Huntsman Cancer Institute at the University of Utah.
UCSF Helen Diller Family Comprehensive Cancer Center.
J Natl Compr Canc Netw. 2020 Oct 1;18(10):1385-1415. doi: 10.6004/jnccn.2020.0047.
Chronic myeloid leukemia (CML) is defined by the presence of Philadelphia chromosome (Ph) which results from a reciprocal translocation between chromosomes 9 and 22 [t(9;22] that gives rise to a BCR-ABL1 fusion gene. CML occurs in 3 different phases (chronic, accelerated, and blast phase) and is usually diagnosed in the chronic phase. Tyrosine kinase inhibitor therapy is a highly effective first-line treatment option for all patients with newly diagnosed chronic phase CML. This manuscript discusses the recommendations outlined in the NCCN Guidelines for the diagnosis and management of patients with chronic phase CML.
慢性髓细胞白血病(CML)的定义为费城染色体(Ph)的存在,其是由 9 号和 22 号染色体之间的相互易位[ t(9;22)]引起的,导致 BCR-ABL1 融合基因的产生。CML 发生在 3 个不同的阶段(慢性期、加速期和急变期),通常在慢性期诊断。酪氨酸激酶抑制剂治疗是所有新诊断为慢性期 CML 的患者的高度有效一线治疗选择。本文讨论了 NCCN 指南中概述的用于诊断和管理慢性期 CML 患者的建议。