作者: Kebede Hussein , Animesh D. Pardanani , Daniel L. Van Dyke , Curtis A. Hanson , Ayalew Tefferi
DOI: 10.1182/BLOOD-2009-08-240135
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摘要: Among 200 patients with primary myelofibrosis, karyotype at diagnosis was abnormal in 83 (42%). To assess their individual prognostic impact, specific cytogenetic abnormalities more than or equal to 5 informative cases were identified and the rest grouped separately as "other abnormalities." Median survival sole +9 (n = 6), 20q- 21), 13q- 8), normal 117), abnormalities" 28), complex 13), +8 7) "not reached," 112, 105, 80, 46, 34, 28 months, respectively (P .01). Accordingly, 4 risk groups considered: (1) favorable (sole +9, 20q-, 13q-), (2) normal, (3) unfavorable (complex +8), (4) Multivariable analysis confirmed International Prognostic Scoring System (IPSS)-independent value of both 4-way 2-way (ie, favorable/normal vs unfavorable/other abnormalities; IPSS-adjusted hazard ratio 0.37; 95% confidence interval, 0.24-0.58) categorization < The ability prognostically dissect a IPSS category has major therapeutic implications.