Ryan Meaghan M
Washington University School of Medicine, Saint Louis, Missouri.
J Adv Pract Oncol. 2018 Mar;9(2):178-187. Epub 2018 Mar 1.
Acute promyelocytic leukemia is a distinct subtype of acute myeloid leukemia. The disease is characterized by a chromosomal abnormality involving translocation between chromosomes 15 and 17. Current therapy has advanced to include agents such as all- retinoic acid and arsenic trioxide, which have improved remission and survival rates. Induction, consolidation, and maintenance regimens have now been studied and are outlined. As patients affected can develop severe bleeding complications, rapid diagnosis and initiation of appropriate treatment are vital. During treatment, unique complications such as disseminated intravascular coagulation and differentiation syndrome can occur. Prompt recognition of complications is imperative.
急性早幼粒细胞白血病是急性髓系白血病的一种独特亚型。该疾病的特征是涉及15号和17号染色体易位的染色体异常。目前的治疗方法已发展到包括使用全反式维甲酸和三氧化二砷等药物,这些药物提高了缓解率和生存率。现在已经对诱导、巩固和维持治疗方案进行了研究并进行了概述。由于受影响的患者可能会出现严重的出血并发症,快速诊断并开始适当治疗至关重要。在治疗期间可能会出现诸如弥散性血管内凝血和分化综合征等独特并发症。必须及时识别并发症。