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以下是我10/29/04做骨髓穿刺的報告，請高手幫忙翻譯，謝謝！
另外，我還有幾個問題請教：
1、醫生給我的診斷結果是：慢性白血病，目前不需要治療，隻要跟蹤觀察，每二個月做一次血檢，如果情況惡化，就會安排化療。我覺得這是消極的等待死亡，不知有沒有其他更積極的治療方法？
2、我在網上查了一些資料，從英文網站上我了解到這是一種沒法治愈的惡性疾病，確診後平均還有3年時間。而從中文網上，我得到的是比較樂觀的信息，治愈率90%。是不是國內在此病的治療上比美國有更先進的辦法？
3、請問飲食上應該注意什麽？
4、骨穿報告
Specimen: 1. Bone marrow biopsy
2. Bone marrow aspirate
3. Bone marrow clot section
4. Peripheral blood
Collected: 10/29/2004
Sex: Female
Age: 41
WBC: 16.51 bil/L
Neut: 2.14 bil/L
Lymphs: 14.11 bil/L
Mono: 0.00 bil/L
Eos: 0.08 bil/L
Baso: 0.16 bil/L
RBC: 4.16 bil/L
Hgb: 11.1 g/dL
MCV: 81.7 fl
Retic: 0.6 %
Plat: 86 bil/L
BONE MARROW ASPIRATION INTERPRETATION:
Erythropoiesis: Normoblastic
Granulopoiesis: Normoblastic
Thrombopoiesis: Normoblastic
Other findings: Approximately 50% of the bone marrow cellular population
is composed of atypical lymphocytes with moderately
condensed nuclear chromatic and prominent central nucleoli
with scant basophillic cytoplasm.
Iron: Markedly decreased with no abnormal ringed forms identified.
BONE MARROW BIOPSY / CLOT INTERPRETATION:
Cellularity: Approximately 60% (normocellular for age)
M:E ratio: Approximately 1.5:1
Trabeculae: Adequate
Erythropoiesis: Normoplastic
Granulopoiesis: Normoplastic
Thrombopoiesis: Adequate megakaryocytes present
Other finding: Abnormal infiltrate of atypical lymphoid cells similar to
those seen in the aspiration specimen are present diffusely
infiltrating the cellular marrow, composing approximately
50% of the population of cells.
Iron: Absent. Iron staining on core biopsy specimen and clot
section.
PAS: Adequate granulocytes and megakaryocytes
Decal: Adequate
PERIPHERAL BLOOD INTERPRETATION:
Neutrophils: Mature
Lymphocytes: Atypical population of lymphocytes with moderately dense
chromatic and prominent nucleoli and scant cytoplasm are
identified and compose greater than 80% of the circulating
lymphocytes identified in the eripheral smear.
Other Leukocytes: Mature
NRBC: Absent
Erythrocytes: Occasional red blood cell fragments identified
Platelets: Decreased; small and scattered
A CD5 positive Kappa-monotypic B cell population is identified. The atypical lymphoid population composing approximately 53% of the cells in the flow cytometry bone marrow aspiration specimen express CD5, CD19, CD20 (moderate), CD23 (heterogeneous), CD45, FMC7, CD79B and Kappa light chain.
DIAGNOSIS: B cell prolymphocytic leukemia
以下是我10/29/04做骨髓穿刺的報告，請高手幫忙翻譯，謝謝！
另外，我還有幾個問題請教：
1、醫生給我的診斷結果是：慢性白血病，目前不需要治療，隻要跟蹤觀察，每二個月做一次血檢，如果情況惡化，就會安排化療。我覺得這是消極的等待死亡，不知有沒有其他更積極的治療方法？
2、我在網上查了一些資料，從英文網站上我了解到這是一種沒法治愈的惡性疾病，確診後平均還有3年時間。而從中文網上，我得到的是比較樂觀的信息，治愈率90%。是不是國內在此病的治療上比美國有更先進的辦法？
3、請問飲食上應該注意什麽？
4、骨穿報告
Specimen: 1. Bone marrow biopsy
2. Bone marrow aspirate
3. Bone marrow clot section
4. Peripheral blood
Collected: 10/29/2004
Sex: Female
Age: 41
WBC: 16.51 bil/L
Neut: 2.14 bil/L
Lymphs: 14.11 bil/L
Mono: 0.00 bil/L
Eos: 0.08 bil/L
Baso: 0.16 bil/L
RBC: 4.16 bil/L
Hgb: 11.1 g/dL
MCV: 81.7 fl
Retic: 0.6 %
Plat: 86 bil/L
BONE MARROW ASPIRATION INTERPRETATION:
Erythropoiesis: Normoblastic
Granulopoiesis: Normoblastic
Thrombopoiesis: Normoblastic
Other findings: Approximately 50% of the bone marrow cellular population
is composed of atypical lymphocytes with moderately
condensed nuclear chromatic and prominent central nucleoli
with scant basophillic cytoplasm.
Iron: Markedly decreased with no abnormal ringed forms identified.
BONE MARROW BIOPSY / CLOT INTERPRETATION:
Cellularity: Approximately 60% (normocellular for age)
M:E ratio: Approximately 1.5:1
Trabeculae: Adequate
Erythropoiesis: Normoplastic
Granulopoiesis: Normoplastic
Thrombopoiesis: Adequate megakaryocytes present
Other finding: Abnormal infiltrate of atypical lymphoid cells similar to
those seen in the aspiration specimen are present diffusely
infiltrating the cellular marrow, composing approximately
50% of the population of cells.
Iron: Absent. Iron staining on core biopsy specimen and clot
section.
PAS: Adequate granulocytes and megakaryocytes
Decal: Adequate
PERIPHERAL BLOOD INTERPRETATION:
Neutrophils: Mature
Lymphocytes: Atypical population of lymphocytes with moderately dense
chromatic and prominent nucleoli and scant cytoplasm are
identified and compose greater than 80% of the circulating
lymphocytes identified in the eripheral smear.
Other Leukocytes: Mature
NRBC: Absent
Erythrocytes: Occasional red blood cell fragments identified
Platelets: Decreased; small and scattered
A CD5 positive Kappa-monotypic B cell population is identified. The atypical lymphoid population composing approximately 53% of the cells in the flow cytometry bone marrow aspiration specimen express CD5, CD19, CD20 (moderate), CD23 (heterogeneous), CD45, FMC7, CD79B and Kappa light chain.
DIAGNOSIS: B cell prolymphocytic leukemia
