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It also is related to bone marrow structural damage resulting from tumor invasion,large proliferation of granulation or fibrous tissue,which often affect hemopoiesis.Leukemoid reaction occurred in the majority of malignancies is myeloid leukemia response,among which some are.neutropenia,and even agranulocytosis and increasion or decreasion of platelets.These are all have close relationship with marrow invasion of malignant tumor,immune reaction of the body and chemotherapy as well as radiotherapy.
亦与骨髓被恶性肿瘤细胞浸润、肉芽和纤维组织大量增生,使骨髓结构破坏,影响红系造血有关;绝大多数恶性肿瘤并发的类白血病反应是粒细胞性的,部分患者白细胞减少,甚至粒细胞缺乏,以及血小板增高或减少,均与恶性肿瘤细胞骨髓浸润、机体的免疫反应、放化疗有关。
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To observe pharmacological effects of Zangqingguo Houpian on antibacterial effect in vitro,2,4-dinitrophenol induced fever in rats,the croton oil induced swelling in mouse's ear and carrageen induced WBC movement in rat chest,rat granuloma induced by tampon,acetic-acid-induced twisting test in mouse and prednisolone acetate caused immunosuppressive mice.
采用体外抗菌、对2,4-二硝基苯酚所致大鼠发热、巴豆油所致小鼠耳肿胀及角叉菜胶致大鼠胸腔白细胞游走、棉球致大鼠肉芽组织增生、冰醋酸致小鼠疼痛、醋酸泼尼松龙致免疫低下等模型,观察藏青果喉片的药效学作用。
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Objetive:To investigate the histopathological features and detect the mutation of JAK2V617F in PV、ET and IMF;to analyze the effects of the stages of myelofibrosis and the mutation on the number of leucocyte in PV and ET patients;Methods: the morphological features of 69 patients who dignosed in the first time were studied by HGF and Gomori stains ; the mutation of JAK2V617F was detected in 38 blood or marrow samples of PV、ET and IMF patients by real-time PCR;the effects of the stages of myelofibrosis and the mutation on leucocytes were analyzed;Results: Different stages of reticulin were observed in 15 PV and 15 ET patiens'marrow sections,and the cytosis、the pleomorphism and the bone trabecula side location of megakaryocytes were observed in all PV、ET and IMF patients;the means of leucocyte in patients with and without JAK2V617F were 20.4×109/Land 11.4×109/L respectively;the P value was 0.367 as comparing the leucocytes among different stages of reticulin increasing.
目的:探讨PV、ET、IMF患者的骨髓病理特点并且检测JAK2V617F突变的发生率,分析骨髓中纤维增生程度以及JAK2V617F对PV、ET患者白细胞数的影响;方法:69例初诊患者的骨髓切片经HGF染色以及Gomori染色后进行形态学研究;并利用real-time PCR法测38例患者的骨髓或者外周血的JAK2V617F突变;分析骨髓切片中纤维组织增生程度以及JAK2突变对患者白细胞数的影响;结果:15例PV和15例ET患者的骨髓切片中可以观察到不同程度的纤维组织增生,所有PV、ET、IMF患者骨髓病理中可见到巨核细胞增多、巨核细胞多形性改变以及巨核细胞定位于骨小梁旁;12例PV、4例ET、4例IMF中检测到JAK2V617F;有突变和无突变患者发病时白细胞数均值分别为20.4×109/L和11.4×109/L,比较不同纤维增生程度的PV、ET患者的白细胞数均值,P值为0.367。
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Patients developed head cervical lymph node swelling. The lymph node biopsy revealed a background of reactive lymphadenopathy and necrosis in some cases and apoptosis, nuclear debris in all cases, loss of lymph node structure, proliferation of lymphocytes and various types histiocytes with phagocytosis, no infiltration of neutrophils. Three histological types: proliferative, necrotizing and xanthomatous were classified.
形态特征为在活跃的反应性增生淋巴结病变的背景下,出现不同程度的凝固性坏死,淋巴细胞凋亡及核碎片几乎见于所有病例,伴有多种形态的组织细胞增生,吞噬现象明显,无中性杜白细胞浸润,组织学上可分为3型:增生型,坏死型及黄色瘤样型。
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leucemia:白血病
白血病(leucemia)是一种原因不明的造血组织常见的恶性疾病,其特征是某一类型白细胞在骨髓或其他造血组织中呈肿瘤性增生,浸润体内各器官、组织,可产生相应的症状和体征外周血中可出现幼稚细胞,而红细胞及血小板常明显减少.
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leukosis:白血病 造白细胞组织增生
leukosarcomatosis 白血病性肉瘤病 | leukosis 白血病 造白细胞组织增生 | leukotactic 白细胞趋向性的
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sarcolemmous:肉膜的
sarcolemmic /肉膜的/ | sarcolemmous /肉膜的/ | sarcoleucosis /肉瘤性白细胞组织增生/