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骨髓增生异常综合征的管理:2008年更新版

Management of myelodysplastic syndromes: 2008 update.

作者信息

Scott Bart L, Estey Eli

机构信息

University of Washington School of Medicine, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109-1024, USA.

出版信息

Oncology (Williston Park). 2008 Nov 15;22(12):1344-52.

PMID:19086598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2647329/
Abstract

Myelodysplastic syndromes (MDS) are a heterogeneous collection of hematopoietic disorders characterized by low blood counts and a tendency to progress to acute myeloid leukemia. Treatment options have increased over the past 10 years, and many new agents are currently being investigated. In this article, we review the diagnosis of MDS, prognostic systems, and treatment options, including supportive care, erythropoiesis-stimulating agents, antithymocyte globulin, lenalidomide, azacitidine, decitabine, intensive chemotherapy, and hematopoietic cell transplantation.

摘要

骨髓增生异常综合征(MDS)是一组异质性造血系统疾病,其特征为血细胞计数低以及有进展为急性髓系白血病的倾向。在过去10年中,治疗选择有所增加,目前许多新型药物正在研究中。在本文中,我们综述了MDS的诊断、预后系统和治疗选择,包括支持性治疗、促红细胞生成剂、抗胸腺细胞球蛋白、来那度胺、阿扎胞苷、地西他滨、强化化疗和造血细胞移植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/3062bb0da984/nihms-86958-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/7a2af9904d1d/nihms-86958-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/8a96723c4796/nihms-86958-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/74d6a53f4deb/nihms-86958-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/69a5dc3e37d2/nihms-86958-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/3062bb0da984/nihms-86958-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/7a2af9904d1d/nihms-86958-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/8a96723c4796/nihms-86958-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/74d6a53f4deb/nihms-86958-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/69a5dc3e37d2/nihms-86958-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/276f/2647329/3062bb0da984/nihms-86958-f0005.jpg

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Infections in myelodysplastic syndromes.骨髓增生异常综合征中的感染。
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New treatments for myelodysplastic syndromes.骨髓增生异常综合征的新疗法。

本文引用的文献

1
Validation of a flow cytometric scoring system as a prognostic indicator for posttransplantation outcome in patients with myelodysplastic syndrome.流式细胞术评分系统作为骨髓增生异常综合征患者移植后预后指标的验证
Blood. 2008 Oct 1;112(7):2681-6. doi: 10.1182/blood-2008-05-153700. Epub 2008 Jul 7.
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Erythropoietin and granulocyte-colony stimulating factor treatment associated with improved survival in myelodysplastic syndrome.促红细胞生成素和粒细胞集落刺激因子治疗与骨髓增生异常综合征患者生存率提高相关。
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Outpatient management following intensive induction chemotherapy for myelodysplastic syndromes and acute myeloid leukemia: a pilot study.骨髓增生异常综合征和急性髓系白血病强化诱导化疗后的门诊管理:一项试点研究。
Haematologica. 2011 Jun;96(6):914-7. doi: 10.3324/haematol.2011.040220. Epub 2011 Mar 10.
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Myocardial remodeling: cellular and extracellular events and targets.心肌重构:细胞和细胞外事件及靶点。
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利用北美癌症登记协会(NAACCR)和监测、流行病学与最终结果(SEER)项目的数据,对2001 - 2004年美国骨髓增生异常综合征和慢性骨髓增殖性疾病的流行病学进行研究。
Blood. 2008 Jul 1;112(1):45-52. doi: 10.1182/blood-2008-01-134858. Epub 2008 Apr 28.
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Factors affecting response and survival in patients with myelodysplasia treated with immunosuppressive therapy.影响接受免疫抑制治疗的骨髓增生异常综合征患者反应和生存的因素。
J Clin Oncol. 2008 May 20;26(15):2505-11. doi: 10.1200/JCO.2007.11.9214. Epub 2008 Apr 14.
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Darbepoetin alpha for the treatment of anemia in patients with active cancer not receiving chemotherapy or radiotherapy: results of a phase III, multicenter, randomized, double-blind, placebo-controlled study.达贝泊汀α用于治疗未接受化疗或放疗的活动性癌症患者的贫血:一项III期、多中心、随机、双盲、安慰剂对照研究的结果
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Improving clinical outcome in patients with myelodysplastic syndrome and iron overload using iron chelation therapy.使用铁螯合疗法改善骨髓增生异常综合征和铁过载患者的临床结局。
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Comorbidity and disease status based risk stratification of outcomes among patients with acute myeloid leukemia or myelodysplasia receiving allogeneic hematopoietic cell transplantation.接受异基因造血细胞移植的急性髓系白血病或骨髓增生异常综合征患者基于合并症和疾病状态的结局风险分层
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