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再生障碍性贫血患者骨髓移植后氧甲氢龙诱导的肝肿瘤的消退情况

Regression on oxymetholone-induced hepatic tumors after bone marrow transplantation in aplastic anemia.

作者信息

Montgomery R R, Ducore J M, Githens J H, August C S, Johnson M L

出版信息

Transplantation. 1980 Aug;30(2):90-6. doi: 10.1097/00007890-198008000-00002.

DOI:10.1097/00007890-198008000-00002
PMID:7010713
Abstract

Treatment of acquired aplastic anemia with androgens has been occasionally associated with the development of hepatic tumors. We have studied a 13-year-old boy with idiopathic aplastic anemia in whom oxymetholone treatment was associated with a partial hematological remission. Thirty-four months later, however, the patient developed multiple hepatic tumors. When oxymetholone therapy was discontinued, the aplastic anemia relapsed. He then underwent bone marrow transplantation from his HLA-A, B, and D-compatible sibling. This was followed by hematological and immunological reconstitution. The hepatic tumors underwent progressive regression after bone marrow transplantation. The patient is now 3 years post-bone marrow transplantation and is in complete remission of his aplastic anemia with no evidence of detectable liver tumors.

摘要

使用雄激素治疗获得性再生障碍性贫血偶尔会伴有肝肿瘤的发生。我们研究了一名13岁患有特发性再生障碍性贫血的男孩,他使用羟甲烯龙治疗后血液学部分缓解。然而,34个月后,该患者出现了多发性肝肿瘤。停用羟甲烯龙治疗后,再生障碍性贫血复发。随后他接受了来自其HLA - A、B和D位点相合的同胞的骨髓移植。移植后实现了血液学和免疫学重建。骨髓移植后肝肿瘤逐渐消退。现在该患者已进行骨髓移植3年,再生障碍性贫血完全缓解,未发现可检测到的肝肿瘤迹象。

相似文献

1
Regression on oxymetholone-induced hepatic tumors after bone marrow transplantation in aplastic anemia.再生障碍性贫血患者骨髓移植后氧甲氢龙诱导的肝肿瘤的消退情况
Transplantation. 1980 Aug;30(2):90-6. doi: 10.1097/00007890-198008000-00002.
2
Fanconi anemia. Oxymetholone hepatic tumors, and chromosome aberrations associated with leukemic transition.范可尼贫血、羟甲烯龙相关性肝肿瘤以及与白血病转化相关的染色体畸变。
Cancer. 1980 Sep 15;46(6):1401-4. doi: 10.1002/1097-0142(19800915)46:6<1401::aid-cncr2820460619>3.0.co;2-#.
3
[Primary liver cancer in the course of treatment of acquired aplastic anemia with oxymetholone in a 12-year-old girl].
Pediatr Pol. 1981 Aug;56(8):959-61.
4
Multiple hepatic tumors and peliosis hepatis in Fanconi's anemia treated with androgens.接受雄激素治疗的范科尼贫血患者出现多发性肝肿瘤和肝紫癜病。
Am J Dis Child. 1977 Oct;131(10):1104-6. doi: 10.1001/archpedi.1977.02120230050009.
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Multiple hepatic adenomas caused by long-term administration of androgenic steroids for aplastic anemia in association with familial adenomatous polyposis.长期使用雄激素类固醇治疗再生障碍性贫血并伴有家族性腺瘤性息肉病导致的多发性肝腺瘤。
J Gastroenterol. 2000;35(7):557-62. doi: 10.1007/s005350070081.
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[Immunosuppression, bone marrow infusion and low dose androgens, successful therapy of severe aplastic anemia].[免疫抑制、骨髓输注及低剂量雄激素,成功治疗重型再生障碍性贫血]
Schweiz Med Wochenschr. 1979 Sep 29;109(37):1384-5.
7
Regression of androgen-related hepatic tumors in patients with Fanconi's anemia following marrow transplantation.
Transplantation. 1984 May;37(5):452-5. doi: 10.1097/00007890-198405000-00006.
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Androgens and liver tumors: Fanconi's anemia and non-Fanconi's conditions.雄激素与肝脏肿瘤:范可尼贫血及非范可尼贫血相关病症
Am J Hematol. 2004 Nov;77(3):257-67. doi: 10.1002/ajh.20183.
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Aplastic anaemia, acute myeloblastic leukaemia, and oxymetholone.再生障碍性贫血、急性髓细胞白血病与羟甲烯龙。
Br Med J. 1971 Jun 26;2(5764):743-5. doi: 10.1136/bmj.2.5764.743.
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Hepatoma and peliosis hepatis developing in a patient with Fanconi's anemia.
N Engl J Med. 1971 May 20;284(20):1135-6. doi: 10.1056/NEJM197105202842006.

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