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福达拉滨联合环磷酰胺治疗多毛细胞白血病1例并文献复习
引用本文:朱海霞,李淑晨,燕 玮,李 旸,张 嵘,姚 鲲,廖爱军,杨 威. 福达拉滨联合环磷酰胺治疗多毛细胞白血病1例并文献复习[J]. 现代肿瘤医学, 2015, 0(10): 1451-1453. DOI: 10.3969/j.issn.1672-4992.2015.10.38
作者姓名:朱海霞  李淑晨  燕 玮  李 旸  张 嵘  姚 鲲  廖爱军  杨 威
作者单位:中国医科大学附属盛京医院血液科,中国 沈阳 110022
摘    要:目的:探讨多毛细胞白血病(HCL)的临床特点及治疗措施。方法:根据患者的临床表现、骨髓细胞形态学及组织化学染色、免疫分型、电镜检查等进行诊断,采用福达拉滨联合环磷酰胺方案治疗,并综合已有文献简述HCL治疗现状及进展。结果:该例患者为经典型HCL,福达拉滨联合环磷酰胺方案治疗后缓解。结论:HCL患者骨髓涂片发现毛细胞、电镜检查、免疫分型对诊断有重要意义,嘌呤核苷酸类似物对其治疗有较高的缓解率。

关 键 词:多毛细胞白血病  福达拉滨  环磷酰胺  诊断  治疗

A case of hairy cell leukemia treated by fludarabine and Cyclophosphamide and literature review
Zhu Haixia,Li Shuchen,Yan Wei,Li Yang,Zhang Rong,Yao Kun,Liao Aijun,Yang Wei. A case of hairy cell leukemia treated by fludarabine and Cyclophosphamide and literature review[J]. Journal of Modern Oncology, 2015, 0(10): 1451-1453. DOI: 10.3969/j.issn.1672-4992.2015.10.38
Authors:Zhu Haixia  Li Shuchen  Yan Wei  Li Yang  Zhang Rong  Yao Kun  Liao Aijun  Yang Wei
Affiliation:Department of Hematology,Shengjing Hospital of China Medical University,Liaoning Shenyang 110022,China.
Abstract:Objective:To investigate the clinical characteristics of hairy cell leukemia (HCL) and treatment measures.Methods:To diagnose HCL based on the patient's clinical characteristics and the morphology,histochemistry staining,immunophenotype,electron microscopy examination of bone marrow cells.treated by Fludarabine and Cyclophosphamide.Results:This patient was diagnoed as classical HCL,and got remission after treated by Fludarabine and Cyclophosphamide.Conclusion:Finding fairy cells by bone marrow smear,electron microscopy examination and immunophenotype of HCL patients are important to the diagnosis.Meanwhile purine nucleotide analogues have a higher response rate in the treatment.
Keywords:hairy cell leukemia  fludarabine  cyclophosphamide  diagnosis  treatment
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