[Minimally differentiated hypoplastic leukemia].
Sixty-seven years-old female, who was an atomic bomb survivor in Hiroshima, was pointed out as having leukopenia and anemia in 1991. She was referred to Tsukuba University Hospital in June 1992. Her peripheral blood count showed pancytopenia- 2,600/microliters WBC, 10.5 g/dl hemoglobin, and 80,000/microliters platelets- at that time. BM biopsy revealed hypoplastic marrow and increased peroxidase-negative blasts (32.8%). Surface marker analysis of the blasts showed a feature of CD2+ CD33+ CD34+ CD13+ CD3-. Electronmicroscopically, myeloperoxidase was positive. She was diagnosed as having hypoplastic leukemia of which the blasts had a feature of AML-M0 by FAB-group. After 6 months' silent period, her pancytopenia became profound. We successfully reduced the blasts by BAM therapy. However, she died of bacterial pneumonia during the myelosuppressive state. This is a case of minimally differentiated hypoplastic AML.
Mitsuhashi
S
S
Division of Hematology, University of Tsukuba.
Nagasawa
T
T
Kamoshita
M
M
Otani
K
K
Hasegawa
Y
Y
Kojima
H
H
Ninomiya
H
H
Nakazawa
M
M
Abe
T
T
D000368:Aged; D001853:Bone Marrow / Q000473:pathology; D005260:Female; D006801:Humans; D007938:Leukemia / Q000473:pathology*; D009689:Nuclear Warfare; D010198:Pancytopenia / Q000150:complications