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多发性骨髓瘤(MM)并发急性白血病(AL)的报告已经超过60例,这些病人的大多数接受过细胞毒药物如环磷酰胺和/或马利兰,放射或两者联合治疗,这些病例并发 AL 被认为是由于接受上述治疗的结果。未接受任何治疗前并发 AL 的 MM 病人报告,有3例。作者这里报告1例未给治疗的 MM 的病人,于确诊4个月后发生 AL。病例报告:男性,30岁,因进行性消瘦一个月而住院。血液检查显示严重贫血:红细胞比积12%;血红蛋白3.8g/dl,白细胞6,100/μl,中性分叶核53%,淋巴细胞39%,杆状核3%,大单核4%,嗜酸1%,血小板21.6万/μl。病人输了二单位向液,然后被送
More than 60 reports of multiple myeloma (MM) complicated by acute leukemia (AL) have been reported, and most of these patients have been treated with cytotoxic drugs such as cyclophosphamide and / or marilan, radiation, or a combination of these and AL It is considered as a result of receiving the above treatment. MM patients who did not receive AL before any treatment reported 3 patients. The authors report here 1 patient who did not receive treatment for MM who developed AL 4 months after diagnosis. Case Report: Male, 30 years old, hospitalized for progressive wasting for one month. Blood tests showed severe anemia: hematocrit 12%; hemoglobin 3.8g / dl; white blood cells 6,100 / μl; neutral lobes 53%; lymphocytes 39%; rhizome 3%; large mononuclear 4% 1%, platelet 216,000 / μl. The patient lost two units to the liquid, and then be sent