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成人 AML 的诊断与治疗:ELN 专家组代表发布的 2022 年国际专家建议

Diagnosis and management of AML in adults: 2022 recommendations from an international expert panel on behalf of the ELN.

机构信息

Department of Internal Medicine III, Ulm University Hospital, Ulm, Germany.

Department of Haematology, Peter MacCallum Cancer Centre, Royal Melbourne Hospital and University of Melbourne, Melbourne, Australia.

出版信息

Blood. 2022 Sep 22;140(12):1345-1377. doi: 10.1182/blood.2022016867.

Abstract

The 2010 and 2017 editions of the European LeukemiaNet (ELN) recommendations for diagnosis and management of acute myeloid leukemia (AML) in adults are widely recognized among physicians and investigators. There have been major advances in our understanding of AML, including new knowledge about the molecular pathogenesis of AML, leading to an update of the disease classification, technological progress in genomic diagnostics and assessment of measurable residual disease, and the successful development of new therapeutic agents, such as FLT3, IDH1, IDH2, and BCL2 inhibitors. These advances have prompted this update that includes a revised ELN genetic risk classification, revised response criteria, and treatment recommendations.

摘要

欧洲白血病网络(ELN)关于成人急性髓系白血病(AML)的诊断和治疗的 2010 年和 2017 年版在医生和研究人员中得到了广泛认可。我们对 AML 的认识取得了重大进展,包括对 AML 分子发病机制的新认识,导致疾病分类的更新、基因组诊断技术的进步和可测量残留疾病的评估,以及新治疗药物的成功开发,如 FLT3、IDH1、IDH2 和 BCL2 抑制剂。这些进展促使进行了此次更新,包括修订后的 ELN 遗传风险分类、修订后的反应标准和治疗建议。

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