The originl natural killer cell leukemia and one case of laboratory diagnosis.doc

NAME OF ARTICLE IN CHINESE: 原始自然杀伤细胞白血病一例及其实验室诊断 ________________________________________________________________________ NAME OF ARTICLE IN ENGLISH: The original natural killer cell leukemia and one case of laboratory diagnosis TOPIC OF ARTICLE: Laboratory diagnosis of a patient who has leukemia. WHAT THE ARTICLE IS ABOUT: A patient has leukemia that has mutation natural killer cells. The original natural killer cell leukemia and one case of laboratory diagnosis Yu Jiang, Su Jun, Jiang can just, Shi Qing, Tingting had, Ding Bin, JIa Yongqian (West China Hospital of Sichuan University, Room rummage blood, Chengdu, Sichuan, 610041) The original natural killer (NK) cell leukemia is a rare type of blood cancer, first reported in 1995, foreign, and then saw another report, the domestic-reported, recent hospital patients with the disease in patients treated l, are as follows . Materials and methods First, clinical data Male patient, 67 years old, a year ago back pain self-inductance, self-touch back, above the leather skin rash, were not seriously. 2 months ago, the rash worsened in the local hospital as a skin nodules, erythema, to be TWP oral and subcutaneous injection, did not improve, 10 d before fatigue, and blood in the nose with the left nasal cavity, then into the West China hospital. Second, the physical examination The patient conscious, temperature 37℃, pulse 90 beats / min, breathing 20 times / min, blood pressure 14.8/9.86 kPa, the body can be seen scattered in the brown, shades of erythema and papules, some higher than the leather, no obvious tenderness. Bilateral axillary, cervical and inguinal lymph nodes (maximum 2 cm × 2 cm), medium texture, activity can be. Liver xiphoid 3 cm, spleen and ribs 2 cm, medium texture, no tenderness. Sternum without tenderness, barrel chest, lungs reduced breath sounds. Third, laboratory and imaging tests Strictly do according to the conventional operation. Result Routine blood test showed hemoglob