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Deep Vein Thrombosis Complicating SS Sickle Cell anemia in Pregnancy: About a Case Diagnosed at the Issaka Gazobi Maternity 妊娠期SS镰状细胞性贫血并发深静脉血栓形成:关于伊萨卡·加索比产科诊断的一例
Pub Date : 2021-04-07 DOI: 10.4236/OJBD.2021.112004
Chaibou-Yacouba Maimouna, Hamidou Soumana-Diaouga, Amadou Djibrilla-Almoustapha, Moctar Abdoulaye-Maliki, Mansour Sidi-Mahamane, Madeleine Garba-Rah, I. Nafiou, M. Nayama
Pregnancy in a sickle cell patient is a source of maternal and perinatal morbidities. Thromboembolic diseases of which Deep Vein Thrombosis (DVT) is one of the complications. The frequency of the latter is poorly assessed. Very few studies have been done on this topic. We report a case of DVT in a 35-year-old patient with sickle cell SS pregnant with 27SA diagnosed and cared for at the Maternity Issaka Gazobi (MIG) in Niamey. The management was based on low molecular weight heparin combined with preventive measures against sickle cell anemia and a planned cesarean section which led to a favorable maternal and perinatal prognosis.
镰状细胞患者的妊娠是孕产妇和围产期发病率的一个来源。血栓栓塞性疾病,深静脉血栓形成(DVT)是其并发症之一。后者发生的频率没有得到很好的评估。关于这个话题的研究很少。我们报告一个35岁的镰状细胞SS妊娠27SA患者的DVT病例,在尼亚美的产科Issaka Gazobi (MIG)诊断和护理。治疗是基于低分子肝素结合预防措施镰状细胞性贫血和计划剖宫产导致良好的产妇和围产期预后。
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引用次数: 0
Hematological and Biochemical Profile of Sickle Cell Patients in Critical and Inter-Critical Periods in Brazzaville, Republic of Congo 刚果共和国布拉柴维尔镰状细胞病患者危重期和危重期的血液学和生化特征
Pub Date : 2021-04-07 DOI: 10.4236/ojbd.2021.112007
E. P. L. Nanitelamio, S. O. Mokono, C. J. Mbani, Olivia Firmine Galiba Atipo-Tsiba, F. R. Niama, E. Mokondjimobé, D. Moukassa, A. Abena, A. Dokekias
Introduction: Sickle cell disease is a public health problem in the Republic of Congo where the prevalence of sickle cell trait is estimated at 1.25%. The objective of this study is to describe the variations of hematological and biochemical parameters of hemolysis in sickle cell patients in critical and inter-critical periods. Methods: This is a descriptive cross-sectional study including sickle cell patients followed regularly at the National Reference Center for Sickle Cell Disease (CNRDr) from November 2019 to March 2020. A sample of 167 patients (sickle cell subjects in crisis and in steady state as well as control subjects) was randomly selected during the study period. The blood count was performed using a Sysmex-XN 350 automated system and the biochemical parameters were determined using the Cobas e 311 automated system. Statistical analysis was performed with SPSS version 22 software. Results: The study showed that the mean cholesterol level in controls was 4.16 ± 0.77 ul compared with 9.64 ± 4.34 ul in sickle cell crisis subjects. Hb and HCT levels were significantly higher in controls compared with sickle cell subjects in crisis. During crisis, total bilirubin, direct bilirubin, triglycerides, LDH, AST, and CRP were significantly elevated. Hematological parameters such as Hb and HCT were elevated in controls, while the mean WBC value and RET were higher in sickle cell patients in steady state. The mean values of the biochemical parameters were higher in sickle cell patients in steady state. Conclusion: Evaluation of the influence of sickle cell trait on biochemical and hematological parameters showed significant differences between sickle cell and control subjects.
镰状细胞病是刚果共和国的一个公共卫生问题,那里镰状细胞特征的患病率估计为1.25%。本研究的目的是描述镰状细胞患者在临界期和临界间期溶血的血液学和生化参数的变化。方法:这是一项描述性横断面研究,包括镰状细胞患者,于2019年11月至2020年3月在国家镰状细胞病参考中心(CNRDr)定期随访。在研究期间随机抽取167例患者(危重、稳定和对照)。采用Sysmex-XN 350自动化系统进行血液计数,采用Cobas e 311自动化系统测定生化参数。采用SPSS 22软件进行统计分析。结果:研究表明,对照组的平均胆固醇水平为4.16±0.77 ul,而镰状细胞危像组的平均胆固醇水平为9.64±4.34 ul。与危重期镰状细胞患者相比,对照组Hb和HCT水平明显较高。危重期总胆红素、直接胆红素、甘油三酯、LDH、AST、CRP显著升高。血液学参数如Hb和HCT在对照组升高,而平均WBC值和RET在稳定状态下镰状细胞患者较高。稳定状态下镰状细胞患者的生化指标平均值较高。结论:镰状细胞性状对生化和血液学指标的影响评价在镰状细胞与对照组之间存在显著差异。
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引用次数: 1
Observation on the Efficacy of Autologous Blood Transfusion Combined with Controlled Hypotension in Patients with Spinal Internal Fixation during the Outbreak of New Coronavirus Pneumonia in Western Guangxi (in Guixi) 桂西地区新型冠状病毒肺炎疫情期间自体输血联合控制性降压治疗脊柱内固定患者的疗效观察
Pub Date : 2021-01-20 DOI: 10.4236/OJBD.2021.111003
Chengkua Huang, Guosheng Su, Zhao Yong, Chunxia Lu, Shengxiong Nong, X. Huang
Objective: To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. Methods: 30 patients with spinal internal fixation autologous blood transfusion combined with controlled hypotension were selected as the subjects during the epidemic period from December 2019 to June 2020 in our hospital and during the operation, on the basis of routine blood pressure reduction, the American Haemonetice Corporation autologous blood continuous reinfusion system was used to infuse the blood recovered during the operation to the patient through filtration and other procedures. Results: 30 patients had no complications such as fever and hemolysis; And after the operation, the tube was dialed according to the drainage volume, the cervical thoracic and lumbar brace was customized, and the patient walked on the ground for one week; After no abnormalities, the patient was discharged. Intraoperative comparison of white blood cells (WBC), red blood cells (RBC), red blood cell pressure (HCT), hemoglobin (HGB), and coagulation time (PT) of patients with autologous blood before and after transfusion showed statistically significant differences before and after surgery (P < 0.001). Conclusion: During the new coronavirus pneumonia epidemic, the internal fixation of spinal surgery used a recovery machine to collect intraoperative blood for reinfusion. Intraoperative antihypertensive drugs were used to control blood pressure within a certain safe range. The postoperative clinical observation effect was significant and safe; especially at present the clinical significance during the epidemic was significant.
目的:探讨自体回血联合控制性低血压在新冠肺炎暴发期脊柱内固定术中的治疗效果。方法:选择我院2019年12月至2020年6月疫情期间及手术期间30例脊柱内固定自体输血并控制性低血压患者为受试者,在常规降压的基础上,美国Haemonetice公司的自体血液连续回输系统用于通过过滤和其他程序将手术期间回收的血液输注给患者。结果:30例患者无发热、溶血等并发症;并在术后根据引流量拨管,定制颈胸腰椎支架,患者在地上行走一周;在没有任何异常之后,患者出院了。自体血患者术中白细胞(WBC)、红细胞(RBC)、红血细胞压(HCT)、血红蛋白(HGB)和凝血时间(PT)输注前后比较,术前和术后差异有统计学意义(P<0.001),脊柱外科的内固定使用回收机收集术中血液进行回输。术中使用降压药将血压控制在一定的安全范围内。术后临床观察效果显著、安全;尤其是目前疫情期间的临床意义显著。
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引用次数: 0
First Case of Von Willebrand Disease in Niger 尼日尔首例血管性血友病
Pub Date : 2021-01-20 DOI: 10.4236/OJBD.2021.111001
Amadou Djibrilla-Almoustapha, M. Maman-Brah, Moustapha Elhadji-Chefou, M. R. Badé, Amal Al-Azhari, Youssoufa Seydou-Moussa, M. Sani, M. Daou, S. Brah, B. Malam-Abdou
Von Willebrand’s disease was first described in 1926 by Erik Von Willebrand. It is a genetic, constitutional defect of hemostasis that is different from hemophilia. It is classified among the rare diseases whose clinical manifestations are dominated by a hemorrhagic profile, which varies from patient to patient. It is an easily diagnosed disease based on a quantitative and qualitative bioassay of VWF. Treatment is multidisciplinary and is based on well-structured prevention. We report the first case of von Willebrand disease in Niger, diagnosed in the Hematology Department of Niamey’s National Hospital.
1926年,埃里克·冯·威利布兰德首次描述了冯氏病。这是一种不同于血友病的遗传性、体质性止血缺陷。它被归类为罕见病,其临床表现以出血为主,因患者而异。基于VWF的定量和定性生物测定,它是一种容易诊断的疾病。治疗是多学科的,以结构良好的预防为基础。我们报告了尼日尔首例von Willebrand病病例,该病例在尼亚美国家医院血液科诊断。
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引用次数: 0
Prevalence of Virological Markers HIV, HBV and HCV in Homozygous Sickle Cell Patients at Brazzaville University Hospital 布拉柴维尔大学医院纯合子镰状细胞患者HIV、HBV和HCV病毒学标志物的流行
Pub Date : 2021-01-01 DOI: 10.4236/ojbd.2021.114014
Laure Flora Josiane Kibangou, R. Moyen, Nanikaly Moyen, I. Kocko, L. Ngolet, Ettienne Nguimbi, A. Dokekias
In order to evaluate the seroprevalence of major viral markers, a descriptive study was carried out in homozygous sickle cell transfusion patients at the University Hospital of Brazzaville. The profiles were determined in 51 patients, 32 of whom were male and 19 female, with an age range of 17 to 51 years, admitted to the clinical hematology department of the University Hospital and to the National Reference Center for Sickle Cell Disease. The tests were performed on pre- and post-transfusion blood samples. The following reagents were used: GeenscreenTMultraHIVAg-Ab, MonolisaAg-HBs plus, Monoli-saHCV Ag-Ab Ultrade Bio-Radot for the detection of HIV, HBV and HCV by fourth generation ELISA tests (serological tests). The results showed that the indications for blood transfusion were: acute crises of anemia due to malaria and in some cases of Vaso-Occlusive Crises (VOC) resistance to analgesic treatment. The prevalence rates of the markers before the new transfusion were respectively: HIV: 0%, HBV: 1.96%, HCV: 3.92%. After transfusion, the final seroprevalence rates of the markers are: HIV: 0%, HBV: 5.88%, HCV: 3.92%. The seroconversion rate for HBV was 3.92%. One case of HBV + HCV co-infection (1.96%). Conclusion: Transfusion safety is achieved through good transfusion practices and the qualification of blood donations. Homozygous sickle cell disease, characterized by frequent anemia attacks, requires a guar-antee of efficient transfusion practices in order to limit microbial risks.
为了评估主要病毒标志物的血清阳性率,在布拉柴维尔大学医院的纯合子镰状细胞输血患者中进行了一项描述性研究。在大学医院临床血液科和国家镰状细胞病参考中心收治的51例患者中确定了这些资料,其中32例为男性,19例为女性,年龄范围为17至51岁。这些测试是在输血前和输血后的血液样本上进行的。采用geenscreentmultrahiag - ab、MonolisaAg-HBs plus、Monoli-saHCV Ag-Ab Ultrade Bio-Radot等试剂进行第四代ELISA检测HIV、HBV和HCV(血清学检测)。结果表明:输血指征为疟疾所致贫血急性危象,部分病例出现血管闭塞危象(VOC)对镇痛治疗有抵抗。新输血前各项指标的流行率分别为:HIV: 0%, HBV: 1.96%, HCV: 3.92%。输血后各标志物的最终血清阳性率分别为:HIV: 0%, HBV: 5.88%, HCV: 3.92%。血清HBV转换率为3.92%。HBV + HCV合并感染1例(1.96%)。结论:输血安全是通过良好的输血规范和合格的献血者来实现的。纯合子镰状细胞病以频繁的贫血发作为特征,需要保证有效的输血措施,以限制微生物风险。
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引用次数: 0
Compressive Myeloradiculopathies in Multiple Myeloma: Clinical and Radiological Characteristics of a Series of 29 Patients 多发性骨髓瘤的压迫性髓根病:29例患者的临床和放射学特征
Pub Date : 2021-01-01 DOI: 10.4236/ojbd.2021.114013
E. Niang, M. Bamba, K. Mamadou, F. Seynabou, Seck Moussa, M. Ababacar, Bousso Elimane, Sarr Khadim, Faye Atoumane, Ndiaye Fatou Samba Diago, N. Moustapha, Diop Saliou
Introduction: Patients with multiple myeloma (MM) develop neurological complications such as root and/or spinal cord compression in at least 5% of cases. The aim of this work is to describe the clinical and radiological features of root and/or spinal cord compression occurring during multiple myeloma. Patients and Methods: We conducted a retrospective study in the Clinical Haematology Department of Dalal Jamm Hospital and the National Blood Transfusion Centre, the Neurological Clinic of Fann Hospital Centre and the Internal Medicine Department of Aristide Le Dantec Hospital in Dakar between January 2016 and December 2019. All patients whose multiple myeloma diagnosis was established according to the International Myeloma Working Group’s 2014 and who had root, spinal or myeloradicular compression, were included in our study. Results: A total of 29 patients were included. The average age was 54.31 years [32 76 years]. The sex ratio (M/F) was 1.6. Motor deficits were the reason for consultation in 68% of the patients and spinal pains were reported by 93% of the patients. Neurological signs revealed multiple myeloma in all our patients. 25 patients (86.2%) had paraplegia and 1 patient had tetraparesis. Hypoesthesia to a defined sensory level was noted in 8 patients (28%). 5 patients (17.24%) had sphincter disorders. The types of lesions showed by imaging were vertebral lysis in 100% of cases, vertebral compression in 37% of cases, and epidural infiltration in 34% of cases. 12 patients (41.37%) had spinal compression, 14 patients (48.27%) had root compression, and 3 patients (10.34%) had myeloradicular compression. Spinal cord compression was most often at the dorsolumbar level (91.3% of cases) and root compression was How to cite this paper: Niang, E.H.D., Bamba, M.A., Mamadou, K., Seynabou, F., Moussa, S., Ababacar, M.K., Elimane, B., Khadim, S., Atoumane, F., Diago, N.F.S., Moustapha, N. and Saliou D. (2021) Compressive Myeloradiculopathies in Multiple Myeloma: Clinical and Radiological Characteristics of a Series of 29 Patients. Open Journal of Blood Diseases, 11, 133-139. https://doi.org/10.4236/ojbd.2021.114013 Received: January 17, 2021 Accepted: November 29, 2021 Published: December 2, 2021 Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access
简介:多发性骨髓瘤(MM)患者出现神经系统并发症,如根和/或脊髓压迫至少5%的病例。本研究的目的是描述多发性骨髓瘤期间发生的根和/或脊髓压迫的临床和放射学特征。患者和方法:我们于2016年1月至2019年12月在达喀尔Dalal Jamm医院和国家输血中心的临床血化科、Fann医院中心的神经病学诊所和Aristide Le Dantec医院的内科进行了一项回顾性研究。所有根据国际骨髓瘤工作组(International myeloma Working Group) 2014年的诊断确定的多发性骨髓瘤患者,以及有根、脊髓或髓根压迫的患者都被纳入我们的研究。结果:共纳入29例患者。平均年龄54.31岁[32 76岁]。性别比(M/F)为1.6。68%的患者因运动障碍就诊,93%的患者因脊柱疼痛就诊。所有病人的神经学症状都显示多发性骨髓瘤。截瘫25例(86.2%),四肢全瘫1例。8例(28%)患者感觉减退至定义的感觉水平。括约肌病变5例(17.24%)。影像学显示的病变类型为100%的椎体松解,37%的椎体受压,34%的硬膜外浸润。脊柱受压12例(41.37%),根受压14例(48.27%),髓根受压3例(10.34%)。脊髓受压最常发生在腰背水平(91.3%的病例),而根受压主要发生在以下部位:引用本文:Niang, e.h.d., Bamba, m.a., Mamadou, K, Seynabou, F, Moussa, S, Ababacar, m.k., Elimane, B, Khadim, S, Atoumane, F, Diago, N.F.S, Moustapha, N.和Saliou D.(2021)多发性骨髓瘤的压迫性脊髓根病变:29例患者的临床和放射学特征。中华血液病杂志,11,133-139。https://doi.org/10.4236/ojbd.2021.114013收稿日期:2021年1月17日收稿日期:2021年11月29日出版日期:2021年12月2日版权所有©作者与科研出版公司。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/开放获取
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引用次数: 0
Acute Panmyelosis with Myelofibrosis: A Rare Subtype of Acute Myeloid Leukemia 急性泛髓性白血病伴骨髓纤维化:急性髓性白血病的一种罕见亚型
Pub Date : 2021-01-01 DOI: 10.4236/ojbd.2021.113009
A. Diallo, S. A. Touré, M. Seck, Mouhamed Keita, E. S. Bousso, B. Faye, S. Diop
{"title":"Acute Panmyelosis with Myelofibrosis: A Rare Subtype of Acute Myeloid Leukemia","authors":"A. Diallo, S. A. Touré, M. Seck, Mouhamed Keita, E. S. Bousso, B. Faye, S. Diop","doi":"10.4236/ojbd.2021.113009","DOIUrl":"https://doi.org/10.4236/ojbd.2021.113009","url":null,"abstract":"","PeriodicalId":93480,"journal":{"name":"Open journal of blood diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70613593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of Complement Regulatory Proteins (CD55, CD59, and CD35) on Red Blood Cells of β-Thalassaemia Patients 补体调节蛋白(CD55、CD59和CD35)在β-地中海贫血患者红细胞中的作用
Pub Date : 2021-01-01 DOI: 10.4236/ojbd.2021.114010
H. H. Mahmoud, Nawal Mahrous Nasef, Dalia Mahmoud Eldewi, Rasha Kamel Fathy Galal
{"title":"Role of Complement Regulatory Proteins (CD55, CD59, and CD35) on Red Blood Cells of β-Thalassaemia Patients","authors":"H. H. Mahmoud, Nawal Mahrous Nasef, Dalia Mahmoud Eldewi, Rasha Kamel Fathy Galal","doi":"10.4236/ojbd.2021.114010","DOIUrl":"https://doi.org/10.4236/ojbd.2021.114010","url":null,"abstract":"","PeriodicalId":93480,"journal":{"name":"Open journal of blood diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70613471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Development of Blood Donation Activities in Kyrgyzstan and General Implications for Blood Donation 吉尔吉斯斯坦献血活动的发展及其对献血的一般意义
Pub Date : 2020-11-30 DOI: 10.4236/ojbd.2020.104012
N. Kurmanaliev, Baktygul Aisarieva, Iskenderbek Abdiraiimov, Zhainagul Abdirasulova, Zhypargul D. Abdullaeva, M. Karataev, Nurzhigit Kurmanbaev, M. Khan
Objectives: This article is aiming to give an essential informative principle about the development of blood donation activities in Kyrgyzstan. Background: The sequence of blood donation procedure steps before donation, during donation, and after donation was shown and discussed. Methods/Materials: Rhesus factor determination in donors was achieved by “COLICO” method which is based on the use of monoclonal antibodies solution. Results: According to the blood donation activity of donors in Osh, Kyrgyzstan for the 2018 year, it was found that gratuitous donors who donated blood in 6 months were 269, in 9 months were 366, and in 1 year were 499 people. Relative donors who donated blood in 6 months were 3480, in 9 months were 5100, and in 1 year were 6701 people. Active donors donated blood in 6 months were 12, in 9 months were 14 and in 1 year were 17 people. Conclusion: No agglutination was observed in any of the plates for the first blood group; agglutination was observed with anti-A monoclonal antibody solution for the second blood group; agglutination was observed with anti-B monoclonal antibody solution for the third blood group; agglutination was observed with both of anti-A and anti-B monoclonal antibody solutions for the fourth blood group.
目的:本文旨在为吉尔吉斯斯坦献血活动的发展提供一个重要的信息原则。背景:展示并讨论了献血前、献血中和献血后的献血程序步骤顺序。方法/材料:采用基于单克隆抗体溶液的“COLICO”方法测定供体中的恒河猴因子。结果:根据吉尔吉斯斯坦奥什市2018年献血者的献血活动,发现6个月内无偿献血者269人,9个月内献血者366人,1年内献血者499人。6个月内献血的亲属为3480人,9个月内为5100人,1年内为6701人。主动献血者6个月献血12人,9个月献血14人,1年献血17人。结论:第一血型平板均未发现凝集反应;用第二血型的抗A单克隆抗体溶液观察到凝集;用第三血型的抗B单克隆抗体溶液观察到凝集;用第四血型的抗A和抗B单克隆抗体溶液都观察到凝集。
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引用次数: 0
Expression and Prognosis of MYD88 L265p Mutation in Diffuse Large B-Cell Lymphoma MYD88 L265p突变在弥漫性大b细胞淋巴瘤中的表达及预后
Pub Date : 2020-11-30 DOI: 10.4236/ojbd.2020.104015
Yiming Zhao, Rui Zhang, Ling Ge, W. Qian, Fengbo Jin, Ming-zhen Yang
Objective: To detect the positive rate of MyD88 l265p mutation in DLBCL patients, and analyze the correlation between MYD88 L265p mutation and DLBCL prognosis. Methods: In this study, 40 formalin fixed paraffin embedded tissue samples were collected from the pathology department of the Fourth Affiliated Hospital and the First Affiliated Hospital of Anhui Medical University from January 2017 to December 2019. The relationship between MYD88 L265p gene mutation and clinicopathological parameters of DLBCL, such as age, gender, Ann Arbor stage, site, B symptom, NCCN-IPI and IPI score, ECOG PS score, serum ferritin, β2-microglobulin and LDH levels were analyzed. Results: The positive rate of MYD88 L265p was 20% (8/40), 25.0% (6/24) in non GCB and 12.5% (2/16) in GCB. There were no significant differences in age, gender, location, extranodal invasion site, β2-microglobulin, serum ferritin and LDH between wild-type and mutant type of MYD88 gene, but had statistical significance with Han’s classification. MYD88 L265p gene mutation was associated with Ann Arbor stage, NCCN-IPI score and IPI score. Conclusion: MYD88 L265P mutation is closely related to the occurrence, development and prognosis of DLBCL. It is an adverse prognostic factor of DLBCL and may be used for the prognosis evaluation of DLBCL.
目的:检测MyD88L265p突变在DLBCL患者中的阳性率,并分析其与DLBCL预后的相关性。方法:本研究于2017年1月至2019年12月在安徽医科大学附属第四医院病理科和附属第一医院采集福尔马林固定石蜡包埋组织样本40份。分析MYD88L265p基因突变与DLBCL临床病理参数,如年龄、性别、Ann Arbor分期、部位、B症状、NCCN-IPI和IPI评分、ECOG PS评分、血清铁蛋白、β2-微球蛋白和LDH水平的关系。结果:MYD88L265p阳性率为20%(8/40),非GCB为25.0%(6/24),GCB为12.5%(2/16)。MYD88基因野生型和突变型在年龄、性别、位置、结外侵袭部位、β2-微球蛋白、血清铁蛋白和LDH等方面无显著差异,但与Han分类有统计学意义。MYD88L265p基因突变与Ann Arbor分期、NCCN-IPI评分和IPI评分相关。结论:MYD88L265P突变与DLBCL的发生、发展及预后密切相关。它是DLBCL的不良预后因素,可用于DLBCL预后评估。
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引用次数: 0
期刊
Open journal of blood diseases
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