Cairoli R, Beghini A, Turrini M, Bertani G, Morra E
Department of Internal Medicine, Hematology Section, Valduce Hospital, Como, Italy; Division of Haematology, Niguarda Hospital, Milan, Italy.
Department of Biology and Genetics for Medical Sciences, University of Milan , Milan, Italy.
Leuk Suppl. 2012 Aug;1(Suppl 2):S12-3. doi: 10.1038/leusup.2012.9. Epub 2012 Aug 9.
Acute myeloid leukemia (AML) is a heterogeneous disease increasing in frequency owing to an aging population. Decisions on intensive induction treatments, intensification and allografting rely on the ability to divide an apparently homogeneous group according to risk. A wide range of clinical, cytogenetic and molecular variables may be used to inform this task; here we examine those variables useful in assessing prognosis for a patient with non-acute promyelocitic AML focusing on core binding factor leukemia. In clinical practice, when counseling an individual patient with AML, a range of well-known clinical variables (age, performance status and tumor burden) and genetic variables (cytogenetic and gene mutation) must be considered to better define the prognostic risk.
急性髓系白血病(AML)是一种因人口老龄化而发病率不断上升的异质性疾病。关于强化诱导治疗、强化治疗和同种异体移植的决策依赖于根据风险将一个看似同质的群体进行划分的能力。广泛的临床、细胞遗传学和分子变量可用于此项工作;在此我们研究那些有助于评估非急性早幼粒细胞白血病患者预后的变量,重点关注核心结合因子白血病。在临床实践中,当为AML个体患者提供咨询时,必须考虑一系列众所周知的临床变量(年龄、体能状态和肿瘤负荷)和遗传变量(细胞遗传学和基因突变),以便更好地界定预后风险。