慢性淋巴细胞白血病伴发慢性髓性白血病一例

Chronic lymphocytic leukemia with concomitant chronic myeloid leukemia： a case report

患者,男,49岁.3年前因脾肿大于我院普外科住院.查体：腋窝胸壁群可触及多个淋巴结,质韧,活动尚可,无压痛.脾甲乙线12 cm,甲丙线14 cm,丁戊线-1 cm.上腹增强CT示巨脾,脾梗塞,肝门、胰头周围及腹膜后结节.血常规检查：WBC 27.3×10^9/L,HGB 109 g/L,PLT 126× 10^9/L,成熟淋巴细胞占0.780,幼稚淋巴细胞占0.080,中性杆状核细胞占0.010,中性分叶核粒细胞占0.090,嗜酸细胞占0.010,成熟单核细胞占0.030.