Ochi K, Amano M, Soda Y, Togawa A, Takaku F
Department of Internal Medicine, Aoto Hospital, Jikei University School of Medicine.
Rinsho Ketsueki. 1994 Jul;35(7):665-9.
We report here a CD7 positive undifferenciated leukemia/lymphoma which showed a rapid clinical course. A 27-year-old female was complained of palpitation and edema. She had a mediastinal tumor and pericardial effusion. Lymphoblastic cells were found in the effusion, but in the peripheral blood initially. After admission the blast cells appeared in the peripheral blood, and they were revealed negative for peroxidase and had phenotype of CD7 and CD33 positive. The patient suffered from cardiac tamponade and died 15 days after admission. The Southern blotting of mediastinal tumor cells disclosed the germline configuration for TCR-beta a chain and the rearrangement of immunoglobulin heavy chain genes.
我们在此报告一例临床病程进展迅速的CD7阳性未分化白血病/淋巴瘤。一名27岁女性主诉心悸和水肿。她患有纵隔肿瘤和心包积液。积液中发现了淋巴母细胞,但最初是在外周血中发现的。入院后外周血中出现了原始细胞,这些细胞过氧化物酶呈阴性,具有CD7和CD33阳性的表型。患者因心脏压塞入院15天后死亡。纵隔肿瘤细胞的Southern印迹分析显示TCR-β a链为种系构型,免疫球蛋白重链基因发生重排。