Carré Martin, Cahn Jean-Yves
CHU Grenoble, hôpital Michallon, université Joseph-Fourier, BP 217, 38043 Grenoble cedex 9.
Rev Prat. 2010 Dec 20;60(10):1423-6.
The incidence of acute myeloblastic leukemia increases with age. The unfavorable biology of the disease, comorbidities, and significant side effects of the intensive treatment make treatment decisions difficult. New and less toxic targeted approaches are under investigations in this setting and the main problem remains to determine which strategy for patients over 65 years of age. Some of them will be treated successfully using intensive chemotherapy, while a majority of them will fail. Older patients are heterogeneous and enrolling them in investigational therapy is justified, according to proven methods to stratify them.
急性髓系白血病的发病率随年龄增长而增加。该疾病不良的生物学特性、合并症以及强化治疗的显著副作用使得治疗决策变得困难。在这种情况下,正在研究新的、毒性较小的靶向治疗方法,而主要问题仍然是确定针对65岁以上患者的治疗策略。他们中的一些人通过强化化疗将获得成功治疗,而大多数人将会治疗失败。老年患者情况各异,根据已证实的分层方法,让他们参与试验性治疗是合理的。