摘要
目的 研究骨髓转移癌的临床及血液学特点。方法 骨髓活检塑料包埋切片 ,H Gmiesa E ,Gomori ,PAS ,Alcinblue染色。结果 47例患者中 2 4例找到原发灶 ,其中胃癌 15例 ,前列腺癌 4例 ,肺癌 2例 ,乳腺癌、结肠癌、肝癌各 1例。 3 4例做骨髓活检者骨髓均找到转移癌细胞 ,而其中 10例骨髓象未能发现转移癌细胞。临床表现以贫血最常见 (91.5 % ) ,其次是血小板减少 (64 .7% )、骨痛 (61.7% )和发热 (4 8.9% )。结论 对于不明原因的贫血和骨痛患者 。
Objective To study clinicohematologic features of bone marrow metastatic cancer (BMMC).Methods Bone marrow biopsy plastic embedded sections were stained by H Giemsa E,PAS and Alcin blue.Results The primary tumor sites were found only in 24 cases of 47 patients,including 15 cases with poorly differentiated gastric cancer,4 prostatic cancer,2 lung cancer,1 mammary cancer,1 colonic cancer and I liver cancer, respectively.34 patients accepted bone marrow biopsy and all of them were found the metastatic cancer cells,included 10 cases with negative findings in the bone marrow puncture before.Anemia was mostly frequent manifestation(91.5%), the secondary was thrombocytopenia(64.7%) and bone pain(61.7%).Conclusion Bone marrow biopsy is important for BMMC when the patients had anemia and bone pain for unknown reasons.
出处
《临床内科杂志》
CAS
北大核心
2002年第6期424-425,共2页
Journal of Clinical Internal Medicine
关键词
骨髓肿瘤
继发病
骨髓
活组织检查
Bone marrow neoplasm/secondary
Bone marrow
Biopsy
