检验医学 ›› 2013, Vol. 28 ›› Issue (7): 629-633.DOI: 10.3969/j.issn.1673-8640.2013.07.017

• 病例报道 • 上一篇    下一篇

全髓白血病一例报告

宋 军1, 袁 烨2, 史 敏1, 胡 蕊1, 杨洪乐1, 高占玺1   

  1. 1. 河北医科大学第二医院检验科, 河北 石家庄 050000;
    2.河北省儿童医院检验科,河北 石家庄 050000
  • 收稿日期:2013-07-29 修回日期:2013-07-29 出版日期:2013-07-25 发布日期:2013-07-29
  • 通讯作者: 史 敏,联系电话:0311-66002720
  • 作者简介:宋 军,女,1973年生,学士,主管技师,主要从事血液学检验工作。

Report on a case of panmyelosis

SONG Jun1,YUAN Ye2,SHI Min1,HU Rui1, YANG Hongle1, GAO Zhanxi1   

  1. 1.Department of Clinical Laboratory, the Second Hospital of Hebei Medical University, Hebei Shijiazhuang 050000, China;
    2.Department of Clinical Laboratory, Children′s Hospital of Hebei Province, Hebei Shijiazhuang 050000, China
  • Received:2013-07-29 Revised:2013-07-29 Online:2013-07-25 Published:2013-07-29

摘要: 目的 分析全髓白血病的临床、实验室检测特点和诊断,提高对该病的认识。方法 报告1例全髓白血病患者的临床和实验室资料,包括骨髓象细胞形态、细胞化学、流式及骨髓病理活检,并进行文献复习。结果 骨髓象显示粒、红、巨三系增生,原始细胞多见;流式结果异常细胞表达CD34、CD117、CD33 、CD41、CD61、GlyA;骨髓病理活检显示原始血细胞显著增殖,粒、红、巨核三系生成活跃。结论 综合各种检查结果,全髓白血病的诊断成立。

关键词: 全髓白血病, 骨髓, 流式细胞术, 骨髓病理

Abstract: Objective To analyze the characteristic of laboratory examination and clinical diagnosis for improving the recognization of panmyelosis. Methods The clinical laboratory data including bone marrow cell morphology, cytochemistry, flow cytometry and bone marrow pathological biopsy in a patient with panmyelosis was reported, and the literatures were reviewed. Results Granular, erythroid and megakaryocytic hyperplasia proliferations, mainly archaeocytes, were showen in bone marrow cell morphology and pathological biopsy. Immunophenotyping of abnormal cells showed in the expressions of CD34, CD117, CD33, CD41, CD61 and GlyA by flow cytometry. Conclusions The diagnosis of panmyelosis is made according to all the results of determinations.

Key words: Panmyelosis, Bone marrow, Flow cytometry, Bone marrow pathology

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