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[形态学和细胞化学对儿童急性淋巴细胞白血病的诊断和治疗有哪些贡献?]

[What have morphology and cytochemistry contributed to the diagnosis and treatment of acute lymphatic leukemia of childhood?].

作者信息

Plüss H J

出版信息

Schweiz Med Wochenschr. 1983 Oct 8;113(40):1442-4.

PMID:6580738
Abstract

Correlations between morphological and cytochemical classification and treatment results in 200 children with ALL (diagnosed from 1964 to 1980) resulted in small, insignificant differences: FAB-L2 morphology, and undifferentiated cytochemistry resulted in slightly worse remission or survival duration. A significant difference emerged between the best group (FAB-L2 and PAS-positivity) and the worst (FAB-L2 and undifferentiated cytochemistry). All immunologically examined blasts with strong acid phosphatase positivity showed T-cell markers, but not all those with T-cell markers were phosphatase positive. On the whole, the morphologic/cytochemical classification used here is not satisfactory and has declined significantly in importance due to the much improved treatment results since 1970.

摘要

对200例急性淋巴细胞白血病患儿(1964年至1980年确诊)的形态学和细胞化学分类与治疗结果之间的相关性研究发现,差异较小且无统计学意义:FAB-L2形态学及未分化细胞化学表现导致缓解期或生存期略短。最佳组(FAB-L2和PAS阳性)与最差组(FAB-L2和未分化细胞化学)之间出现了显著差异。所有经免疫检查显示强酸性磷酸酶阳性的原始细胞均表现出T细胞标志物,但并非所有具有T细胞标志物的原始细胞磷酸酶都呈阳性。总体而言,此处使用的形态学/细胞化学分类并不令人满意,并且由于自1970年以来治疗效果大幅改善,其重要性已显著下降。

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