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Journal of Kunming Medical University ; (12): 9-13, 2001.
Artigo em Chinês | WPRIM | ID: wpr-411701

RESUMO

To explore the relations of Morphology Immnuophe-notype Cytogenetics Molecular biology(MICM) detection on diagnosis andtreat,emt of leukemia. Methods: 68 cases of leukemia patients had beenanalyzed by morphology(FAB). Immunohistochemistry(Flow Cytometry, FCM). chromosome G banding technique and dual-color fluorescence insitu hybridization (D-FISH).Technique:All patients were treated bychemotherapy. T test and X2 test of significance. Results: 7 cases have acute leukema aberration antigen expression. 5 out of 47 cases acutemyeliod leukemia patients accompany lymhocytic interrelated antigenexpression. 2/l5 cases acute lymphoid leukemia accompany myelocyteinterrelated antigen expression. 2 cases acute lmphoid leukemia are T cell and B cell interrelated antigen mingle expression. had been examined46,XY,t(8,2l) translocation of chromosome and bcr/abl fusion genes inthe acute leukemia patients. 16 out of 20 chronic myeloid leukemia patientshad philadelphia chromosome. 7 out of 20 patients had complicate karyotype. 5 out of 20 patients had bcr/abl fusion gene, l out of 4 patient had bcr/abl fusion gene that Ph chro mosome showed negative in CML. 3/4 cases patients had complicate chromosome. The ratio of CR use l time chemotherapy and the total ratio of CR using 2 times chemotherapywith aberration antigen expression in acute leukemia was significantly lessthan those of the acute leukemia patient had single system antigenexpression(P<0.05). The time of CML-BC with complicate c hromosome karyotype was significantly short than those of Ph showed negative in CML(P<0.05). Conclusion: The MICM classification is more acc urate for diagnosis of leukemia and more significant in guiding the leukemiatreamen.

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