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慢性粒细胞白血病(慢粒)是我国较常见的一种白血病,仅次于急粒和急淋,居第三位。慢粒的自然病程分三期,即慢性期(稳定期)、加速期(急变倾向)和急变期。慢粒自确诊后约有75~80%在1~5年进入急变期,少数病例诊断后数月即急变,也偶有十余年后才转变者。慢粒急变后的细胞形态可出现多样性,我们诊治一例慢粒三年后发生急淋变,经VMP 方案化疗取得完全缓解,二月后又转急粒变。报告如下。
Chronic myeloid leukemia (CML) is a more common leukemia in our country, second only to acute pellets and acute lymphoma, ranking third place. The natural course of CML is divided into three phases, namely, chronic phase (stable phase), accelerated phase (rapid change tendency) and blastic phase. About 75-80% of CML enters the blastic phase from 1 to 5 years since the diagnosis, and in a few cases, the blastic change occurred in a few months after diagnosis, with occasional more than ten years later. CML morphological changes after the occurrence of diversity, we diagnosed a case of acute pellet acute leishmania after three years, achieved complete remission by VMP regimen chemotherapy, and after February again acute pellet change. The report is as follows.