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Chapter 9
Myelodysplastic syndrome and overlap syndromes
Introduction
The nomenclature and classification of myeloid malignancies and our understanding of how these disorders are and are not related to each other continue to evolve. As discussed in Chapter 10, the diagnosis of acute myeloid leukemia (AML) is relatively straightforward and is based largely on the percentage of blasts in the bone marrow and on their morphologic, immunohistochemical, and immunophenotypic features. Similarly, the myeloproliferative diseases (MPDs), discussed in Chapter 8, are characterized by the clonal expansion of malignant hematopoietic stem cells that retain the capacity to differentiate into mature blood cells. The association of recurring cytogenetic abnormalities with specific disease Classification of myelodysplastic syndromes
Diagnosis
Epidemiology Biology and pathogenesis of myelodysplastic syndromes Cytogenetics and molecular biology Cell biology
Clinical syndromes
Myelodysplastic syndromes in children and adolescents Hypocellular myelodysplastic syndromes Therapy-related myelodysplastic syndromes
Treatment
Growth factors and supportive care Transplantation Conventional chemotherapy
Novel therapies
Hypomethylating agents Histone deacetylase inhibitors Immunomodulatory drugs (IMIDs) Immunotherapy TNF-Receptor fusion protein Arsenic trioxide
Classification of overlap disorders
Diagnosis Epidemiology Biology and pathogenesis Treatment Transplantation New therapies | |||||||||||||||||||||||||||||||||||||||||||||||||||||