Mays Cancer Center, UT Health San Antonio MD Anderson, 7979 Wurzbach Road, San Antonio, TX 78229, USA.
Division of Hematology & Medical Oncology, Mayo Clinic, 5777 East Mayo boulevard, Phoenix, AZ, 85054, USA.
Hematol Oncol Clin North Am. 2021 Apr;35(2):375-390. doi: 10.1016/j.hoc.2020.12.006. Epub 2021 Jan 26.
Myeloproliferative neoplasms include essential thrombocythemia, polycythemia vera, and myelofibrosis. They are characterized by abnormal myeloid proliferation. Patients suffer from debilitating constitutional symptoms and splenomegaly. There have been advances in understanding the impact on quality of life in myeloproliferative neoplasms. Owing to the chronicity of these diseases, symptoms are considered in response criteria for clinical trials. This review wills cover how quality of life is measured in patients with myeloproliferative neoplasm. We review the impact of treatment options, including JAK inhibitors, allogeneic stem cell transplantation, and medications in development. We discuss nonpharmacologic methods of improving symptoms and quality of life.
骨髓增殖性肿瘤包括原发性血小板增多症、真性红细胞增多症和骨髓纤维化。它们的特征是骨髓异常增生。患者会出现虚弱的全身症状和脾肿大。人们对骨髓增殖性肿瘤对生活质量的影响有了更多的了解。由于这些疾病具有慢性特征,因此症状被认为是临床试验的应答标准。本综述将涵盖如何测量骨髓增殖性肿瘤患者的生活质量。我们回顾了治疗选择的影响,包括 JAK 抑制剂、同种异体干细胞移植和正在开发的药物。我们讨论了改善症状和生活质量的非药物方法。