Acute megakaryoblastic leukemia: a case report.

R Donhuijsen-Ant, C Schadeck-Gressel, U Schmidt, H Löffler, M Westerhausen, L D Leder
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引用次数: 1

Abstract

We present a case of acute megakaryoblastic leukemia identified by electron microscopy and platelet-specific antibodies. The histological examination of bone marrow showed distinct myelofibrosis. In accordance with recent communications, low-dose cytosine arabinoside treatment (20 mg twice daily s.c. over 21 days) was initiated. The subsequent bone marrow examination showed a severe hypoplasia with persistent blasts. Amsacrine and VP-16 were given without success. Finally the patient died of septicemia without proof of pathogen uninfluenced by antibiotic and antiseptic therapy 6 weeks after diagnosis. Our case report confirms the poor prognosis of acute megakaryoblastic leukemia.

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急性巨核细胞白血病1例。
我们报告一个急性巨核细胞白血病的病例,通过电子显微镜和血小板特异性抗体鉴定。骨髓组织学检查显示明显的骨髓纤维化。根据最近的通讯,开始了低剂量阿糖胞嘧啶治疗(20毫克,每日两次,每日一次,持续21天)。随后的骨髓检查显示严重的发育不全伴持续性原细胞。Amsacrine和VP-16都没有成功。最终患者在诊断后6周因败血症死亡,无病原体证据,未经抗生素和消毒治疗。我们的病例报告证实急性巨核细胞白血病预后不良。
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