CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH

<p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 10pt;"><span style="line-height: 200%; font-family: " lang="EN-US">The classic chronic myeloproliferative neoplasms (MPN) include different entities...

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Main Authors: Paola Guglielmelli, Lisa Pieri, Alessandro Maria Vannucchi
Format: Article
Language:English
Published: PAGEPress Publications 2010-05-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://www.mjhid.org/article/view/6024
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author Paola Guglielmelli
Lisa Pieri
Alessandro Maria Vannucchi
author_facet Paola Guglielmelli
Lisa Pieri
Alessandro Maria Vannucchi
author_sort Paola Guglielmelli
collection DOAJ
description <p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 10pt;"><span style="line-height: 200%; font-family: " lang="EN-US">The classic chronic myeloproliferative neoplasms (MPN) include different entities that pose significant challenges for their optimal diagnosis, treatment and overall management. Polycythemia Vera and Essential Thrombocythemia are the most common among chronic myeloproliferative neoplasms (MPNs); major causes of morbidity and mortality are represented by arterial and venous thrombosis, as well as evolution to myelofibrosis or transformation to acute leukemia. However, survival is only minimally affected. Therapy aims at reducing the rate of thrombosis without increasing the risk of hematologic transformation which could be caused by exposure to cytotoxic drugs. On the other hand, survival is significantly reduced in primary myelofibrosis, and the clinical manifestations may be disabling. In the absence of therapies with the potential of curing the disease, a careful risk-oriented approach is employed for stratifying patients to the most appropriate, currently available, therapeutic options. In this brief review, we will discuss some of the key issues that can arise along the clinical course of MPNs and require an integrated, strictly patient-oriented, approach.</span></p>
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institution Kabale University
issn 2035-3006
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publishDate 2010-05-01
publisher PAGEPress Publications
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series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj-art-ccd42a1ac2d84b0f97d43857c191f40f2024-12-02T00:00:37ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062010-05-0122e2010017e2010017CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACHPaola GuglielmelliLisa PieriAlessandro Maria Vannucchi<p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 10pt;"><span style="line-height: 200%; font-family: " lang="EN-US">The classic chronic myeloproliferative neoplasms (MPN) include different entities that pose significant challenges for their optimal diagnosis, treatment and overall management. Polycythemia Vera and Essential Thrombocythemia are the most common among chronic myeloproliferative neoplasms (MPNs); major causes of morbidity and mortality are represented by arterial and venous thrombosis, as well as evolution to myelofibrosis or transformation to acute leukemia. However, survival is only minimally affected. Therapy aims at reducing the rate of thrombosis without increasing the risk of hematologic transformation which could be caused by exposure to cytotoxic drugs. On the other hand, survival is significantly reduced in primary myelofibrosis, and the clinical manifestations may be disabling. In the absence of therapies with the potential of curing the disease, a careful risk-oriented approach is employed for stratifying patients to the most appropriate, currently available, therapeutic options. In this brief review, we will discuss some of the key issues that can arise along the clinical course of MPNs and require an integrated, strictly patient-oriented, approach.</span></p>http://www.mjhid.org/article/view/6024Myeloproliferative neoplasms
spellingShingle Paola Guglielmelli
Lisa Pieri
Alessandro Maria Vannucchi
CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
Mediterranean Journal of Hematology and Infectious Diseases
Myeloproliferative neoplasms
title CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
title_full CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
title_fullStr CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
title_full_unstemmed CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
title_short CHRONIC MYELOPROLIFERATIVE NEOPLASMS: A COLLABORATIVE APPROACH
title_sort chronic myeloproliferative neoplasms a collaborative approach
topic Myeloproliferative neoplasms
url http://www.mjhid.org/article/view/6024
work_keys_str_mv AT paolaguglielmelli chronicmyeloproliferativeneoplasmsacollaborativeapproach
AT lisapieri chronicmyeloproliferativeneoplasmsacollaborativeapproach
AT alessandromariavannucchi chronicmyeloproliferativeneoplasmsacollaborativeapproach