缓慢进展的急性淋巴细胞白血病与长期的白血病
Manato Sugisaki1, Kenji Imamura1, Yukie Terasaki1
1Department of Hematology, Gunma Saiseikai Maebashi Hospital, Maebashi, Japan.
SAGE open medical case reports
|June 7, 2023
概括
本案例研究详细介绍了急性淋巴细胞白血病 (ALL) 的异常表现,其中白细胞数量较低. 患者在化疗后实现了完全缓解,突出了罕见但可治疗的白血病形式.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 急性淋巴细胞白血病 (ALL) 通常呈现高白细胞计数由于不受控制的恶性细胞增殖.
- 白血症,或低白细胞计数,是ALL的一种不常见的表现.
研究的目的:
- 报告一种非典型的B细胞急性淋巴细胞白血病病例,呈现白血病.
- 描述这种罕见表现的临床过程和管理.
主要方法:
- 一个45岁的女性患有反复发烧的病例报告.
- 基于骨髓检查的诊断,该检查显示了低可塑性骨髓中的淋巴细胞,细胞表面抗原表达和遗传异常.
- 在6个月内监测周围血液样本和骨髓透情况.
主要成果:
- 患者呈现持续性白血病和中性病,与典型的ALL相反.
- 骨髓显示在低可塑性骨髓内的淋巴细胞,在6个月内透率没有显著增加.
- 化疗导致血液形成正常化,淋巴细胞被清除,并完全缓解.
结论:
- 急性淋巴细胞白血病可以不典型地与白血病出现.
- 这一案例强调了在低白细胞计数的情况下考虑ALL的重要性.
- 及时诊断和治疗可以在罕见的ALL病例中取得成功.
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