RAEB in transformationの時期を経て発症した急性前骨髄球性白血病

書誌事項

タイトル別名
  • Acute promyelocytic leukemia with a history of RAEB in transformation and the 15/17 translocation.

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説明

A 34-year old female was admitted to our clinic because of fever and general fatigue on March 26, 1987. On admission, peripheral blood (PB) revealed pancytopenia. Bone marrow smears revealed 9.0% of promyelocytic cells with or without Auer rods. Diagnosis of RAEB in transformation was made. Chromosome study of the bone marrow cells showed t(15;17) in 3 out of 20 cells analysed. After 3 months, the leukemic cells were observed in PB and increased in number. Then the patient showed bleeding tendency and fibrin degradation products (FDP) increased up to 40 μg/ml. And the leukemic cells were over 30% in PB at the end of July, 1987. The diagnosis of APL with DIC was made.<br>To our knowledge, this is the first case of APL with a history of MDS with t(15;17).

収録刊行物

  • 臨床血液

    臨床血液 30 (1), 67-71, 1989

    一般社団法人 日本血液学会

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