摘要
目的:探讨成人急性白血病自然缓解的特点及其可能原因。方法:对1例成人急性混合细胞白血病的临床资料、细胞形态学、流式细胞仪免疫分型结果进行分析,并结合文献进行复习。结果:16例成人急性白血病自然缓解病例中急性淋巴细胞白血病2例,急性非淋巴细胞白血病12例,急性混合细胞白血病占1例。大多有输血和抗感染史。结论:成人白血病自然缓解病例鲜见报道,推测输血和抗感染能通过激活白血病特异的T细胞反应可能与自发缓解有关。
Objective:To increase the knowledge and understanding of spontaneous remission in adult acute leukemias. Methods:One case acute biphenotype leukemia was presented, the clinical data was analysed and related literatures were reviewed. Results: Among 16 cases of adult acute leukemias with spontaneous remission, reported by literatures ,2 were acute lymphocytic leukemias, 12 were acute myeloid leukemias and 1 was acute biphenotype leukemia. 1 case leukemia subtype was not available. Most patients had the h/story of blood transfusions and bacteria infections. Conclusion:Spontaneous remission in adult acute leukemias is rarely reported. We speculate that leukemia specific T cells might be relevant for induction of spontaneous remission during blood transfusion or bacterial infections.
出处
《现代肿瘤医学》
CAS
2008年第4期619-620,共2页
Journal of Modern Oncology
关键词
急性白血病
输血
感染
自然缓解
acute leukemia
blood transfusion
infectction
spontaneous remission