Best Practice & Research Clinical Haematology最新文献

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Best practice & research clinical haematology: Screening for breast cancer in hodgkin lymphoma survivors 临床血液学的最佳实践与研究:霍奇金淋巴瘤幸存者的乳腺癌筛查
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.beha.2023.101525
Stephanie M. Wong
{"title":"Best practice & research clinical haematology: Screening for breast cancer in hodgkin lymphoma survivors","authors":"Stephanie M. Wong","doi":"10.1016/j.beha.2023.101525","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101525","url":null,"abstract":"<div><p><span><span><span><span><span>Childhood and young adult survivors of Hodgkin lymphoma are at an elevated risk of developing breast cancer. Breast cancer risk is felt to originate from chest wall radiation exposure prior to the third decade of life, with incidence beginning to rise approximately eight to ten years following Hodgkin lymphoma </span>treatment. Although incidence varies according to age at radiation exposure, dosage, and treatment fields, </span>cohort studies have documented a cumulative incidence of breast cancer of 10–20% by 40 years of age. Women with a history of chest radiation for Hodgkin lymphoma are counselled to begin screening with bilateral </span>breast MRI at 25 years of age, or eight years after radiation, whichever occurs later. Outside of high-risk surveillance, the optimal management approach for women with prior radiation exposure continues to evolve. When diagnosed with breast </span>malignancy<span>, evidence supports consideration of unilateral therapeutic and contralateral<span><span> prophylactic mastectomy, although </span>breast conserving surgery may be considered following multidisciplinary assessment. This review will address the </span></span></span>epidemiology, characteristics, screening and management guidelines, and breast-cancer prevention efforts for Hodgkin lymphoma survivors treated with radiation therapy in adolescence and young adulthood.</p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101525"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When to use which molecular prognostic scoring system in the management of patients with MDS? 在MDS患者的管理中,何时使用哪种分子预后评分系统?
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-10-17 DOI: 10.1016/j.beha.2023.101517
Tariq Kewan , Jan Philipp Bewersdorf , Carmelo Gurnari , Zhuoer Xie , Maximilian Stahl , Amer M. Zeidan
{"title":"When to use which molecular prognostic scoring system in the management of patients with MDS?","authors":"Tariq Kewan ,&nbsp;Jan Philipp Bewersdorf ,&nbsp;Carmelo Gurnari ,&nbsp;Zhuoer Xie ,&nbsp;Maximilian Stahl ,&nbsp;Amer M. Zeidan","doi":"10.1016/j.beha.2023.101517","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101517","url":null,"abstract":"<div><p>Myelodysplastic syndromes/neoplasms (MDS) are a heterogeneous group of hematopoietic cancers characterized by recurrent molecular alterations driving the disease pathogenesis with a variable propensity for progression to acute myeloid leukemia<span><span><span> (AML). Clinical decision making for MDS relies on appropriate risk stratification at diagnosis, with higher-risk patients requiring more intensive therapy. The conventional clinical prognostic systems including the </span>International Prognostic Scoring System (IPSS) and its revised version (IPSS-R) have dominated the risk stratification of MDS from 1997 until 2022. Concurrently, the use of next-generation sequencing has revolutionized the field by revealing multiple recurrent </span>genetic mutations<span>, which correlate with phenotype and prognosis. Significant efforts have been made to formally incorporate molecular data into prognostic tools to improve proper risk identification and personalize treatment strategies. In this review, we will critically compare the available molecular scoring systems for MDS focusing on areas of progress and potential limitations that can be improved in subsequent revisions of these tools.</span></span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101517"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The international cooperative Gaucher group (ICCG) Gaucher registry 国际合作戈歇组织(ICCG)戈歇注册
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI: 10.1016/j.beha.2023.101522
Neal J. Weinreb
{"title":"The international cooperative Gaucher group (ICCG) Gaucher registry","authors":"Neal J. Weinreb","doi":"10.1016/j.beha.2023.101522","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101522","url":null,"abstract":"<div><p>Gaucher disease GD), is a rare lysosomal storage disorder caused by deficient acid β-glucosylceramidase activity and accumulation of glucosylceramide in tissue macrophages. With the 1991 advent of alglucerase enzyme replenishment therapy (ERT), the manufacturer (Genzyme Corporation) created the ICGG Gaucher Registry to collect longitudinal observational “real word” information about GD world-wide in heterogeneous patient populations, to annotate phenotypes and genotypes that define the natural history of GD in untreated patients, and to document and analyze treatment outcomes for alglucerase and any other future treatments. For 32 years, the ICGG Gaucher Registry has functioned as an educational tool for patients, clinicians, and other stakeholders to increase scientific knowledge of GD, to provide practical management guidance, and to positively impact patient care. This paper illustrates how an industry sponsored registry guided by a company independent scientific advisory board has successfully addressed its mission and evolved in step with technologic and scientific advances.</p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101522"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms of resistance to hypomethylating agents and BCL-2 inhibitors 对低甲基化药物和BCL-2抑制剂的耐药性机制
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-10-20 DOI: 10.1016/j.beha.2023.101521
Sudhamsh Reddy Desai , Samarpana Chakraborty , Aditi Shastri
{"title":"Mechanisms of resistance to hypomethylating agents and BCL-2 inhibitors","authors":"Sudhamsh Reddy Desai ,&nbsp;Samarpana Chakraborty ,&nbsp;Aditi Shastri","doi":"10.1016/j.beha.2023.101521","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101521","url":null,"abstract":"<div><p>Myeloid malignancies such as myelodysplastic syndrome (MDS) &amp; acute myeloid leukemia (AML) are clonal diseases that emerge and progress due to the expansion of disease-initiating aberrant hematopoietic stem cells, that are not eliminated by conventional cytotoxic therapies. Hypomethylating agents(HMA), azacytidine and decitabine are the first line agents for treatment of MDS and a combination with BCL-2 inhibitor, venetoclax, is approved for AML induction in patients above 75 years and is also actively being investigated for use in high risk MDS. Resistance to these drugs has become a significant clinical challenge in treatment of myeloid malignancies. In this review, we discuss molecular mechanisms underlying the development of resistance to HMA and venetoclax. Insights into these mechanisms can help identify potential biomarkers for resistance prediction, aid in the development of combination therapies and strategies to prevent resistance and advance the field of cancer therapeutics.</p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101521"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The best GVHD prophylaxis: Or at least progress towards finding it 最好的GVHD预防方法:或者至少朝着找到它的方向前进
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-10-20 DOI: 10.1016/j.beha.2023.101520
Daniel Weisdorf , Najla El Jurdi , Shernan G. Holtan
{"title":"The best GVHD prophylaxis: Or at least progress towards finding it","authors":"Daniel Weisdorf ,&nbsp;Najla El Jurdi ,&nbsp;Shernan G. Holtan","doi":"10.1016/j.beha.2023.101520","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101520","url":null,"abstract":"<div><p><span>Options for GVHD prophylaxis after allogeneic hematopoietic </span>cell transplantation<span><span> can best be chosen by understanding the pathophysiology of GVHD. Interventions to limit </span>T cell<span> activation, expansion and subsequent tissue injury can each be utilized in designing successful GVHD prevention strategies Depleting, tolerizing or blunting T cells or host antigen presenting cells<span> (APCs), blocking co-stimulation or more broadly suppressing inflammation have all been used. Interventions which spare regulatory T cells<span> (Tregs) may prevent GVHD and facilitate controlled allo-responses and not compromise subsequent relapse risks. Graft manipulations and pharmacologic interventions each have potential to limit the morbidity of GVHD while permitting the immunocompetence to prevent infection or relapse.</span></span></span></span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101520"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cytogenomics of B-cell non-Hodgkin lymphomas: The “old” meets the “new” b细胞非霍奇金淋巴瘤的细胞基因组学:“老”与“新”的相遇
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-10-10 DOI: 10.1016/j.beha.2023.101513
Marta Grau , Cristina López , José Ignacio Martín-Subero , Sílvia Beà
{"title":"Cytogenomics of B-cell non-Hodgkin lymphomas: The “old” meets the “new”","authors":"Marta Grau ,&nbsp;Cristina López ,&nbsp;José Ignacio Martín-Subero ,&nbsp;Sílvia Beà","doi":"10.1016/j.beha.2023.101513","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101513","url":null,"abstract":"<div><p>For the routine diagnosis of haematological neoplasms an integrative approach is used considering the morphology, and the immunophenotypic, and molecular features of the tumor sample, along with clinical information. The identification and characterization of recurrent chromosomal aberrations mainly detected by conventional and molecular cytogenetics in the tumor cells has a major impact on the classification of lymphoid neoplasms. Some of the B-cell non-Hodgkin lymphomas are characterized by particular chromosomal aberrations, highlighting the relevance of conventional and molecular cytogenetic studies in their diagnosis and prognosis. In the current genomics era, next generation sequencing provides relevant information as the mutational profiles of haematological malignancies, improving their classification and also the clinical management of the patients. In addition, other new technologies have emerged recently, such as the optical genome mapping, which can overcome some of the limitations of conventional and molecular cytogenetics and may become more widely used in the cytogenetic laboratories in the upcoming years. Moreover, epigenetic alterations may complement genetic changes for a deeper understanding of the pathogenesis underlying B-cell neoplasms and a more precise risk-based patient stratification. Overall, here we describe the current state of the genomic data integrating chromosomal rearrangements, copy number alterations, and somatic variants, as well as a succinct overview of epigenomic changes, which altogether constitute a comprehensive diagnostic approach in B-cell non-Hodgkin lymphomas.</p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101513"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49715976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cytogenetics and genomics in pediatric acute lymphoblastic leukaemia 儿童急性淋巴细胞白血病的细胞遗传学和基因组学
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-12-01 Epub Date: 2023-08-17 DOI: 10.1016/j.beha.2023.101511
Željko Antić , Jana Lentes , Anke K. Bergmann
{"title":"Cytogenetics and genomics in pediatric acute lymphoblastic leukaemia","authors":"Željko Antić ,&nbsp;Jana Lentes ,&nbsp;Anke K. Bergmann","doi":"10.1016/j.beha.2023.101511","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101511","url":null,"abstract":"<div><p><span><span><span>The last five decades have witnessed significant improvement in diagnostics, treatment and management of children with </span>acute lymphoblastic leukaemia<span> (ALL). These advancements have become possible through progress in our understanding of the genetic and biological background of ALL, resulting in the introduction of risk-adapted treatment and novel therapeutic targets, e.g., </span></span>tyrosine kinase inhibitors for </span><em>BCR::ABL1</em><span>-positive ALL. Further advances in the taxonomy of ALL and the discovery of new genetic biomarkers and therapeutic targets, as well as the introduction of targeted and immunotherapies into the frontline treatment protocols, may improve management and outcome of children with ALL. In this review we describe the current developments in the (cyto)genetic diagnostics and management of children with ALL, and provide an overview of the most important advances in the genetic classification of ALL. Furthermore, we discuss perspectives resulting from the development of new techniques, including artificial intelligence (AI).</span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101511"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49716024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac surgery for radiation associated heart disease in Hodgkin lymphoma patients 霍奇金淋巴瘤患者放射相关心脏病的心脏手术治疗
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-10-07 DOI: 10.1016/j.beha.2023.101515
Daniel Shell
{"title":"Cardiac surgery for radiation associated heart disease in Hodgkin lymphoma patients","authors":"Daniel Shell","doi":"10.1016/j.beha.2023.101515","DOIUrl":"https://doi.org/10.1016/j.beha.2023.101515","url":null,"abstract":"<div><p><span><span>Much of the modern focus of Hodgkin's Lymphoma (HL) </span>treatment involves the prevention of secondary organ injury. Despite rationalisations of radiotherapy fields, many patients still develop late radiation-related </span>cardiotoxicity<span> that is severe and requires interventional management. No guidelines exist to direct management of these complex patients who often present with multiple concurrent cardiac pathologies<span>. Despite possessing a greater mortality risk than in the general population, cardiac surgery has an important role in treating radiation-associated heart disease. This review summarises the body of literature surrounding cardiac surgery in HL survivors post-radiotherapy, highlighting the benefits and risks unique to this cohort. The pathophysiology and presentation of radiation-associated heart disease is also explored in relation to HL patients.</span></span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 4","pages":"Article 101515"},"PeriodicalIF":2.1,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49715586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Donor lymphocyte infusion in Acute Myeloid Leukemia 急性髓性白血病的供体淋巴细胞输注
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-09-01 Epub Date: 2023-06-06 DOI: 10.1016/j.beha.2023.101484
Nilay A. Shah
{"title":"Donor lymphocyte infusion in Acute Myeloid Leukemia","authors":"Nilay A. Shah","doi":"10.1016/j.beha.2023.101484","DOIUrl":"10.1016/j.beha.2023.101484","url":null,"abstract":"<div><p><span><span>Donor lymphocyte infusion<span> (DLI) is an important treatment modality in the management of relapsed </span></span>hematological malignancies after allogeneic hematopoietic </span>cell transplantation<span> (allo-HCT). Donor T lymphocytes<span> can be used in a therapeutic, pre-emptive or prophylactic manner in an attempt to stimulate a graft versus leukemia (GVL) effect and eradicate residual disease or even prevent relapse in a high-risk setting. DLIs are not without complications, however, graft versus host disease (GVHD) in particular. Data to date is limited to retrospective and small prospective studies. This review summarizes the available literature on approaches to managing relapse, dosing and timing of DLI, complications and potential future therapies.</span></span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 3","pages":"Article 101484"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endpoint selection and evaluation in hematology studies 血液学研究的终点选择和评价
IF 2.1 4区 医学
Best Practice & Research Clinical Haematology Pub Date : 2023-09-01 Epub Date: 2023-05-24 DOI: 10.1016/j.beha.2023.101479
Ruta Brazauskas , Mary Eapen , Tao Wang
{"title":"Endpoint selection and evaluation in hematology studies","authors":"Ruta Brazauskas ,&nbsp;Mary Eapen ,&nbsp;Tao Wang","doi":"10.1016/j.beha.2023.101479","DOIUrl":"10.1016/j.beha.2023.101479","url":null,"abstract":"<div><p>Observational studies and clinical trials<span><span> in hematology<span><span> aim to examine treatments for </span>blood disorders<span>. The outcomes being studied must address the goals of the study and provide meaningful information about treatment course, disease progression, describe patients’ survival experience and </span></span></span>quality of life. Endpoints are the specific measures of these outcomes, and much consideration should be given to their selection. In this review, we describe the outcomes and endpoints frequently used in studying hematologic diseases and provide general guidelines for their statistical analysis. The main focus is on clinical outcomes which are commonly used in establishing treatment safety and efficacy. We also briefly discuss the role surrogate and composite endpoints play in hematology studies. The importance of patient reported outcomes to comprehensive assessment of the treatment effectiveness is highlighted. Provided practical considerations for choosing primary and secondary endpoints may be helpful in designing hematology clinical trials.</span></p></div>","PeriodicalId":8744,"journal":{"name":"Best Practice & Research Clinical Haematology","volume":"36 3","pages":"Article 101479"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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