Rare Genetic and Uncommon Morphological Entities in Adults with Acute Myeloid Leukemia.

IF 5 2区 医学 Q1 ONCOLOGY
Current Oncology Reports Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI:10.1007/s11912-025-01678-y
Xavier Thomas
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引用次数: 0

Abstract

Purpose of review: Despite differences in the various classification systems of acute myeloid leukemia (AML), rare entities can be identified according to clinical, biological or morphological characteristics. Uncommon AML defined on specific morphological criteria and/or genetic abnormalities were considered if occurring with a frequency of ≤ 5% in adult patients with AML.

Recent findings: Most of uncommon AML are characterized by a poor outcome with the standard treatment approaches. During the last decade, several therapeutic drugs with promising investigational approaches have been used in therapeutic regimens in both frontline and relapsed/refractory AML and represent a positive potential benefit for some rare entities displaying specific molecular lesions. Several rare subtypes can be identified in adult patients with AML. In this descriptive review, we assess the available information for these rare entities and summarized treatments that could be proposed especially according to their genetic characterization.

成人急性髓性白血病罕见的遗传和不常见的形态学实体。
综述目的:尽管急性髓性白血病(AML)的各种分类系统存在差异,但根据临床、生物学或形态学特征可以识别出罕见的实体。如果在成年AML患者中发生率≤5%,则考虑由特定形态学标准和/或遗传异常定义的罕见AML。最新发现:大多数罕见AML的特点是采用标准治疗方法预后较差。在过去的十年中,一些有前景的研究方法的治疗药物已用于一线和复发/难治性AML的治疗方案,并代表了一些罕见实体显示特定分子病变的积极潜在益处。在成年AML患者中可以识别出几种罕见亚型。在这篇描述性综述中,我们评估了这些罕见实体的现有信息,并总结了根据它们的遗传特征可以提出的治疗方法。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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