PMID- 16928333 OWN - NLM STAT- MEDLINE DCOM- 20071218 LR - 20161018 IS - 1009-2137 (Print) IS - 1009-2137 (Linking) VI - 14 IP - 4 DP - 2006 Aug TI - [Bone marrow necrosis as an initial manifestation of Philadelphia chromosome and myeloid antigens positive B acute lymphoblastic leukemia--a case report]. PG - 832-4 AB - Many diseases cause bone marrow necrosis (BMN), especially lymphocytic leukemia. To explore the complexity of the pathogenesis and pathology of BMN and understand the multiplicity of clinical features, a case of Philadelphia chromosome positive (Ph+) B acute lymphoblastic leukemia (ALL) expressing myeloid antigens was reported. The results indicated that the clinical features of this case were complicated and multiplex, the diagnosis was confirmed by using bone marrow smear and biopsy, immunophenotype analysis, conventional cytogenetics and fluorescence in situ hybridization (FISH), the prognosis of patients improved by active treatment for primary disease. In conclusion, the Ph+ B ALL expressing myeloid antigen with BMN is very rare, its diagnosis should be confirmed by using multiple methods, and the active treatments should be performed. FAU - Lin, Ru-Feng AU - Lin RF AD - Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. FAU - Li, Jian-Yong AU - Li JY FAU - Lu, Hua AU - Lu H FAU - Wu, Yu-Jie AU - Wu YJ FAU - Qiu, Hai-Rong AU - Qiu HR FAU - Xiao, Bing AU - Xiao B FAU - Zhang, Jian-Fu AU - Zhang JF FAU - Yang, Hui AU - Yang H LA - chi PT - Case Reports PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Shi Yan Xue Ye Xue Za Zhi JT - Zhongguo shi yan xue ye xue za zhi JID - 101084424 RN - 0 (Antigens, Neoplasm) SB - IM MH - Adult MH - Antigens, Neoplasm/*blood MH - Bone Marrow/*pathology MH - Bone Marrow Diseases/etiology MH - Burkitt Lymphoma/complications/*genetics/immunology MH - Female MH - Humans MH - Immunophenotyping MH - Necrosis/etiology MH - *Philadelphia Chromosome EDAT- 2006/08/25 09:00 MHDA- 2007/12/19 09:00 CRDT- 2006/08/25 09:00 PHST- 2006/08/25 09:00 [pubmed] PHST- 2007/12/19 09:00 [medline] PHST- 2006/08/25 09:00 [entrez] AID - 1009-2137(2006)04-0832-03 [pii] PST - ppublish SO - Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2006 Aug;14(4):832-4.