임파종과 백혈병 (증예 보고 및 문헌고찰)
Leukemia and Lymphoma
조한익, 김상인, 장우현, 임소덕,
소속 상세정보
조한익 ( )
서울대학교 의과대학 병리학교실
김상인 ( )
서울대학교 의과대학 병리학교실
장우현 ( )
서울대학교 의과대학 병리학교실
임소덕 ( )
서울대학교 의과대학 병리학교실
KMID : 0357919690030010013
Abstract
Two cases of leukemia and/or lymphoma were presented with a discussion on
interrelationship between leukemia and lymphoma.
The first case (32 year old male) had generalized lymphadenopathy and leukemic
blood picture with 316,500WBC/cmm and over 80% immature lymphoid cells. It was
diagnosed as acute lymphoid leukemia though the morphology of lymphoid cells are
similar to that of leukosarcoma cells. Histopathological diagnosis of the cervical
lymphnode biopsy was done independently as a lymphoma of lymphocytic type. Final
diagnosis was acute lymphoid leukemia.
The second case (39 years old female) also had generalized lymphadenopathy however
blood picture was not leukemic with 2,150 WBC/cmm and 5% of immature monocytic
cells. Histopathological diagnosis of the cervical lymphnode biopsy was a lymphnode of
reticulum cell sarcoma type. Bone marrow examination and autopsy was done and the
final diagnosis was monocytic leukemia of Schilling type with massive histiocytic
infiltration of bone marrow, lymphnodes, spleen and liver.
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