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伴rob(13;22)(q10;q10)的治疗相关急性髓系白血病1例并文献复习

Therapy⁃related acute myeloid leukemia with rob(13;22)(q10;q10):report of 1 case and review of literature
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摘要 目的提高对治疗相关急性髓系白血病(AML)的认识。方法回顾性分析烟台毓璜顶医院收治的1例横纹肌肉瘤治疗后继发AML伴染色体核型rob(13;22)(q10;q10)患儿的临床资料,并进行文献复习。结果该例女性患儿6岁5个月,在2018年1月诊断为横纹肌肉瘤,接受规范化疗30个月后确诊为治疗相关AML,染色体核型45,XX,t(11;19)(q23;q13),rob(13;22)(q10;q10),融合基因MLL⁃ELL阳性。接受DA(阿糖胞苷+柔红霉素)方案化疗后无明显改善,家属放弃治疗,患儿死亡。结论治疗相关AML多与应用鬼臼毒素类(依托泊苷等)药物化疗、联合放疗等因素有关。具有高危细胞遗传学因素的治疗相关AML预后差。
作者 王莉 王晓莉 李爱敏 Wang Li;Wang Xiaoli;Li Aimin(Department of Pediatrics,Yuhuangding Hospital,Yantai 264000,China)
出处 《白血病.淋巴瘤》 CAS 2023年第9期550-552,共3页 Journal of Leukemia & Lymphoma
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