Diagnosis and management of acute myeloid leukemia in adults: recommendations from an international expert panel, on behalf of the European LeukemiaNet

Blood - Tập 115 - Trang 453-474 - 2010
Hartmut Döhner1, Elihu H. Estey2, Sergio Amadori3, Frederick R. Appelbaum, Thomas Büchner4, Alan K. Burnett5, Hervé Dombret6, Pierre Fenaux7, David Grimwade8, Richard A. Larson9, Francesco Lo-Coco10, Tomoki Naoe11, Dietger Niederwieser12, Gert J. Ossenkoppele13, Miguel A. Sanz14, Jorge Sierra15, Martin S. Tallman16, Bob Löwenberg17, Clara D. Bloomfield18
1Department of Internal Medicine III, University of Ulm, Ulm, Germany
2Seattle Cancer Center Alliance, WA
3Department of Hematology, Tor Vergata University Hospital, Rome, Italy
4Department of Hematology/Oncology, University of Münster, Münster, Germany
5Department of Haematology, University of Wales College of Medicine, Cardiff, United Kingdom
6Institut Universitaire d'Hématologie Hôpital St. Louis, Assistance Publique-Hôpitaux de Paris, Paris, France
7Service d'Hématologie Clinique, Hôpital Avicenne, Bobigny, France
8Department of Medical and Molecular Genetics, Guy's King's and St. Thomas' School of Medicine, London, United Kingdom
9Department of Medicine and Cancer Research Center, University of Chicago, IL
10Department of Biopathology, University Tor Vergata and Santa Lucia Foundation at Centro Europeo per la Ricerca sul Cervello, Rome, Italy
11Department of Hematology, Nagoya University Hospital, Showa-ku, Japan
12Department of Hematology, Oncology and Hemostasis, University of Leipzig, Leipzig, Germany
13Department of Haematology, VU University Medical Center, Amsterdam, The Netherlands
14Hematology and Bone Marrow Transplant Unit, University Hospital La Fe, Valencia, Spain
15Clinical Hematology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
16Division of Hematology-Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL
17Department of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands;
18The Ohio State University Comprehensive Cancer Center, Arthur G. James Cancer Hospital, Columbus

Tóm tắt

Abstract

In 2003, an international working group last reported on recommendations for diagnosis, response assessment, and treatment outcomes in acute myeloid leukemia (AML). Since that time, considerable progress has been made in elucidating the molecular pathogenesis of the disease that has resulted in the identification of new diagnostic and prognostic markers. Furthermore, therapies are now being developed that target disease-associated molecular defects. Recent developments prompted an international expert panel to provide updated evidence- and expert opinion–based recommendations for the diagnosis and management of AML, that contain both minimal requirements for general practice as well as standards for clinical trials. A new standardized reporting system for correlation of cytogenetic and molecular genetic data with clinical data is proposed.


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