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[单核细胞白血病。21例患者的临床和血液学数据分析(作者译)]

[Monocytic leukemia. Analysis of clinical and hematological data in 21 patients (author's transl)].

作者信息

Kuntz H D

出版信息

MMW Munch Med Wochenschr. 1977 Nov 4;119(44):1423-8.

PMID:412082
Abstract

A clinical hematological survey is given of 21 patients with monocytic leukemia. About 1/3 of all immature cell leukoses are monocytic leukemias; a classification of the acute leucoses by enzyme histochemical methods should be attempted. Since more than half of the patients exhibited subleukemic to aleukemic peripheral leukocyte levels, the histological findings of a sternal puncture are diagnostic pointers. The bone marrow picture of monocytic leukemia is characterized by a great preponderance of atypical cell elements of the monocyte series which give a distinctly positive reaction in the non-specific esterase test. The combined use of cytostatics producing remission brought marked improvement in half the patients. Remission lasted from 2 to 8 weeks.

摘要

对21例单核细胞白血病患者进行了临床血液学调查。所有未成熟细胞白血病中约有1/3为单核细胞白血病;应尝试用酶组织化学方法对急性白血病进行分类。由于一半以上的患者外周血白细胞水平处于亚白血病至无白血病状态,胸骨穿刺的组织学检查结果是诊断的关键指标。单核细胞白血病的骨髓象特征是单核细胞系列的非典型细胞成分占绝大多数,这些细胞在非特异性酯酶试验中呈明显阳性反应。联合使用产生缓解的细胞抑制剂使一半的患者有显著改善。缓解期持续2至8周。

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