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继发急性髓系白血病自体骨髓移植后4年,尽管形态学缓解,但仍存在t(9;13)(q34;q12)染色体易位

t(9;13)(q34;q12) chromosomal translocation persisting 4 years post autologous bone marrow transplantation for secondary AML despite morphological remission.

作者信息

Mahendra P, Richards E M, Sinclair P, Nacheva E, Marcus R E

机构信息

Department of Haematology, Addenbrooke's NHS Trust, Cambridge, UK.

出版信息

Clin Lab Haematol. 1996 Jun;18(2):121-2. doi: 10.1046/j.1365-2257.1996.00162.x.

DOI:10.1046/j.1365-2257.1996.00162.x
PMID:8866147
Abstract

A 42-year-old male patient with a history of occupational exposure to benzene presented with pancytopenia. His bone marrow showed evidence of trilineage dysplasia and cytogenetic analysis revealed a unique t(9;13)(q34;q12) translocation. Five months after diagnosis he developed secondary AML. He was treated with four courses of chemotherapy and an autologous bone marrow transplantation (BMT). Four years post-transplantation he remains in haematological and morphological remission though the cytogenetic abnormality is still present in all metaphases examined.

摘要

一名有苯职业暴露史的42岁男性患者出现全血细胞减少。其骨髓显示有三系发育异常的证据,细胞遗传学分析发现一种独特的t(9;13)(q34;q12)易位。诊断后5个月,他发展为继发性急性髓系白血病(AML)。他接受了四个疗程的化疗及一次自体骨髓移植(BMT)。移植后四年,尽管在所有检查的中期相中细胞遗传学异常仍然存在,但他仍处于血液学和形态学缓解状态。

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