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慢性粒单核细胞白血病:血液病理学视角

Chronic Myelomonocytic Leukemia: Hematopathology Perspective.

作者信息

El Hussein Siba, Wang Sa A, Pemmaraju Naveen, Khoury Joseph D, Loghavi Sanam

机构信息

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

J Immunother Precis Oncol. 2021 Jun 18;4(3):142-149. doi: 10.36401/JIPO-21-1. eCollection 2021 Aug.

DOI:10.36401/JIPO-21-1
PMID:35663104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9138437/
Abstract

Our understanding of chronic myelomonocytic leukemia (CMML) has evolved tremendously over the past decade. Large-scale sequencing studies have led to increased insight into the genomic landscape of CMML and clinical implications of these changes. This in turn has resulted in refined and improved risk stratification models, which to date remain versatile and subject to remodeling, as new and evolving studies continue to refine our understanding of this disease. In this article, we present an up-to-date review of CMML from a hematopathology perspective, while providing a clinically practical summary that sheds light on the constant evolution of our understanding of this disease.

摘要

在过去十年中,我们对慢性粒单核细胞白血病(CMML)的认识有了巨大的发展。大规模测序研究使我们对CMML的基因组格局及其变化的临床意义有了更深入的了解。这反过来又带来了更精细和完善的风险分层模型,迄今为止,这些模型仍然通用且有待完善,因为新的不断发展的研究持续深化我们对这种疾病的认识。在本文中,我们从血液病理学角度对CMML进行了最新综述,同时提供了一份临床实用总结,以阐明我们对这种疾病认识的不断演变。

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本文引用的文献

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Myelodysplastic syndrome/myeloproliferative neoplasm overlap syndromes: a focused review.骨髓增生异常综合征/骨髓增殖性肿瘤重叠综合征:重点综述。
Hematology Am Soc Hematol Educ Program. 2020 Dec 4;2020(1):460-464. doi: 10.1182/hematology.2020000163.
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SF3B1-mutant CMML defines a predominantly dysplastic CMML subtype with a superior acute leukemia-free survival.SF3B1突变型慢性粒单核细胞白血病定义了一种以发育异常为主的慢性粒单核细胞白血病亚型,其无急性白血病生存期更长。
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A Cryptic BCR-PDGFRB Fusion Resulting in a Chronic Myeloid Neoplasm With Monocytosis and Eosinophilia: A Novel Finding With Treatment Implications.一种导致慢性髓性肿瘤伴单核细胞增多和嗜酸性粒细胞增多的隐匿性 BCR-PDGFRB 融合:具有治疗意义的新发现。
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4
Immunophenotypic characterization of reactive and neoplastic plasmacytoid dendritic cells permits establishment of a 10-color flow cytometric panel for initial workup and residual disease evaluation of blastic plasmacytoid dendritic cell neoplasm.反应性和肿瘤性浆细胞样树突状细胞的免疫表型特征有助于建立 10 色流式细胞术面板,用于初始检查和浆母细胞样树突状细胞瘤残留疾病的评估。
Haematologica. 2021 Apr 1;106(4):1047-1055. doi: 10.3324/haematol.2020.247569.
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