胃重複がんに非定型的急性骨髄性白血病を合併した一剖検例

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タイトル別名
  • An Autopsy Case of Smoldering Acute Leukemia with Double Gastric Cancers
  • 胃重複癌に非定型的急性骨髄性白血病を合併した1剖検例
  • イ チョウフク ガン ニ ヒ テイケイテキ キュウセイ コツズイセイ ハッケツ

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A 71-year-old male was admitted to our clinic because of refractory pancytopenia with myeloblasts in the peripheral blood.<br>This hypoplastic bone marrow showed erythroblasts with bizarre feature of nucleus, the increase of micromegakaryocytes and mild increased numbers of myeloblasts which meant hiatus leukemicus.<br>This acute myelogenous leukemia (AML) is therefore called a low percentage leukemia or hypoplastic leukemia. Because the increased numbers of myeloblasts in the marrow were stable throughout the course of 8 months, this case is said smoldering acute leukemia or refractory anemia with excess of myeloblasts (RAEM) in other words.<br>19 years ago, radical gastrectomy has been performed for advanced type of gastric cancer, pathologically tubular adenocarcinoma, well differentiated. In follow-up of gastroscope after the diagnosis of AML, biopsy-specimen of gastric stoma showed both signet ring cell carcinoma and tubular adenocarcinoma, moderately differentiated.<br>This case with smoldering AML is presented who has first been seen advanced, gastric cancer 19 years ago and subsequently developed once more gastric cancer in situ in stoma.

収録刊行物

  • 臨床血液

    臨床血液 22 (8), 1277-1283, 1981

    一般社団法人 日本血液学会

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