1987 Volume 28 Issue 4 Pages 629-633
A 28-year-old male was admitted because of cough and discomfort of chest in December, 1984. He was diagnosed as ALL (pre-Tcell type) from findings of bone marrow aspirate and peripheral blood. On admission pleural effusion was found on chest x-ray film. Immature cells with same morphological features to those in marrow smear were found in the pleural exsudate aspirated. Pleural effusion became reduced by AVP therapy, although 60% of bone marrow cells were still leukemic blasts. On January 29, 1985 pleural effusion increased again with pericardial effusion which had similar characteristics to the pleural effussion. These effusion rapidly disappeared and complete remission was achieved by DLVP therapy. After 20,00 rad of cranial irradiation with intrathecal MTX and 2 courses of consolidation chemotherapy by DVLP regimen, he was discharged from the hospital. As of March 28, he is still in remission under maintenance chemotherapy (6MP/Ara C).
