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作者报告一例急性粒细胞性白血病随后发生非何杰金氏淋巴瘤。病例报告:患者,69岁,家庭主妇,1977年3月因突然全身不适和嗜睡就诊。体检见广泛淋巴结肿大和肝脾肿大。末梢血片原始细胞32%,骨髓象原始细胞60%,诊断为急性粒细胞性白血病。间歇给予阿糖胞苷7个疗程,每天200mg静脉输注,三天为一疗程,在第三天静脉给予阿霉素60mg。1977年7月完全缓解,无淋巴结肿大或肝脾肿大。然后给予阿糖胞苷和阿霉素维持治疗,并以照射过的原始细胞免疫治疗。患者情况稳定,1978年8月诉右腹股沟淋巴腺肿大,右腿肿胀二周。双侧颈、腹股沟和腋
The authors report a case of non-Hodgkin’s lymphoma followed by acute myeloid leukemia. Case Report: Patient, 69 years old, Housewife, March 1977 Acute malaise and drowsiness visit. Physical examination showed extensive lymphadenopathy and hepatosplenomegaly. 32% of peripheral blood cells primitive cells, bone marrow cells like the original 60%, diagnosed as acute myelogenous leukemia. Intermittent cytarabine 7 courses, 200mg daily intravenous infusion, three days for a course of treatment, the third day of intravenous doxorubicin 60mg. July 1977 complete remission, no lymphadenopathy or hepatosplenomegaly. Cytarabine and doxorubicin were then given maintenance treatment and immunotherapy with irradiated naive cells. Patients in stable condition, in August 1978 v. Right inguinal lymph gland swelling, swollen right leg two weeks. Bilateral neck, groin and axillary