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淋系分化抗原在急性髓细胞白血病中的表达及其意义
引用本文:黄一虹,李德鹏,主鸿鹄,陈令松,鹿群先,黄健.淋系分化抗原在急性髓细胞白血病中的表达及其意义[J].临床内科杂志,2000,17(2):101-103.
作者姓名:黄一虹  李德鹏  主鸿鹄  陈令松  鹿群先  黄健
作者单位:1. 221002,江苏省徐州医学院附属医院血液科
2. 江苏省徐州医学院第二附属医院
摘    要:目的 探讨淋系分化抗原在急性髓细胞白血病(AML)的表达及其临床意义。方法 采用APAAP法和流式细胞术检测64例AML的免疫表型。结果 9例除表达髓系抗原外尚有淋系抗原表达(Ly^+AML)。Ly^+AML组于初诊时肝脾肿大明显,白细胞总数较Ly^-AML组高。用标准方案诱导化疗,其中仅1例部分缓解。结论 Ly^+AML细胞对于常规诱导缓解方案不敏感,选择兼顾ALL+AML的方案可提高治疗效果。

关 键 词:髓细胞白血病  淋系分化抗原  AML  表达  免疫分型

Expression and clinical significance of lymphocyte surface marker in acute myeloid leukemia
HUANGE Yihong,LI Depeng,ZHU Honghu,et al..Expression and clinical significance of lymphocyte surface marker in acute myeloid leukemia[J].Journal of Clinical Internal Medicine,2000,17(2):101-103.
Authors:HUANGE Yihong  LI Depeng  ZHU Honghu  
Abstract:Objective The present study was aimed to elucidate the expression features of lymphocyte surface markers and its clinical implications in acute myeloid leukemia (AML). Methods APAAP and FCM were applied to determine the immunophenotype of 64 cases of AML. Results Nine cases of AML were found to express lymphoid differentiation antigens Ly AML-AML,and a poor response to standard chemotherapy. Conclusion Ly AML cells seem to be resistant to conventional chemotherapy regimens,a clooigated treatment protocol for both ALL and ML should impove the curative effects; The overexpression of CD34 and P170 may be responsible for the elatively low level of complete remission rate in Ly AML patien.
Keywords:Acute myeloid leukemia  Lymphoid differentiation antigens
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