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骨髓增生异常综合征:诊断与筛查

Myelodysplastic Syndrome: Diagnosis and Screening.

作者信息

Tria Francisco P, Ang Daphne C, Fan Guang

机构信息

Section of Cellular Immunology and Molecular Pathology, Institute of Pathology, St. Luke's Medical Center-Global City, Taguig 1634, Metro Manila, Philippines.

Department of Hematopathology, Oregon Health & Science University, Portland, OR 97239, USA.

出版信息

Diagnostics (Basel). 2022 Jun 29;12(7):1581. doi: 10.3390/diagnostics12071581.

Abstract

Myelodysplastic syndromes (MDS) are heterogeneous groups of clonal myeloid disorders characterized by unexplained persistent peripheral blood (PB) cytopenia(s) of one or more of the hematopoietic lineages, or bone marrow (BM) morphologic dysplasia in hematopoietic cells, recurrent genetic abnormalities, and an increased risk of progression to acute myeloid leukemia (AML). In the past several years, diagnostic, prognostic, and therapeutic approaches have substantially improved with the development of Next Generation Sequencing (NGS) diagnostic testing and new medications. However, there is no single diagnostic parameter specific for MDS, and correlations with clinical information, and laboratory test findings are needed to reach the diagnosis.

摘要

骨髓增生异常综合征(MDS)是一组异质性的克隆性髓系疾病,其特征为造血谱系中一种或多种出现无法解释的持续性外周血细胞减少,或造血细胞出现骨髓形态发育异常、反复出现的基因异常,以及进展为急性髓系白血病(AML)的风险增加。在过去几年中,随着下一代测序(NGS)诊断检测和新药物的发展,诊断、预后和治疗方法有了显著改善。然而,没有单一的诊断参数对MDS具有特异性,需要结合临床信息和实验室检查结果才能做出诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da9/9319204/820d09fda456/diagnostics-12-01581-g001.jpg

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