Chronic myeloid leukaemia and other chronic myeloproliferative neoplasms

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Abstract

The chronic myeloproliferative neoplasms of childhood comprise chronic myeloid leukaemia, essential thrombocythaemia, polycythaemia vera and chronic idiopathic myelofibrosis. Chronic myeloid leukaemia is rare, and the other conditions extremely rare, in children. The characteristics of chronic myeloid leukaemia are broadly similar to those in adults. The introduction of tyrosine kinase inhibitors has revolutionized treatment and haemopoietic stem cell transplantation is now rarely required. This chapter discusses the investigation and management of chronic myeloid leukaemia, and briefly mentions the other even rarer chronic myeloproliferative neoplasms of childhood.
慢性髓性白血病和其他慢性骨髓增生性肿瘤
儿童慢性骨髓增生性肿瘤包括慢性髓性白血病、原发性血小板增多症、真性红细胞增多症和慢性特发性骨髓纤维化。慢性髓性白血病在儿童中很少见,其他情况则极为罕见。慢性髓性白血病的特征与成人大致相似。酪氨酸激酶抑制剂的引入已经彻底改变了治疗方法,现在很少需要造血干细胞移植。本章讨论慢性髓性白血病的调查和治疗,并简要介绍另一种更为罕见的儿童慢性骨髓增生性肿瘤。
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