性疾病在犬类中并不常见,可分为慢性或急性。成熟细胞的过度增殖导致终末分化血细胞的过度产生(慢性骨髓增殖性疾病)。细胞无法成熟导致外周血和骨髓中未分化的原始细胞积聚(急性骨髓增殖性疾病)。由于病变似乎发生在造血干细胞水平,骨髓中的所有细胞系都可能受到影响。诊断取决于肿瘤细胞的准确识别以及排除与骨髓增生相关的其他疾病。慢性骨髓增殖性疾病的预后不确定,而急性骨髓增殖性疾病的预后则很严重。在动物中准确识别这些疾病很重要。对病理生理机制的研究和更深入的了解可能会在未来带来更持久的治疗成功。

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