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摘要: 慢性中性粒细胞白血病(chronic neutrophilic leukemia,CNL)是一种少见类型的骨髓增殖性肿瘤。集落刺激因子3受体(colony-stimulating factor 3 receptor,CSF3R)突变为特征性分子学标志。目前,CNL的治疗尚无统一标准,靶向药物芦可替尼(ruxolitinib)等可改善部分患者的生存,异基因造血干细胞移植(allogeneic hematopoietic stem cell transplantation,allo- HSCT)仍然是唯一可能治愈的方法。随着CNL基因组学研究的不断深入,许多因素被证明与预后相关。本文综述了影响CNL患者预后的临床因素、细胞分子遗传学等因素,以期构建更为完善的预后评估系统,更好地指导患者的治疗。Abstract: Chronic neutrophilic leukemia(CNL) is a rare myeloproliferative neoplasm. Colony-stimulating factor 3 receptor (CSF3R) mutation has been confirmed as a biomarker of CNL. At present, there is no uniform standard for the treatment of CNL. The use of new therapeutic agents, such as ruxolitinib, has significantly improved the survival of patients. However, some patients still respond poorly to these agents. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is still the only possible curative therapy. Based on increasingly comprehensive gene expression profiling of CNL, many factors have been proven to be related to its prognosis. This article reviews the clinical and molecular cytogenetic variables that affect the prognosis of CNL patients to build a comprehensive prognostic schema and better guide the treatment of patients.
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