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急性髓系白血病的风险分层和新兴治疗策略。

Risk stratification and emerging treatment strategies in acute myeloid leukemia.

机构信息

Division of Hematology and Bone Marrow Transplantation at City of Hope Comprehensive Cancer Center, Duarte, California 91010-3000, USA. MO'

出版信息

J Natl Compr Canc Netw. 2013 May;11(5 Suppl):667-9. doi: 10.6004/jnccn.2013.0197.

Abstract

Two major prognostic factors for outcomes with acute myeloid leukemia (AML) therapy center on cytogenetic/molecular markers and patient age. With the paucity of novel agents available for the treatment of AML, clinicians are forced to fine-tune existing treatment strategies based on risk status to achieve the best results. Dr. Margaret R. O'Donnell of the City of Hope Cancer Center explored the prognostic implications of molecular mutations and other risk factors in the treatment of AML and presented an update of the current treatment strategies, sharing relevant clinical trial data on which recommendations are based. She also provided a glimpse of a novel non-chemotherapy approach to acute promyelocytic leukemia, which has had a major impact on treatment guidelines for this hematologic malignancy.

摘要

对于急性髓细胞白血病(AML)的治疗结果,有两个主要的预后因素,分别是细胞遗传学/分子标志物和患者年龄。由于缺乏新型药物用于 AML 的治疗,临床医生被迫根据风险状况微调现有的治疗策略,以获得最佳结果。希望之城癌症中心的玛格丽特·奥唐奈博士探讨了 AML 治疗中分子突变和其他风险因素的预后意义,并介绍了当前治疗策略的最新进展,分享了相关临床试验数据,这些数据是建议的依据。她还介绍了一种新型的非化疗治疗急性早幼粒细胞白血病的方法,这对这种血液恶性肿瘤的治疗指南产生了重大影响。

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