请斑竹手下留情,将此帖保留在首页三天。谢谢!
以下是我10/29/04做骨髓穿刺的报告,请高手帮忙翻译,谢谢!
另外,我还有几个问题请教:
1、医生给我的诊断结果是:慢性白血病,目前不需要治疗,只要跟踪观察,每二个月做一次血检,如果情况恶化,就会安排化疗。我觉得这是消极的等待死亡,不知有没有其他更积极的治疗方法?
2、我在网上查了一些资料,从英文网站上我了解到这是一种没法治愈的恶性疾病,确诊后平均还有3年时间。而从中文网上,我得到的是比较乐观的信息,治愈率90%。是不是国内在此病的治疗上比美国有更先进的办法?
3、请问饮食上应该注意什么?
4、骨穿报告
Specimen: 1. Bone marrow biopsy
2. Bone marrow aspirate
3. Bone marrow clot section
4. Peripheral blood
Collected: 10/29/2004
Sex: Female
Age: 41

WBC: 16.51 bil/L
Neut: 2.14 bil/L
Lymphs: 14.11 bil/L
Mono: 0.00 bil/L
Eos: 0.08 bil/L
Baso: 0.16 bil/L
RBC: 4.16 bil/L
Hgb: 11.1 g/dL
MCV: 81.7 fl
Retic: 0.6 %
Plat: 86 bil/L

BONE MARROW ASPIRATION INTERPRETATION:
Erythropoiesis: Normoblastic
Granulopoiesis: Normoblastic
Thrombopoiesis: Normoblastic
Other findings: Approximately 50% of the bone marrow cellular population
is composed of atypical lymphocytes with moderately
condensed nuclear chromatic and prominent central nucleoli
with scant basophillic cytoplasm.
Iron: Markedly decreased with no abnormal ringed forms identified.

BONE MARROW BIOPSY / CLOT INTERPRETATION:
Cellularity: Approximately 60% (normocellular for age)
M:E ratio: Approximately 1.5:1
Trabeculae: Adequate
Erythropoiesis: Normoplastic
Granulopoiesis: Normoplastic
Thrombopoiesis: Adequate megakaryocytes present
Other finding: Abnormal infiltrate of atypical lymphoid cells similar to
those seen in the aspiration specimen are present diffusely
infiltrating the cellular marrow, composing approximately
50% of the population of cells.
Iron: Absent. Iron staining on core biopsy specimen and clot
section.
PAS: Adequate granulocytes and megakaryocytes
Decal: Adequate

PERIPHERAL BLOOD INTERPRETATION:
Neutrophils: Mature
Lymphocytes: Atypical population of lymphocytes with moderately dense
chromatic and prominent nucleoli and scant cytoplasm are
identified and compose greater than 80% of the circulating
lymphocytes identified in the eripheral smear.
Other Leukocytes: Mature
NRBC: Absent
Erythrocytes: Occasional red blood cell fragments identified
Platelets: Decreased; small and scattered

A CD5 positive Kappa-monotypic B cell population is identified. The atypical lymphoid population composing approximately 53% of the cells in the flow cytometry bone marrow aspiration specimen express CD5, CD19, CD20 (moderate), CD23 (heterogeneous), CD45, FMC7, CD79B and Kappa light chain.

DIAGNOSIS: B cell prolymphocytic leukemia


Immcanada2004-11-12 16:36:41
回复:求助!!学医的请进!请斑竹手下留情
Help2004-11-12 18:45:45
回复:回复:求助!!学医的请进!请斑竹手下留情
pelle2004-11-13 15:09:58
回复:求助!!学医的请进!请斑竹手下留情