骨外血瘤在原发性血细胞白血病中产生不良结果
Jorge Vela-Ojeda1, Aline Ramirez-Alvarado2, Ana Sofia Sanchez-Rodriguez2
1Departamento de Morfología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City, Mexico.
Archives of medical research
|March 25, 2025
概括
原发性血细胞白血病 (PPCL) 是一种侵袭性且无法治愈的疾病. 骨外血瘤和常规化疗与PPCL患者的不良结果相关.
科学领域:
- 瘤血液学 瘤血液学
- 血细胞白血病研究研究
背景情况:
- 初级血细胞白血病 (PPCL) 是一种罕见且具有攻击性的血液性恶性瘤.
- 目前的治疗标准缺乏,因为它的发病率很低,通常被认为是无法治愈的.
研究的目的:
- 介绍92例原发性血细胞白血病病例的临床经验和结果.
- 确定影响PPCL生存的预后因素.
主要方法:
- 在2011年1月至2020年12月期间诊断出92名PPCL患者的回顾性分析.
- 评估诊断结果,包括脂肪活检,骨外血细胞瘤和骨髓纤维化.
- 对治疗方式的分析:常规化疗,基于蛋白酶体抑制剂的治疗和自身干细胞移植 (自动SCT).
主要成果:
- 大多数患者 (69.5%) 接受常规化疗; 30.5% 接受新药或自动SCT.
- 骨外血瘤,治疗失败和常规化疗独立地与低生存率有关.
- 88%的患者患有骨髓纤维化.
结论:
- 骨外血瘤和常规化疗治疗与PPCL的不良结果有关.
- 治疗失败是原发性血细胞白血病预后不佳的重要预测因素.
- 对PPCL的新型治疗策略进行进一步的研究是有必要的.
相关概念视频
Hematopoiesis
The process of blood cell formation is called hematopoiesis. Hematopoiesis starts early during development, on the seventh day of embryogenesis. This phase of hematopoiesis is called the primitive wave, wherein the extraembryonic yolk sac allows the production of erythroid cells and endothelial cells from a common precursor called hemangioblast. The erythroid cells provide oxygen to support the growth of the rapidly dividing embryo. Hemangioblasts later develop into hematopoietic stem cells or...
Regulation of Hematopoietic Stem Cells
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
Stem Cell Therapy for Tissue Regeneration
Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Types of Stem Cells used in Stem Cell Therapy
The two main cell types that...
Overview of Hematopoiesis
Hematopoiesis, or blood cell production, is a vital biological process that begins early in embryonic development and continues throughout life. This process generates the various types of cells found in blood, including red blood cells, white blood cells, and platelets from hematopoietic stem cells (HSCs).
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
Disorders of Leukocytes
Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune system...
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune system...
Bone Marrow Sampling and Transplants
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...


