随着原发肿瘤治疗后总生存期的改善,治疗相关性急性白血病的发生率越来越高。其间通常先经历骨髓增生异常期。继发性急性淋巴细胞白血病(ALL)虽有报道,但几乎百分之百的病例是髓细胞型。最近观察到宫颈癌接受放疗的患者发生白血病的危险性有所增高,但未见发生 ALL 的报道。本文报道1例宫颈癌放疗后发生 Ph(+)的 ALL。患者70岁,白种人,女性。1973年因患宫颈癌Ⅲ期局部间隙放疗,用镭6400mgh,后又给~(60)Co 局部放疗 With the improvement of overall survival after primary tumor treatment, the incidence of treatment-related acute leukemia is increasing. In the meantime, it usually goes through an abnormal stage of myeloproliferation. Although secondary acute lymphoblastic leukemia (ALL) has been reported, almost one hundred percent of cases are myeloid types. Recently observed cervical cancer patients receiving radiotherapy increased the risk of leukemia, but no occurrence of ALL reported. This article reports a case of cervical cancer Ph (+) ALL after radiotherapy. Patient 70 years old, Caucasian, female. In 1973 due to cervical cancer stage Ⅲ local gap radiotherapy with radium 6400mgh, and then give ~ (60) Co local radiotherapy