PMID- 2496548 OWN - NLM STAT- MEDLINE DCOM- 19890530 LR - 20180216 IS - 0001-5792 (Print) IS - 0001-5792 (Linking) VI - 81 IP - 2 DP - 1989 TI - Refractory anemia terminating in acute megakaryoblastic leukemia (M7). PG - 104-8 AB - A 72-year-old man with refractory anemia (RA) developed overt megakaryoblastic leukemia after the course of RA with excess of blasts. The blasts were positive for platelet peroxidase activity and had platelet glycoproteins (GPs) such as GPIIb/IIIa and GPIIIa. The bone marrow biopsy at terminal stage disclosed marked fibrosis. The nature of the megakaryoblasts was investigated. The blasts did not differentiate morphologically into mature megakaryocytes with TPA addition. In vitro colony assay showed the failure of colony-forming unit, megakaryocyte growth in peripheral blood. The pathogenesis of myelofibrosis in our patient is discussed. FAU - Adachi, M AU - Adachi M AD - Department of Laboratory Medicine, Kobe University School of Medicine, Japan. FAU - Ryo, R AU - Ryo R FAU - Yoshida, A AU - Yoshida A FAU - Yamaguchi, N AU - Yamaguchi N FAU - Izumi, Y AU - Izumi Y LA - eng PT - Case Reports PT - Journal Article PL - Switzerland TA - Acta Haematol JT - Acta haematologica JID - 0141053 RN - 0 (Antigens, Surface) RN - EC 1.11.1.- (Peroxidases) SB - IM MH - Aged MH - Anemia, Refractory/blood/*pathology MH - Antigens, Surface/analysis MH - Blast Crisis/ultrastructure MH - Blood Platelets/enzymology MH - Bone Marrow/pathology MH - Cell Transformation, Neoplastic/*pathology MH - Humans MH - Leukemia, Megakaryoblastic, Acute/blood/*pathology MH - Male MH - Peroxidases/blood MH - Tumor Cells, Cultured/ultrastructure MH - Tumor Stem Cell Assay EDAT- 1989/01/01 00:00 MHDA- 1989/01/01 00:01 CRDT- 1989/01/01 00:00 PHST- 1989/01/01 00:00 [pubmed] PHST- 1989/01/01 00:01 [medline] PHST- 1989/01/01 00:00 [entrez] AID - 10.1159/000205536 [doi] PST - ppublish SO - Acta Haematol. 1989;81(2):104-8. doi: 10.1159/000205536.