临床肿瘤学杂志

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多发性骨髓瘤与乙型肝炎病毒感染的临床观察

倪芳1,刘雁雁1,吴志奇1,蒋理1,刘连科2   

  1. 1 210029 南京 南京医科大学第一附属医院检验学部 2 210029 南京医科大学第一附属医院肿瘤科
  • 收稿日期:2013-03-25 修回日期:2013-05-10 出版日期:2013-09-30 发布日期:2013-09-30
  • 通讯作者: 刘连科

Multiple myeloma associated with hepatitis B virus infection: a clinical observation

NI Fang, LIU Yanyan, WU Zhiqi, JIANG Li, LIU Lianke   

  1. Department of Laboratory Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2013-03-25 Revised:2013-05-10 Online:2013-09-30 Published:2013-09-30
  • Contact: LIU Lianke

摘要: 目的 探讨多发性骨髓瘤(MM)患者乙型肝炎病毒(HBV)的感染状况及乙肝表面抗原(HBsAg)阳性MM患者的临床特点。方法 应用ELISA法测定196例MM患者以及48 697例健康体检者(对照组)的HBV标记物,PCR法测定HBV-DNA拷贝数。结果 196例MM 患者中HBsAg阳性者有5例(2.6%),与对照组的3.4%比较差异无统计学意义(P>0.05)。5例HBsAg阳性MM患者的HBV血清学标记均为HBsAg、HBeAb、HBcAb三者阳性,其中2例HBV-DNA拷贝数>1000,给予拉米夫定治疗。5例患者均给予抗MM治疗,未见HBV激活和肝功能异常。结论 HBV感染可能与MM发病无关,抗MM治疗对HBV的病毒激活及肝功能的影响可能不明显,仍有待于进一步研究。

Abstract: Objective To explore the infection status of hepatitis B virus(HBV) in multiple myeloma(MM) and clinical characteristics of HBV surface antigen(HBsAg)-positive MM patients. Methods The serologic markers of hepatitis B virus(HBV)was detected in 196 patients with MM and 48 697 cases of healthy controls by an enzymelinked immunosorbent assay(ELISA). The serum concentration of HBV-DNA was determined by polymerase chain reaction(PCR). Results Five out of 196 MM patients(2.6%)were HBsAg-positive, showing no difference with health controls(3.4%). The HBV serologic markers in five HBsAgpositive MM patients were all HBsAg-, HBeAb- and HBcAb-positive. Two patients'HBV-DNA copy number>1000, and lamivudine was given. Five patients were given antiMM treatment,and no one showed abnormal liver function and HBV activation. Conclusion There was no correlation between MM and HBV infection. The effect of anti-MM treatment on the HBV activation and liver function might not be apparent,and it needs to be further studied.

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