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急性髓系白血病,第 3 版 2023 年,NCCN 肿瘤学临床实践指南。

Acute Myeloid Leukemia, Version 3.2023, NCCN Clinical Practice Guidelines in Oncology.

机构信息

University of Colorado Cancer Center.

Robert H. Lurie Comprehensive Cancer Center of Northwestern University.

出版信息

J Natl Compr Canc Netw. 2023 May;21(5):503-513. doi: 10.6004/jnccn.2023.0025.

Abstract

Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy characterized by the clonal expansion of myeloid blasts in the peripheral blood, bone marrow, and/or other tissues. It is the most common form of acute leukemia among adults and accounts for the largest number of annual deaths from leukemias in the United States. Like AML, blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a myeloid malignancy. It is a rare malignancy characterized by the aggressive proliferation of precursors of plasmacytoid dendritic cells that frequently involves the bone marrow, skin, central nervous system, and other organs and tissues. This discussion section focuses on the diagnosis and management of BPDCN as outlined in the NCCN Guidelines for AML.

摘要

急性髓系白血病(AML)是一种异质性血液恶性肿瘤,其特征是在外周血、骨髓和/或其他组织中髓性原始细胞的克隆性扩增。它是成人中最常见的急性白血病形式,也是美国每年因白血病导致死亡人数最多的原因。与 AML 一样,原始细胞性浆细胞样树突细胞肿瘤(BPDCN)也是一种髓系恶性肿瘤。它是一种罕见的恶性肿瘤,其特征是浆细胞样树突细胞前体细胞的侵袭性增殖,常累及骨髓、皮肤、中枢神经系统和其他器官和组织。本节讨论内容重点介绍了 NCCN AML 指南中概述的 BPDCN 的诊断和治疗。

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