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核心结合因子急性髓系白血病的治疗:为获得更好的长期结果而不断改进。

Therapy of core binding factor acute myeloid leukemia: incremental improvements toward better long-term results.

机构信息

Leukemia Department, MD Anderson Cancer Center, Houston, TX 77030, USA.

出版信息

Clin Lymphoma Myeloma Leuk. 2013 Apr;13(2):153-8. doi: 10.1016/j.clml.2012.11.006. Epub 2012 Dec 21.

Abstract

UNLABELLED

Despite being considered as good prognostic acute myelogenous leukemia (AML), the long-term survival rate in core binding factor AML leaves room for substantial improvement. We discuss treatments that have improved outcome in this group of patients with AML and ongoing/future strategies that might contribute toward incremental gains.

BACKGROUND

Despite being considered as good prognostic acute myelogenous leukemia (AML), the long-term survival rate in core binding factor (CBF) AML leaves room for substantial improvement.

MATERIALS AND METHODS

We reviewed relevant English language literature related to treatment of CBF AML available in PubMed. Review also included meeting abstracts.

RESULTS

Multicycle high dose cytarabine in consolidation improves remission duration but larger groups report overall survival in the range of 40% to 50% at 5 years or longer.

CONCLUSIONS

Concerted effort is needed toward improving outcomes in CBF AML through clinical trials and risk-adapted approach.

摘要

未注明

尽管被认为是预后良好的急性髓细胞白血病(AML),但核心结合因子 AML 的长期存活率仍有很大的提高空间。我们讨论了改善这类 AML 患者预后的治疗方法,以及可能有助于逐步提高疗效的现有/未来策略。

背景

尽管被认为是预后良好的急性髓细胞白血病(AML),但核心结合因子(CBF)AML 的长期存活率仍有很大的提高空间。

材料和方法

我们在 PubMed 上查阅了与 CBF AML 治疗相关的、可获得的相关英文文献。综述还包括会议摘要。

结果

巩固治疗中多周期高剂量阿糖胞苷可改善缓解持续时间,但更大的研究组报告称,5 年或更长时间的总生存率在 40%至 50%范围内。

结论

需要通过临床试验和风险适应方法,共同努力改善 CBF AML 的预后。

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