Circulating Megakaryocytes in Peripheral Blood: A Clue to Satisfactory Platelet Recovery Post Induction Chemotherapy in Acute Myeloid Leukemia

S. Padhi
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Abstract

Thrombocytopenia is a common hematological abnormality in newly diagnosed acute myeloid leukemia (AML) which may be linked to the degree of marrow infiltration by leukemic blasts as well as altered cytokine milieu in a subset of AMLs. We report the presence of circulating megakaryocytes in peripheral blood as a sign of satisfactory platelet recovery post induction chemotherapy in a pediatric subject with a favourable risk WHO category I AML with synchronous extramedullary myeloid cell tumor; and present a brief review of literature on the role of platelet recovery in AML prognosis.
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外周血循环巨核细胞:急性髓系白血病诱导化疗后满意血小板恢复的线索
血小板减少症是新诊断的急性髓性白血病(AML)常见的血液学异常,可能与白血病母细胞骨髓浸润的程度以及AML亚群中细胞因子环境的改变有关。我们报告了外周血中循环巨核细胞的存在,作为诱导化疗后令人满意的血小板恢复的标志,在一个具有有利风险的WHO I类AML伴同步髓外骨髓细胞瘤的儿童受试者中;并简要回顾有关血小板恢复在AML预后中的作用的文献。
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