内科理论与实践 ›› 2026, Vol. 21 ›› Issue (02): 199-204.doi: 10.16138/j.1673-6087.2026.02.16

• 综述 • 上一篇    

继发性急性髓系白血病发病机制与临床特征研究进展

高铭敏, 吴涛, 刘文慧   

  1. 中国人民解放军联勤保障部队第九四〇医院血液科,甘肃 兰州 730050
  • 收稿日期:2025-05-08 修回日期:2025-07-31 接受日期:2025-08-12 出版日期:2026-04-25 发布日期:2026-06-15
  • 作者简介:作者贡献/Authors’ Contributions高铭敏负责研究实施、论文撰写;吴涛负责研究指导、论文修改、经费支持;刘文慧负责数据采集、论文修改。
  • 基金资助:
    甘肃省科技计划项目(创新基地和人才计划)(21JR7RA015);甘肃省科技计划项目(重点研发计划)(22YF7FA106);甘肃省科技计划项目(25JRRA1184);联勤保障部队第九四〇医院血液病医学研究中心项目(2021yxky078)

Research progress on the pathogenesis and clinical features of secondary acute myeloid leukemia

GAO Mingmin, WU Tao, LIU Wenhui   

  1. Department of Hematology, the 940th Hospital of Joint Logistics Support Force of the People's Liberation Army of China, Lanzhou 730050, China
  • Received:2025-05-08 Revised:2025-07-31 Accepted:2025-08-12 Online:2026-04-25 Published:2026-06-15

摘要:

继发性急性髓系白血病(secondary acute myeloid leukemia,sAML)是指急性髓系白血病(acute myeloid leukemia,AML)发生在原有血液系统疾病基础上,或既往实体瘤患者经化疗或放疗后发生的疾病。相较于原发性AML,该类疾病发病率较低,但发病机制复杂,患者总生存期更短,因此深入研究sAML的发病机制与临床特征具有重要的临床意义。

关键词: 继发性急性髓系白血病, 临床特征, 治疗, 预后

Abstract:

Secondary acute myeloid leukemia (sAML) refers to AML that occurs on the basis of a pre-existing hematological disease, or in patients with previous solid tumors who have undergone chemotherapy or radiotherapy. Compared with primary AML, the incidence of this type of disease is lower, but its pathogenesis is complex, and the overall survival of patients is shorter. Therefore, in-depth research on the pathogenesis and clinical features of sAML has important clinical significance.

Key words: secondary acute myeloid leukemia, clinical features, treatment, prognosis