Chronic myelomonocytic leukemia: Forefront of the field in 2015

被引:17
作者
Benton, Christopher B. [1 ]
Nazha, Aziz [2 ]
Pemmaraju, Naveen [3 ]
Garcia-Manero, Guillermo [3 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Div Canc Med, Houston, TX 77030 USA
[2] Cleveland Clin, Leukemia Program, Dept Hematol Oncol & Blood Disorders, Taussig Canc Inst, Cleveland, OH 44106 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Leukemia, Houston, TX 77030 USA
关键词
Chronic myelomonocytic leukemia; Myelodysplastic syndrome; Myeloproliferative neoplasms; ACUTE MYELOID-LEUKEMIA; STEM-CELL TRANSPLANTATION; PRIMARY MYELODYSPLASTIC SYNDROMES; CYTOGENETIC RISK STRATIFICATION; FARNESYL TRANSFERASE INHIBITOR; TOPOISOMERASE-I INHIBITOR; WORLD-HEALTH-ORGANIZATION; TYROSINE KINASE JAK2; GROWTH-FACTOR; BONE-MARROW;
D O I
10.1016/j.critrevonc.2015.03.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Chronic myelomonocytic leukemia (CMML) includes components of both myelodysplastic syndrome and myeloproliferative neoplasms and is associated with a characteristic peripheral monocytosis. CMML is caused by the proliferation of an abnormal hematopoietic stem cell clone and may be influenced by microenvironmental changes. The disease is rare and has undergone revisions in its classification. We review the recent classification strategies as well as diagnostic criteria, focusing on CMML's genetic alterations and unique pathophysiology. We also discuss the latest molecular characterization of the disease, including how molecular factors affect current prognostic models. Finally, we focus on available treatment strategies, with a special emphasis on experimental and forthcoming therapies. (C) 2015 Published by Elsevier Ireland Ltd.
引用
收藏
页码:222 / 242
页数:21
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