21三体综合征并发急性巨核细胞白血病1例并文献复习 |
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引用本文: | 管玉洁,宋丽丽,刘炜,李彦格.21三体综合征并发急性巨核细胞白血病1例并文献复习[J].中国现代医生,2013,51(17):134-135. |
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作者姓名: | 管玉洁 宋丽丽 刘炜 李彦格 |
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作者单位: | 管玉洁 (郑州市儿童医院血液科,河南郑州,450053); 宋丽丽 (郑州市儿童医院血液科,河南郑州,450053); 刘炜 (郑州市儿童医院血液科,河南郑州,450053); 李彦格 (郑州市儿童医院血液科,河南郑州,450053); |
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摘 要: | 儿童急性巨核细胞白血病(AMKL)是临床上罕见的疾病,国内诊断率较国外低,分析原因可能是对该病缺乏认识。而21三体综合征患者并发急性白血病的风险是普通患儿的20倍,尚有资料显示21三体综合征患儿一旦患急性髓系白血病(AML),2,3者为AMKL。本研究目的是通过实例来分析21三体综合征患儿并发急性巨核细胞白血病的临床表现、分子生物学特征及预后因素,以提高对该病的认识,减少误诊和漏诊的发生。
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关 键 词: | 21三体综合征 儿童 急性巨核细胞白血病 骨髓增生异常综合征 |
One pediatric case with 21 trisomy syndrome complicating acute megaka- ryocytic leukemia (AMKL) and the literature review |
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Authors: | GUAN Yujie SONG Lili LIU Wei LI Yange |
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Institution: | Department of Hematology,Zhengzhou Children' s Hospital, Zhengzhou 450053, China |
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Abstract: | As a rare clinical disease, acute megakaryocytic leukemia(AMKL)in children is less diagnosed domestical- ly than abroad,perhaps for absence of knowledge about it. Related documents disclose that the children with 21 tri- somy syndrome are complicated acute leukemia 20 times as easily as the common pediatric patients,and as soon as the children with 21 trisomy syndrome have acute myeloid leukemia,2/3 of them are the ones with AMKL.Through ex- ample analyses ,this paper discloses the clinical manifestations ,the molecular biological features and the factors affect- ing prognosis of AMKL in children,in order to deepen the knowledge, decrease misdiagnoses and missed diagnoses. |
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Keywords: | 21 trisomy syndrome Child Acute megakaryocytic leukemia (AMKL) Myelodysplastic syndrome |
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