Difference between revisions of "Myeloproliferative neoplasms"

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(→‎Molecular: JAk2 negative)
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* BCR-ABL1 negative (DDx: [[Leukemia]] (BCR-ABL1 positive))
* BCR-ABL1 negative (DDx: [[Leukemia]] (BCR-ABL1 positive))
* A specific JAK2 mutation (Val617Phe) in seen in a group of patients.<ref name=pmid15781101>{{cite journal |author=Baxter EJ, Scott LM, Campbell PJ, ''et al.'' |title=Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders |journal=Lancet |volume=365 |issue=9464 |pages=1054–61 |year=2005 |pmid=15781101 |doi=10.1016/S0140-6736(05)71142-9 |url=}}</ref><ref name=pmid15860661>{{cite journal |author=Steensma DP, Dewald GW, Lasho TL, ''et al.'' |title=The JAK2 V617F activating tyrosine kinase mutation is an infrequent event in both "atypical" myeloproliferative disorders and myelodysplastic syndromes |journal=Blood |volume=106 |issue=4 |pages=1207–9 |year=2005 |month=August |pmid=15860661 |pmc=1895198 |doi=10.1182/blood-2005-03-1183 |url=}}</ref>
* A specific JAK2 mutation (Val617Phe) in seen in a group of patients.<ref name=pmid15781101>{{cite journal |author=Baxter EJ, Scott LM, Campbell PJ, ''et al.'' |title=Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders |journal=Lancet |volume=365 |issue=9464 |pages=1054–61 |year=2005 |pmid=15781101 |doi=10.1016/S0140-6736(05)71142-9 |url=}}</ref><ref name=pmid15860661>{{cite journal |author=Steensma DP, Dewald GW, Lasho TL, ''et al.'' |title=The JAK2 V617F activating tyrosine kinase mutation is an infrequent event in both "atypical" myeloproliferative disorders and myelodysplastic syndromes |journal=Blood |volume=106 |issue=4 |pages=1207–9 |year=2005 |month=August |pmid=15860661 |pmc=1895198 |doi=10.1182/blood-2005-03-1183 |url=}}</ref>
**In JAK2-negative cases, CALR or MPL-Mutations are often found.<ref>{{Cite journal  | last1 = Nangalia | first1 = J. | last2 = Green | first2 = TR. | title = The evolving genomic landscape of myeloproliferative neoplasms. | journal = Hematology Am Soc Hematol Educ Program | volume = 2014 | issue = 1 | pages = 287-96 | month = Dec | year = 2014 | doi = 10.1182/asheducation-2014.1.287 | PMID = 25696868 }}</ref>


==See also==
==See also==

Revision as of 08:38, 9 December 2015

Myeloproliferative neoplasms, also myeloproliferative disorders, are a group of indolent hematologic neoplasms characterized by clonal expansion of pluripotent hematopoietic progenitor.

These should not be confused with myelodysplastic syndromes (MDS).

Grouping

They include the following:[1]

  • Polycythemia vera.
  • Essential thrombocythemia.
  • Idiopathic myelofibrosis.

Clinic

  • moderate to severe anemia
  • pale skin
  • fatigue
  • prolonged bleeding
  • enlarged spleen
  • increased clotting

Molecular

  • BCR-ABL1 negative (DDx: Leukemia (BCR-ABL1 positive))
  • A specific JAK2 mutation (Val617Phe) in seen in a group of patients.[1][2]
    • In JAK2-negative cases, CALR or MPL-Mutations are often found.[3]

See also

References

  1. 1.0 1.1 Baxter EJ, Scott LM, Campbell PJ, et al. (2005). "Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders". Lancet 365 (9464): 1054–61. doi:10.1016/S0140-6736(05)71142-9. PMID 15781101.
  2. Steensma DP, Dewald GW, Lasho TL, et al. (August 2005). "The JAK2 V617F activating tyrosine kinase mutation is an infrequent event in both "atypical" myeloproliferative disorders and myelodysplastic syndromes". Blood 106 (4): 1207–9. doi:10.1182/blood-2005-03-1183. PMC 1895198. PMID 15860661. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1895198/.
  3. Nangalia, J.; Green, TR. (Dec 2014). "The evolving genomic landscape of myeloproliferative neoplasms.". Hematology Am Soc Hematol Educ Program 2014 (1): 287-96. doi:10.1182/asheducation-2014.1.287. PMID 25696868.