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不典型慢性髓细胞白血病骨髓组织病理学的初步研究 被引量:1

A preliminary study on bone marrow histopathology in atypical chronic myelogenous leukemia
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摘要 目的:对16例不典型慢性髓细胞白血病(αCML)患者诊断时的骨髓塑胶包埋活检切片的组织病理学特点进行研究,探讨其对αCML的诊断价值。方法:切片应用常规HGF染色和Gomori网硬蛋白纤维银浸染色方法,分析16例αCML患者骨髓活检切片上髓系、红系和网硬蛋白纤维的改变,并以10例正常切片作对照。结果:在αCML时髓系和红系细胞出现一定程度的病态造血;本组10例检出幼稚前体细胞异位阳性(ALIP+),8例检出同期幼红细胞簇异位,13例示网硬蛋白纤维含量增高。结论:塑胶包埋骨髓活检切片对涂片有补充作用,在αCML的诊断中具有一定价值。 Objective:The aim of this study was to assess the diagnostic value of histopathological features of plastic-embedded bone marrow biopsy section in 16 atypical chronic myelogenous leukemia(αCML)patients.Method:Sections were routinely stained with HGF and Gomori reticular fiber staining.The changes in myeloid Series,erythroid series and reticulin fibers were detected in 16 αCML patients and 10 normal sections.Result:Dysplascia was found in both the myeloid and erythroid series of αCML.The abnormal localization of immature precursors(ALIP^+)were to detcited in 10 cases.The abnormal localization of erythroblastic clusters were in 8 cases,and the expressing reticulin fibres were increased in 13 αCML patients.Conclusion:Plastic embedded bone marrow biopsy section may play role in the diagnosis of αCML,as the complements to the bone marrow smears.
出处 《临床血液学杂志》 CAS 2011年第5期530-532,共3页 Journal of Clinical Hematology
关键词 白血病 髓细胞 慢性 不典型 骨髓切片 组织病理学 leukemia atypical chronic myeloid bone marrow section histopathology
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  • 1BENNETT J M, WORLD HEALTH ORGANIZA- TION. Classification of the acute leukemia and myelodys- plastic syndrome[J]. Int J Hematol, 2002,72 : 131-133.
  • 2HARRIS N L, JAFFE E S, DIEBDA J, et al. World Health Organization classification of hematological malig- nances, report of the clinical adrisory commitlee airlie hoase virginia[J]. Mod Pathol, 2000,13 : 193 - 207.
  • 3VARDIMAN J W,THIELE J,ARBER D A,et al. The 2008 revision of the World Health Organization(WHO) classification of myeloid neoplasms and acute leukemia.. rationale and important changes[J]. Blood,2009,114:937 -951.

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