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作者报告1例类似早期肺炎而痰中有大量白血病细胞的成人T细胞白血病。患者男性54岁,因咳嗽3周入院。诊断为早期肺炎。X线检查双下肺显示含多发性囊腔的播散性浸润阴影。断层双肺门淋巴结肿大;痰中大量核为分叶状或锯齿状的淋巴细胞,绵羊红细胞玫瑰花结试验阳性,特异性单克隆抗体阳性;87%的周围白细胞和32%的骨髓有核细胞为核不规则的淋巴样细胞;淋巴结活检具有卷曲样核的中等大小细胞弥漫增生;支纤镜隆突粘膜活检白血病细胞广泛浸润;诊断为成人T细胞白血病。给予倍他米松以
The authors report a case of adult T-cell leukemia, which is similar to early pneumonia and has a large amount of leukemia cells in sputum. The 54-year-old man was hospitalized for coughing for 3 weeks. Diagnosis of early pneumonia. X-ray examination of the lower lungs showed disseminated infiltrates containing multiple cysts shadow. A large number of nuclei in the sputum were lobulated or jagged lymphocytes, the Rhesus Rosette test was positive in sheep and the specific monoclonal antibody was positive; 87% of the peripheral white blood cells and 32% of the bone marrow nuclei Cells with irregular nuclei of lymphoid cells; lymph node biopsy with a curly nucleus of medium-sized cells diffuse hyperplasia; bronchial leukemia mucosal biopsy leukemia cells extensive infiltration; diagnosis of adult T-cell leukemia. Give betamethasone