首页|异基因造血干细胞移植治疗孤立性髓细胞肉瘤4例1

异基因造血干细胞移植治疗孤立性髓细胞肉瘤4例1

扫码查看
目的::探讨应用异基因造血干细胞移植(allogeneic hematopoietic stem cell transplantation, allo- HSCT)治疗孤立性髓细胞肉瘤(myeloid sarcoma, MS)的安全性和有效性。方法:从临床表现、诊断、治疗等方面,回顾性分析了接受allo- HSCT的4例孤立性MS患者资料。结果:4例患者均以髓外肿块为首发表现,经局部肿块病理活检,免疫组化提示髓过氧化物酶均为阳性,部分CD68、溶菌酶、CD34阳性。患者接受了全身化疗,并行清髓性allo- HSCT。术后随访,1例因疾病进展死亡,3例存活。结论:allo- HSCT治疗孤立性MS是一种较安全的治疗手段,并能使患者获得更好的无病生存(disease- free survival, DFS)。
Objective To evalute the safty and efficiency of allogeneic hematopoietic stem cell transplantation (allo- HSCT) in pri-mary myeloid sarcoma (MS). Methods The clinical manifestations, diagnosis, and treatment of 4 cases with primary MS treated with al-lo- HSCT were retrospectively analyzed. Results All of the 4 patients presented with extramedullary tumors as first symptom. Pathologi-cal biopsies were performed. Immuno- histological analysis showed that myeloperoxidase (MPO) were positive in all 4 cases, while CD68, lysozyme and CD34 were positive in some cases. After the chemotherapy, myeloablative allo- HSCT were administrated in these 4 patients. At present, 1 patient died because of the progression of the disease, while 3 patients survived. Conclusion Allo- HSCT in treating primary MS is safe, and can bring patients better disease- free survival (DFS).

myeloid sarcomaallogeneic hematopoietic stem cell transplantation

赵晔、吴德沛、孙爱宁、仇惠英、唐晓文、马骁

展开 >

苏州大学附属第一医院215006

江苏省血液研究所 卫生部血栓与止血重点实验室血液学协同创新中心

异基因造血干细胞移植 髓细胞肉瘤

受江苏省科教兴卫工程-临床医学中心国家临床重点专科建设项目江苏省科教兴卫工程-临床医学中心

ZX201102ZX201102

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(5)
  • 6