急性淋巴细胞白血病和ANLL同时出现很少见。作者报导1例一开始就表现为原始淋巴细胞,原始单核细胞混合白细胞株的急性白血病。 1980年10月,一个46岁男性患者,出现呼吸极度困难,面色苍白,全身淋巴结肿大,无仲瘤家族史及放射线和毒物接触史。血液学检查:血红蛋白6.4g/dl,血小板68,000/μl,白细胞5,800/μl,分类:原始细胞占12.5％,幼稚单核细胞占7.0％,成熟单核细胞占19.0％。血清溶菌酶23.4gg/ml(正常值<10.2μg),尿溶菌酶0.0(正常值=0)。骨髓中有核细胞显著增多。原始细胞占92.1％形态为淋巴细胞者约占80％,其余形态为单核细胞。原始细胞的70％为末端脫氧核糖核苷转移酶(TdT)阳性。病人用Vindesine和强的松龙诱导化疗后,全身肿 Acute lymphoblastic leukemia and ANLL coincide with rare. The authors report a case of acute leukemia from the outset of the original lymphocyte, the original monocyte mixed white blood cell line. In October 1980, a 46-year-old man presented with extremely difficult breathing, pale face, swollen lymph nodes, no family history of krypton, and a history of exposure to radiation and poisons. Hematology: hemoglobin 6.4g / dl, platelets 68,000 / l, white blood cells 5,800 / l, classification: 12.5% ​​of primordial cells, naive monocytes 7.0%, 19.0% of mature monocytes. Serum lysozyme 23.4gg / ml (normal <10.2μg), urinary lysozyme 0.0 (normal = 0). Nucleated cells in the bone marrow increased significantly. The primitive cells account for about 80% of the 92.1% of the cells in the form of lymphocytes, while the remaining ones are mononuclear cells. 70% of the original cells are terminal deoxyribonucleoside transferase (TdT) positive. Patients with systemic chemotherapy induced by Vindesine and prednisolone, systemic swelling