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Chronic Myeloproliferative Disorders Treatment (PDQ®)

Health Professional Version
Last Modified: 07/29/2011

Changes to This Summary (07/29/2011)

The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.

Polycythemia Vera 1

Added Tefferi et al. as reference 1 2.

Added text 3 to include pegylated interferon-alpha with interferon alpha in the treatment options and cited Quintás-Cardama as reference 18.

Primary Myelofibrosis 4

Added Tefferi et al. as reference 5 5.

Added text 6 to state that fatal and nonfatal thrombosis was associated with age 60 years or older and JAK2 positivity in a multivariable analysis of 707 patients followed from 1973 to 2008 (cited Hussein et al. as reference 8).

Added Tam et al. as reference 12 7.

Added Morel et al. as reference 13 8. Also added text to the list of prognostic factors to include: age of 65 years of older; constitutional symptoms: fever, night sweats, or weight loss; circulating blasts of at least 1%.

Added Cervantes et al. as reference 14 9. Also added that an international prognostic scoring system has been proposed by the Working Group for Myelofibrosis Research and Treatment.

Added text 10 to state that karyotype abnormalities can also affect prognosis and that as seen in a retrospective series of 200 patients, 13q and 20q deletions and trisomy 9 correlated with improved survival and no leukemia transformation in comparison to the trisomy 8 or a complex karyotype.

Added text 11 to state that JAK2 inhibitors are being evaluated in randomized trials, and patients may be eligible even in the absence of a JAK2 mutation.

Added text 12 to include clinical trials involving JAK2 inhibitors to the treatment options. To the allogeneic peripheral stem cell or bone marrow transplantation treatment option was added Kröger et al. as reference 32.

Added Quintás-Cardama et al. as reference 33 12.

Essential Thrombocythemia 13

Added Tefferi et al. as reference 1 14.

Added text 15 to state that among low-risk patients, a retrospective review of 300 patients showed benefit for antiplatelet agents in reducing venous thrombosis in JAK2-positive cases and in reducing arterial thrombosis in patients with cardiovascular risk factors (cited Alvarez-Larrán et al. as reference 8).

Added text 16 to include pegylated interferon-alpha or interferon-alpha as treatment options (cited Quintás-Cardama et al. as reference 11).

Table of Links

1http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page3#Section_5
2http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page3#Section_199
3http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page3#Section_72
4http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_9
5http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_203
6http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_11
7http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_74
8http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_75
9http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_13
10http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_239
11http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_240
12http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page4#Section_49
13http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page5#Section_14
14http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page5#Section_207
15http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page5#Section_241
16http://www.cancer.gov/cancertopics/pdq/treatment/myeloproliferative/HealthProfe
ssional/Page5#Section_93