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骨髓增生异常综合征的骨髓细胞和组织形态学诊断 被引量:3

The significances of examing myeloid cell and histomorphology in diagnosis of myelodysplastic syndrome
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摘要 骨髓增生异常综合征(MDS)的发病为紊乱的干细胞与其造血微环境间交互作用所致的一种无效分化.此种异常发育必然导致3种主要骨髓结构和形态的变异[1]:①细胞发育与增生的异常;②骨髓组织正常结构破坏所致局部解剖异常;③骨髓基质的变异.10余年来,无法列入法、美、英(FAB)协作组原5亚型的另一些MDS边缘型相继提出并渐获公认,后者单靠骨髓涂片细胞形态无法确诊,从而显示这一分类的不足.WHO于1997年对有关MDS FAB分类作了较大修正,1999年公开发表后又经数次修订,但其仍属有待不断补充、修正与完善的"开放式"分型体系.临床顾问委员会(CAC)和血液病理学家一致认同MDS的诊断须经规范染色的外周血、骨髓涂片和骨髓活检切片3者间的有机结合[2].
作者 杨梅如 浦权
出处 《诊断学理论与实践》 2005年第5期351-353,共3页 Journal of Diagnostics Concepts & Practice
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参考文献7

  • 1[2]Vardiman JW, Harris NL, Brunning RD. The World Health Organization(WHO) classification of the myeloid neoplasms[J]. Blood, 2002,100(7):2292-2302.
  • 2浦权.进一步规范骨髓增生异常综合征的分型[J].中华内科杂志,2003,42(5):289-291. 被引量:7
  • 3[5]Houwerzijl E J, Blom NR, van der Want J J, et al.Increased peripheral platelet destruction and caspase-3-independent programmed cell death of bone marrow megakaryocytes in myelodysplastic patients [J]. Blood,2005,105(9):3472-3479.
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二级参考文献4

  • 1Harris NL, Jaffe ES, Diebold J, et al. The World Health Organization classification of hematological malignancies report of the Clinical Advisory Committee Meeting, Airlie House Virginia,November 1997. Mod Pathol, 2000,13 : 193-207.
  • 2Naeim F, ed. Pathology of bone marrow. Baltimore: Williams & Wilkins, 1997. 140-160.
  • 3Heaney ML, Golde DW. Myelodysplasia. N Engl J Meal,1999,340:1649-1660.
  • 4Naeim F. Atlas of bone marrow and blood pathology. Saunders:Wiliams & Wilkins, 2001.31-45.

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