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报告11例急性双表型白血病(ABL)的诱导化疗结果。5例ABL经DAPTO方案诱导化疗,4例于28~50天内完全缓解(CR).持续CR时间7~14月,存活时间8~18月,1例仍无病生存。其余6例应用DVP等方案化疗(R2例,持续CR分别为4和8月,6例患者除1例生存16月外,余未超过7月。分析了ABL的免疫表型、骨髓原始细胞减少指数(MBDI)与疗效的关系。认为探讨ABL的治疗有重要意义,对ABL患者应采用不同于AML或ALL的化疗方案,用DAPTO对ABL进行诱导化疗似有较好疗效,值得进一步研究。
The results of induction chemotherapy for 11 cases of acute biphenotypic leukemia (ABL) were reported. Five patients with ABL received chemotherapy with DAPTO regimen, and 4 patients achieved complete remission (CR) within 28-50 days. The duration of CR was 7 to 14 months, and the survival time was from 8 to 18 months. 1 case was still disease-free. The remaining 6 patients were treated with chemotherapy such as DVP regimen (R2 patients, continuous CR were 4 and 8 months, 6 patients except 1 patient survived 16 months, and the rest did not exceed 7 months. The immunophenotype of ABL, bone marrow blasts were analyzed. The relationship between index (MBDI) and efficacy.It is considered that the treatment of ABL is of great significance. The chemotherapy regimen different from AML or ALL should be used for ABL patients. The induction chemotherapy with AAPTO for ABL seems to have better efficacy and worthy of further study.