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原始浆细胞样树突状细胞瘤-当前认识。

Blastic Plasmacytoid Dendritic Cell Neoplasm-Current Insights.

机构信息

Tisch Cancer Institute, Division of Hematology/Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.

Icahn School of Medicine at Mount Sinai, New York, NY.

出版信息

Clin Lymphoma Myeloma Leuk. 2019 Sep;19(9):545-554. doi: 10.1016/j.clml.2019.06.002. Epub 2019 Jun 13.

Abstract

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare clonal hematologic malignancy of plasmacytoid dendritic cell precursors. The presentation and clinical course of BPDCN is widely heterogeneous and was most recently categorized as a distinct clinical entity by the World Health Organization in 2016. The expanded understanding of the pathobiology of BPDCN has improved diagnostic accuracy and informed novel targeted therapeutic options. The United States Food and Drug Administration-approval of tagraxofusp (SL-401) in December 2018 has focused attention on this leukemia frequently associated with skin involvement. Herein, we aim to: (1) review etiology; (2) summarize diagnostic criteria; and (3) discuss historic treatments and novel therapies for BPDCN.

摘要

原始浆细胞样树突细胞肿瘤 (BPDCN) 是一种罕见的浆细胞样树突细胞前体细胞克隆性血液系统恶性肿瘤。BPDCN 的表现和临床过程广泛存在异质性,最近在 2016 年被世界卫生组织归类为一种独特的临床实体。对 BPDCN 的病理生物学的深入了解提高了诊断的准确性,并为新的靶向治疗方法提供了信息。美国食品和药物管理局于 2018 年 12 月批准了 tagraxofusp(SL-401),这使得人们更加关注这种常伴有皮肤累及的白血病。在此,我们旨在:(1)回顾病因;(2)总结诊断标准;(3)讨论 BPDCN 的历史治疗方法和新疗法。

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