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急性髓系白血病的流行病学与临床负担

Epidemiology and clinical burden of acute myeloid leukemia.

作者信息

Redaelli Alberto, Lee Jennifer M, Stephens Jennifer M, Pashos Chris L

机构信息

Global Outcomes Research Oncology, Pharmacia Corporation, Milan, Italy.

出版信息

Expert Rev Anticancer Ther. 2003 Oct;3(5):695-710. doi: 10.1586/14737140.3.5.695.

Abstract

Acute myeloid leukemia is the most common type of leukemia in adults, yet it continues to have the lowest survival rate of all leukemias. Prognosis for the elderly in particular continues to be dismal. This review examines the currently available literature on the epidemiology, etiology, diagnosis and management of acute myeloid leukemia. New therapies and therapeutic strategies must be found to improve survival, especially as the worldwide population ages. Gemtuzumab ozogamicin (Mylotarg) for the treatment of patients with CD33-positive acute myeloid leukemia, selective FLT3 inhibitors currently in advanced development (e.g., SU11248, PKC412, CT53518 and CEP-710) and other targeted compounds (e.g., farnesyl transferase inhibitors, BCL-2 inhibitors and interleukin-2) may present initial opportunities to achieve improved outcomes.

摘要

急性髓系白血病是成人中最常见的白血病类型,但在所有白血病中其生存率仍然最低。特别是老年人的预后依然很差。本文综述了目前关于急性髓系白血病的流行病学、病因、诊断和治疗的文献。必须找到新的治疗方法和治疗策略来提高生存率,尤其是在全球人口老龄化的情况下。吉妥单抗(麦罗塔)用于治疗CD33阳性急性髓系白血病患者,目前处于后期研发阶段的选择性FLT3抑制剂(如SU11248、PKC412、CT53518和CEP - 710)以及其他靶向化合物(如法尼基转移酶抑制剂、BCL - 2抑制剂和白细胞介素 - 2)可能为实现更好的治疗效果带来初步机会。

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