22 某 35 歲男性病人,其實驗室數據如下: Hb 11.0 g/dL, Platelet 560,000/μL, WBC 47,000/μL, segmented
neutrophil 34%, band 12%, myelocyte 8%, metamyelocyte 10%, promyelocyte 5%, myeloblast 4%,
basophil 7%, lymphocyte 15%, monocyte 3%, eosinophil 2%, Leukocyte alkaline phosphatase (LAP) score
是 10。則此病人最有可能是帶有下列何者基因突變?
(A)BCR-ABL fusion
(B)PML-RARα fusion
(C)CBFβ-MYH11 fusion
(D)AML1-ETO fusion
答案:登入後查看
統計: A(696), B(99), C(34), D(34), E(0) #687367
統計: A(696), B(99), C(34), D(34), E(0) #687367
詳解 (共 3 筆)
#4395069
LAP score參考值40~100
LAP上升:類白血病、真性紅血球增多症(PV)
LAP下降:CML、PNH
(A)BCR-ABL fusion ⇒CML,t(9:22)
(B)PML-RARα fusion ⇒AML-M3,t(15:17)
(C)CBFβ-MYH11 fusion ⇒AML-M4,inv(16)
(D)AML1-ETO fusion ⇒AML-M2,t(8:21)
11
1
#1110333
BCR-ABL fusion t(9:22)費城染色體有關
11
1