Röllig Christoph
Medizinische Klinik und Poliklinik I, Universitätsklinikum TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Internist (Berl). 2019 Mar;60(3):257-272. doi: 10.1007/s00108-019-0562-2.
In April 2018, an updated version of the previously published guidelines on acute myeloid leukemia (AML) from 2010 and 2017 was released. A revision was necessary because of two positive aspects: First, new data and insights on risk stratification and monitoring, and second, the clinical development and approval of new agents. The modified genetic risk classification allows a more precise distinction of different diagnostic groups and consequently a better matched post-remission treatment. The availability of new targeted drugs such as inhibitors turns genetic analyses from a mere prognostic tool into an instrument for treatment decisions. Several recently approved agents expand the treatment options for AML and raise hope for an improved prognosis and cure in the future.
2018年4月,发布了先前于2010年和2017年发布的急性髓系白血病(AML)指南的更新版本。进行修订有两个积极原因:第一,关于风险分层和监测有了新数据和见解;第二,新药物的临床研发和获批。修改后的基因风险分类能够更精确地区分不同诊断组,从而使缓解后治疗更匹配。新型靶向药物(如抑制剂)的出现,将基因分析从单纯用于预后的工具转变为治疗决策的工具。最近获批的几种药物扩大了AML的治疗选择,并为未来改善预后和实现治愈带来了希望。