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某些疾病长期化疗和/或放疗后发生一种继发性白血病,称为治疗相关性白血病(Therapyrelated Leukemia,TRL)。本文就我院收治的一例鼻咽癌放疗后诱发急性粒细胞性白血病报告如下。男,25岁,工人,住院号55874,于1979年10月16日入院。患者一个月前颈部“受伤”后即觉局部疼痛,低头时加重。次日觉鼻塞,流涕,咽痛,低热,乏力,四肢麻痹,在当地按“感冒”治疗,病情逐渐加重。入院前三天双下肢麻痹、乏力以致不能行走,大小便困难。本院门诊检查血象发现“幼稚”细胞,遂以急性粒细胞性白血病脑膜浸润入院。
Certain diseases A secondary leukemia that develops after long-term chemotherapy and / or radiotherapy is called Therapyrelated Leukemia (TRL). This article admitted to our hospital for a case of nasopharyngeal carcinoma after radiotherapy induced acute myelogenous leukemia report is as follows. Male, 25 years old, worker, hospital number 55874, was admitted on October 16, 1979. The patient felt pain in the neck one month before she was “injured” and worsened when she was bowed. The next day nasal congestion, runny nose, sore throat, fever, fatigue, limb numbness, according to the local “cold” treatment, the condition gradually aggravated. Three days before admission, both lower extremities paralyzed, unable to walk due to fatigue, and difficulty in urinating. Hospital outpatient check blood found “naive” cells, then to acute myeloid leukemia infiltration of meninges.