Beaubien E R, Wilson T W, Satkunam N
Department of Medicine, University of Saskatchewan, Saskatoon.
CMAJ. 1998 Nov 3;159(9):1123-5.
The authors describe a 51-year-old man with chronic lymphocytic leukemia who presented with respiratory distress and then died suddenly while in hospital. Autopsy revealed pulmonary leukostasis and a large intracardiac mass containing mostly mature lymphocytes and fibrin. Although leukostasis and lymphocyte thrombi have been described (albeit rarely) in chronic lymphocytic leukemia, an intracardiac "clot" has not. It seems plausible that this intracardiac mass caused the patient's death.
作者描述了一名51岁的慢性淋巴细胞白血病男性患者，该患者出现呼吸窘迫，随后在医院突然死亡。尸检发现肺部白细胞淤滞以及一个大的心脏内肿物，其主要由成熟淋巴细胞和纤维蛋白组成。虽然在慢性淋巴细胞白血病中已描述过白细胞淤滞和淋巴细胞血栓形成（尽管很少见），但心脏内“血栓”尚未见报道。这个心脏内肿物导致患者死亡似乎是合理的。
