我科收治1例经X线片、CT及痰检确诊的右肺中心型支气管肺癌,在治疗过程中发现白细胞计数急剧增高,经骨穿证实为急性淋巴细胞性白血病,现报告如下:患者男性,42岁,农民.于1996年10月因不明原因发热、咳嗽、胸闷、气难喘 ,经X线片、CT检查示右肺中叶块影并纵隔淋巴结肿大,考虑右肺癌并纵隔淋巴结转移.1996年12月25日住我院,经细胞学检查报告为鳞癌,确诊右肺中心型肺癌Ⅱ期(T_3N_3M_0).即给予CAP方案化疗(环磷酰胺600mg,吡柔比星40mg,顺铂100mg).化疗后症状明显减轻并于1997年1月10日开始给放疗DT 7800CGY/qw,放疗结束复查肿块明显缩小达PR,4月8日白细胞总数16.1G/L,提示约有70%异形细胞,其胞核染色体疏松,有1～2个核仁胞浆量少,灰兰色,有少量微小紫红色颗粒其形态不规则,偶有伪足出现.患者无发热和贫血症状,无肝脾肿大.4 In our department, a case of central lung cancer of the right lung diagnosed by X-ray, CT and sputum examination was found to have a sharp increase in white blood cell count during treatment and was confirmed by bone tunneling as acute lymphoblastic leukemia. The report is as follows: Patients Male , 42 years old, farmer. In October 1996 due to unexplained fever, cough, chest tightness, dyspnea, X-ray, CT examination showed right middle lobe shadow and mediastinal lymph node enlargement, consider right lung cancer and mediastinal lymph node metastasis. On December 25th, 1996, we lived in our hospital. The cytological examination report was squamous cell carcinoma. The diagnosis of right lung center type II lung cancer (T_3N_3M_0) was confirmed. The CAP regimen was given (cyclophosphamide 600 mg, pirarubicin 40 mg, cisplatin). 100mg). Symptoms of chemotherapy were significantly reduced and radiation therapy DT 7800CGY/qw was started on January 10, 1997. After the end of radiotherapy, the mass was significantly reduced to reach PR. The total number of leukocytes on April 8 was 16.1G/L, suggesting that there were about 70% abnormalities. The cell has loose nuclear chromosomes, 1 to 2 nucleoli to small, grayish blue, a small amount of micro-purple particles, irregular morphology, occasional pseudopodia, no fever and anemia, no liver Splenomegaly.4