以血小板增多为表现的慢性粒细胞白血病1例并文献复习  

Chronic Granulocytic Leukemia Presenting With Thrombocytosis:A Case Report and Review of the Literature

作　　者：石耿辉[1] 化伟利[2] 

机构地区：[1]遵义医学院附属医院血液科,遵义贵州563000 [2]遵义医学院附属医院内镜中心,遵义贵州563000

出　　处：《中国继续医学教育》2017年第20期141-143,共3页China Continuing Medical Education

摘　　要：慢性粒细胞白血病(Chronic Myelogenous Leukemia,CML)和原发性血小板增多症(Essential Thrombocythemia,ET)同属于骨髓增生性疾病(Myeloproliferative Diseases,MPD),然而两者的治疗方法及预后却截然不同,本文结合我院一例以血小板增多(>1 000×10~9/L)为表现的CML患者诊治经过,并参考文献资料进行回顾性分析,可知以血小板增多为表现的CML临床少见,易误诊为原发性血小板增多症;尽早检测Ph染色体和BCR-ABL融合基因可明确诊断、避免误诊。Chronic myelogenous leukemia（CML） and essential thrombocythemia（ET） belong to myeloproliferative diseases（MPD）,but the treatment and prognosis are different.We summarize the clinical data of chronic myelogenous leukemia（1 000×10~9/L） which show the thrombocytosis and analyze the literature.The conclusion is that chronic myelogenous leukemia which show the thrombocytosis was rare and was misdiagnosed as essential thrombocythemia easily.Early detection of Phchromosome and BCR-ABL fusion gene can clear diagnosis and avoid misdiagnosis.

关 键 词：慢性粒细胞白血病 原发性血小板增多症 骨髓增生性疾病 

分 类 号：R733[医药卫生—肿瘤]