Myelofibrosis

الملخص

  • Reactive process common to many malignant and benign disorders.
  • Primary myelofibrosis is a chronic progressive disorder with a median lifespan (5.5 years) much shorter than that with other myeloproliferative disorders. However, survival can be heterogeneous, ranging from <1 year to >30 years.
  • Leukoerythroblastosis and splenomegaly are common findings.
  • Death is usually due to bone marrow failure (haemorrhage, anaemia, or infection), transformation to acute leukaemia, portal or pulmonary HTN, heart failure, cachexia, or myeloid metaplasia with organ failure.
  • Asymptomatic, low-risk patients without hyperuricaemia or a remedial cause for anaemia require no therapy.
  • Haematopoietic stem cell transplant is the only treatment option with a potential for cure.
:آخر تحديث ينا 14, 2013
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