Myelodysplastic Syndrome Updated

被引:45
作者
Hasserjian, Robert P. [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Pathol, WRN244,55 Fruit St, Boston, MA 02114 USA
关键词
Myelodysplastic syndrome; Ring sideroblasts; Cytogenetics; Myeloid neoplasms; DETECTABLE CLONAL MOSAICISM; CLINICAL-SIGNIFICANCE; MYELOID NEOPLASMS; SCORING SYSTEM; REFRACTORY CYTOPENIA; PROGNOSTIC-FACTORS; APLASTIC-ANEMIA; SYNDROMES MDS; MUTATIONS; CLASSIFICATION;
D O I
10.1159/000489702
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
This review highlights the main changes in the revised 2016 WHO Classification of Myeloid Neoplasms (published in 2017) that impact the diagnosis and management of patients with myelodysplastic syndrome (MDS). The revision was based on data accumulated since the 2008 WHO classification of MDS, much of which relates to new molecular genetic information about these neoplasms. The new information has led to some reorganization of the MDS disease categories, including a broadening of the subset of cases classified as MDS with ring sideroblasts, many of which have mutations in the spliceosome gene SF3B1. Other revisions have refined the definitions of some disease categories to improve disease risk stratification. The revised categories in the new classification ensure that MDS patients receive risk-adapted therapies based on the most recently available data. (C) 2018 S. Karger AG, Basel
引用
收藏
页码:7 / 13
页数:7
相关论文
共 38 条
[1]   The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia [J].
Arber, Daniel A. ;
Orazi, Attilio ;
Hasserjian, Robert ;
Thiele, Jurgen ;
Borowitz, Michael J. ;
Le Beau, Michelle M. ;
Bloomfield, Clara D. ;
Cazzola, Mario ;
Vardiman, James W. .
BLOOD, 2016, 127 (20) :2391-2405
[2]   The bone marrow aspirate of healthy subjects [J].
Bain, BJ .
BRITISH JOURNAL OF HAEMATOLOGY, 1996, 94 (01) :206-209
[3]   Morphological differentiation of severe aplastic anaemia from hypocellular refractory cytopenia of childhood: reproducibility of histopathological diagnostic criteria [J].
Baumann, Irith ;
Fuehrer, Monika ;
Behrendt, Sonja ;
Campr, Vit ;
Csomor, Judit ;
Furlan, Ingrid ;
de Haas, Valerie ;
Kerndrup, Gitte ;
Leguit, Roos J. ;
De Paepe, Pascale ;
Noellke, Peter ;
Niemeyer, Charlotte ;
Schwarz, Stephan .
HISTOPATHOLOGY, 2012, 61 (01) :10-17
[4]  
Brunning RD., 2008, WHO CLASSIFICATION T, P88
[5]   Recurrent somatic TET2 mutations in normal elderly individuals with clonal hematopoiesis [J].
Busque, Lambert ;
Patel, Jay P. ;
Figueroa, Maria E. ;
Vasanthakumar, Aparna ;
Provost, Sylvie ;
Hamilou, Zineb ;
Mollica, Luigina ;
Li, Juan ;
Viale, Agnes ;
Heguy, Adriana ;
Hassimi, Maryam ;
Socci, Nicholas ;
Bhatt, Parva K. ;
Gonen, Mithat ;
Mason, Christopher E. ;
Melnick, Ari ;
Godley, Lucy A. ;
Brennan, Cameron W. ;
Abdel-Wahab, Omar ;
Levine, Ross L. .
NATURE GENETICS, 2012, 44 (11) :1179-1181
[6]   Biologic and clinical significance of somatic mutations of SF3B1 in myeloid and lymphoid neoplasms [J].
Cazzola, Mario ;
Rossi, Marianna ;
Malcovati, Luca .
BLOOD, 2013, 121 (02) :260-269
[7]   High p53 protein expression in therapy-related myeloid neoplasms is associated with adverse karyotype and poor outcome [J].
Cleven, Arjen H. G. ;
Nardi, Valentina ;
Ok, Chi Young ;
Goswami, Maitrayee ;
Dal Cin, Paola ;
Zheng, Zongli ;
Lafrate, A. John ;
Hamid, Myrurgia A. Abdul ;
Wang, Sa A. ;
Hasserjian, Robert P. .
MODERN PATHOLOGY, 2015, 28 (04) :552-563
[8]   Minimal morphological criteria for defining bone marrow dysplasia: a basis for clinical implementation of WHO classification of myelodysplastic syndromes [J].
Della Porta, M. G. ;
Travaglino, E. ;
Boveri, E. ;
Ponzoni, M. ;
Malcovati, L. ;
Papaemmanuil, E. ;
Rigolin, G. M. ;
Pascutto, C. ;
Croci, G. ;
Gianelli, U. ;
Milani, R. ;
Ambaglio, I. ;
Elena, C. ;
Ubezio, M. ;
Da Via, M. C. ;
Bono, E. ;
Pietra, D. ;
Quaglia, F. ;
Bastia, R. ;
Ferretti, V. ;
Cuneo, A. ;
Morra, E. ;
Campbell, P. J. ;
Orazi, A. ;
Invernizzi, R. ;
Cazzola, M. ;
Network, R. E. L. Clinical .
LEUKEMIA, 2015, 29 (01) :66-75
[9]   Survival, prognostic factors and rates of leukemic transformation in 381 untreated patients with MDS and del(5q): A multicenter study [J].
Germing, U. ;
Lauseker, M. ;
Hildebrandt, B. ;
Symeonidis, A. ;
Cermak, J. ;
Fenaux, P. ;
Kelaidi, C. ;
Pfeilstoecker, M. ;
Noesslinger, T. ;
Sekeres, M. ;
Maciejewski, J. ;
Haase, D. ;
Schanz, J. ;
Seymour, J. ;
Kenealy, M. ;
Weide, R. ;
Luebbert, M. ;
Platzbecker, U. ;
Valent, P. ;
Goetze, K. ;
Stauder, R. ;
Blum, S. ;
Kreuzer, K-A ;
Schlenk, R. ;
Ganser, A. ;
Hofmann, W-K ;
Aul, C. ;
Krieger, O. ;
Kuendgen, A. ;
Haas, R. ;
Hasford, J. ;
Giagounidis, A. .
LEUKEMIA, 2012, 26 (06) :1286-1292
[10]  
Germing U, 2006, HAEMATOLOGICA, V91, P1596