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有关老年急性淋巴细胞白血病(ALL)的资料少见。作者回顾了1980～1989年间收治的18例≥60岁ALL患者的临床和生物学特点、诱导缓解及存活状况。 18例中男性8例,女性10例,年龄中位数69.5岁(范围60～81岁)。与中青年ALL相比临床和生物学主要特点是:2例有白血病前期(而中青年ALL无此报道),L3型常见(占25％,而中青年ALL中L3型占7％),未发现有T-ALL(中青年ALL中TALL占19～22.4％)。其它指标:高白细胞计数(>30×10~9/L)(6/18)、中枢神经系统(CNS)受累(2/
Information on elderly acute lymphoblastic leukemia (ALL) is rare. The authors reviewed the clinical and biological characteristics of 18 patients aged 60 years or older who were admitted to the hospital from 1980 to 1989 with induction and remission and survival. Of the 18 patients, 8 were males and 10 were females with a median age of 69.5 years (range 60-81 years). Compared with young and middle-aged ALL, clinical and biological characteristics are as follows: 2 cases had pre-leukemia (but not young-middle-aged ALL), L3 was common (25%, while middle-aged ALL had 7% of L3) T-ALL was found (TALL accounted for 19 ~ 22.4% of young and middle-aged ALL). Other indicators: high white blood cell count (> 30 × 10 ~ 9 / L) (6/18), central nervous system (CNS) involvement (2 /