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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1996-1-31
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pubmed:abstractText |
A 45-year-old man was admitted with high fever and leukocytosis in August 1993. The diagnosis of acute myelogenous leukemia (AML; M2) was made on the basis of morphological, cytochemical and immunological characteristics of the blasts in the bone marrow. The induction therapy with BHAC, daunorubicin, 6-MP was unsuccessful in achieving remission; the bone marrow biopsy specimen revealed the proliferation of the remaining leukemic cells and massive fibrosis accompanied with unusual megakaryocyte-like giant bizarre cells. These megakaryocyte-like giant cells were positive for myeloperoxidase and CD34, but not GPIIIa and factor VIII, indicating that those were derived from myelogenous stem cells. Following the low-dose Ara-C therapy, improvement of fibrosis and disappearance of these giant cells were observed in the bone marrow. After the reinduction therapy with high-dose Ara-C and MIT against markedly increased blasts, the patient died of systemic fungal infection. The presence of myelofibrosis and giant atypical blasts might allow resistance to therapy and poor prognosis.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0047-1860
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
43
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
N
|
pubmed:pagination |
1078-82
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:8531394-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8531394-Blast Crisis,
pubmed-meshheading:8531394-Bone Marrow Cells,
pubmed-meshheading:8531394-Drug Resistance, Neoplasm,
pubmed-meshheading:8531394-Humans,
pubmed-meshheading:8531394-Leukemia, Myeloid, Acute,
pubmed-meshheading:8531394-Male,
pubmed-meshheading:8531394-Megakaryocytes,
pubmed-meshheading:8531394-Middle Aged,
pubmed-meshheading:8531394-Primary Myelofibrosis
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pubmed:year |
1995
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pubmed:articleTitle |
[A case of acute myelogenous leukemia accompanied with myelofibrosis and megakaryocyte-like giant bizarre blasts].
|
pubmed:affiliation |
2nd Department of Internal Medicine, Shiga University of Medical Science, Otsu.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|