临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (7): 536-.doi: 10.3969/j.issn.1000-3606.2020.07.013

• 综合报道 • 上一篇    下一篇

儿童急性单核细胞白血病骨髓自然缓解1 例报告并文献复习

陈诗杨 1, 袁秀丽 2 , 付笑迎 1, 彭冬 1, 林镇湖 1, 罗美珠 1, 麦惠容 2, 刘四喜 2, 陈运生 1   

  1. 深圳市儿童医院1.检验科,2.血液肿瘤科(广东深圳 518038)
  • 发布日期:2020-07-14
  • 通讯作者: 陈运生 电子信箱:chenyunshenglw@163.com
  • 基金资助:
    广东省医学科学技术研究基金项目(No.201711515315444);深圳市三名工程项目(No.SZSM201512033);国家自然 科学基金青年项目(No.81801588);深圳小儿血液肿瘤分子医学公共服务平台

Spontaneous remission of acute monoblastic leukemia in children: a case report and literature review

 CHEN Shiyang1, YUAN Xiuli2, FU Xiaoying1, PENG Dong1, LIN Zhenhu1, LUO Meizhu1, MAI Huirong2, LIU Sixi2, CHEN Yunsheng1   

  1. 1.Department of Clinical Laboratory, 2.Department of Haematology Oncology, Shenzhen Children’s Hospital, Shenzhen 518038, Guangdong, China
  • Published:2020-07-14

摘要: 目的 探讨急性髓系白血病自然缓解的诱因和可能的发生机制。方法 回顾分析1例急性单核细胞白血病 发生自然缓解患儿的临床资料,并结合相关文献探讨自然缓解的可能机制。结果 1岁4月龄男性患儿,确诊为急性髓系 单核细胞白血病,未经化疗后发生骨髓自然缓解,约1年后出现髓系肉瘤复发,予行HLA半相合造血干细胞移植术,目 前预后良好。回顾既往文献发生自然缓解患者大部分缓解之前有发热史,通常由感染导致,也可由药物撤除或输血导致。 结论 髓系白血病发生自然缓解很少见,未来或许可以通过免疫疗法达到治疗白血病的目的。

关键词: 急性髓系白血病; 自然缓解; 儿童

Abstract:  Objective To explore the inducement and possible mechanism of spontaneous remission in acute myeloid leukemia. Method The clinical data of acute monoblastic leukemia in a child with spontaneous remission were reviewed, and the possible mechanism of spontaneous remission was discussed in combination with relevant literature. Results A year and 4 months old boy was diagnosed with acute monoblastic leukemia and had a spontaneous remission without chemotherapy. About 1 year later, the boy relapsed with myeloid sarcoma and received HLA haploidentical hematopoietic stem cell transplantation. The prognosis was good. Previous studies showed that most patients with spontaneous remission had a history of fever that was usually caused by infection, but could also be caused by drug withdrawal or blood transfusion. Conclusion Spontaneous remission of acute myeloid leukemia is extremely rare. Immunotherapy may be employed to treat leukemia in the future.

Key words: acute myeloid leukemia; spontaneous remission; child