Thrombocytopenia in patients with myelofibrosis: management options in the era of JAK inhibitor therapy

被引:8
作者
Benevolo, Giulia [1 ]
Elli, Elena M. [2 ]
Guglielmelli, Paola [3 ]
Ricco, Alessandra [4 ]
Maffioli, Margherita [5 ]
机构
[1] AOU Citta Salute & Sci, Hematol, Turin, Italy
[2] San Gerardo Hosp, Hematol Div & Bone Marrow Unit, Monza, Italy
[3] Univ Florence, Azienda Osped Univ Careggi, CRIMM Ctr Ric & Innovaz Malattie Mieloproliferat, Dept Expt & Clin Med, Florence, Italy
[4] Univ Bari, Dept Emergency & Organ Transplantat DETO, Hematol Sect, Bari, Italy
[5] Univ Insubria, Dept Med & Surg, Hematol, Varese, Italy
关键词
Myelofibrosis; prognosis; JAK inhibitors; ruxolitinib; thrombocytopenia; PROGNOSTIC SCORING SYSTEM; POST-ESSENTIAL THROMBOCYTHEMIA; INTERNATIONAL WORKING GROUP; LOW-DOSE THALIDOMIDE; MYELOID METAPLASIA; POLYCYTHEMIA-VERA; AVAILABLE THERAPY; OPEN-LABEL; PREDICT SURVIVAL; RUXOLITINIB;
D O I
10.1080/10428194.2020.1728752
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Myelofibrosis (MF), either appearing de novo (primary MF, PMF) or after a previous diagnosis of essential thrombocythemia or of polycythemia vera, is a progressive disease burdened by symptomatic splenomegaly, debilitating systemic symptoms, ineffective hematopoiesis, and overall reduced survival. Patients often present worsening cytopenias, including thrombocytopenia, secondary to progression of the disease as well as to cytoreductive treatment. Patients with MF and thrombocytopenia have few therapeutic options and there is limited information regarding the management of disease in these settings. This article reviews current evidence for the management of patients with MF and thrombocytopenia, in the era of JAK inhibitors.
引用
收藏
页码:1535 / 1547
页数:13
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