侵袭性NK细胞白血病1例并文献复习及未来展望

曹 淑雅, 万 秋霞, 陆 丽娜, 刘 贝贝, 王素 云*
深圳市龙华区中心医院血液内科

摘要


侵袭性NK细胞白血病(Aggressive natural killer-cell leukemia ANKL)是一种NK细胞恶性增殖性疾病,起病
急,常以发热、肝脾淋巴结肿大、黄疸起病,通常伴有弥散性血管内凝血、噬血细胞综合征及多脏器功能衰竭,绝
大多数患者伴有EB病毒(EBV)感染,治疗上对多种化疗方案反应不佳,早期死亡率极高,中位生存时间一般都小
于2个月[1],且临床上ANKL极少见。故我们报道1例侵袭性NK细胞白血病合并噬血细胞综合征患者,旨在提高对
该病的认识,早期诊断,早期治疗。

关键词


侵袭性NK细胞白血病;噬血细胞综合征;诊断

全文:

PDF


参考


[1]Suzuki R.Treatment of advanced extranodal NK /T[J]. Int J Hematol,2010,92(5):697-701.

[2]Swerdlow SH,Campo E,Pileri SA,et al. The 2016

revision of the World Health Organiation classification of

lymphoid neoplasms [J]. Blood,2016,127(20):2375-2390.

[3]Tang Y-T , Wang D, Luo H,et al. Aggressive NKcell leukemia: clinical subtypes, molecular features, and

treatment outcomes.Blood Cancer Journal.2017 (7):660-664.

[4]Cho EY. The spectrum of Epstein-Barr virusassociated lymphoproliferative disease in Korea: incidence

of disease entities by age groups. Journal of Korean medical

science. 2008;23(2):185-192.

[5]Ko YH ,Park S ,Kim K ,et al .Aggressive natural killer

cell leu kemia :is Epstein-Barr virus negativity an indicator of

a favorable prognosis? [J]. Acta Haematol ,2009 , 120(4) :199-

206 .

[6]Ryder J,Wang X,Bao L,et al.Aggressive natural killer

cell leukemia:report of a Chinese series and review of the

literature [J].Int J Hematol,2007,85(1):18-25.

[7]沈 悌, 赵 永 强.血 液 病 诊 断 及 疗 效 标 准[M].4

版.北京:科学出版社,2018:106-107.

[8]Li, C R,Tian Y,Wang J et al. Abnormal

immunophenotype provides a key diagnostic marker: a report

of 29 cases of denovo aggressive natural killer cell leukemia.

Translational research .the journal of laboratory and clinical

medicine. 2014;163(6):565-577.

[9]Li Y, Wei J, Mao X, et al.Flow cytometric

immunophenotyping is sensitive for the early diagnosis of

de novo aggressive natural killer cell leukemia ( ANKL) : a

multicenter retrospective analysis [J].PLoS One, 2016,11(8) :

e0158827

[10]Lima M. Aggressive mature natural killer cell

neoplasms: from epidemiology to diagnosis. Orphanet Journal

of Rare Diseases. 2013; 8: 95-104.

[11]Gao LM, Zhao S, Liu WP, et al. Clinicopathologic

characterization of aggressive natural killer cell leukenmia

involving different tissue sites [J].Am J Surg Pathol, 2016,40 (

6 ) :836-846.

[12]Jung KS, Cho SH,Kim SJ, et al. L-asparaginasebased regimens followed by allogeneic hematopoietic stem cell

transplantation improve outcomes in aggressive natural killer

cell leukemia. Journal of hematology & oncology. 2016;9:41.

[13]Hamadani, M. et al. Allogeneic hematopoietic cell

transplantation for aggressive NK cell leukemia. A Center for

International Blood and Marrow Transplant Research Analysis[J].

Biol Blood Marrow Transplant. 2017;23(5):853-856.

[14]Ishida F, Ko YH, Kim WS, et al. Aggressive natural

killer cell leukemia: therapeutic potential of L-asparaginase

and allogeneic hematopoietic stem cell transplantation. Cancer

science. 2012;103(6):1079-1083.

[15]Fujimoto A,Ishida F,Izutsu K,et a1.Allogeneic

stem cell transplantation for patients with aggressive NK-cell

leukemia[J]. Bone Marrow Transplant,2021,56(2):347—

356.

[16]El Hussein S, Medeiros LJ, Khoury JD. Aggressive

NK Cell Leukemia: current State of the Art. Cancers (Basel).

2020;12(10):2900.

cell lymphpma,nasal-type and aggressive NK-cell leukemia


Refbacks

  • 当前没有refback。