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Ọrịa kansa ọbara Lymphoblastic dị oke njọ (T-ALL)-03

Onye Ọrịa: Huang XX

Okike:Nwoke

Afọ: afọ 42

Mba: Ndị Chaịna

Nchọpụta ọrịaỌrịa Leukemia Lymphoblastic Dị Akpịrị (T-ALL)

    Atụmatụ ikpe:

    - Nchọpụta: Ọrịa leukemia lymphoblastic T-cell dị egwu

    - Mmalite na Ihe Mgbaàmà: Eprel 2020, nke nwere isi ọwụwa, ike ọgwụgwụ, na ebe ọbara na-agba n'akpụkpọ ahụ. A chọpụtara ya na ọrịa leukemia lymphoblastic T-cell dị njọ site na nyocha MICM nke ụmị ọkpụkpụ.

    - Ọgwụgwọ Mbụ: Emere mweghachi zuru oke (CR) mgbe usoro ọgwụgwọ VDCLP gasịrị, wee soro usoro ọgwụgwọ chemotherapy siri ike ugboro abụọ.

    - Julaị 19, 2020: E nyere m mgbanwe mkpụrụ ndụ hematopoietic allogeneic site n'aka onye na-enye onyinye nwanyị (HLA 5/10 A onye na-enye onyinye A). Usoro nhazi ahụ gụnyere radieshon ahụ dum (TBI), cyclophosphamide (CY), na etoposide (VP-16). A gbara mkpụrụ ndụ akụkụ dị n'akụkụ na Julaị 24, na-agbake site na ụbọchị +10 na ntinye platelet site na ụbọchị +13. Mgbe nke ahụ gasịrị, a na-eme nyocha mgbe niile n'ụlọ ọgwụ.

    - Febụwarị 25, 2021: Achọpụtara nlọghachi nke ụmị ọkpụkpụ n'oge a na-enyocha ya.

    Ọgwụgwọ: Amalitela ọgwụgwọ thalidomide n'ọnụ.

    - Machị 8: E tinyere ya n'ụlọ ọgwụ anyị.

    - Ọkwa ọkpụkpụ: 61.5% mgbawa.

    - Nkewa Ọbara Mpụta: 15% nke mgbawa.

    - Immunophenotyping: 35.25% mkpụrụ ndụ na-egosipụta CD99, CD5, CD3dim, CD8dim, CD7, cCD3, CD2dim, HLA-ABC, cbcl-2, CD81, CD38, nke na-egosi lymphocytes T ndị na-adịghị ike.

    - Nnyocha Krọmosọm: 46, XX [9].

    - Mkpụrụ ndụ ihe nketa Leukemia Fusion: Mkpụrụ ndụ ihe nketa SIL-TAL1 fusion positive; nha nha: SIL-TA.

    - Mgbanwe nke Tumor Ọbara: Ihe na-adịghị mma.

    - Nyocha Chimerism (mgbe HSCT gasịrị): Mkpụrụ ndụ sitere na ndị nyere onyinye ruru 45.78%.

    - Machị 11: Nchịkọta nke sel sel CD7-CART maka imepụta sel ndị na-anaghị arụ ọrụ nke ọma.

    - Ọgwụgwọ: VILP (VDS 4mg, IDA 10mg, L-asparaginase 10,000 IU qd x ụbọchị 4, Dex 9mg q12h x ụbọchị 9) yana thalidomide iji chịkwaa etuto ahụ.

    - Machị 19: Usoro ọgwụgwọ FC (Flu 50mg x ụbọchị 3, CTX 0.4gx ụbọchị 3).

    - Machị 24 (tupu a gbanye ya): Ọdịdị ọkpụkpụ gosiri hyperplasia ọkwa V, yana 22% mgbawa.

    - Cytometry nke Ọkpụkpụ Mbara: 29.21% mkpụrụ ndụ (nke mkpụrụ ndụ nucleated) na-egosipụta CD3, CD5, CD7, CD99, na-egosipụta cCD3 nke ọma, na-egosi mkpụrụ ndụ T ndị na-etobeghị eto.

    - Mkpụrụ ndụ ihe nketa SIL-TAL1 nke ọnụọgụgụ: 1.913%.

    25dho

    Ọgwụgwọ:
    - Machị 26: Ntinye nke mkpụrụ ndụ CD7-CART onwe ya (5*10^5/kg)
    - Mmetụta ndị metụtara CAR-T: CRS ọkwa 1 (ahụ ọkụ), enweghị nsí na-adịghị mma.
    - Eprel 12 (Ụbọchị 17): Ihe ndị a gosiri na ọkpụkpụ ụmị ọkpụkpụ na-agbanwe agbanwe, enweghị mkpụrụ ndụ na-etobeghị nke ọma nke a chọpụtara site na cytometry flow, yana nha mkpụrụ ndụ SIL-TAL1 (STIL-SCL) na 0

    26i6g

    nkọwa2

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