文献詳細
文献概要
今月の特集 造血器・リンパ系腫瘍のWHO分類 第5版
骨髄増殖性腫瘍
著者: 枝廣陽子1
所属機関: 1順天堂大学医学部内科学血液学講座
ページ範囲:P.693 - P.697
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●慢性骨髄性白血病(CML)については,チロシンキナーゼ阻害薬による予後の改善に加えて,高リスク因子が重視された結果,移行期(AP)の診断基準は除外され,慢性期(CP),急性転化期(BP)の2つの分類に変更された.
●慢性好酸球性白血病(CEL)の診断基準については,好酸球増加の期間が6カ月から4週間に短縮され,疾患の呼称から非特定型が削除された.
●若年性骨髄単球性白血病(JMML)については,WHO分類改訂第4版では骨髄異形成/骨髄増殖性腫瘍(MDS/MPN)に分類されていたが,第5版では骨髄増殖性腫瘍(MPN)に分類変更となった.
●慢性骨髄性白血病(CML)については,チロシンキナーゼ阻害薬による予後の改善に加えて,高リスク因子が重視された結果,移行期(AP)の診断基準は除外され,慢性期(CP),急性転化期(BP)の2つの分類に変更された.
●慢性好酸球性白血病(CEL)の診断基準については,好酸球増加の期間が6カ月から4週間に短縮され,疾患の呼称から非特定型が削除された.
●若年性骨髄単球性白血病(JMML)については,WHO分類改訂第4版では骨髄異形成/骨髄増殖性腫瘍(MDS/MPN)に分類されていたが,第5版では骨髄増殖性腫瘍(MPN)に分類変更となった.
参考文献
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