最近审阅: 26 十月 2020
最近更新: 10 十一月 2017

小结

定义

病史和体格检查

其他诊断因素

  • 乏力
  • 头晕
  • 心悸
  • 呼吸困难
  • 感染或发热
  • 淋巴结肿大
  • 肝脾肿大
  • 黏膜出血
  • 皮肤或睾丸肿块
  • 皮肤浸润
  • 牙龈肿大
  • 骨痛
  • 腹痛

危险因素

  • 65 岁以上
  • 既往化疗
  • 既往的造血生成障碍
  • 遗传因素
  • 固有核型异常
  • 放射暴露
  • 苯暴露
  • 环境暴露
  • 男性

诊断性检查

首要检查

  • FBC 和分类计数
  • 外周血涂片
  • 凝血检查组合
  • 血清电解质
  • 肾功能
  • 肝功能检查 (LFT)
  • 血清乳酸脱氢酶
更多 首要检查

需考虑的检查

  • 骨髓活检或穿刺
  • 免疫表型和分子研究
  • 腰椎穿刺:
  • HLA 抗原分型
  • 胸部 X 线检查
  • 超声心动图
  • 放射性核素造影
更多 需考虑的检查

治疗流程

撰稿人

Consultant Haematologist

Guy's and St Thomas' NHS Trust

London

UK

利益声明

KR declares that she has no competing interests.

Consultant Haematologist

University Hospital Bristol

Bristol

UK

利益声明

PM declares that she has no competing interests.

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Chief Fellow

Section of Hematology and Oncology

Department of Internal Medicine

Wake Forest University Baptist Medical Center

Winston-Salem

NC

利益声明

RC declares that she has no competing interests.

Clinical Professor of Medicine

University of Texas Health Science Center

San Antonio

Cancer Care Network of South Texas

San Antonio

TX

利益声明

RML declares that he has no competing interests.

Consultant Haematologist

Department of Haematology and Stem Cell Transplantation

Heartlands Hospital

Birmingham

UK

利益声明

SP declares that he has no competing interests.

Professor of Haematology & Stem Cell Transplantation

Department of Molecular and Cellular Medicine

University of Bristol

UK

利益声明

DM declares that he has no competing interests.

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