论文部分内容阅读
国内、外陆续有报道慢性粒细胞性白血病(下称慢粒)的长期存活者,甚有存活18、20年的零星报道,但均使用了马利兰作维持治疗。而我院遇1例慢粒患者,未用马利兰维持,至今已存活26年之久。患者,男,54岁。1964年5月始乏力、间有牙龈出血及皮下瘀斑,左上腹隆起,食欲不振等。无肝病史。当时体查肝未扪及,脾左肋缘下4cm,无触痛。肝功能正常。查耳血白细胞总数达数万,未查骨髓象。初诊慢粒。未予重视及治疗。1970年10月因
Long-term survivors of chronic myelogenous leukemia (hereinafter referred to as CML) have been reported in China and abroad sporadically for 18 to 20 years. However, they are all treated with maintenance therapy. In our hospital, one case of CML was not maintained by Malilan and has been alive for 26 years. Patient, male, 54 years old. May 1964 fatigue, between bleeding gums and subcutaneous ecchymosis, left upper quadrant bulge, loss of appetite and so on. No history of liver disease. At that time, physical examination of the liver is not palpable, the left spleen margin of the spleen 4cm, no tenderness. Liver function is normal. Check the total number of white blood cells tens of thousands of ears, did not check the bone marrow. Newly diagnosed CML No attention and treatment. October 1970 due