治疗相关髓系白血病的研究进展

Yimeng Niu, Yan Li
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摘要

治疗相关性髓性白血病(TRML)是原发疾病后的继发性髓性白血病。它是髓系白血病的一种亚型,发病率高,病死率高。TRML患者预后差,中位生存时间短,传统治疗效果不佳。随着对该病研究的不断深入,各种新的治疗方法如靶向治疗、免疫治疗、同种异体造血干细胞移植等疗法不断涌现,为TRML的治疗提供了新的参考和研究方向。本文综述了TRML发病机制、个体化诊断、治疗及预后评价方面的研究进展,供临床参考。关键词:白血病,髓系;肿瘤,第二原发;精密医学;分子靶向治疗;造血干细胞移植;免疫疗法
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Advances in therapy-related myeloid leukemia
Therapy-related myeloid leukemia (TRML) is a secondary myeloid leukemia after the primary disease. It is a subtype of myeloid leukemia with high morbidity and case fatality rate. The prognosis of patients with TRML is poor, the median survival time is short, and the traditional treatment is not effective. With the deepening of the research on this disease, various new therapies, such as targeted therapy, immunotherapy, allogeneic hematopoietic stem cell transplantation (allo-HSCT) and other therapies have emerged constantly, which provide a new reference and research direction for the treatment of TRML. Progress on the pathogenesis, individualized diagnosis, treatment and prognosis evaluation of TRML were reviewed for clinical reference. Key words: Leukemia, myeloid; Neoplasms, second primary; Precision medicine; Molecular targeted therapy; Hematopoietic stem cell transplantation; Immunotherapy
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期刊介绍: The International Journal of Transfusion and Hematology was founded in September 1978. It is a comprehensive academic journal in the field of transfusion and hematology, supervised by the National Health Commission and co-sponsored by the Chinese Medical Association, West China Second Hospital of Sichuan University, and the Institute of Transfusion Medicine of the Chinese Academy of Medical Sciences. The journal is a comprehensive academic journal that combines the basic and clinical aspects of transfusion and hematology and is publicly distributed at home and abroad. The International Journal of Transfusion and Hematology mainly reports on the basic and clinical scientific research results and progress in the field of transfusion and hematology, new experiences, new methods, and new technologies in clinical diagnosis and treatment, introduces domestic and foreign research trends, conducts academic exchanges, and promotes the development of basic and clinical research in the field of transfusion and hematology.
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